Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 34 yrs old and trying to conceive for 3 yrs now but with no luck. I have undergone all tests before proceeding to IUI treatment and all seems fine with me and hubby. I have regular periods and both tubes are open. I have done IUI 3 times but not successful. The doctor told me to undergo laparoscopic operation this time to investigate further but I am so scared to undergo this laparoscopy operation. Doctor here also said that after laparoscopy operation and everything is fine, i must go back to IUI again but with FSH drugs for 3 cycle and if its not going to work, will proceed to IVF . What s wrong with me? and I don t understand why to go for laparoscopy or back to IUI when it already didn t work for 3 times. and why not directly go to IVF procedure? Is laparoscopy operation really necessary? I am very afraid to take the risks of this kind of operation ### REPLY: Hi Welcome to  As per your history you are suffering from unexplained infertility. As you are already 34 yrs (with increasing age and time to conception fertility further reduces) and have been trying for 3 yrs, you need to be thoroughly evaluated by doing a laparoscopy+ hysteroscopy. Why Laparoscopy?? Sometimes few patients may have minimal endometriosis or mild adhesions which may affect the function of tubes and leads to infertility. By doing laparoscopy adverse factors if any can be ruled out or treated. Also tubes can be evaluated under direct vision Hysteroscopy is the procedure where inside uterine cavity is viewed using a camera and if any pathology found can be treated at the same time. Laparoscopy is a day care procedure where you can go same day or next day morning. Don't get scared. As your doctor already said you can try GUI after laparoscopy because immediately after surgery there is good chance of conception. If 3 Luis fail after laparoscopy you can go ahead with IVF. IVF can be done directly, but you need to undergo hysteroscopy before IVF for the reasons explained above. Trust your doctor.  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: my 18 year old daughter developed something that feels like a small cyst on her cheekbone. it is under the skin...you can see and it and feel it. it moves alittle when you press on it. the skin looks bruised but she says she has not done anything to cause the bruising.. any ideas? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your daughter has developed cyst on cheekbone with bruises which is due to formation of abscess and formation of pus in infected tooth area. It could be hematoma secondary to any injury. I would suggest you to visit oral physician once and get it examined. You should go for intramural X-ray and orthopantomograph done as well. Till that time take anti-inflammatory medication Enzoflam along with analgesic medication. Start treatment after proper diagnosis a rule out any hidden pathology such as hairline fracture. If it is concerned to particular tooth start with root canal treatment of that tooth. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the dr on Monday with pain in my lower left abdomen and lower left back pain.  Urinalysis showed infection as UTI possible kidney infection.  Dr. gave antibiotics and pain meds.  I feel much better, however I still have a little pain in the same site as described above and my left calf muscle feels very sore.  Is this normal? ### REPLY: Hi and pleased to answer you you are suffering from acute pyelonephritis. And the re-evaluation of the treatment is essential at the 48th-72nd hour and at D7, to check the quality of the initial prescription of the antibiotics (chosen molecule, dosage) and to adapt it to clinical and angiogram (check the absence of adverse effects). Follow-up is initially clinical (disappearance of fever and disappearance of lower back pain). The realization of a systematic urinalysis to ensure the disappearance of germs is controversial. For some, an urinalysis is not necessary in case of disappearance of the clinical signs. For others, a systematic urinalysis is recommended 1 week and 4 to 6 weeks after cessation of treatment or just 4 to 6 weeks after discontinuation of treatment. If clinical signs persist or if worsening occurs beyond 48 to 72 hours, a new clinical, biological evaluation and radiological (renal CT) is recommended. Imaging looks for an unnoticed obstacle, hydronephrosis, renal abscess, perianal collection. I urge you to contact your nephrologist. May this help you best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 5 year old daughter and we noticed today that she has a hard lump on her chest. She says it hurts an just woke up saying it hurt and was "beeping," I guess she means throbbing. I have no idea what it is or what to do. Any idea of what it could be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has throbbing lump on chest.  It can be hematoma or other vascular tumor. You should go for ultrasound study of that lump. Will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just been told I have MRSA as does my 2 year old son (from nose swabs). Son had boils on his face, clearing slowly. I seem to have had one but have used his antibiotic cream (Bactroban 2%) and this seems to have worked. My son has also been prescribed Erythromycin ethyl succinate 400mg, I have not yet been prescribed this. We are told to put Bactroban inside our nose for 14 days. I have a pimply rash on my stomach under my chest ( has been there for a long while). My feet have felt quite strange (pins and needles in the last couple of days). I am breastfeeding a 4 month old. How concerned should I be. I feel run down but put it down to having a 4 month old. I have started thinking about trying to conceive as I am 40 both children were conceived via IVF and took a long while. How concerned should I be about this with respect to my plans. ### REPLY: Hello, I have gone through your query and understood the concern. Since you are a feeding mother, you need to be extra careful not to contaminate the baby. Please see a physician and get the rash examined. If needed, go for oral antibiotic therapy. Mupirocin (Bactrian) has very good proved efficacy. The infection as well as the need to feed the baby apart from taking care of a toddler, put together must be causing the weakness. In the current scenario, I would suggest some delay in trying to conceive again. This is needed to recoup and become healthier once again to cope with yet another pregnancy. 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: Good evening Sir. My father (59) was mild brain stroke 2 month before. Now he is  recovering after treatment  without operation only by medicine. doctor advice him to continue Tab Torleva 500. May I know how long continue ? he is doses is OD. Is this right ? ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Torleva or Leviteracetam has to be continued as long as the EEG is abnormal Please repeat the EEG every six months When it is normal, you can taper the dose and gradually reduce it and stop it Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had recurrent stage 4B cervical cancer and has metastasis to both my lung, abdominal area. Ive had a tumor at my right side of my lower stomach at a size of 10 cm. I am currently having my 3rd cycle chemo treatment with drug carborplatin and palitaxo and my tumor still did not shrink. Can u help me, I really need help now.Daisy. ### REPLY: Hi, Thanks for writing in. Sorry to hear the disease progress in you. As there is stage 4b cancer therefore the first objective is to reduce your pain as much possible. Surgery might not help enough but chemotherapy and radiation might be started to make you feel better. As chemotherapy with carbonation and Halifax is not helping much you might discuss if radiation therapy is going to help you by reducing the tumor on right side of lower abdomen and also the primary tumor. Change of chemotherapy agents might also be indicated as per the practice and availability at the hospital where you are taking treatment. Treatment of recurrent cervical cancer might include the followingRadiation therapy and chemotherapy. Chemotherapy and targeted therapy. Chemotherapy as palliative therapy to relieve symptoms caused by the cancer and improve quality of life. Pelvic exoneration. Clinical trials of new anticancer .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 small reddish bumps between my eyes and bridge of my nose, (closer to my eyes). They dont hurt unless I rub my eye, even then its not really a pain its more of an irritation. Ive had them before but shrugged it off, they go away after about a week, but come back, randomly. I thought it was my make up, however I have since quit using make up after the second time they appeared. They dont really look like blisters or warts or anything like that. They look more like irritation and swelling due to a clogged tear duct, and I dont think they are styles, as I have had those, however I have no idea thats why I am here. They dont have any fluid in them that I can see or am aware of. What are the most common possibilities of what it could be, what causes it to happen,and how to treat/prevent it? ### REPLY: Welcome to , Nothing to worry about. These small reddish bumps may be due to some infections. The best thing for you to prevent such episodes is avoided using more creams in the face. And wash your face with Luke warm water regularly and have a massage starting from the place of the bump to the middle part of your nose both sides on regular basis. This will prevent further episodes. Hope this explains with 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, may I answer your health queries right now ?  Please type your query here... my daughter (10 yr) has had fever for 7 days.  Started with sore throat, then cold, sneezing then cough - then impetigo round nose.  Very tired, pale.  Could this be bacteria? ### REPLY: Hi...by what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. 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 Im a 27 year old white male. Lately I noticed my penis and balls were inflamed, itchy, swollen, and burned when touched. This was made immediately worse after masturbation so I stopped that. Recently I noticed that my pee stream was angled to the left. I havent had sex with anyone but my girlfriend in the past 8 months and even that hasnt happened in a month. So I was wondering what this could be, maybe a yeast infection for guys?What might help? ### REPLY: Welcome to ChatDoctorGreetings of the dayroom the description given by you, you seem to have developed fungal infection caused by candida along with inflammation of glans causing Atlantis. The deflection of urine stream is likely to be due toss cab present at the urinary opening. Maintaining good personal hygiene, keeping the area clean and .  Local application of combination of steroid and antifungal ointment after taking hot sat bath will be beneficial. Take care 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: Hi, I am female, 31, married and having 2.5 year baby. During my pregnancy , my weight got increased and had a sigerian baby, after that I became overweight , my BMI is 26, and I have reducing my weight. My dad is having diabetes also so I am little afraid of overweight future symptoms. I have read that using honey and lemon in warm water twice a day helps a lot in reducing weight, and so I started it, and I found a minor difference in weight within 7 days. I have 2 questions 1. How effective is to use honey and lemon to reduce weight or is there any more effective solution. 2. Is there any chance that I can get diabetes because of using honey and lemon? Please reply Thanks a lot ### REPLY: Hi, thanks for query. See dear weight loss is such an issue that every other person around has some suggestion to give. The bottom line is that weight loss is a mission, and it needs your continuous motivation. You have to do regular exercise at least 150 minutes/week and plan your diet. Lemon and honey may or may not be working. You can get diabetes by its use. Please take help of your doctor and dietitian for reducing your weight.bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 niece is 15 years old and when she walks her legs bones make sound and it s very loud even I can hear it from long distance. Is it harmful ? She likes Ice skating and she always stay long at the ice ring. She said there s no pain but last week she had massive back pain. Can she continue play ice skating? Shall I bring her to orthopedic? thanks ### REPLY: Hi, thank you for providing the brief history. As the bones are making knocks sounds it is advisable on a safer side to meet up and or tho.Also, some people have too much laxity of the joints and such nice is common. If she is performing ice skating than it is not an issue she can continue the game. Also, in my clinical practice we teach some general exercise to strengthen the muscles where the sounds keep coming. It is not at all a dangerous situation, and it is just a normal musculoskeletal action.Also, for back pain she is suffering currently taking an x-ray will be good to understand the anatomical positioning of the bones. Treatment:Simple painkillers and exercise. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , I am  Prasanna GSEvery day when i comb my hair , I get atleast 9 to 12 Hairs Fall down .My Age : 24 , IT Proffesional - Software Enggineer .But i sleep Late Night ( morning 4 AM - 6 ) and i ll sleep till 12:30 PM ....I cant help it , its my job profile is like this .... Can you please suggest Some recommendation and way to lead a healthy routine ? Please ### REPLY: Hello Rosanna, Thank you for posting on . I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, . From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ive got these little bumps in the corner of my mouth. The next day the were gone but had turned more into chapped lips. A couple days later the other side did the same thing. I get coldsores and these are somewhat similar but dont keep growing or as painful. There is a. Mild tingling that feels more like chapping. ### REPLY: First no need to worry. Since these bumps go within a day it may be due to any minor infections. And if it remains for few days it may be some kind of infection commonly this is herpes infection. It can b due to coming in contact with the surface which have that virus. It starts as tiny bumps then slightly grow in size over a period of 2-3 days. Its irritating and lips also become chapped. Now as in your case look out for these bumps for next 1-2 days, if you find them there then I will suggest you to use acyclovir cream "common brand herpes" on the affected part thrice daily for 4-5 days. Hope that you will get received.  If symptoms persist for longer then u must visit a dentist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 25 year old and have been using morr f from a year after consulting a dermatologist since i could feel front line hair being reduced. i cant say that my hairline has improved greatly. I dont have dandruff and even my ancestors were not bald. could you please suggest if i should continue further? ### REPLY: Hello. Thank you for writing to us at  You seem to have an .  Your treatment includes topical minoxidil along with finasteride. Yes, you should continue it further because the goal of therapy is to arrest or slow down further progression. New hair that regrows with this treatment is an added advantage but response varies from individual to individual. However, if you discontinue this treatment your alopecia may continue to progress further. Hair loss in An ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter (weight 15 kg) is suffering from seasonal allergies resulting in persistent cough (but occassional) for a few months. We keep her on nebuliser medication (Levolin and Budesal). Visited a new doctor who prescribed omnacortil 5 ml daily to her. Is it safe and advisable under current situation, I see that it is a steroid. ### REPLY: Steroids are very helpful and should be given for life-saving efforts. Under present conditions these may be good. My own recommendation is to create immunity in the child to avoid lifelong recurrence of such situations. Some exclusive classical Ayurveda preparations having Piper longum herb as main ingredient such as in Bachaturbha .  Another classical medicine named 64 primary pee pal is also such presentation. Selection depends on various aspects. In any case these are harmless, safe, no side effects, no interaction with modern  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 husband gots Cirrhosis,it s been 3years Already.He got his days,sometimes he s fine,and sometimes he doesn t feel good. But like 3days ago he s been having really high fever.He gotsAlot of body aches and diarrhea too. Could you please tell me what could that be. Thanks.l ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. Presence of fever suggest that he is having some infection either of ascites if he is having, or gastrointestinal tract as he is also have diarrhea. I will suggest you to start an antibiotic like tablet ofloxacin 200 mg twice a day for 5 days. Give him sufficient fluid also. Stop syrup lactulose if he is taking. I hope I have answered your query and this will help you. Wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Dr. am 24years old and my got married last aug 30.for the last one year am taking eltroxin tablets meanwhile as am having hypothyroidism and my tsh went on 19.4 last junebut nw wen i cheked last february 17,tsh was 0.5 and now my doctor tld me to stop d medicine..also last month thats march 2010,me and my hubby tried for a child.but my periods came correctly, on 27th day..ven if am hypothyroid,my periods re regulr[normally 26 to 29 cycle]..now we want to start our family and please reply me how possibe for me to conceivethanks ### REPLY: Hello, Thanks for writing to us. I have gone through your query and understood the concern. In the current scenario, your ovulation status must be established. Other hormone levels also must be checked and any deficiencies corrected. Maintenance of a healthy lifestyle and a healthy weight is needed. Male factor also should be assessed and if necessary, any correction is done. Hope you find this information useful. 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 Doctor, I took Siphene and APCOD sachet for 5days and 60 Sachets respectivly from the 2nd day of last period on 13/03/2014. I got my next period on 13/04/2014. Then I took Siphene (5days) from 2nd day. I felt mild cramps on 26/04/2014 (ovulation time i guess). Will it help me to conceive? I don t have baby yet married since Mar 2012, had miscarraige in Oct2013. ### REPLY: Hi, Thanks for the query. I have read it understand your concern.  With a history of miscarriage before lack of conception... I feel you need to get fully investigated before you take treatment for conception for abortion with infection can cause difficulty in next conception.... like hormonal imbalance/tubal blockage./general weakness.Similarly, husbands semen analysis should also be done. It can reduce due to psychological stress.  Please consult a gynecologist for this. Treatment of any abnormality found may lead to natural conception... or then the sterility treatment would respond fast.  Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an endoscopy 10 days ago with biopsies. Diagnosed with GERD, hiatal hernia, and Barrett s esophagus. I have been taking nexium 40mg daily and made dietary changes. My reflux seems well controlled, but I have a constant burning in my chest which was not there before the procedure. Any clue what this could be? Could this be from the biopsies? ### REPLY: Thanks for your question on . I can understand your concern. Yes, biopsies can cause similar kind of burning sensations. Biopsy sites will cause burning when they come in contact with stomach acid. So burning is expected up to 2 weeks after Biopsy. Along with medium and dietary changes, you should follow these steps also for better symptomatic relief. 1.  Go for walking after meals. 2.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 these reddish bumps on the back of my tongue accompanied by EXCESSIVE saliva and a very slight amount of whitish-yellowish coating on my tongue--again, only in the back. I cannot chew well as the bumps are very irritable. Swallowing , even water, is also a little difficult. This has never happened to me before so I m a little concerned. fyi A few days ago I got a canker sore and have been rinsing with salt water. The sore is still there. I ve also been very stressed lately. ### REPLY: Hello, Welcome to , Do you have any pain in this reddish bump? If pain is there then it can be authors ulcers... There are various reasons for it to occur...like-stress, anxiety,certain vitamin deficiency...any hormonal changes.etc...but it's recurrent in nature.... In your case proper clinical examination is required for proper diagnosis... You can take it B12 supplements.and chlohexidine mouthwash... Get your proper check-up done... 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 have been diagnosed with hidrosadenitis and given a prescription for antibiotics. However, I am trying to get pregnant and I am not willing to take antibioticts for an extended period of time. I would like to know whether there is any natural remedy recommended for this condition. Thank you. ### REPLY: **1. Hi . 2. In its early stage it looks like boil or pimple but with time thick scar can form, thus without treatment, HS can continue its cycle of breakouts and healing. As the breakouts clear, scars form. Continual healing and scarring can cause hollow passages called FISTULA[s] to develop inside the body. Fistula[s] can be painful and require surgery to repair, so initially follow your doctor prescription and ask for antibiotics which doesn't affect pregnancy [mainly cephalosporins] 3. Natural remedy which can be tried is/are. Application of turmeric, black pepper, with coconut oil to the affected area relieves inflammation and treats infection. Apple cider vinegar, omega 3 supplements, help treat the underlying cause of disorder. Tea tree oil is best known for its antiseptic, antifungal and antimicrobial properties and is only a topical hi ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My son is 5months and he suffered in cold and caugh. he is continuously caugh and visited Dr. and he suggested to Mucolite and T-MINIC Drops, We given those drops two times and during night he stared to caugh continuously and he is not able to breath properly. Went to Dr again and he suggested to go for Asthalin breathing.. and he suggested Betnesol drop for few days. Will this cure his cold and caugh ? please help me ### REPLY: Hi Dear Welcome to the , Recurrent RTI is very common in small child . Antihistamines decongestant along with antipyretic will help a lot. Bronchodiltors syrups and also in nebulized form is also to be given. Antibiotics to be considered if the baby is having severe cough and breathing difficulty. Hope the cold and cough should respond to the proper recommended doses of these medicines by your pediatrician. Thanjks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 often have chest pain through my back up into my jaw. I ve seen a dr and was diagnosed with ulcers w/o an ultrasound or scope. It s gotten a little better, however, it occurs wherever. ..after meals, before meals, after drinking water..my mom and my brother have both had their gallbladder removed, should I get a second opinion? I am a 40 yr old female ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion you should first rule out cardiac cause for your symptoms. So get done ECG. If ECG is normal than it is mostly HERD (Gastroesophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. But better to consult gastroenterologist and get done upper GIS copy to diagnose this. You should also rule out H.pylori infection. As this can also cause similar symptoms. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid large meals.2. Avoid stress and anxiety.3. Take proton pump inhibitor.4. Go for walk after meals 5. Keep 2-3 pillows under head in bed to prevent Redux. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a lump on the back of my heel, it sits directly at the back and doesnt necessarily hurt but it is very itchy. Its about the size of a couple of peas and I have had it for a while but thought it was a blister. Its definitely not a blister, its hard but can e moved, a bit like cartilage thank u ### REPLY: Hello! Thank you for using . The lump that you have seems to be a corn, which is hardening of the skin, particularly at areas of pressure. It can be treated by medicated ointments or plasters that will remove the dead skin overlying the thickening, and help in removing the corn more easily. Do not attempt to cut or shave away corns at home. This can lead to potentially dangerous infection of the surrounding tissues. This should be performed by a podiatrist or other health-care professional. Thank you and have a happy 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: my mom who is 58 years old will be having a triple bypass, how long will her recovery be. she is not a smoker or a drinking but has high cholesterol issues and high blood pressure. Does someone of this age have a better chance at no complications then someone older who drinks, smokes and has other health issues ### REPLY: If everything is well, your mom should be out from ICU in 3-5 days at home by max a week and regular life by 3 weeks.  However, she will be able to move about and perform all her activities by a weeks end. For sure the risk of complications are less in someone like your mom than in some someone who smokes because the lungs are healthy making it easier to wean off ventilator also lungs not completely expanding, and secondary infection are the most common reason for prolonged recovery which will be minimal in your mom.  All the best for the bypass.  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 1 year old daughter has very dark circles under her eyes. She also has had a runny nose, a cough and a sever rash on her legs and arms. She was diagnosed with Asthma at a young age. I am certain she has some sort of allergy, but her doctor won t do anything. We have taken her in 6 times in the last 8 weeks, with no results. I am at a loss of what to do. I know she is miserable! ### REPLY: Thanks for consulting at . Cough, cold, runny nose rash etc. suggest possibility of viral infection or allergy. As your daughter is already diagnosed to have asthma, probably complaints of your daughter are due to allergy. Episodes of cough, runny nose, chest congestion occur due to exposure to allergens. You will need to identify what is triggering such episodes. It may be allergens like pollen, dust, mite etc., Sometimes chemicals like perfumes, mosquito repellents etc. Adequate treatment may not be as effective if exposure to allergens is continued. Ask your doctor for medications like Cetirizine, Soloist . If no relief consult pediatric pulmonologist for further evaluation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 do have irregular periods and i consulted a doctor she gave crisanta tablets and asked me to take it on first day till 21 day of my periods. she aske dme ot continue for 2-3 months,are there any side effects for this?please let me know either weight loss or gain or any other problems?? ### REPLY: Hello, Crisanta has been advised to you by your doctor considering its benefits more than its adverse effects as she is aware of your medical history. There are few adverse effects which are commonly observed, and weight gain is one of those. You can counter it with regular exercise. If you still have doubts you can talk to your doctor for guidance. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been diagnosed with a couple things such as anxiety, depression, and sleep disorder. I ve noticed a lot lately that I m having a hard time telling weather or not I m dreaming. How often it happens is increasing. What is it? What do you suggest I do? ### REPLY: Hi. I had gone through your query. Sleep disturbance or insomnia is common in depression. It is one of the main symptoms along with mood variability. Depression can be treated witChatDoctorbination of medicines that improve depression, anxiety and insomnia. Medicines like Escitalopram/sertraline and paroxetine can help in depression. Benzodiazapine group like Mizoram/lorazepam/clonazepam etc. will help in anxiety and insomnia. But do take advise from psychiatrist before taking any medicines. Detail psychological work up will give better treatment. So consult and get help. I hope I have answered your query. Feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, how can the renal function be monitored in a patient undergoing hemodialysis 3 times per week? ### REPLY: Hi welcome to  Renal function is monitored by maintaining a chart of blood urea and serum creatinine levels.... during each visit of dialysis you must carefully maintain and note down the date, the levels of renal parameters in a book... regularly you must show it to the nephrologist. This will be use useful to you in case of emergencies, regarding your previous treatment...hope I have answered your question. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doc. my dad is suffering from hypertension and had a minor paralytic stroke from which he recovered. at present he is very weak.. we were thinking about starting revital an energy supplement for him but needyour advise..wud it really help him or should go for other health supplement. ### REPLY: Hello, The weakness following a paralytic stroke is central (brain related) so adding a supplement wouldn't make .  However, adding a supplement does no harm and revival is a good combination another sucChatDoctorbination is Tab A to Z. Physiotherapy has a very important here is getting back the strength.  Let the physiotherapist teach him exercise which he should do 6- 8 times daily.  Improvement in overall nutrition by adding fruits and nuts in his diet would help too. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I was in an auto accident and my left knee hit the steering wheel and I am feeling numbness and pain when pressure is applied to the knee. ive been to the doctor and they said inturnal bruising but I am thinking something worse. what is your opinion? Thank you! ### REPLY: Hello, As the doctor examines and confirmed it's an internal bruising I think he is right. But to clear your doubt you should take up an MRI of the knee which will help understand the soft tissue injuries if happened while meeting an accident. You can arrange an appointment with a physiotherapist, so he can help you with proper knee rehabilitation and get your best outcome results for the knee. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering from lower back pain for the last 2 months.I have visited a orthopaedic and have taken the following medicines 1 syndol 2 pregatin sr 75 3 rapesene dsr 4 cyza 20mg 5 safeguard sr 100 I have also visited a physiotherapist and done IFT. At present I am taking safeguard sr 100 and doing regular exercises but the pain comes back now and then specially with the feeling of a strained nerve at the left sides tarting from the down to the leg and also some stiffness at the lower back. Pls suggest what shuold I do to get permanent relief. ### REPLY: Hi, Welcome to . After going through your query I think your You are suffering from chronic backache. Treatment of back pain is exercises, Cartisafe D once daily, NUROKIND GOLD ONCE DAILY and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) . Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(On DK 60K weekly with milk) can be taken. Eat milk, fruits and green leafy vegetables daily. I think your query answered. Welcome to any follow-up query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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/mam,I have PCOD complaint my doctor adviced to take krimson 35 and metformin .I was very eager to get pregnant. will taking this tablets affects my pregnanacy.is there possibility of getting pregnanat while using this tablets?Awaiting for your reply.Thank you ### REPLY: Hi, thanks for writing. I understand your concern. Metformin helps to decrease appetite and reduce weight thereby influences the hormonal changes and decreases PCs. You should continue this tablet till you become pregnant. Crimson 35 inhibits ovulation and helps in regularizing the periods. So while on this tablet you are unlikely to get pregnant. So stop Crimson 35 if you are planning a pregnancy. Hope I have answered your query. Feel free to ask any doubts through http://doctor.ChatDoctor .com/doctors/ .  Good 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: Hi I had a microdisctamy at l4 l5 s1 three years back & I had a slight bulge in l2 l3 but it is untreat.Now I hav a severe pain in my right flank below rib cage backside. I hav 2 stones in my right kidney about 5.1 & 5.8mm in size & I had a polyps in my gall blader, so that is also removed about a year back. Doctors told this is not cause of pain. please suggest me cause this pain it unbearable please suggest me. ### REPLY: Hello, I have studied your case. Medication like methylcobalamine with neurotrophic like pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. 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: WHAT ARE THE SYMPTOMS OF LATEX ALLERGY? I PUT ON A PAIR OF NEW RUBBER GLOVES TO WASH SOME DISHES & MY HANDS STARTING ITCHING, SLIGHT PUFFINESS & I GUESS WHEN I TOOK THEM OFF I MIGHT HAVE RUBBED MY FACE & SIMILAR REACTION. I DO HAVE SHELLFISH, IODINE & NOVACAINE ALLERGIES & ALWAYS CARRY EPI PEN & BENADRYL. MANY THANKS! ### REPLY: Thanks for query. Latex allergy may be of three types irritant contact, allergic contact, immediate gallery reaction. The most serious reaction to latex. It can show up as rhinitis, conjunctivitis (pink eye), cramps, hives, and severe itching. It is rare, but symptoms may progress to include rapid heartbeat, tremors, chest pain, difficulty breathing, low blood pressure, anaphylactic shock. As you are saying that it happens overtime you wear latex gloves. If the reaction subsides on its own.it might be of allergic contact dermatitis .try avoiding those and use alternate latex free gloves. If you do not have rapid breathing and rhinitis(running nose)you would not need EPI.antihistamines would do well. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,         I have had CLL for 9 years and am in stage 0 presently.  My white count is up to about 52,000.  I did have shingles a couple of years ago and am just getting over a bad case of stomach flu which my grand daughter brought home from day care.  I have not been sick for 2 years and that took 6 days to get over.  My main question is about the red rash I keep getting all around my knees on both legs.  It itches and I found it went away for awhile when I changed laundry detergent.  What can this rash be when I thought I got rid of it?  I am going in to see my oncologist on Oct. 30.   This rash is puzzling to me and I wondered if it has to do with the CLL?       YYYY@YYYY   Thanks. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to contact dermatitis due to the new detergent. I suggest using Cetirizine 10 mg to relieve the symptoms. I also suggest using Calamine lotion for local application. Furthermore, I recommend to change the detergent. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello.  I am a 22 year old male.  About 9 months ago, maybe more, I noticed in the shower that my left nipple was sticking out farther than my right.  I promptly squeezed it and it had a discharge much like a pimple before it was empty.  After this, nothing else came out that day, but the nipple has remained larger on the left side, and occasionally (once every few days,) if I squeeze it, it will discharge a tiny bit more.  I cannot identify any lumps of any kind to indicate gynecomastia or breast cancer, and am really stumped/concerned as to what else could possibly be causing unilateral nipple discharge in a 22 year old male. ### REPLY: Dear, We understand your concerns went through your details. A woman can normally have some type of nipple discharge throughout her adult life. For men, nipple discharge can indicate a problem. During hormone imbalances such as adolescence, the male gland can be stimulated. This hormonal stimulation can result in gland growth (Gynecomastia), tenderness, and produce milk and or nipple discharge. If squeezed / traumatized enough, a clear fluid can be express from almost anyone. This is normal but hurting tissues this much is not a good idea. With gland stimulation, the discharge can be milk like or thick like a pimple. Nipple discharge is a concern if:bloody or fluid colored red, pink, or brown looks like pus especially accompanied by inflammation and or fever one sided (unilateral)happens without squeezing the gland sticky and clear or a cloudy black or brown. I suggest you not to try diagnosing your problem. Please consult a surgeon. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Happy New Year. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello.  I am a 36 year old female. I have been haing intermittent pain in my chest for a week or so on the left side of my sternum which includes after the pain episode the feeling of cold water running down my chest and left arm. and then I become very tired. ### REPLY: Hi, Dear,Thanks for your query to . Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Chest pain could be from HERD with Acid Reflux. Get it checked from your Family Physician. If need have Second opinion from Consulting Physician and investigate if need be. But in the absence of other information, I would suggest you to go for Physician Consults. As the facts could be different from what you submitted. So looking into the sensitive complaint of yours, I would suggest you to rule out-Ischemic heart disease(which is the least possibility)/spondylitis/ possibility by Consulting and investigating with Physician and Cardiologist doctor. It would be prudent to have physical Check from Consulting Physician before planning further investigations and treatment for it. Other causes need to be ruled out in any case. Dos -suggested for your case-Check with Family Physician and thereafter with Consulting Physician and then with Cardiologist- if you need beget ENT surgeons opinion to rule out other causes of HERD accompanied.Don't miss to have checks for Chest issues by X-ray Chest/ECG if needed, to rule out any causes related to heart and lungs. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with family Physician and Cardiac-specialist if need be, if things don't recover.-Other causes need to be verified with your family GP doctor and Cardiac-Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from PCP-or GP doctor and if need be with Cardiac/ENT specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!  . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For lymphatic tuberculosis,I am taking R Cinex,combutol,one tab each and pyzina two tabs.daily. side effects are nausea , head-ache, weakness especially after taking Pyzina two tabs at night. Please advice,can I reduce pyzina to one tab at night. HOW TO REDUCE SIDE EFFECTS. ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* The anti tuberculosis therapy has to be taken in prescribed dosage schedules as per the WHO guidelines, no alteration can be made by own keeping in view any side effect.* Has to consult your physician to add other medicines as PPI & else to combat the same. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards 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 was prescribed Micronor contraceptives after having my fourth child, and I am now 29 years old. I ve never taken birth control pills before since we wanted to continue having children. I also hemorrhaged after my second was born. Are there any risks for me to take these pills? I m just nervous since I ve never taken anything before. ### REPLY: Hi, Micronor is a brand of birth control pill that is being prescribed worldwide for over 30 years.  It is in a class of birth control pills called progesterone only pills, meaning the only contain a single hormone progesterone as opposed to other kinds of pills that contain both estrogen and progesterone. Progesterone is a hormone that is produced normally by the female body during pregnancy, so it is safe to take while breast-feeding.  The combination of the progesterone and breast-feeding hormones are adequate to protect a lactating woman against pregnancy. Progesterone only contraceptives do not cause a risk of blood clots and are extremely safe to take even in women who have medical problems. The only side effect that is common with pills such as Micron or is that most women to have irregular bleeding and spotting or irregular menstruation as a side effect. So in summary, Micron or is extremely safe and if you are breast-feeding, an effective method of birth control.  If you are not breast-feeding, the only risk of this particular birth control method is failure, as Micron or is only about 92% effective in preventing pregnancy. I hope I was able to adequately answer your question today, and that this information was 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: Hii i was scratched by a dog in the morning and after 4-5 minute it makes me realise that i was scratched . I immediately washed my hand wit water and then after after shave lotion and then after 30 sec of wash with soap and 4 to 5 hours later i get my vaccination first dose and a titnes injection too .my question is that i had read somewher that you have to was your hand 15 min with soap but i didn t .,is this okay ### REPLY: Hi I do care for your concern. The virus spread by either bite of rabid animal or exposure of saliva to open wounds or abrasion.  Need not panic as you have not exposed to above conditions.  Washing with soap thoroughly is recommended, which you have done. You got vaccinated and that is a wise thing to do. So need not worry everything gets well soon. Hope I have answered your question, If you have more feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir i m 25 years old and i m married my wieght is 50 kg and height is 5.4 and i m in traublem if i did not get my first baby as a boy from my husbund family so i m requesting you give me some solutios to get my first baby as a boy baby plz my id is YYYY@YYYY ### REPLY: Hello dairy understand your concernSorry to say there is no any way to conceive with bay boy. It is depended on the chromosomes of sperm that fertilize the egg. There is 50 % prediction for the baby boy. There are two types of sperm, one carrying the X chromosome, and one carrying the Y chromosome. The type of sperm that fertilizes the egg, and determines what sex the baby will be (X for a girl, and Y for a boy). No way/solution to conceive with baby boy. It is gods gift. Do not believe in any myth. Avoid stress, take healthy diet, do intercourse in fertile phase of the period with full penetration, . Hope this may help noncontact  for further health query 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 been suffering from sivere pain from left waist to thigh/nee with radiation since last 40 days.similiar problem faced 3 & half years back.my MRI report says:-Sacralization of L5,L4-L5 intervertebral disc shows diffuse posterior prolapse,seen indenting the thecal sac and encroaching the bilateral neural foraminas,Right postirolateral annular tear, L4-5 intervertebral disc,Arthropathic right facetal joint L3-4 level. I am taking now neugaba m 75 twice daily. please advise me how I will be cured from this painful discease ### REPLY: Hello, I have studied your case. Your MRI says foraminal protrusion causes right foraminal stenosis which leads to compression of exiting nerve root which later on supply lower limb [leg]. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. 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 legs are extremely swollen.  My blood pressure is 150/100.  I am 5 foot 2 inches at 185 pounds.  I had a stroke less than a year ago from an AVM for a total of 3 craniotomies.  I have a VP shunt for hydrochephalus from the stroke.  Should I be concerned?  My kidney function lab work was elevated slightly about a month agoo. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You are swollen leg. It can be due to kidney disorder or cardiac disorder. You should go for complete kidney function test as well as echocardiography once. You also need to control your blood pressure because diastolic blood pressure of 100 is very high. SO consult your doctor and t accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. 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: my sister is suffering from severe joint pain. She has pain in her neck,shoulders back and knees. Also feels heat in the neck and back region. She has pain in her knees and has sciatica. She is having this problem for the pass 20-25 years. She is 54 years old. What do you suggest. She has tried ayurveda,homepathy but nothing has helped her. What do you suggest doctor? She also has ant crawling sensation all over her body this is due is what doctor? She has also tried accupunture. ### REPLY: Hi I had gone through your query and understand your concerns. I would come up with two possibilities to fit your condition. These include1.first possibility is, RHEUMATOID ARTHRITIS; it is an autoimmune disease. Confirm with blood test for RA factor, CRP,AS trite, and ESR.2.second possibility is, DEGENERATIVE JOINT DIERESES;due to hormonal imbalance like hypothyroidism, obesity,stress, lack of proper nutrition are the causes. Treatment plan;I advise you taking HomeopatChatDoctoredicines gives safe and permanent cure for your complaints. But it requires proper case taking and through examination of the case is needed in all aspects. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints. Or mail me at . Co.inI hope this is helpful for you, thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a male, and having a hard time going to the bathroom because of harsh pain in my lower abdomen, and it is continuing to hurt although i am not trying to use the bathroom anymore, i had a hernia before,and was wondering if my previous surgery was the cause,or if it is something to be concerned about?? ### REPLY: Hi. Harsh pain in lower abdomen and difficulty / pain while passing urine is due to urinary tract infection, cystitis meaning inflammation of the urinary bladder being prominent to cause pain in lower abdomen. This may not be related to the hernia surgery unless it was done by a Laparoscopy route. I would advise you the following:Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. Get started with proper treatment, antibiotics, alkalinize, take plenty of oral fluids. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Von willerbrands disease and I can t have my hip replaced in the hospital where I live. Where is the best place it adelaide to go. I have had this trouble before, had our baby in Adelaide, had my Gall Badder done in Adelaide, had Frontal Repair done in Adelaide, had my tubes done in Adelaide, had teeth extracted 50 years ago in Adelaide. Don t want to come to Adelaide but it seem to be nesseccary S B Wiles ### REPLY: Hi I did review your concerned Hildebrand disease is a platelet function defect, and it can be of many types. All the different types have different treatment. Considering that you are having type 1 which is partial deficiency of on Hildebrand factor, medication like desmopressin may help you. But they have to be taken strictly under doctors guidance for the fear of pressure changes in body caused by them hope this yellowish you all the Bethany you for using . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have problem of patacks and thais pain while i get up from my seat and i cant able to stand and walk for 2 to 4 mins. after walking for 100 to 200m my pain is going down slowly. during walking, standing i have no pain but in night time while going to bed i suffer from same pain for hole night? -mohammed ### REPLY: Hello, Gluteal pain may be due to sciatica or bursitis or myositis or arthritis or pinched nerve etc. Until examination is done it is difficult to say what it is. Practice better sleeping position like keep a pillow under lower back, with leg support. Use Pregabalin once daily for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Daugther when she was 6 years old was tested positive for Hbs Ag. (is it Hepatitis B?)Immediately after 15 days she was tested negative.  We tried 2 more labs then also we got only negative. Is there any chance for wrong diagnosis? Now she is 20 years old and hence advice us ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that there is chance of first test to be negative and the report is false positive. Yes we are talking about hepatitis B. Because two different laboratory test can't be negative simultaneously. So do not worry there is nothing to worry about, your daughter is Bag negative. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 y/o bumped his head late in the afternoon at school.They applied ice pack.he has a bump on the back of his head and it s tender to the touch.he was acting normal but around 2am he got a fever.is this related or not? Gave tylenol for fever and now fever s gone should i be worried? ### REPLY: Hi, It is unlikely to be directly related to the bump on the head.  It would be important you to get information from the teacher whether they witnessed your son being in any type of dazed, confused, or behaving as if he were "zoned out" for any length of time. If so, then, this would suggest the strong possibility of a concussion or mild traumatic brain injury and that should prompt a visit ASAP to his pediatrician or even a PEDIATRIC NEUROLOGIST to do a complete neurological examination. If the teachers did not notice that he had any sudden STOPPAGE of function or behaviors (which is typically what happens at the moment of a concussion if the patient does not lose consciousness) then, the likelihood this is a concussion diminishes, and it just will turn out to be a very nice bruise on his head. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. Wish you the best of health. Thank you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctors, My six years old daughter is sick since three days back. First two days she was having headache and eye pain, now she is having headache, eye pain, joins pain, with very high fever and throat pain. I am very much worried please advice me. ### REPLY: Thanks for asking I have gone through your question, and understand your concern your 6-year-old daughter is suffering from headache, eye pain, joint pain, fever and throat pain.the commonest cause of fever is viral illness, body cures it in about 5 days time, give tab/spy paracetamol 15 mg per kg per dose. May be given up to 4 times per day, like to know that is there cough or running or blocking nose with throat pain, is there any pain during urination? Is there any swelling in joints with hurts.if she not improves in next 2 days, visit to pediatrician for check up with your child speedy recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told that I have cellulitis by my doctor just a couple of days ago and I ve been prescribed Keflex but now the infection has spread from just the lower part of my leg to my knee on my other leg and my thigh. Should I go to a hospital, be tested, etc.? ### REPLY: This should be promptly evaluated, as the bacteria causing your infection may not be sensitive to the Reflex. You might need a different antibiotic. Contact your doctor and let him/her know what is going on, and get seen at emergency or urgent care. If you are having fevers, this is especially important. It is very concerning that infection has spread to your other leg. You might have resistant bacteria such as MRSA that require aggressive treatment. Cellulitis can get into the bloodstream and cause serious disease. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I shaved my pubic areas couple of weeks ago and when the hair staired growing back there was a couple or infected follicles. One is located on the inside of my leg got very big and red. This morning it busted letting out a smelly puss. Do I need to go to the Dr or can this be treated over the counter? ### REPLY: Thanks for contacting ChatDoctorI am sorry to hear that you are having infected hair follicles after shaving. This is a common occurrence. Depending on the size of the infected hair just the act of .  Keep the area clean with soap and water. You can clean out the boil with peroxide too. If the area does not heal and keeps red and painful then an oral antibiotic maybe need to completely resolve the infection. Hope this answers your question. Please contact us again with your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have eight years of education and owned a small business, I married a very wealthy man and was living a very rich life and walked out after one year. He was controlling and manipulative and narcissistic, I was probably codependent and needy a term his counselor came up with. I needed some stability and trust. He was 15 years older and I waited a long time to get married and do not have children. I was at fault as I had old fashioned and immature ideals of married life. I can t seem to get up and get going anymore. I am tired and depressed and life doesn t appeal to me anymore. I know that I have enough to survive on but I am so ambivalent about my future and ever being with anyone again. I have no friends or family to speak of. just an aging mother who needs my help all of the time. I know that I worked so hard my whole life, I am 56 and now I have nothing but material posessions which I don t even enjoy anymore. I have been to counseling for one year and he says I was emotionally immature and that I need to find something that I can become interested in once again. This man just kept going back and forth and lying to his ex-wife and then me his new wife and I just felt like my head was spinning around. I am so analytical and so capable of compromise but the truth and the needs never came out. I am also very angry as he moved on and found an older woman immediately and had her move in the home we bought together within three months. I just feel so hurt and betrayed and waited for him for six years and it was awful. What do I do to get my exhurberance back? ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are going through a difficult time due to your problems. From the description of your symptoms, it appears that you are going through a depressive episode. As this seems to be affecting you quite a lot, I would suggest that you seek professional help to deal with this. Help is available in the form of anti-depressant medication or psychological therapies like CBT. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further management. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a fairly large boil, about 2 inches wide and 1 inch long, that has gotten this big in only 3 days. I tend to get boils in my bikini area, where this one is too, a few days after I shave. Are there any home remedies, vitamins, supplements I can take to help it reduce in size and eventually heal? ### REPLY: Hai, boils is usually caused by bacterial infections. Small type boil will burst and . Vitamin C will help in healing the small boil. But boil in large size will need certain antibiotics to treat the condition. Home remedy like turmeric will help in boil. Tumeric powder mixed with milk can be applied in the boil. Because turmeric got anti-inflammatory property. Thank you hope I answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 12 year daughter is having tics for some time and now they have progressed to facial grimaces with teeth clenched and back arches and stiffening. her ceruloplasmin levels have come at 20.1 and 18.6 in two tests. she has no KF rings in the eye, liver function is normal. doctor has asked to do copper serum test as wel as the 24 hour urine copper test. hile we await he has asked to start her on tab sizodon and arkamine. should we do that before we evn know what she has? first he said tourettes syndrome and now it could be wilson disease. should we not first onfirm what this is first. also her atacks ar so like extreme seizures without any fainting. very stressed ### REPLY: Naturally you will be stressed, because the conditions that your doctor has mentioned are rare inherited disorders ----and the fact that your ceruloplasmin level is within normal range unlikely to be Wilson's disease. If your daughter had tics and stiffening, does she have abnormal sounds and uttering words repeatedly. I suggest that you visit a pediatric neurologist. If it is Tourette syn . You will have to have a group to manage your children needs.including tick management, behavioral management, social support and so on. Yes you are right, You have to confirm your diagnosis before starting treatment and the management has to be comprehensive and multi faceted instead of single medication therapies. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age 2yr test of mountux 6 month ago is possitive and complete by 6 month course by macox tab docters says stop the akt but after blood tested by patients result esr-51 and crp-49 why region son for fever comes back 2 month daily treat fever medicine antibiotic but stop fever and again comes fever 4 to 5 days after please advise me ### REPLY: Hello and welcome to . Relapsing fever and high ESR after completed course of anti-TB can be due treatment failureRe-infection Reactivation of Resistant TBF ever due to some other causer first 4 cases Work up of TB should be done. For last case work up for fever should be done like complete ENT examination Urine routine examination Blood culture and sensitivity. Chest x-ray typhoid and malaria and hepatitis work up should be done and should be treated appropriately. Hope you find this answer satisfactory. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: could the two separate ailments Ive had since a flight from Quebec to Alberta 5 days ago be related to the travelling. I have a swollen gland on the right side of my throat / neck. Also, I have (for the same amount of time now) what feels like a pinched nerve in my shoulder. The pain travels down my arm at times. I expected to start feeling better by now, but am not. Could the 2 be related? and what treatment would you recommend. Hot bath helped for a bit with the shoulder, and have been using Chloraseptic spray for my throat to no avail. ### REPLY: Hi. Both the things namely swollen glands on the right side of the neck and the pain in shoulder may be related. The reason being the swollen glands cause inflammation to nearby structure causing spasms of the muscles to cause nerve pinching syn .  I would advise you to get a clinical examination, MRI of the neck and the cervical spine and the cord; get started on antibiotic and anti-inflammatory medicines. See for the results. If the lymph nodes do not regress with treatment ENAC may be needed to get the proper diagnosis and plan for the treatment. In the meantime put you right elbow and the arm in the sling to support the weight. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 53 yr old male, 5ft 8in, I am not sure about my weight but I wear 34 inch waist trousers and med size shirts(not over weight) I had an endoscopy in October which showed a hiatus hernia and Barretts Esophagus . The question I have is would liver damage have shown up in the endoscopy? ### REPLY: Liver damage would not show on an endoscopy, as you can't directly see the liver with this camera. You could see indirect effects of chronic liver damage through an endoscopy particularly on the esophagus and stomach (such as esophageal and/or gastric varices) but these varices are only seen on advanced liver disease. Imaging studies, laboratories and ultimately a liver biopsy are better to check on the status of your liver ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, for the past two weeks I have been in the Emergency Department two times with the same symptoms... I am having severe abdominal pain in the upper part and it will not go away. Both visits to the Emergency room they have checked my blood (CBC) and say everything looks good. Had a CT scan and they say they see some diverticulitis, yet send me home... I am now throwing up blood and stool is extremely dark and foul. My stomach about has my in tears... What can I do? ### REPLY: Hi. Thanks for your query. Since the CT scan has confirmed Diverticulitis, the doctors must have thought of giving medicines to be taken at home. With severe abdominal pain and the history of Hematemesis and dark and brown stool you need to get admitted, need intravenous antibiotics and fluids. You may need an upper GI Endoscopy to see that you do not have Stomach concerts is indicative of a complication of the diverticulitis and may need an urgent surgery if the medical management fails.  If the abdominal pain is getting settled with conservative management you may have to change the way you take your foods and beverages. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good afternoon. My little brother was just diagnosed with torticollis at 14. As a medical marijuana advocate my first thought was to look that up as a treatment, and found a few people that said it worked for them. However they were quite dated. ### REPLY: Hello, As your little brother is diagnosed with Tortillas, I will advise taking physiotherapy management, as the muscles of the neck are tightened and always in the spasmodic state.  By releasing the tightness in the muscles will help to correct the tortillas. Most cases respond well to physiotherapy management. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had 4 epidural injections in my spine over 5 week period. I am now experiencing moon face, insomnia, intentional distress,loss of taste, palpitations, fatigue etc. My Dr prescription ed a diuretic which helped legs and feet but my face is tender and swollen. What can I do? ### REPLY: Hello! Welcome on  ! Your symptoms could be related to steroid adverse effects. But, it is also important to exclude other possible, which can lead to your symptoms (an electrolyte imbalance, kidney or liver dysfunction, etc.). For this reason, I would recommend consulting with your doctor and performing further tests: - complete blood count-kidney and liver function tests-blood electrolytes- a urinalysis. If all the above tests result normal, there is nothing to worry about. In such case your symptoms will improve spontaneously. Hope you will find this answer helpful! Kind regards,  ### END