Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a cold stuffy nose with sinuses and sore throat and its on my 4th days that it is getting better. but i have a back pain that im affraid is my lungs its on both sides of my spinal cord and  it is in the middle of my back. what can this be from? ### REPLY: Hi thanks for asking question. You have simple viral infection mostly. So it leads to constitutional symptom like headache, back pain. So don't worry about that. Just do your CBC to see for total count and about differential count to rule out whether it is viral, bacterial or allergic. . Steam inhalation will be helpful. Take antihistamines to relieve congestion. Beside this nothing is serious. I hope my suggestion will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: daughtermy daughter is 8 months old. she had broncholitus a couple weeks ago. was using a nebulizer which seemed to help her cough. the last couple nights she has been coughing and this morning, her cough seems worse. should I start using the nebulizer again? ### REPLY: Hi... Thank you for consulting in . Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance. 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: my friend had his leg crushed by truck 25 years ago, since then there s infection in bone which is weeping, he got homeopathic drops some years ago which helped alleviate the prob. it started to dry up but discontinued due to house move. have u any idea what they may have been it was 2 drops orally daily ### REPLY: Hello, Sorry to hear about this. As the infection isn't getting subsided it needs proper medical attention to control the infection as it may spread to the bloodstream and other regions of the body. There are a bunch of homoeopatChatDoctoredication and it's really difficult for anyone to guess what exactly the medicinal mixture would have been.  Having contact with the infection specialist should help figure out what infection it was and which microorganism was involved in the infection. Controlling infection is better rather allow it to spread. 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: k have had serious chest pains the last nights and have woke me up. But the most unusual thing is my chest hurts while im at rest. My left arm tingles and i feel out of it. What is this? I have talked to my va doc but she says im too young to have a heart attack. Do u recommend me going to the er. I have no insurance just a veteran. ### REPLY: Thanks for your question on . In my opinion we should rule out cardiac cause first for your chest pain.  As chest pain with left arm tingling is commonly seen in cardiac cause irrespective of age. So better to get done ECG. If this is normal than no need to worry much about cardiac cause. Muscular pain can also be a possibility. Try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep.3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir, My brother 48 years old belongs to lucknow, non alcoholic, neither smoking nor any bad habbits.in December 2010 after swelling in stomach found that having the liver cirrhosis. presently the HCV virus was found around 6 Lacs viruses. can you please tell that any of the treatment is possible without transplant of liver because it is not effordable for us. ### REPLY: Hi thanks for contacting ... Ultimate treatment for cirrhosis is liver transplantation... If it is not affordable then less invasive procedure can be done to reduce portal hypertension like TIPS like shunt placement.... For portal hypertension if needed beta blocker can be used... If edema and ascites present then low salt diet taken.... Diuretic helpful in ascites... Grined spinach and carrot juice taken daily early in morning. Beet roots, papaya, turmeric roots, Indian gooseberry, golden seal, dandelion etc. good food for liver.... Hope your concern solved. Take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am a 40 year old healthy male with no known diseases or allergies. I am currently visiting Langkawi for vacation and am suffering from allergic rhinitis since past couple of days. I have never encountered any allergies previously. The doctor has prescribed oral prednisolone 10 mg daily for 7 days. Its my second day of the dose and I am suffering from running nose , watery eyes and dry cough. Just wanted to make sure if oral prednisolone is the right choice or maybe I can take rhinoclenil nasal spray together with the prednisolone. Just wanted to confirm if I can take oral prednisolone and rhinoclenil together and if that would help. Thanks. Also how long will these medicines take to cure this allergy . ### REPLY: Hello, Oral prednisolone is the LAST option for severe allergies, and reserved only when antihistamines and nasal sprays are not working. Steroids can give quick relief, although it would take 1-2 days. But you must stop after 7 days; also 10 mg dose is very low to have much effect, the usual dose for 3-4 days is 30-40 mg depending on body weight. You must take nasal sprays and antihistamines along with the prednisolone as after stopping steroids you will get a rebound of symptoms if antihistamines are not in the background. 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 just found out I have a hole on the heart, I had a very bad cough and my chest was killing me could this have created the hole. I now have another cough I don t see the Dr. for another 11 days not sure what to do, I don t want to have another strock ### REPLY: Hi Welcome to  . I have gone through your query and can understand your concern. Severe causes doesn't cause hole in heart. But a hole in heart can cause retention of fluids in lungs & cause severe cough. This severe cough aggravates with physical activity or lying down. Severe cough with hole in heart should not be ignored, As this can be a worrisome symptom. Rush to the emergency roofer to a cardiologist Hope this information 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: Ive been having bad allergies the past few days. Ive taken some otc allergy meds hoping it would help but now my one nostril is swollen (on the inside) and almost completely blocked. It doesnt hurt if I put pressure on it but it is runny. Also, I think its causing my eye to water. ### REPLY: HI, thanks for using  In addition to the allergy medication that you have been using, you may need a topical steroid nasal spray. This would help to reduce your nasal symptoms such as swelling, runny nose, congestion. Examples are Flonase, rhinoceros, escort, adnexa prescription may be needed. In addition, a topical decongestant such as normal saline or striving would also be helpful. These would be available over the counter. 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: I have a question about braces.I just joined the military, and apparently TriCare will pay for braces, but I have to go through a long process to get them, and I dont really think I have time for that. I have been waiting a long time to get my teeth fixed, and Im pretty self conscious about it. I feel like the best option for me at this point would be to pay for them on my own. My only problem is, I dont know when I will get deployed and that would obviously hinder the treatment.Are there any options that could take less time than normal braces (say, 6-8 months)?Also are any of them more discreet than normal braces?Thank you ### REPLY: Hello and welcome. Thanks for sharing your concern. After seeing your facial profile, the mode of treatment can be planned. There are two options to correct maligned teeth and jaw. One is surgical intervention which is rarely opted for. The second one is or tho bands and braces. Though the process is time-consuming, but it gives good results.Therefore, please see your dentist for clinical evaluation. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my chest x-ray says that i have an unfolded aorta. i am 47 years old and in good health. i did a chest x-ray because i was getting mild pains in the left side of my chest that have lasted for about 3 weeks now.  what does an unfolded aorta mean, and is it serious. ### REPLY: Thanks for your question on . I can understand your concern. Unfolded aorta is an anatomical variation of thoracic aorta. Normally thoracic aorta arising Fromm heart, going upwards and right side between two pulmonary veins and turn around left pulmonary vein and goes down. But in some individuals, instead of going towards right side, thoracic aorta goes straight up or left sided and then comes down. This is known as unfolding of aorta. It is not a disease. It is anatomical variation which is present due to developmental defect. Furthermore, it does not cause any symptoms. So it is not serious problem. So unfolding aorta is not a cause for your chest pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 23 year old female in good health. Lately everytime I drink alcohol I wake up the next day with pain on the right side of my abdonomen. It feels like it almost can be a menstrual cramp but its not. Its a heavy feeling and sharp feeling as well. It also feels sore. I checked my liver already with a blood test last year and I was fine. What can it be?? ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  Pain in the upper right abdomen suggests stomach irritation or peptic ulcer.  It is clear for you that you are getting pain after taking alcohol, So either you stop taking alcohol, or change the brand.  I advise you to consult a surgeon for diagnosis and treatment, You may need to have gastrostomy, besides other routine tests for confirmation. Sometimes ulcer may be irritated by the alcohol and cause pain.  I advise you to avoid spices, junk foods, and oily foods, besides alcohol. Take more of water and fluids.  Wishing for a quick and complete recovery.  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: Hello...I was in a hurry not informed about my suturing set sterility( it was not sterile) and i sutured a patient s wound of about 10 cm with a suturing set used before without being sterilized and only washed ( very good washed) with water.Without any information about the viral markers profile of previously sutured patients by this set or other sets( where used sets are washed together). In summary i sutured a wound 10 cm length with a well washed but not sterilized suturing set. My question is that beside the probability of later wound infection is there a risk for HIV, HBsAg, HCV contamination of that person? ( the wound was perfectly cleansed and washed perfectly by betadine before suturing) ### REPLY: Hello, THX to contact us. If I am your treating doctor I would like to advice you that before how much time you have sutured previous patient. If you have sutured the previous patient within 15 minutes there are chances to transfer HIV, Bag, HCV from previous patients to these patients. Also do not forget even though you have washed it and the viruses you have mentioned may be washed of with water, but there are chances that Clostridium retain may get involved in the wound which you have sutured. Clostridium retain is convert into highly resistant spore form and not get washed with the water. If you have anything else to ask please contact me. Than.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Just went to the dentist and my bp was 128/105 when I got there, 121/81 when I left - about 45 min later.  Knew I had very flushed lips and that has meant high bp for me before so I wasnt surprised but the dental assistant was highly concerned.  Been having hot, flushed lips that are staying a bit chapped for a few months now. ### REPLY: Hello, Thanks for the query to . Forum. The normal B P of a young person usually around 120/80 mm of Hg. The systolic Blood pressure (upper one) usually elevated due to anxiety or sudden emotions or fear etc. As far as concerned about lower B P (as in your case 105) this is due to any disease in heart or other disorder. Diastolic B P i.e. lower one (high) may be, 1 Any heart disorder, can be confirmed by E C H O of heart and consult a cardiologist and get his opinion.2 Hypercholesterolemia, so get blood for lipid profile. 3 If all above tests come within normal limit then need not worry and this may be due to tension or anxiety as this may be your nature. 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, may I answer your health queries right now ?  Please type your query here...My bf was kicked in the testicals about 2 yrs ago iv benn wif him for a yr n a half he got kicked that hard his penis swell right up to about 3inches longer than wat it is originaly now wen we have sex he has to rely on tkin sex pills fm the internet wud this prevent me fm gettin pregant ### REPLY: Hello, Maybe trauma may can cause local testicular damage. Once you get it done ultrasound scrotum and semen analysis. Then check weather his penetration is adequate or not. If above things are normal means there's is no doubt to became pregnant. But excessive using of pills may not good for health please consult your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been advised a wisdom tooth extraction due to cavity (lower left hand side). I am having excruciating pain and will ahve to wait until saturdya to go to a dentist. Please provide some medicaton so that I can spend the three days pecefully without pain. ### REPLY: Hello, Welcome to , I have gone through your query, as you have pain in deep carious tooth don't worry as you are going for extraction may be there is abscess formation.  So you can take One tablet Amoxicillin 250 mg three times a day. For three days. One Tablet Retool DT for pain twice daily for three days One Capsule vitamin B complex once daily for three days. Do warm saline gargle two - three times a day. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friends 9 month old baby girl just came back from the doctor for hives - while there, the mother mentioned her quivering lip and chin. The babys always extremely excited to see everyone so we always thought it was just excitement. The doctor then says the only time hes ever seen this happen (quivering lip and chin) is when a disease is present which may prevent the child from ever walking....Im reading just the opposite everywhere online. The 9 month old crawls and tries to walk just like a normal 9 month old. Thank you ### REPLY: Hi. Thanks for the query. Lip and chin quiver in infants is commonly seen as they have an immature nervous system, and it is resolved as the child grows and reaches further milestones. As far as hives is concerned it can be due to allergic reaction and in case if quivering has not happened previously and is happening just now it can be due to the similar cause as of hives. But in case if the quivering does not resolve, or it becomes more severe you should consult a Pediatrician and get evaluated and a clinical evaluation and investigations like MRI Scan and blood tests to check for any nerve related problem or nutritional deficiencies and syn . . Consult a Pediatrician and get evaluated. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an accident where my tooth went through my lip 3 weeks ago.  I had 6 dissolvable stitches and 4 others under my lip.  Visibly it looks a lot better and the swelling has gone down lots but I have a lump in my lip and its quite numb.  trouble is I play a brass instrument and wondered is the lump normal and how long will it take to disappear? ### REPLY: Hi Dear, Welcome to . Understanding your concern. Thanks for your query. The numbness and swelling normally occur after injury. The lump you mention in you query can occur due two possible reasons - Firstly in can be a muscle that occur due to entrapment of foreign body in duct of salivary gland duct because of injury.- Clot that doesn't resolve yet. The numbness in the lip indicates nerve involvement due to injury. It may take several weeks to recover depending upon the severity. You should avoid playing instrument until the proper recovery of lip because it can aggravate the condition. I would suggest you to consult oral surgeon/dermatologist for proper examination. Doctor may prescribe multivitamin for quick recovery and may perform surgery to correct nerve numbness. For now apply petroleum jelly to keep your lip moist, give cold compresses to lip to reduce swelling and take ibuprofen(if not allergic) or acetaminophen for pain and swelling. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 19 years old married women. My BP was 140/100 mm of Hg always. Now its 160/110 mm of Hg. Should I use medicine or not? Should I use medicine for whole life once I have taken? Can I stop medicine,if my BP is controlled? I am totally confused whether I should use medicine or not and I am confuse that I have hypertension or this is my normal BP? Please solve my problem. ### REPLY: Dear Mrs, In your age usually high blood pressure is secondary to other diseases. At first, the cause should be found out. If you are pregnant, some people develop high blood pressure during pregnancy. There is a need for treatment during pregnancy, after delivery, about 70% of women has normal blood pressure and there is no need for further treatment. If you are nor pregnant, you should see your doctor to have some examinations done to find out the cause. In case the cause is known, blood pressure is normalized when cause is eliminated. Hope I could help nourishing you good health In case of further questions don't hesitate to ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have been searching all over the web for the perfect step but step daily routine to both achieving and maintaining healthy teeth, while at the same time whitening them with crest professional strips, in a safe and effective manner. Throughout my research, I have discovered a few different things such as fluoride treatments, charcoal treatments, etc etc... But what I really was wondering was in what order to do all of these things? Brush first & floss, whitening strip, fluoride treatment, charcoal? I just dont know what order to do everything in. Any help would be GREATLY appreciated as my teeth deserve a lot of forgotten TLC.ThanksKel ### REPLY: Hi. Can understand your concern. As per your complaint maintaining a healthy oral cavity needs a regular care and cleanliness. The best way to maintain healthy teeth is to brush your teeth with a proper brushing technique twice a day. It should be followed by flossing after brushing to remove deposits or debris from accumulating in between the teeth and causing decay. You should also gargle with antiseptic mouthwash twice a day especially after meals. You should also eat more of chewable hard foods like carrot, apples etc. as it has cleaning action on teeth. As far as charcoal treatment and fluoride treatment is concerned they are not necessary to be done and are needed only if you want teeth whitening. You can also go for teeth bleaching or using whitening strips but to go for all the treatments is not necessary. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 33 years old.  his tongue always seems to have a white coat on it and sometimes the skin on the inside of his bottom lip is all white and coming off.  He was a drinker, but not for the last 8 months and he is a smoker 4 or 5 a day. he suffers from depression and anxiety and was recently placed on zoloft ### REPLY: Hi, It seems like oral thrush and smoking as well as Zoloft can be a contributing factors as these can cause .  So my suggestion is to consult an Oral Physician and get evaluated and a microscopy of scraping from the tongue can help in confirmation. If it is confirmed to be Oral Thrush then antifungal preparation like Statin mouthwash gargles and sucking Clotrimazole lozenges can help in improvement. Also, antifungal pills Luke Fluconazole or Itraconazole can be advised. Eating plenty of probiotics like yogurt can help in improvement. Cleaning tongue daily with tongue cleaner is helpful. 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: So Wednesday night I had some fast food, about an hour and a half after I finished I began to feel nausea . So I went to sleep early to rest it off. An hour and a half later I woke up and vomited, and I did so two more times after that. That night consisted of waking up many times sweating so much my clothes and sheets felt wet, other times parched and thirsty as heck, and a sensation I can only imagine would be labeled delirium . It was borderline hallucination , and I couldn t get up and reach my cup of water, not because I wasn t able to, but because in my own mind my sheets wouldn t let me. It was a bizarre sensation with strange colors in my vision as well. Since then I haven t had an appetite to eat and I have a constant sloshy feeling in my stomach that makes me feel like eating would only make it worse. It s probably noteworthy that I had an upper respiratory illness clear up about a day before. Also two days before that my wisdom teeth were removed, so there s that as well. The pain has yet to subside and I ve lost nearly 10 pounds. It s now Sunday, 4 days after that illness and I still feel no hunger at all. I m just wondering if that is my body saying take it easy or not. I ve had a stomach bug before and it usually improves immediately after I vomit. This is just been a constant uneasiness sense then. ### REPLY: Hi there ~ You seem to have had a bout of food poisoning during the night that you had some fast food.  I would also think that you may have had food laced with some kind of hallucinogen by the description of visions that you mention, although this could happen in electrolyte imbalance that happens commonly when you have that much vomiting and are not replacing it with an isotonic solution.  I would avoid the fast food that you had but would also consult a doctor if the problem persists.  Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father is 73+. He has been having a varying temperature associated with body pain for 20 days. the doctor suspects it to be rat fever and has prescribed medicines. but his esr is 110 which is a worry. his lung x ray shows calciferous deposits. he quit smoking 30 years back. your advice please. ### REPLY: Thanks for your question I completely understand your question the calcified opacities on the chest X-ray are old healed lesions. You should continue the treatment as told by your physicianpulmonologist can guide you by conducting certain investigations like spirometry and sputum for culture and ll start you on appropriate treatment thanks feel free to ask more questions may god bless your family with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am at very depressed at this moment.  My son, our only child, is not perfoming academically, which is causing a lot of tension in our family.  We are all in counseling, separately and together.  My husband is disabled due to his physical and mental illness, which included a prolonged period of substance abuse.  I am 61, in a moderately paying job, low for my profession, and we are totally stressed all the time about money issues.  Tomorrow we need to be in a family meeting regarding wheter or not to keep my husbands brother on life support....help....my husbands family is totally dysfunctional...everyone either having dealt with a drug issue or still us using.  A cauldron of anger and blame.  Help. ### REPLY: Hi, From history it seems that you are having depression due to all circumstances you are facing. Remove anxious state and be positive to solve the problems regarding your family and your child. Consult psychiatrist and psychologist for your child. Few counseling will give positive effect on your child. Develop strong self-confidence and be positive in life to solve the difficult problems of life. Ok 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: hellothis is tapamitimy father is an ITP patient,we were doing normal routine check up under DR D bandopadhyay and neurologist DR Angsuman Mukherjee.He was doing well.From yester day only he started feeling very weak,we did platelet test and the count suddenly found to be dereased from 1.54 to 77 thousand.Toady morning he suddenly lost his consiousness on his two limbs.His condition was pretty bad,we went to sisumangal,due to no vacancy of ICCU bed we have to go to Repose nursing home where he has been admitted in ICCU.Tomorrow they will be doing MRI and CT Scan,dont know wat to do now.can anyone please help me.......Please ### REPLY: Hi I did review your concerned a person with ITP and low platelets loses consciousness the obvious worry is bleeding into brain. I would advise an emergency CT scan as blood can be seen in non contrast CT scan in early phase very easily. It is also possible that loss of consciousness can be something else and not related to ITP as 77000 platelet count is not very bad. Generally chances of intracranial bleed rise a lot after platelets .  I hope this helped me know if you have any more questions or concerns. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had sex when I was ovulating and used the pull out method. I was supposed to start my period 5 days ago. I took a test the day after I was supposed to start but it was negative. Could I still be pregnant? I also threw up a few days before my start due date but I think it was due to a headache? ### REPLY: Hi and welcome to ChatDoctorPull out method or also called coitus interrupts method is a crude method, and it has high failure rate. It's usually not recommended by doctors as a method of contraception. The fluid which is secreted by male partner before ejaculation may also contain sperms which can lead to pregnancy. Take a pregnancy test once again and if it is still negative and periods are not happening then please consult a local doctor. If test is positive and you don't wish to continue pregnancy, please consult a good obstetrician to terminate safely. Some safe methods of contraception are condoms, oral contraceptive pills, copper T (if u have one child). I advise you to communicate this your partner and ask him to use condoms. All the best .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had noticed enlarged area under my left breast yeastrday (I am female). It was not there before. The enlargement is about size od the palm of the hand and maybe half inch on the left side, it is not regular shape. Upon touch it feels soft. No pain, no discomfort. Also it remain same size since yesterday. I am currently not on any medication and have no medical issues. I only take mineral supplements and vitamins, no prescription drugs. ### REPLY: HI, Dear. Very Good NOON from India. Thanks for your query. I understand your concerns. I studied your query in depth.-I would advise you not to worry still. In my opinion the painful lump under your breast-is Urticaria.-Treatment-would be -Consult an ER skin doctor.-Tb antihistamines,-NSAIDs, for 2 days would confirm its response.-If no relief-CBC for eosinophilic, Tb-Hetrazan for 21 days -Tb-Anti-worm treatment-with worming /Granted/ praziquantel-would relive the recurrence of Urticaria.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a 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 m in 60 days of my pregnancy. I had my scan 2days before and the doctor said that no heart beat for baby. I took 200mg gestone injection daily for 14 days. Will this injection is the cause for baby heartbeat not present or what may be the reason for this? ### REPLY: Hallow Dear, You should not have taken Gemstone injection in the pregnancy with absent heartbeats. Gemstone which is Progesterone preparation stabilizes the pregnancy with Progesterone deficiency when the baby is still alive. In your case, the baby is no more viable as indicated by absent heartbeats. This In. Gemstone will now arrest the process of abortion and will lead to Missed abortion. Please report to your Obstetrician. You will be advised termination of pregnancy. Please follow the advice. There is no point is retaining a non-viable baby inside the uterus. Not terminating a missed abortion in time may land into complication of heavy bleeding due to clotting defects (DIC), infection, etc. Hope you get an important message, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lapband surgery five days ago, but had to have the band removed three days ago due to my stomach not being the right type for the band. Since coming home two days ago I have experienced horrendous night sweats both nights. My temperature now is 37.1. ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern. There is chance that the vagus nerve has been cut off during surgery. Vagus is the parasympathetic innervation to the lower part of the stomach. If it's been cut of at any point of time sweating may occur. I advise you to visit nearby doctor that will guide you whether the innervation has been cut of or not. Further management can than only be possible. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ .  Thank you, ChatDoctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the last 2-3 days I ve had a sporatic flutter in the upper right side of my chest. it starts about 4 below my collar bone and when it happens, it travels up my neck a bit. I get very slightly dizzy, then the flutter stops, the dizziness recedes and I m fine til the next time it happens. I m hyperthyroid, taking 10mg of methimazole in the morning. The flutter/dizziness thing happens off and on all day long. ### REPLY: Hi welcome to , I understand your query and concern. Flutter with dizziness in your case are suggestive of any arrhythmias of heart which means abnormal conduction abnormality of heart. I advise you to get an ECG,2 D Echo of your heart immediately to confirm the diagnosis. I also advise you to get lipid profile, complete blood picture, chest x-ray immediately as a part of routine check up. . Avoid stress and anxiety. Avoid smoking, alcohol, fatty foods. Abnormal lipid profile if present in your case should be treated with atorvastatin. Monitor blood pressure and heart rate immediately. Electro-physiological study and radiofrequency ablation will be the procedure of choice. Consult your cardiologist for expert management. Post your further queries if any, Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My last blood test yesterday was ALT 880 and Bilirubin 29. I am yellow at the moment and have been for 3 weeks. I has Cholecystitus and was in hospital 4 weeks ago, i should be getting my gallbladder out soon even though no stones showed up on a CT scan on MRCP. Does this sound right? Thanks ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your blood test suggest high ALT and very high bilirubin. There must be some obstruction in gall bladder. So it's better to go for cholecystectomy. So go for it as per advise. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,After a stressful month, I suffered 105 fever, after this i felt tremors in my head and right side leg, hand and bluriness in eye. The stroke of these symptooms are usually occurs while I am sleeping. My all medical reports including MRI are normal. Kindly suggest.Narender YYYY@YYYY ### REPLY: Hello! Welcome on  ! Your symptoms could be related to a sleep disorder or anxiety. Epilepsy seizures can not be excluded either. For this reason, I would recommend consulting with a neurologist for a careful physical check up and some tests: - complete blood count for anemia-vitamin D and blood electrolyte levels for possible imbalance- an EEG with sleep deprivation or a polysomnogram are necessary to investigate for seizures or a sleep disorder. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi...its just been a month that i am on the femilon cycle....i had unprotected sex with my boyfriend on the 5th day of my period ....is there a chance of me conceiving and during my periods i had stopped the intake of the tablet as prescribed by my doctor started the tablet again on the 4 day please answerr my query i am very worried ### REPLY: Hi, Thanks for writing in. If you have taken Felon as prescribed by your doctor, the chances that you have conceived are remote. The failure rate of Felon is extremely low, and it is one of the best contraceptives available. However, I would still recommend protected sexual intercourse next time round as condoms also protect you from sexually transmitted diseases including HIV. Hope this helpsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sudden right jaw pain and tingling sensation under my left armpit and the left side of my face. I am a 46 yr old female. I had a partial throidectomy about 10 years ago. I have recently developed a rash diagnosed by a dermatologist as grannuloma annular, however, I am not diabetic ### REPLY: Hello, As the tingling and numbness are related to nerve pathology and needs an assessment on a clinical basis. If the pain is in the jaw and face then it can be related to the cranial nerve and the examination of the same is advised under a neurologist. Since you had the past medical history of thyroidectomy, there might be some weakness of the muscles of the neck leading to nerve impingement which is my assumption. But with the help of a neurologist examination, it will be good to have a diagnosis of the same. Post which with simple medication and exercise for the neck, shoulder you should do well. 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: Hi my 8 yr old son almost fainted today turned oale white he is dark skin, he vomited black, looked like soil and his stool all day is charcole black looks like black soil, he was fainte shaky and week nausia , hes had like 2 month every day sayin his stomache hurt i thoght hw didnt want to eat, past four days hardly eating what xan that be? ### REPLY: Hi, Can understand your concerns. Black colored stools with black vomiting indicates that there is gastrointestinal bleed. This could be due to acute gastroenteritis, dysentery, Or chronic illness. I suggest you to do complete blood count, stool routine microscopy, And stool for occult blood. Above investigation should be done on emergency basis. Child will probably require antibiotics. Antibiotics should be based on above reports. Review with reports. I hope this will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been on junel birth control for over a year and recently in my past two menstruations i have had an unusual massive amount of bleeding lasting between a week to 10 days and vaginal discomfort along with severe abdominal cramps and a daze sensation in my head. i am  confused on whether i should see my doctor or if this is usual for this certain type of pill? is there anything i can do to help reduce these symptoms other than Advil, heating pad or midol? ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about the massive menstrual bedding and the lengthy nature. It is clearly abnormal and needs to be investigated. I will suggest that you meet with your ORGAN to get the possible causes of excessive and lengthy bleeding investigated. Some of them include fibroid, polyps, etc. If nothing is found, then measures would be taken to correct that. Excessive bleeding can lead to low blood volume, shock, anemia and eve death that I will strongly discourage you from trying to manage all by yourself. The pain medications are okay but remember they do not solve the cause and reason why you still need to see a doctor. I hope this ad .  Thank you so much for using our services, and please feel free to ask for clarifications if need be. I wish you the best of 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 just came from a Firtility specilist and he put me on 100Ml of clomid the problem is last week i was spotting and this week as in yesterday i started bleeding heavy and now im not sure if this is my period or what or when do i start to take the clomid? ### REPLY: Hi, Welcome to  . Some people have spotting before start of periods. Once you started bleeding heavily that is considered as day 1.closed can be started any day between day 2 to 4. Starting in these days have same efficacy. It should be taken daily roughly at same time and for 5 days with regular ultrasound monitor of follicle size from day 9. Hope I have been 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: My 2 year old cut her head over a month ago, quite deep, we bandaged it and it scabbed over with a hematoma we got scab off with baby oil and discovered bulging pink flesh like an ulcer, size of adults small fingernail will this still go down and heal? ### REPLY: Hi... It may go down. But I would be even more comfortable if I could see an image and guide you better. This is because, 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, may I answer your health queries right now ?  Please type your query here...I have been having lower abdominal/pelvic discomfort...wouldnt really call it pain.  My last period started on July 18, 2010.  Had unprotected sex two days after bleeding stopped.  The discomfort started about 2 days ago and I have to urinate a lot more than usual.  When I do urinate it feels like relief from my bladder more so than usual.  if that makes any sense.  Breast not really tender but has some pain in them like needles sticking in them.....Could i be pregnant and feeling all this so early? Or is this in my head from the unprotected sex? ### REPLY: Hello Thanks for asking . Most probably you are suffering from Urinary tract infection. If bowels are not moving properly may be associated with constipation. Get an ultrasound abdomen done. Though you can not be pregnant, but possibility of pelvic inflammatory disease has to be kept in mind. Get your urine culture and sensitivity done. . See a doctor with reports or post in . 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 went to hospital yesterday morning as I was having trouble breathing and I had pain in my chest and the reports came back as I had costrochondritis. What I am confused about is when I have done research about this it just said its about pain in the chest but thats not all I am experiencing. Im constantly coughing and coughing up a lot of mucus, I am wheezing alot aswell. Can these be symptoms? ### REPLY: Thanks for your question on . I can understand your concern. No, Costco .  All these symptoms are seen in bronchitis and lung infection (pneumonia). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotic, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of reports. Don't worry, you will be alright. Costco ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 23, 57, 165 lbs., i have a chest pain on my left side in the middle of my pec muscle and it hurts and tightens when I move my arm.  I cant put any pressure on that side but it doesnt hurt to touch the area.  What could this be and how may I fix it? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having musculoskeletal pain. Your symptoms are associated with specific arm movements. This is characteristic feature of musculoskeletal pain. So do following things for better symptomatic relief in pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller and muscle relaxant .  5. Apply warm water pad on affected areas. Do all these for 1 week, and you will mostly improve. If not after 7 days then get done chest x-ray and ECG to rule out any lung and heart disease respectively. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my problem is after mastubaration i find that my pennis has swollen, there isnt any pain . it lasts for 15-30 min. whats the problems. it is happening only some times but not all the times.. i observed that it is bcz of hard mastubaration is it true? or is there any problem else with me? ### REPLY: Degree understand your concerns went through your details. The hard masturbation may have caused blockage to the lymphatic channels in the skin which is leading to this swelling. This prevents the normal fluid that goes back toward your body from making it to the body and leads to the swelling. Vigorous masturbation can cause this. As long as the swelling seems to be improving, I think you should be okay. As you said, it happens whenever you masturbate hard, the problem could be summarized as above. I would recommend that you try to put some warm compresses to the penis to try to get the lymphatic channels to open up to let the swelling go down. If it continues to get worse or does not go away in the next 2 to 3 days, then you should see a urologist as soon as possible. Hope this helps. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. 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: Age 71, weight 160# height 58;   my systolic ranges from 130 to 145, occasionally 150, usually 135-145.  Diastolic usually around 70-75.  Where I live there seems to be some medical difference of opinion whether this is hypertensive or not.  I am checking 3 times a day (three trials each time).  One physician recommends medication, but I am unsure. ### REPLY: Greetings! Thank you for your question and welcome to . I understand your concern. I am going to try to ad .  Normal blood pressure figures standardized for the worldwide population are as follows: 100-139 mmHg systolic and 60-89 mmHg. I would not refer to your condition as hypertension, but, combining with your age of 71 years old, my opinion is that medical treatment with one blood pressure-lowering agent would be recommended. The aim at your age would be to keep these figures under 135/85 mmHg constant, and avoid any possible end-organ damage by long-standing figures above the ones I provided. Also, most of the agents used to lower the blood pressure are safe, with low rate of side effects and effective. You should consult your treating doctor about the precise agent that should be installed in your treatment, but my opinion is that it should be from the class of beta-blockers or verapamil or diltiazem from the calcium-channel blockers. These agents, besides lowering the blood pressure, also have effect on the heart rate, which promotes the hearts' efficiency, by reducing its workload. This is my opinion and my recommendation. The choice is always yours. Wish you a good health and I hope I was helpful. Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently moved to New Mexico from California and have not been able to reach my physician in California to obtain a refill Rx for Cymbalta. Both my pharmacy and I have left him numerous messages. I have not been able to establish myself with a physician here yet due to snafu s related to insurance, but I do have an appointment scheduled for April. The problem is, I am going through major Cymbalta withdrawl and can t get a prescription! I have taken this medication for many years. My medical group does have an urgent care clinic , but I was already told by phone that they would NOT give me a Rx for Cymbalta as that must be ordered by whatever doctor I establish myself with, but again, that is not until April. What about continuity of care issues? What the heck can I do? Any ideas? ### REPLY: Hi, Welcome to , "Cymbal ta" is a "S" category medicine in most countries of the world, i.e. it can only be sold by a real Pharmacist upon production of Really real Prescription and the ins and out have to be submitted to FDA on daily basis, hence until you have proper prescription no one will sell you, I am sorry, but this is as things stand currently my advice would be to go get a proper prescription. 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: blood pressure standing 126/79 and sitting 137/78, jaw numbness coming and going, more when sitting, slight fatigue, feeling low last week was diagnosed WPW after going to ED from work regarding dizziness and jaw pain and numbness. No heart problems after 1 night of observations. No jaw or head symptoms out side of work environment. ### REPLY: Hello, Your symptoms could be related to cervical spine chronic degeneration. For this reason, I recommend performing a cervical spine X-ray study. The changes in your blood pressure could be suggestive of orthostatic hypotension. For this reason, I recommend performing a Head-up Tilt Test in order to investigate this possible disorder.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I am Rashmi V, working in bangalore. My Last Periods was on Feb 1st and EDD is on Nov 10th. Right now in 1st week of 7th month. I have a buisiness meeting in Germany in the 1st week of september. Is it safe to travel and what measures I should take in case of emergency. Kindly revert me back for my request. regards, Rashmi ### REPLY: Dear Rash mi, Travel by air is safe in the second three months of the pregnancy (14 weeks to 28 weeks). After that the uterus goes on becoming more and more irritable and the risk of premature delivery goes on increasing in flight. Though, the airplanes have controlled pressure inside, the risk of preterm labor cannot be completely ruled out. So after 28 weeks of pregnancy, air travel, particularly international air travel should be avoided. The airlines also do not accept the pregnant passengers after 30 weeks of pregnancy without certificate from an Obstetrician; and my experience tells that most of the Obstetricians are reluctant to issue such certificate. If the delivery process starts on the board, there are constraints of availability of the facilities for conducting delivery on board. Moreover, according to the international rule, the problem of nationality of the baby arises for them. Of course, being Indian, you can opt for the Indian citizenship for you child, however, depending up on the aerial zone of a nation where the delivery takes place, you can opt for the nationality of that country; or the airline itself being an area of the nation to whom it belongs to, you may opt for that nationality also. This is all greatly complicated, hence the airline rules. I feel you should avoid international travel after 30 weeks of pregnancy. If you are less than that period (7th month), you may choose to travel; however do consider the date of return. If your return is within this time, you may travel. I hope this provides you a clarity in taking your decision.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,Im a  51 year old female and am experiencing bloating. Ive had it before but not for 4 consecutive days. My period ended last week. I look like Im 7 months pregnant. Im very active and feel good other that my stomach. My back is also hurting. How long will this go on. ### REPLY: Hello, I have gone through your query and understand your concern. You have to understand that back pain with bloating can occur together in a number of conditions. Sometimes foods you eat that cause bloating can lead to gas pain that seems to radiate to your back. It may also be caused by Gall stones, kidney stones, ovarian cyst, urinary tract infection (UTI), tumors, such as an ovarian tumor. You need the physician help for simple physical examination. He may ask detailed history of the pain and bloating and associated symptoms like blood in your stool, vomiting, blood in your urine, headache, heartburn etc. Based on the findings and clinical diagnosis, he may recommend any further investigations, or he may treat with some antibiotics if he suspects any infectious origin. Hope this helps. Please write back for further queries. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I went to have a coil fitted thismorning, unfortunately I was unable to have it done because I was told i Have a tight neck of my womb and was told to see somebody different. Do u think a a coil will be suitable for me, am 31 and have had 3 children via c-sections.  Thankyou ### REPLY: Hello, Thanks for trusting us with your health concern. If your last cesarean section was more than a year ago and if the postoperative recovery was uneventful on all occasions, the chances of scar induration are minimal. In such a situation, you can go for the insertion of an IUD, though other modes of contraception are preferable. The tightness of the OS of the cervix is more likely due to absence of a vaginal birth and this can be overcome by performing the procedure under anesthesia to help dilate the cervix. Please see a specialist for further help. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was bitten by a dog 10 years ago and a hematoma (or maybe scar tissue) remained in my leg. Over time it shrunk to about the size of a penny. All of a sudden it has started bothering me and I noticed it is a little bigger, redder, tender to the touch, warm and my leg is swollen. It is on my left calf. Should I be concerned? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that many a time such a scar tissue is known as Hypertrophic Scar. And should be consulted to the surgeon nearby. It requires surgical excision depending on severity of the condition. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad is 57 years old and he has been in the hospital for 3 days now he was diagnosed with congestive heart failure, he only has 20% capacity working. He is overweight and diabetic, I just wanna know what do doctors do for this? How long can he live? And is it possible to get it back up to at least 50%?? ### REPLY: Congestive heart failure, 20% heart function, diabetes and overweight all together are bad risk factors for the health. If this is acute onset, medicines will benefit the patient and over a period of time, patient will be stabilized. Once stabilized, and health permits, should go for coronary angiography too, to see the blockages of arteries. If revascularization done in possible condition, benefits the patient and improve the living. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey I m 20 years of age,I feel like my brain is moving and I always feel dizzy and very weak. I feel like my Hand and feet palms are burning. I m feel nervous and i feel like getting away from everyone. Also sometimes i can t move/feel my legs and arms. ### REPLY: I can assure you that even though it is true that your brain does literally float inside the skull it is not moving the way you think nor can you feel it moving.  There isn't (well, there shouldn't be) a lot of room up there under normal circumstances for such movement so that's one point. Although I am firmly grounded in the belief that a good neurological examination should always be done on someone with your symptoms I can also say with some degree of confidence that speaking to your physician about these issues may help them direct you to other specialists as well who may be able to help. I detect anxiousness and nervousness as well as an element of isolation that may have a lot to do with at least some of your symptoms. Bottom line, get a good neurological workup and see what the neurologist thinks of your case and then, be sure to talk things through with your primary doctor to see if other consultations may not help get some answers as well.  All the best health to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My six year old has been complaining of severe headaches with sudden onset, usually at night. He has to go to his room turn lights off, close his eyes and lay down. The pain is so severe he starts crying and loses control. No vomitting. I give him childrens motrin and it takes a while for him to start feeling better. He s so drained he just falls asleep and will not wake up until the next day. No fever or other symptoms go along with these. He was just referred to a neurologist by his pediatrician. What could this be? ### REPLY: Headache can have varied reasons if it is persisting for months may be a trauma old could have induced sub rural hemorrhage it can present only with headache or could be simple stress, it could be any vascular malformation in brain if no seizures it is a good sign that there is no cerebral irritation, please get a ct scan to determine bleeds, if no bleeds then do MRI for any space occupying lesions, it could be neurocysticercosis if u have eaten any time undercooked pork. If everything is negative then consult psycho therapy stress induce headache ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was a acting very upset .she went to vist friends in new york they say her behavior was very bad. this was her first time leaveing me . i talk to here over the phone several time but her behavior never change. she was born with a little cocaine in her system . i had her tested but was told that she has no sign of this in her system now. but sometime here behavior changes. when she can not have her way. her teacher say that she needs to work on her social skill. should i have her tested again. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  Behavior and social skills are related terms. She should be given training to behave properly and to know social skills. But, who should teach her? Naturally it is the teachers and that learning starts at school. Because your child is at a social set-up school. When your child is at home, practical lessons about social skills are not possible. You can advise. But advises cannot replace practicals. Once your child is at school she can learn things practically and her teacher should assist her to do so. Talk to her teacher regarding this. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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 am Adi working as a software professional. I am suffering with C5C6 disc bulging problem from 4 months. I had taken 3 MRI scans till now and doctors are suggesting me to go for surgery immediately as im getting severe neck and left shoulder pain, Im unable to sleep for not even 1 hour. Could you please advise me whether there is any treatement with out surgery.Report:1) small posteriocentral disc protrusions of C3-4,C4-5, abd C6-76 discs causing mild thecal sac indentation.2) Left paracentral disc protrusion with extrusion of C5-6 disc causing moderate degree thecan sac compression along witChatDoctorpression of left C6 root -Extruded disc.ble to sleep for not even 1 hour. Could you please advise me whether there is any treatement with out surgery. ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question : Can the problem of disc bulging be treated without surgery? Answer : More than 90 percent of disc bulging can be treated without surgery The treatments include 1. Weight Reduction2. Neck Strengthening 3. Lifestyle Modifications4. Physiotherapy 5. TabletsHowever, if you have weakness or numbness, surgery is needed at once Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir i am unmarried 23 yrs old ,suffering from likoria  from 4 year & i had also e coil infection 3 year back but i got treatment of e coil but still suffering from likoria . my question . is it all due  to sexual activities. ### REPLY: Yes excessive sexual activities cane one of the reason fir leucorrhoea. When hygiene is not maintained or the partner has some infection can lead to seborrhea. Undernutrition, Stress can also lead to leucorrheaI WOULD suggest getting yourself examined first by a gynecologist. Who will rule out any pathological conditions if any the symptoms are purely due to functional then necessary lifestyle changes. Changes in diet and hygiene along with medication will help to cure your problem ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctors decalred that due to acute dissection of arota my dad died during the DVR (Arotic and Mitral valve replacement). But, his 2D echo shows Arota artery is normal. Before operation the dosctors said there is no risk. Is there something wrong with the operation. ### REPLY: Dissection of aorta is rare but a k own side effect of DVR, and yes it's a life-threatening condition, however if the surgeon have adequate exposure of operative field it may be managed.  A pre procedure 2 d echo even if normal, it doesn't rule out the possibility of dissection as it's a procedure related complication.  However, if m very sure the doctors must have tried to salvage your father after dissection was noted, as no surgeon would like to lose his patient.  Hoping this would help bring some closure.  Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband went to a chiropractor today and has been having tightness of his chest where he feels like a vise is squeezing his lungs. The chiropractor took chest X-rays and found 2 white spots on his lungs and now is sending them to a radiologist. What could this be? ### REPLY: Thanks for your question on . I can understand your concern. White spots on chest x-ray can be due to 1. Old fibrotic scar lesions 2. Active infectious lesions. 3. Early stage of lung cancer. Lung cancer starts as lung nodule, and it looks as white spot only. 4. Benign cyst. So better to consult pulmonologist and get done clinical examination of respiratory system and CT thorax with Contrast. CT scan is more informative than chest x-ray. It will show details like exact size, shape, content, association with surrounding lung etc. And all these details are important in diagnosis. So better to get done CT thorax. Ask him to quit smoking as soon as possible if he is smoker. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here... hi my wife is 17 weeks pregnant and suffering from asthama doctor has suggested retard 150 and deslor tablet with oral steroids is it safe for use during pregnancy will the same be harmfull to the baby??? ### REPLY: Hi, It is best if your wife takes the asthma medications. Asthma can complicate pregnancy and cause harm to mother and baby if not controlled. Deriphylline, antihistamines and steroids even oral can be used to control asthma in pregnancy. As it is more harmful to the pregnancy if she has an attack, than any harm from the medications. A lot of women are worried about effects of medications on their babies and so do not take medications, which leads to serious asthmatic attacks in pregnancy. It would be best if is she continued the medications as advised by her doctor. 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: hi had a crown on a back tooth 3 yerars ago but 4/5 months ago needed root canal this was done and the pain went but 3 days ago pain returned with a vengance it is aleviated if i keep cold water over it but as soon as i stop pain is even worse i am on antibiotics also taking ibuprofen and paracetamol but this is not helping what could it be and what can i do pain on a scale of 1 ro 10 10 being the worst at the moment i am at an 11 ### REPLY: Thanks for using . Read your query. I can understand your predicament. The pain is due to the reinfection of the root canal tooth. I would advise you to:*Continue with the medication and visit your dentist as soon as possible.* Get a radiograph done and proceed with the removal of crown.* Get the appropriate pretreatment done.*Do warm saline gargling. 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: I had rotator cuff surgery 5 weeks ago to remove a calcium deposit and bone spur. The removal of the calcium deposit caused a partial tear in the rotator cuff. I am in constant pain still and have swelling and redness in the upper arm. It is also tender to the touch, like a bruise. Is it normal to experience this, or is there something wrong? ### REPLY: Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As mentioned by you, post surgery you should have been advised for a physical therapy to loosen the scar tissue and strengthen the muscles to regain the mobility of the shoulder joint. I will advise you to undergo physical therapy, as by Therapeutic ultrasound therapy and exercises the pain, swelling, weakness of muscles will all be solved. In my clinical practice, even with rotator cuff injury, we take a physical therapy as option after an MRI and if with physical therapy the patient can regain the mobility we perform that and I have personally got 99% success in their shoulder mobility without any pain and aches. RegardsJay 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: Gud afternoon Doctor. I have a lump in the left side of my breast.. Its been there past 4 years. The first time i i had been to the doctor they examined it and told me to take simrose for 15 days after that i had a test done they told its just a lump caused by hormonal imbalance.. Of last a had little pain there i checked with the doctor again they have told me to take T.evion 400mg for a week....I just want to know whether this lump is dangerous .. I am now 25years old.. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, you are mostly having fibroadenoma of breast. It is the most common benign swelling of breast. Hormonal imbalance is the most likely cause for it. Usually it is benign in nature and no treatment is required for it. But better to get done mammography and fine needle aspiration cytology (FNAC) for the confirmation of fibroadenoma. Surgery is indicated for cosmetic purpose. So consult doctor and discuss all these. Hope I have solved your query. 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: My mother aged 51 years is getting dialysed thrice a week. Earlier it is twice in a week but for past four month it has become thrice. Recently she is compaling an acute pain in the legs as well as abdominal area. For the legs, she tells that, it seems the veins are getting departed and also burning sensations.For the stomach, she tells of it like a balloon and pain into it. Please help me understand if there is anything critical and must be looked into immediately. ### REPLY: Hi thanks for posting in  I have understood your concern 1.she is suffering from peripheral neuropathy and that is causing her leg pains.advice: check serum vitamin B12 levels treat this with cap.erosion once a day tab.pregame 75 mg at night.2.bloating abdomen is due to dyspepsia or peptic ulcer advice: regular small quantity meals cap.Pravda once a day tab.antacid in the morning. If she is not improving with symptoms she needs upper GI endoscopy to see any ulcer and biopsy to look for H.pylori.hole this helps you any further questions please let me know 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: , im rahul, iam suffering with severe sneezing from long back, i met so many doctors but there is no use, 1 year bac i met one doctor and he prescribed me MONTEC-LC,FLUDAC,OXYPUR, when im using these tablets im feeling good but when iam stopping again the problem araises so please help me what to sir, really im not able to work or go to office with this problem what to do sir, ### REPLY: Feudal (fluoxetine) is an ant-depressant and Your (doxofyllline) is an anti-asthmatic. They are not for treatment of sneezing. Only Montcalm (levocetrizine + montelukast) will help control sneezing. You may discuss with your local doctor to add a steroid nasal spray. This along with regular steam inhalation will help reduce your sneezing. Discuss with your doctors why Your was started. Do they suspect lung related problems? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was hit with a sofball on the inside of my ankle two days ago (bottom of leg bone). It hurt immediatly but I figured I just bruised it. After playing softball tonight it is now swollen, tingling, hurts to move and put weight on. Could it be fractured? ### REPLY: Hi there. Thanks for your question at . Rest, Analgesics, Ice and bandage application usually help relieve the pain and swelling associated with ankle injuries.However, if the pain still persists 48 hours after injury, which gets aggravated on standing or walking, it needs further evaluation. I would suggest you to be seen by a physician in person since your pain still persists. Based on the examination an X-ray may be required to rule out fractures. It is also top to be noted that a severe soft tissue injury (ligaments and muscles) can cause pain as severe as pain associated with a fracture. Hope this helps. All the best. Regards.  .  ### END