Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 whitish/red bumps on scrotum. They feel kind of hard and some are slightly softer. I have had them since I was a teenager and not sure what they are. What could they be and how t=could they be treated? I have taken an STD test and everything is good. ### REPLY: HelloThanks for query. Based on what you have stated I would say that you have multiple Sebaceous Cysts over scrotum. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac) .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 10 weeks pregnant and for the more past for the last 10 weeks my ovaries have been hurting but for the last week it has really been constant. I have tried getting ahold of my OB/GYN but he has not gotten back to me yet. Is this normal for my ovaries to hurt? ### REPLY: Hello, and I hope I can help you today. In the first trimester of pregnancy, your ovaries produce the hormone progesterone which normally is made by the placenta once it reaches adequate size. So it is not unusual in the first trimester pregnancy to feel pain in your ovaries. In addition, as your uterus stretches, you also may experience some cramping and pulling sensations, which can be on the sides. The only thing that is concerning is if you have not had an ultrasound this pregnancy to confirm that it is normal and located in your uterus. If you already have had an ultrasound for this pregnancy it is unlikely that there could be anything harmful going on, especially if you are not bleeding. So if the pain is severe enough that you cannot function, especially if you have not yet had an ultrasound, if you cannot reach her doctor within a reasonable amount of time, you may want to pursue care in an emergency setting. If you have had a normal ultrasound earlier in this pregnancy, you really do not need to worry, as your ovaries are normally examined as part of your pregnancy ultrasound and a large cyst would've already been detected. Tylenol, or acetaminophen is safe to use for pain at the normal adult dosage during all trimesters of pregnancy, and you can try to see if that helps with the pain. I hope that I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother is 68 years old (otherwise very fit & healthy), but has been suffering with vertigo like symptoms,  dizzy spells, vomiting etc ... recently he has developed dehydration ... he has endured all necessary exams, treatments and medications for the past year & 1/2 but is still suffering ... can anyone tell me what is happening with his case and when can we can look forward to his recovery? ### REPLY: Hello dear, The symptoms as mentioned in your post can be due to:1. Any pathology in the Vestibular apparatus in the inner ear, which maintains posture & balance.2. Any fluctuation in the blood pressure or blood sugar levels.3. Inadequate HY . 4. Deficiencies of certain nutrients like Iron, vitamin B 12, Folic acid, etc. which helps in blood formation & nerve conduction.5. Hormonal & metabolic causes.6. Stress, inadequate sleep, etc. So, kindly consult your Physician and discuss regarding this. Investigations like complete blood count, estimation of blood pressure & blood sugar levels, CT scan of brain will be helpful to rule out any pathological cause for the symptoms. And it is also needed that certain precautions regarding diet & lifestyle should be taken, such as:1. Take soft, plain, non-spicy foods2.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 six cavities and 1 root canal, i had a terrible tooth ache in december , and i went to the dentist to get it sorted but im afraid of needles, because last time they gave me anesthetic and they did not let it numb , so when they pulled my tooth i felt it and was in pain.  they transferred me to kings dental , but that was a failure because the only done a check up and they told me if i get it done i have to be awake. they told me that they will do the root canal on may the 6th. im in really bad pain now , and i cannot wait that long , the pain is getting worse and worse. i already had an abscessed and i think im getting another 1 . ### REPLY: Thanks for using . Read your query.It's sad to read your experience with the tooth removal. The signs and symptoms suggests that multiple teeth needs treatment. I would advise you to relax and visit a good dental hospital and start the root canal treatment done. For the pain ibuprofen can be taken (if you are not allergic to any medicine) antibiotics like amoxicillin 500 mg will be needed on prescription by the dentist. Please call your dentist and have the date of treatment advanced and get the treatment. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: while sitting and visiting the AM I rubbed my forearm and it had a different feel to it, also when I rubbed my feet together. It wasn t numbness like when your arm falls asleep, but I noticed there wasn t a lot of feeling if I would scratch it or pinch it ### REPLY: Hello, You are having tingling and numbness in your arms and legs. Although you have not told me your age and what medications you are one, the most common cause for tingling and numbness in arms and legs maybe due to vitamin deficiency and spondylosis. I would advise you to wait for a few days and if the symptoms still persist then consult a physician and have it evaluated. Wish you a speedy recovery. 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 have a 6 mm complex cystic mass deep in the right upper neck/submandibular region and it hurts besides i have disconfort and light pain deep inside my throat my doctor told me is something with my lymphs and next thursday i will see otolaringology doctor for biopsy could this be cancer and what type? ### REPLY: Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Two things to consider primarily based from your description: 1. A possible cervical lymphadenopathy (inflamed lymph node) probably secondary to a recent upper respiratory tract infection 2. A possible lesion in your salivary gland. Other considerations may be fibrous, lipoma or cyst. Clinical examination from your doctor will be of great help. Further diagnostic examination such as neck ultrasound, ct-scan or x-ray, tissue biopsy and subsequent management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. 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: i have got a really bad reaction with my shower gel after shaving my legs and arms but have also got a reaction where i have not shaved it iches all day and night  what creams can i have ? or any other treatment its getting worse everyday. many thanks ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of skin rashes with itching which is mainly due to allergic reaction of body. Need not worry. I would suggest you to- Avoid touching or pricking rashes as it will exaggerate your situation.- Apply topical steroid e.g. fluticasone propionate cream, twice daily at affected sites for 7- 10 days. - You should take diet rich in multivitamins.  I would suggest you to visit dermatologist once and get it examined. You should go for patch test for allergic reaction. Start treatment after proper examination and diagnosis. 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: My wife just signed her offer letter as server in abu dhabi last october 2, 2012. As a requirement, she need to undergo medical examination first in our country. She took her medical test in the philippines yesterday and unfortunately, she was diagnosed to be hepa b reactive. She thinks that she got it when she undergone a kidney dialysis during her teenage years. The doctors told her that it is not contagious. Does she still have the chance to come here in abu dhabi? she is schedule already on November 15, 2012? Please advise us what is the best thing to do. ### REPLY: Hi I had been in Kuwait (Middle East) for nearly three decades.  Most of the countries in the region do not allow Hepatitis B positive individuals to have residence permits, even for defendants! / less likely for those with work permit / and as a server (hotel?) it is very unlikely.  True, it is not contagious.  It spread by blood or sexual contact.  I am sorry to say this - but I feel there is NO chance.  You have to check with the local health authority (Joint Secretary, Ministry of Health, Abu Dhabi) to be absolutely sure Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor ,myself nutan here,im worried about my mother age of 45 yrs.Her problem is frequently getting numbness to her two palms with so much of pain and burning sensation and she unable to do any work.Is this a big problem? plz give me solution for this doctor.Thank you. ### REPLY: Numbness is generally due to involvement of nerves, has varied causes like 1. Compression of nerve directly 2. Diabetes 3. Thyroid disorders commonly.*In this age group of 45 yrs female, it may be Carpel tunnel syn . ....in later stages the muscles of palms and fingers become so weak that it can't be undone.*So better go for confirmatory tests of nerve involvement and ... The treatment involves Wrist splint and simple exercises and NSAIDs and treatment of underlying cause. Only under supervision of a doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband and I are in our late 60s.  Up until two years ago we had a reasonably healthy sex life but even then my husband had difficulty keeping an erection.  His depression mood swings have increased over the last two years, hes become disinterested in intimacy, he lacks drive and is always tired.  He refuses to take any natural supplements to improve the situation.  He was also diagnosed with Type 2 diabetes which he has managed to reverse with cutting sugar out of his diet altogether.  We cant go on living like this. ### REPLY: Thanks for contacting ChatDoctorI am sorry to hear that your husband is having problems with depression and erectile dysfunction. These two problems go together. As long as he feels depressed he is not wanting to be engaged with any sexual intimacy. He needs to get control of his depression first before he can feel better. I recommend that he be seen by his doctor and have him screened for low testosterone. A low testosterone level is very common in men with diabetes and this could also be at the root of his problem. If he is not having low testosterone I then recommend for him, I recommend either Elena or Wellbutrin. Once these medication start working, and he still has erectile dysfunction he should then try Viagra or CialisHope this answers your question. Please contact us again with your health care concerns and 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: Hi, I am having pain in my distal right clavicle. It has been there for about 2 days but is slowly getting worse. There is now a constant ache there and I experience sharp pain when taking deep breathes, sneezing, coughing, yawning, etc. It also hurts when I rotate my arm. It is not painful to touch. Thanks ### REPLY: Your symptoms suggest that you might have sprain in acromioclavicular joint ligaments. During breathing or coughing, raised intrathoracic pressure also causes some movement at this joint, that causes pain. Mild analgesic such as ibuprofen, hot fomentation and local application of analgesic gel will give instantly relief. If symptoms does not subside in 5-7 days then you may consult to your orthopaedician. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello...I recently got my BP checked and it was 121/90 using an electronic BP instrument and 121/85 using the manual one. Will this be considered as high BP. I had walked to the clinic that is around 300-400m from my house and the reading was taken 5-6 minutes after that. Would that affect the reading? ### REPLY: Hi, Thanks for writing to , I am . A single reading under 140/90 mmHg is not considered elevated a person to be labelled as hypertensive, he has to have at least 2 separate readings more than 140/90 Mouthe digital BP recording machines are always less accurate and an error of 5-8mmHg is usually expected hope this answered your question, if you have more feel free to ask. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on the back of my throat almost directly behind the uvula. Noticeable when swallowing. Additionally, it feels hard like a bone. Also I have been experiencing occasional sharp stabbing pains in my left ear for two weeks. About two weeks ago I had the most horrible headache I have every had in my life... I have occasional migraines. My cousin had a tumor in her ear and lost her hearing. What do you think it could be? ### REPLY: Hi Dear, Welcome to . Understanding your concern. Thanks for your query. The symptoms your mention are pointing towards a condition known as granular pharyngitis, which is an infection of pharynx behind the uvula. It's a which looking pus filled lump and appear to you like a bone.Sometimes infection from pharynx or lump itself interfere with the functioning of Eustachian tune which cause hearing problem and give feeling of clogged ear. I would suggest you to:- - Do warm saline gargles and Betadine gargles alternately 2-3 times a day.- For pain and swelling take ibuprofen (if not allergic) or acetaminophen.- Give warm compresses to ear. Consult ENT specialist (ear, nose,throat) for proper diagnosis and to rule out other causes. Doctor will examine physically or may order swan test or blood test to confirm the diagnosis. Doctor may prescribe antibiotics (penicillin or amoxicillin) at least for a week bucolic agent like aerosol or decongestants . Hope your concern has been resolved. 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 just find out today that I have inactive exposure hepatitis when I was young ( Doctor thinks) how serious and what can I do ? your answer really helpful for me , I m so stress out , and I don t know where it comes from .Thank you very much for your time . ### REPLY: Hi thanks for your question. Explain me complete report of your viral marker. Usually as you have mentioned inactive hepatitis it could be Bag positive case. You might have negative other hepatitis B marker. Usually after getting acute infection of hepatitis B, very few cases can be converted into chronic hepatitis or carrier of hepatitis B. If Bag positivity remain for more than 6 months than we will confirm carrier state. Avoid stress, repeat your test after 6 months, if antigen positive then you will be carrier for hepatitis B. Even if you come Bag carrier, don't take stress. You can live long healthy life .Meanwhile, you have to follow below instructions for healthy liver condition and to avoid complications related............-More fruits-Avoid transfat-Avoid cheese, meat, butter, chips.-Avoid smoke and alcohol-Use very less oil in diet and use olive or sunflower oil that is rich in omega 3 fatty acid.-Avoid refined food.-Regular 30 minute exercise done-Green leafy veg salad taken more hope you will understand my concern. Ready to help you further if needed. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Mu top left rib, just under my coller bone is sticking out, I am getting pain in this area but also in my left breast and just underneath my left breast. I am also suffering from serious acid reflux including the feeling that somthing is stuck in my throat, this is being treated with omeprazole. What could this be and should I be worried? ### REPLY: Hello, Any pain on left side rib cage can not be taken lightly. There is always possibility of heart related issues. Also, some time gastric pain can mimic like this. I would suggest you to get ECG to see if every thing is normal as soon as possible. Gomez is good for heart burn. Also avoid eating very spicy food and oily substances. For muscle pull hot water fomentation and volition ointment is helpful. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have a 6 month old child and had no period yet.  have all symtoms of being pregnant, even pregnant shaped tummy and no weight anywhere else. done several preg tests over 8 weeks all negative. I am taking 60mg fluoxitine for pnd, could this affect the result of home preg tests? what can i do? ### REPLY: Welcome to  and I want to say thanks for choosing us as your health partner. No it doesn't work like that. Fluoxetine HS no effect on pregnancy test. Now your question to what you need to do: Please go to the nearest laboratory for Pregnancy test. When you get the reports, go to your ORGAN for consultation. Your ORGAN will go for an Ultrasound to confirm what's going on with you right now. Remember! Ultrasound will not miss the findings, and you will feel relaxed to take care of your family even better. Hope it was all you needed an answer for. Let us know if you need more help regarding any issue. We are the team of best physics from all over the world and always prepared to help patients in need from all over the globe. Healthiest 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 have been suffering from jaundice for 2 weeks..my bilirubin level last week was 14..this week  it went upto 23.6..doc told me it was an obstructive jaundice..which is also  causing severe itching in whole body..i have had obstruction removed through ERCP..but my itching is not gone yet?how much time will it take to go away? ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Itching is due to increased bile acids in the body, which is deposited in skin. This is due to obstructive jaundice.2. Once the obstruction cause is removed, it will come down, and should reduce within a week.3. You can additionally take bile acid cheating agents. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...respected sir,am primi with 25 weaks now i have done scanning and in that left lateral ventricle measures 13.2 and rt lateral ventricle measures 9.4mm and nuchal thickness 6.6 and AFI is 9.94.. rest of the things are normal.. so what should i do? my lmp is 30/3/2010. and my age is 26. no history of abortions or any other disease.please help ### REPLY: Hi there,One sided enlarged ventricle and a slightly raised nuclei thickness, puts you at a slightly greater risk of chromosomal problems like Downs. But do remember that it is only a screening method,i.e., its just lets us know the risk but cannot tell for sure. There are a number of factors to consider, your age at 26 years puts you at low risk. Have you done any first trimester screen for the Down or fetal problems and if done what were the values? If they were normal then you are at low risk for any problems. If you are extremely worried, you should get a fetal medicine opinion. The AFI is not very low and need not concern you much. Also follow-up scan to know the size of ventricle needs to be done, and it would be best done by a fetal medicine expert. Do not worry. Hope this helps. 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 fell on the ground & for a second couldnt breathe but after that i was fine the next day i started feeling pain where my ribs are i only really feel it when i take a deep breathe yawn or sneeze is this a bruise fracture or break & will this be able to heal on its own & how long will it take ### REPLY: Hello, As with the history to clear the confusion out whether it is a bruise or a fracture of the rib, a simple chest x-ray will be good enough. If it was a big fracture there might be much more changes. Any direct injury to the rib cage can lead to pain and difficulty in breathing, sneezing and coughing. Most rib fractures, if they are hairline, heals on its own, but x-ray will be a good choice still to take it for safer side. Also, whenever you are sneezing, yawning, or doing deep breathing, I will advise you to put the hand over the painful area so the pain doesn't increase. In my clinical practice of over 12 years, most rib fracture cases or pain in ribs due to falling recover well with conservative therapy and preventive measures. 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: Okay, so i have just taken my fourth sugar pill - im on birth control and have been for over a year. I had sexual intercourse 5 days ago, and the only thing i have been feeling is queasy since very late last night when i started worrying that i could be pregnant. The intercourse was proteted, there was a condom and my partner says he didn t blow into me. I still haven t got my period. What do I do? ### REPLY: Hello dear, I understand your concern. In my opinion the birth control pills are the most effective of all contraception methods if taken regularly. If you have taken them regularly then you need not worry. And other protection like condom was also used. The chances of pregnancy appear to be less. Avoid stress. I suggest you to start the new pack after consulting your doctor. Hope this helps. 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 blood in my urine...no pain....blood test showed I MAY have an infection.  Was given strong antibiotic and blood disappeared (visually) within 3 hours.  Had an ultrasound....showed kidney stones (9mm) in one kidney and that the bladder was grossly unremarkable.  2 days later blood seen in urine again for a short period (2 hours)...now I am scheduled for an cystoscopy and wonder what my odds of bladder cancer are? ### REPLY: Hi, thank you for asking . I have gone through your query and understood your concerns. Blood in urine can be from anywhere along the urinary tract. Blood at the beginning of urination is most likely to be from urethra, blood towards the end of urination is likely to be from bladder while blood in urine from the beginning to the end is either from the kidney or a severely bleeding lesion in the bladder. This can give you an idea concerning the origin of blood in your urine. With the history of a kidney stone, I think it is most probable that the source of blood would be kidney and not bladder. Even within the bladder, there are other possible causes of blood in urine apart from cancer. I hope that answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you. I wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: two months ago i was having breathing difficulty on lying on my right ride . when an xray was taken i was said to have pleural effusion and started on ATT.now when i got my blood test it shows increased SGPT and SGOT .. 147 and 85... the other liver function test were normal ### REPLY: A pleural effusion as such does not mean that it is TB. Was that pleural fluid examined? What was the other associated symptoms?  What is your age and sex is another important question. Do you have any other symptoms like wt loss, fever, joint pain, swelling of feet, etc...or any history of diabetes or hypertension? However, if your GP suggested you ATT on appropriate investigation reports, elevated Sept and shot 2 to 3 times is tolerable. But if it is beyond that with increasing bilirubin level then the .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,My father lives in Kenya and has been on dialysis for the past 6 months. He only gets dialysis twice a week and seems to be doing well. His BUN stays within the normal range. His creat ranges between 5-6. My question--is it ok to only have dialysis twice a week and should we as a family rush into trying to get him a transplant or wait to see how he tolerates dialysis? He is 70 years old, is a diabetic and has high blood pressure. ### REPLY: Hii have understood your concern number of dialysis per weeks hold be decided depending upon 1.fluid status like swelling of legs, lung edema with breathlessness2.patients well-being with current dialysis3.increased potassium and creatinine4.increased acid levels if the patient is feeling well with two dialysis and creatinine of 6, no need to do three .if symptomatically he is not feeling better like more swelling of legs, breathlessnes, vomiting, then he needs to escalate to three times weekly dialysis. Hope this helps 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 had a robotic hysterectomy last May for precancerous cells in the lining of the uterus. When they did the surgery, they found a boarderline tumor on my left ovary. They removed everything including 7 lymph nodes on my left side and pelvic tissue. Everything came back clean. I just had a 5 month check-up, and my gyn./oncologist said that I had granular tissue on the vaginal cuff. She scraped some off to biopsy, and then used the silver nitrate to treat it. I am concerned about the biopsy. I just had it done yesterday, so I havent had time to get the results yet. I guess what I want to know is what she is really looking for the biopsy to tell her? Is she concerned about cancer spreading there? She acted like it could be scar tissue. If it is scar tissue, does the silver nitrate usually take care of it with one treatment, or does it sometimes take multiple treatments? It all took me so off guard that I didnt think to ask her any of these questions when I was there yesterday. I was having some dull cramping once in awhile, and I had spotting one time since surgery,  plus a yellowish discharge sometimes which, now that Ive read about granular tissue on the vaginal cuff, I realize that these were all symptoms of that. Anything you can tell me about granular tissue would be helpful. Thank you. ### REPLY: HelloThanks for your query. See, basically, you have a scar on the vaginal cuff, where you had been cut open and then stitched back. It is common for granulation tissue to grow on the scar, that is new tissue growing there. It is not at all cancer. Silver nitrate generally takes care of it in a single sitting. A biopsy is required, because, rarely, there could be pre malignant or malignant changes therein, which need to be excluded while you are at it. You should not worry about it, and wait for the biopsy. If your doctor had suspected cancer, she would have told you so, I think, and you would have had symptoms too. As you have a history of malignancy, hence the biopsy was in order. All the best. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have the mirena iud and for about a week now, I have had sharp, stabbing pain in my lower belly, right side. I have also have really light spotting, really dark brown in color. My lower back hurts, I have a headache, and I am light headed. I have also had nausea and been throwing up after almost every meal. I tried to call my ob today, and she can t get me in for at least two weeks. Should I go to the er? ### REPLY: Hi there, I had gone through your query and understand your concern. Yes, Please visit the ER as IRENA IUD can cause side effects like headache with nausea, persisting lower abdominal pain or pain int the sides of the abdomen at the earliest. Nothing to worry. Mirena IUD in about 1 % can cause these effects like Tubal pregnancy, Gastritis, severe headaches/Migraines which needs to be reported. Please consult the ER if OBI consultant is not available immediately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 RED MARK THE SIZE OF A QUARTER ON MY LEFT TEMPLE, ALONG WITH INFREQUENT PAIN. I HAVE BEEN USING HOT COMPRESSES. At first I thought it was a boil, but it is not sore to the touch or raised. Since it is located close to the ear, could I have a ear infection which is producing the pain? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Temple area is very tight attached to the skin. So pain will be more on that area. It is sounds like some kind of infection. I advise you to apply local ointment like polypoid. You can also use oral antibiotics like definite, painkiller like diclofenac and serratopeptidase, pantoprazole as an anti acidity . Kindly maintain good local hygiene, since this area is frequent oily area. Frequent face washing can help control infections. Avoid more oily foods, this can help control oil secretion and so infection. Local application of the polypoid ointment can also help. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had an abscess under my tooth. Swelling under tongue and on cheek. Went to the ER for antibiotics. Have taken two days worth and now I have a purple lump next to the tooth. Does that mean its healing and coming to the surface? I had no red bumps prior to this bump. ### REPLY: Hi. Thanks for the query. If you have an abscess under a tooth then it will commonly cause a white pimple like lump on the gum. Swelling on cheek is probably due to abscess. But the purple lump if it is under tongue then it can be probably a Muscle or mucous cyst. Taking antibiotics will reduce infection and abscess, but it will not resolve it completely. For complete resolution consult a Dentist and get evaluated. An x-ray should be done. If tooth can be saved Root Canal treatment should be initiated followed by antibiotics and painkillers. If there is gross decay extraction is advisable. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 15 years old - we were at emergency on Firday where they detected somethin on his ECG- never told me what but has him scheduled for an echo altra sound. his signs for a few weeks prior and now are tunnel vision, heart racing, dream like state and his body gets warm when he is having an episode. the dream like state and the tunnel vision is always present. he said he cannot handle feeling this way- he did not go to school today as he is scared it is going to happen again. ### REPLY: Sounds like he has some sort of rhythm problem, maybe wolf Parkinson white, or a cardiomyopathy.  The tunnel vision and fuzziness problem are most likely caused by lack of enough blood flow to the brain as these are the pro .  There is no danger to these symptoms, but there is danger to the reason he is having them.  The symptoms can be alleviated by doing toe raises or lying or sitting down most likely.  You should speak to his primary care doctor to get more information ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my tubes tied for the past 8 years and every since I have been having pains in my lower abdominal area, at first it started with just little cramps after sex, but over the course of the years the pain has increased to where now it happens during sex and or after sex but it feels like I am in labor and need to push the pain out and I dont know what to do, I have seen numerous of doctors, who tell me they dont know, or I have endometriosis and they dont know how to treat me, and a lot of times I get no answers at all. Now I was told by another doctor that my eggs where not dropping the way that they are suppose to since my tubes have been tied, and he also told me I had cysts on my ovaries but not to worry, but my question is what do I do to stop this pain, is there any way I can get my tubes medically reversed because every since they have been tied I have had these pains and its only getting worse to the point I cant walk, or even get  out of bed for at least 2 hours. My name is Tinesha. ### REPLY: Hi, Thanks for writing to . It appears to me that you are having adhesions inside following the tubal ligations.... The best and most fruitful solution will be to undergo a diagnostic laparoscopy to find out the cause and get it resolved in the same sitting...it's a simple procedure... There are no medicines that can reverse the ligation...and i don't think reversal will help in any case... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter 6 years old has just found a pea sized reddish lump just above her tooth. She has just told me and tells me she has had it for weeks. She tells me its not sore so didnt tell us. We are currently on holiday in Italy from England but just very concerned. Looks like an abscess? Any thoughts thanks ### REPLY: Hi. Thanks for the query. A lump over the gums that is looking like an abscess can be due to causes like a gum boil or a tooth abscess if the tooth over which the lump is present is decayed. So my suggestion is to consult an Oral Physician and get her evaluated. If needed an x-ray of the tooth can be done. For now at least a script of antibiotics can be advised to her to be taken orally as well as topical application of antiseptic oral ointment like Chlorohexidine can also be advised. Also do warm saline gargles. Hope this helps. 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 had neck surgery and after surgery moved to room my blood pressure was an issue. The doctor ended up keeping me overnight. Had TEE performed and blood pressure dropped to 76/52 and reparations were noted as 12. This is from the medical records. Could this be an reaction to the anesthetic? ### REPLY: Hello! Welcome and thank you for asking on ! I passed carefully through your question and would explain that low blood pressure could be related to different possible causes: - anesthesia adverse effects-anemia from bleeding during surgery- deny .  Coming to this point, I would recommend having some rest and taking plenty of water in the next days. Hope you will find this answer helpful! Wishing good health,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had post nasal drip due to seasonal allergies (started 7 days ago). I now have white patches hiding on the backside of the skin where my tonsils were. It hurts. I was on Cipro for a bladder infection for 5 days, and finished 3 days ago. Do you think the white spots are viral? There are no white spots that I can see on the actual back of my throat - just on the backside of the old tonsil area. I wish I knew what that was called. ### REPLY: Hi, Welcome to  ! White patches in the throat can be due to shallow oral mucosal ulceration that are called authors ulcers and are mostly results of stress. The other causes of similar white patches are oral thrush and leukoplakia.in either case it should be examined by a local physician. Keeping a good oral hygiene and local rinsing with chlorhexidine mouthwash is highly advisable for optimization of oral health and improve healing. I hope the advice would be informative and useful for you. Take Care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I have one problem that my penis now doesn t have than much power and also the erection is small.Sir the matter is that I used to masturbate a lot for the last 5 years now my age is 19.sometimes I masturbate more than two times in a day .So sir now I am facing problem. Also sometimes in the night now in my sleep I sometimes wet my bed due to this. so sir please help me.Also my ejaculations are earlier. ### REPLY: HelloThanks for query. Problem of Erectile Dysfunction(ED) that you are facing is mostly due to frequent habitual masturbation since long time. The only long-lasting solution to resolve your problem of ED is to avoid masturbation. This requires self-determination. Please try to avoid masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. As regards your problem of night emission, it is normal and natural to get night emission at the age of adolescence. It gets resolved without any treatment over a period of time. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 drama as a subject, and whenever I have to perform I get nervous before, but as I perform I feel less nervous, however, my hands shake violently and everybody notices and that is what makes me nervous, how can I sto my shaking hands? (I do not have any caffeine or a low blood sugar) ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. This problem is common with so many people. Can call it stage fear. This comes due to apprehension. You start worrying about these hours or days before the event itself, and it becomes anxiety. Even though you are not worried about it, it does troubles. That is mind. It does what you tell it. Here you are asking it to behave so when you apprehend. Mind does as asked. Here is help with Cognitive Behavior Therapy which includes so many techniques to alleviate your problem. The treatment method more individualistic. You may come up with a premium question. Give complete description as much as you can. I shall help you with it, and I am sure that your problem will be cured. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I would like to know if the absorption of Vitamn B12 helps me keep bees away from my skin ... i am allergic and have strong reactions everytime im stung ... what would you recomend me ? Thanks PAT Age 62 height 1.70 wirght 66 kilos have no other allergic problem and am in good health on the whole ... treated for hyperthyroid problems ! ### REPLY: Cellophane You for contacting . B12 as no such role in allergic response. I would suggest you following things for recurrent allergic problem:> Take levocetirizine one if there is insect bite> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been dealing with kidney stones since 1979. Recently I was in the emergency for pain from a kidney stone blockage. The ER doc ordered a CT scan to confirm the stone. When the results came back he informed me that I had stones in my liver and my spleen . My questions are: What causes spleen and liver stones; and is any treatment advised? ### REPLY: Hi Linda, Welcome to . Since you have stones in the kidney, liver and spleen, you will need to do thyroid function tests to rule out hypercalcinosis, which is a condition in which there is above normal levels of calcium in the blood, which can lead to stone formation in various organs. If hypercalcinosis is detected, then it will need to be treated. Liver and spleen stones don't need to be treated. If there are stones in the Gall Bladder and if they are causing problem, then surgical removal of gall bladder is required.  Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi it is now my 5th day since i had my wisdom tooth extracted (growing in wisdom tooth) lately ive been feeling this itchy hurt. And it was still bleeding this morning . Im not sur if its still bleeding right now coz i just finish eating but then i looked at in the mirror and theres this kinda whitish thing then theres a black thing on top of it not sure but it doesnt hurt really bad but it hurts a little kinda feeling the nerve then to my ear is that normal .. I dont want to go to the sentist again coz its expensive i dont have an insuranceAlso can i now brush my teeth with toothpaste (colgate optic white).? ### REPLY: Hi, Thanks for asking the query, Pain and swelling are most common after wisdom tooth extraction, and they subside after sometimes, according to your clinical symptoms I suppose that you might have some trauma to the nerve at the time of extraction. I would suggest you to take multivitamin supplements for 15 days. Take lukewarm saline rinses. Take antiseptic mouthwash gargles. Avoid smoking and consumption of hot and spicy food stuffs. If the symptoms persists or worsen then you have to visit to the concerned Dentist and get the checkup done. Hope you find this as helpful, 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, for the last 5 months I have had 3 lumps in my neck, pea size, they do not hurt, but recently my neck aches where they are, I have been to the doctors a few times, my blood test was fine, and was told i had no infections, and to keep an eye on the lumps, I recently found a very small lump under my chin, my body is so tired i just want to lie down all day and do nothing, On a few occasions my right leg goes totally numb and im unable to walk it last a few minutes, I get bad headaches including migraines. My doctor has now put me forward to see a hematologist, in the day if i do anything little, like standing up and washing the dishes i sweat so much,this has been happening for ages now. I am getting very bad lower back pains, and stomach aches the last few weeks, as of yesterday I have felt quite poorly, and last night my neck felt swollen and realised i now have a swollen left tonsil, which is slightly white there is no pain whatsoever. Sorry for going on so long just wanted to put across everything ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node in neck.  It can be due to enlarge lymph node.  Lymph node enlargement may be due to reactive hyperplasia, tuberculosis or lymphoma.  You should go for biopsy of that lump. It 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: Severe knee pain. Front of the knee and to the right. Was in the backyard when I heard a pop and immediate pain after. Went to a Dr. got an X-ray that didn t show anything. Was told to stay off it for a week, no work. Did that. Went back to work this s morning. Very painful day. As long as I am off it it doesn t hurt. As soon as I am on it for any length of time the pain gets to be unbearable. Barely made it through today. It is ok now that I am off it again ### REPLY: Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs. And MRI may miss meniscus tear, diagnostic arthroscopy can help and cure the problem. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Small meniscus tear can be managed conservatively with physiotherapy with USG Andrews. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir , I have been diagnosed with GRADE-II PROSTATIC ENLARGEMENT which measures 5.1 X 4.4 X 4.9 X 0.55 . and it weighs 60.47 gms. IMPRESSION : GRADE-II PROSTATIC ENLARGEMENT SIGNIFICANT POST VOID RESIDUAL URINE STATUS POST CHOLE-CYSTECTOMY . I would like to know the following things 1- What does the above mentioned findings mean ? 2- What is the reason for this ? 3. What is the treatment / medication for this ? 4- What should I eat and what should I avoid ? 5- Any Do s and Don t advised for me ? 6- Any additional check-up s required ? Thanks for sparing your valuable time . Regards Capt. T N NAGI PH : 0000 E-mail : YYYY@YYYY ### REPLY: HelloThanks for query. You have not mentioned your age in your query. Based on the Ultrasound Scan findings reported I would say that you have Benign Enlargement of Prostate with significant post void residue. The answers to your queries are as flow 1) You have benign enlargement of prostate which is common after the age of 55 years.2) It is the aging process and not the disease and 50-60% of males get it with advanced aging .3) Treatment depends upon the severity of obstructive urinary symptoms like frequency, urgency, urine flow and nocturnal urinary frequency. It is decided by the Urologist after doing following basic test like 1)Uroflowmetry .2) Post Void Residue 3) AUA Symptoms score .4) Diet has no role to play as for as treatment is concerned. It can be managed either by medicine like Tamsulosin and Finasteride or and Endoscopic resection of enlarged prostate (TURN). Consult qualified Urologist for detail investigations and further treatment. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 year old has been getting real red faced with white blotches and sweating for the past week or 2. even when she isnt doing anything.  she was taking cefinir antibiotic and she takes zyrtec.  none of these has that for side effects that i have read.  what could cause her to be doing this ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m 24 years old man and i have problem with sex the problem is in normal time my penis standproperly but when i want to do sex with girls it does not stand and some water comes in my penis and it is difficult to stand ...because of this my sex activity is become weak..so can u tell me a solution and treatment please. ### REPLY: Hi, Your problem is most commonly due to psychological issue like performance anxiety, stress, marital disharmony. It could be due to medical causes like obesity, problem in back nerve, low testosterone, diabetes, excessive alcohol and smoking. I would suggest consulting urologist and undergo complete health check up, routine blood tests, serum testosterone, USG pelvis/scrotum. If all tests will come with in reference range then require sex counseling and psychiatric consultation.Meanwhile, take following advises:Avoid stress during sex, and avoid sex when you feel fatigue/low. Spend more time in foreplay and also do foreplay during sex. Use stop and start technique of sex (divert your mind to some another thing before time of ejaculation). Try women on top position, use double condom and apply lidocaine gel. Do pelvic exercise like Keels exerciseTake healthy diet and do regular exercise like walking, running for 45-60 minutes followed by medication. Avoid stress, smoking and alcohol. If problem persists then . Hope this may help you. Contact further if follow up needed. 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 just hit my head very hard on the centre near my forehead on a metal shelf. I m feeling tired and I know just in case I shouldn t go to sleep. It instantly hurt but it went away, now it feels numb and I just feel very tired. Should I go to the emergency or get an ice pack? ### REPLY: Hello, As due to direct impact there will be mild cerebral edema and due to which you will feel tired and numbness. Wait and watch for any symptoms of brain injury like redness of eye, clot formation at the forehead, etc. If the symptoms of brain Injury are negative then with rest and good fluid consumption you should be fine. I don't think about the history you need to visit the ER. 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 am aditya aged 21 past 1 year i have been going to jim for muscular exercises but,Past few days i have been feeling pain in both of my testicles even during walking there is a a light pain and also i have a feeling that my testicles are up and down .what should i do to reduce the pain????? ### REPLY: HelloThanks for query. The pain in testicles could be either due to 1) Infection of Testicles (Orchards) or Epididymis (Epididymitis.)2) Varicocele. Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis .1) Urine routine and culture 2) Ultrasound Scanning of scrotum 3) Color Doppler study of scrotum Further treatment will depend upon result of these tests and final diagnosis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing mild headaches, dizziness, upset stomach, feeling nausea and nose bleeds. I feel dizzy when turning my head left or right or unstable at times. I also get a metallic taste in my mouth at times and swollen neck glands. I feel constantly tired and Ive been feeling like this (on and off) since April 2012. Ive had a few blood test because my doctor thought it was glandular fever, liver failure but it seems I dont have a satisfied answer, except viral flu ### REPLY: Hello, Welcome to the ChatDoctorBrief answer. It is less likely that your symptoms are because of viral flu. Detailed answer... Since viral flu can cause flu like symptoms (running nose (watery not bloody), headache)but these remain for only few days not for years. My opinion would be you should get checked by hematologist and neurologist. You may need CT scan of brain and some blood test e.g. clotting factors after discussing with both doctors. Hopefully my answer will be helpful. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 down with shortness of breath, pressure on the chest and back pain. Doctor advised to take Deriphlyn 150 mg twice a day for 15 days and advised me to use Inhaler. Ater one week, I could not find any signs of recovery. could you please help me to know the reason and advise me what should I do ### REPLY: Hello I share your concernChest pain and shortness breathe at your age might be related to heart or lung disease like vasospatic angina or acute exacerbation of bronchial asthma so please ask your doctor for EKG and blood investigation for serum cardiac markers, CBC, AEC and allergy testAnother possibility is stress and anxiety disordersAvoid fatty fried spicy and junk food say no to smoking and alcoholize fresh fruits and steamed vegetablesHave plenty of dietary fibers aerobic exercises walking and swimming is recommended for you Hope this answers your question 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: hepatitis c i have had chronic hep c since i was 11 at 12 i had interferon n riboviron combined treatment. after 6months they took me off the treatment due to my white blood cell count dropping too low. i have been out of contact with a specialist since then. im now 21 n curious about possible treatments. any suggestions? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that there is no specific treatment available for the Hepatitis C and what ever treatment available does not have that many promising results but need not worry if the person is having Hepatitis C then patient can complete the average life span, hope this information helps you, take care and have a nice 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: When my daughter was 10 years old (she is now 41) she had an I.V.Pyelogram which showed that she had an extra calyx on one of her kidneys.  The test was done because she was showing protein (I believe or possibly albumen - dont remember) on her blood test.  Now that she is much older she is having back pain.  She had a MRI which showed mild degeneration but nothing serious.  Her Dr. suggested P.T. which she just recently completed after many weeks of therapy.  Her back pain has not gotten better and her Orthopedic Dr. suggested she see an internist.  Could this extra calyx somehow be causing some kidney problem and back pain? ### REPLY: Welcome to ChatDoctorAfter going through your query I concluded that you there are having chronic backache. I Don't think extra calyx can because of chronic backache. Important cause of chronic backache is vitamin D3 deficiency, so you can get your vitamin D3 level and if low you can take its supplements. Vitamin B and C with be helpful in recovery. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask . 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: After stopping breastfeeding changed from a progesterone only contraceptive pill to a combined pill. I had a week break with no intercourse and then also no intercourse for 2 weeks of taking the new pill. 2/3days before my 7 day break I had very light bleed for about a day and have had no period during 7 day break just bloating , mild cramps, is this normal when changing to a new pill? ### REPLY: Hi, thank you for your query. Yes the changes you are experiencing are due to the changeover from POP (Progesterone only pill) to Combined pill. Because as the pop suggests, it contains only both estrogen and progesterone, hence to body will take time to get adjusted to it. These will last for a few days to a week. If it continues for more than 10 days then I would advise you to consult an OB/GUN to change over to a different form of contraception. Thank you, wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my spouse became Ill in December. his initial complaint was he thought he might have something wrong with his kidneys. went to doc, white cell elevated, urine negative, ct scan showed infectious process in psoas muscle region of abdomen. he is a splenic due to a history of ttp. iv antibiotics for 6 weeks. treated as abscess. white cell count normal at last visit and white cell normal 2 weeks ago. had scribal ultrasound due to testicular tenderness, showed mild epididymitis after all those antibiotics. numerous blood cultures negative for growth. colonoscopy negative. still have left sided abdominal and back pain. describes as a constant pressure with a feeling of filling up gradually as day progresses. this is consuming our lives. what could this be? ### REPLY: Hi. The chronic problem due to swelling of the sons muscle, spleen, epididymis and the other picture you have mentioned is suggestive of Tuberculosis unless proved otherwise. Get appropriate examination, consult a General Surgeon, Get a CT scan again, Get all the relevant blood tests including God Quantifier test for TB, Manitou, ESR done. A therapeutic trial with an Anti-TB medicines should help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,im having foul smell discharge for than 2 months now,its not itchy but its always wait down there and smells fish.i tried canestin suppository,i tried flucozal,i even tried lactogyn but its still here.what should i do.i cant also ask and see a doctor,they might think im having a sexual relationship and its not allowed in the country i lived in. ### REPLY: Hi, Welcome to . Foul smelling discharge from the genital area indicates infection which could be bacterial, fungal or parasitic. The most common cause of foul smelling discharge is candida or yeast infection. But you have tried antifungal therapy with no response.  Bacteria which cause this kind of foul smelling discharge are bactericides, gardnerella and mobiluncus. Parasites like trachomas cause similar disease. I suggest you take tab metronidazole 400 mg twice daily for 7 days. Also keep the area clean and .  The foul smelling discharge will reduce within a week. If it does not reduce you must see a nearby GP and get yourself examined. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having pain across my chest. It comes and gies, longest maybe a minute or so. I have also had a lot of flatulance over the last couple of days. No pain in my jaw or left arm. I am a 52 yr old woman, on meds for cholesterol, blood pressure and statin. All symptoms under control. I am at rest when this happens. ### REPLY: Thanks for your question on . In my opinion you should be first investigated for cardiac cause. The risk factors for these in your case are1. Age more than 502. High cholesterole3. Known case of diabetes and hypertension. So please get done ECG and 2D ECHO to rule out cardiac causes. If these are normal than it must be HERD (Castro Esophageal Reflux Disease). Try to follow these for better control of HERD.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Avoid large meals.4. Start proton pump inhibitor.5. Go for walk after meals. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 surgery November 20 for squamous cell carcinoma on my right cheek. Two weeks ago, it became infected and found a small hairlike substance  in the wound and was treated with Keflex. Today, found wound infected again and went to the doctor. They cultured wound, guessing now is MRSA, and gave me Antibiotics. Now, found letter in mail saying my doctor wants new labs as my kidney function showed concern. This is the second time post surgery, my kidneys showed something high (I forgot what) after surgery. I am 48. I am an athlete and health care professional. You may speak in medical terms. Thank you. ### REPLY: Hello and welcome to , The squamous cell carcinoma is not directly related to the kidney function tests. Kidney diseases do not show up early in the course of disease because the kidney compensates it. The normal kidney takes over the functions of diseased kidney tissue. The renal function tests turn abnormal only when the disease becomes advanced. You have mentioned that you acquired wound infection for which you took some antibiotic. There are some groups of antibiotics which affect the renal functions. The compromise seen in renal functions could be due to these antibiotics. You need to consult your doctor for management of the compromised renal functions. Thanks and 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: Periodically I get a very tight chest, sharp pains in the chest which proceed through my back. This includes a headache.where I have sharp pain running from ear to ear and a sharp pain in the throat. I feel like I need to lay down and it usually runs for about 1/2 hour. The pains are sharp, stabbing, and are quite severe. I have a high pain tolerance but today I almost drove to the hospital. ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* This may be in relation with mediastinal lesions compressing the thoracic nerve roots, intracranial pathology or others.* Need proper physical examination with series of laboratory tests, radiology work up to find out the cause and treat accordingly. Hope to clarify your query Welcome for further assistance Thanks for using  .com & giving opportunity to assistWishing fine recovery Regards dear take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a colonoscopy and endoscopy today after having had a bout of c dff for 2 months. The surgeon told me I have arterial venous malfunction in the colon. I have no bleeding but have had diarrhea several times a day for almost 3 months. I am very concerned about the chronic diarrhea since its affecting my quality of life.he did some bipsies during the procedure. Should I be doing anything more. Can this become serious? ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. An AVM in the colon is quite common abnormality. The decision to whether to treat it and what method to employ depends upon whether there is any bleeding from the AVM or not. You doctor may check your hemoglobin level regularly and also stool examination for occult blood to get an idea whether the AVM is bleeding or not. If it is found that there is bleeding from the site then decision to treat it by endoscopic method or surgical or any other would be taken by your doctor. I suggest you follow up with your doctor as I believe he is going in the right direction with your diagnostic workup. Yes a bleeding AVM can cause significant bleeding and become an emergency. So i advice you to consult a doctor immediately if you have any bleeding from your rectum. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Monday night/Tuesday morning around 2 am I was at the gym playing Basketball and took a small fall and landed on my left side along the upper buttock and lower back. 2 days later I woke up with a painful lump near the very top of the buttock crack. A ping pong ball size lump that s very sensitive if I lay on my back or sit back to far. Wondering if it d just one of those injuries that come with age or if it s something more serious. ### REPLY: HelloThanks for using .improbable diagnosis : HematomaTreatment : Conservative, rarely needle aspirationPrognosis : Excellent As there is history fall and development of lump following that suggest the possibility of a hematoma.It's nothing but a lump that develop at the site of a bruise due to collection blood. I can assure you that there is nothing to worry in it and in most cases it will disappear by itself with in few days. As of now you can do the following things: Apply cold pack over the affected area.  Take simple analgesics like "ibuprofen" or acetaminophen for pain.  Avoid strenuous physical activity the swelling persist for long please consult a general practitioner and in that case you might require to aspirate fluid/blood from the lump for complete cure. Hope I have answered your query. Wishing you good health. Regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My name is praveen 46 years old 1m68 75 kg. we have recently shifted to bangalore from delhi. (3 months). I have never had any breathing problem in my life and since 2 weeks i have lot of mucus and cough. and have trouble going for jogs. I have no symtopms of regular cold... what should i do? thank you. Praveen ### REPLY: HI, thanks for using  It is possible that your symptoms are related to allergic rhinosinusitis. This is inflammation of the nasal passages and sinuses. It would cause nasal congestion, post nasal .  Since it only started with your move, it is possible that it is related to change in your environment. You may want to consider the use of oral anti histamines along with topical steroid nasal sprays. The oral anti histamine may be available over the counter, but you may need a prescription for the topical spray. Your pharmacist would be able to tell you which ones are available in your area. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 23, 60 ft, 210 never had medical problems. my question is, i was having sex with a female friend and i ejaculated so after a min we did it again ten min into it i felt my penis got soft, and after a week my penis still gets an erection but its still soft. so my question is whats my problem?? ### REPLY: Hi, Thanks for writing in. The penis is an organ which enlarges when sexual arousal takes place and remains hard till ejaculation. During sex the blood flow in the penis is maximum and once there is ejaculation the blood flow decreases and the penis becomes soft. In normal males the erection comes down soon after ejaculation and only in few there is sustained erection even after ejaculation. Hence, you do not have any problem if the penis becomes soft after orgasm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an "air pocket" in my chest, it has been there since last night (about 12 hours now) with heart burn but that is only at night. I have a history in my family of heart problems, a sister died at 43, an uncle at 45. It is a little scary but think I might be over reacting. ### REPLY: Thanks for your question on . I can understand your concern. Possibility of heart burn related chest pain is more likely. But since you have strong family history of heart diseases, better to get done ECG and 2d echo first to rule out heart diseases. If both these are normal then no need to worry about heart diseases. Take pantoprazole tablet on empty stomach twice daily. Avoid hot and spicy food. Avoid junk food. Avoid stress and tension, be relaxed and calm. Keep 2-3 pillows under head in bed to prevent reflux.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is Vitiligo a hereditary skin disease? ### REPLY: Hi Pankaj, Vitiligo is chronic skin condition also termed as hereditary skin disease, but the causes are still unknown, so nobody can exactly say about it. But still many cures are available on internet. UV and herbal treatments are most popular though. Check this website for vitiligo cure and read the blog https://urldefense.com/v3/__http://naturalvitiligotreatment.blogspot.com__;!! Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hW0S_8Lfg$  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sudden onset of pain in lower right side of back - and right side about 1:30 today - it has not let up - I can t take a deep breath without sharp pain there - I did no physical activity to cause this - I have had a protein shake in the morning - it started at 1:30 pm - I had a protein bar - have been drinking water - Stomach is distended a bit - like I have gas - is that all this is or could it be something else? ### REPLY: Hello welcome to ChatDoctorwell the pain seems to be related to your right kidney and urinary tract...get an ultrasound of pub region n a complete urine examination from a good lab...regarding gas problem take following treatment for 2 weeks(1) CAPSULE OMEPRAZOLE once daily before breakfast(2) TABLET RISPERIDONE 10 mg twice daily(3) SYRUP GASTRIC ENZYMES 3 teaspoons 3 times a day after meals 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: Ive been suffering from allergies for the past month: itchy eyes, ears, and a mild sore throat. Now theres a new wrinkle -- one side of my tongue is swelling up! I took a Benadryl roughly an hour ago, but it doesnt seem to be doing much good. Im having no problems breathing. Aside from the above, I feel fine, but the tongue thing has me nervous. Any suggestions? ### REPLY: Hello. Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. I usually suggest my such patients antihistamine like cetirizine or HY . 2. Furthermore, I would also suggest you to avoid too hot/spicy food for 2-3 days.3. Furthermore, I would suggest you to remember the foods you had taken before development of symptoms. Common foods causing allergies are milk, peanut, eggs, tree nuts, seafoods, some fresh fruits & vegetables. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.  Im just wondering if effexor can cause a 19 year old man to lose his better judgement in the area of sexual fantasies.  Im talking about my son, who has sent some inappropriate messages to girls on fb and by text.  He would never do any such thing face to face.  Of course, hiding behind a screen makes that kind of thing easier but the fact that he knows better and still did it makes me wonder if the anti-depressant he is on has anything to do with it. ### REPLY: Hello!effector i.e. Venlafaxine doesn't case these side effects. From the details you have mentioned, its clear, he is doing it consciously, may be to get rid of his sexual impulses which are very common in this age. But please educate him about the hazards moral as well as legal. If the habit persists, please show him to a psychiatrist for this matter also, some . Secondly if the Venlafaxine is given only for Depression, other Antidepressants can be tried instead which can control his sexual obsessions and impulsivity too. Hope this helps you. ### END