Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Id 55 years old, 63, 254 lbs.  he is normally in fairly  good health.Today he is complaining of a severe head ache, blurry vision, no nauseous,  BP 138/77, HR 97 HR 85I am to 55, but have poor health.  ,I also woke up with a stiff neck, fingers numb and severe pain in my right lower lung. No fever.  I am an asthmatic and migraines.  I am concern with the sever neck n stiff neck and the Lower kidney/ lung area.  Past a stone 5 was ago.   Please give me some suggestions and your opinion would be so much appreciated.Thank you ### REPLY: Hello thanks for asking from ChatDoctorHe is 55 years old and have normal BP, HR but having severe headache with blurred vision. I would advise you to get his vision test done for any refractive errors as poor vision may present with such symptoms. Such headache could occur without any definitive cause and a dose of OTC analgesic helps to reduce headache. But if it was a repetitive headache with blurred vision then it needs evaluation. It could occur due to Migraine or Cluster Headache. Both type of headaches present with severe headache and blurred vision. I would advise you to take him to a neuropsychiatric for help. Medicines like Amitriptyline, Sodium Valproate etc. have excellent results in containing such headache.  . You have complaints of stiffness of neck, numb fingers and pain in lungs. Stiffness of neck and numbness can occur due to some spondylitic changes in your age, though proper evaluation and examination is needed to make exact diagnosis. I would advise you to consult a physician for pain in lungs and your other complaints. Thanks, hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I live in XXXXXX. my father s elder brother (65) is suffering from dementia and he is also having diabetes . 6 months earlier he fell from his chair while drinking tea and got three nerves of his brain damaged. can you plz suggest some medicine or operations so that he get well as soon as possible. ### REPLY: Hello. I'm sorry your uncle is ill. Without more detailed information about his condition, it is very difficult to offer you any meaningful advice. Unfortunately, many forms of dementia are irreversible and gradually progressive despite the best treatment. Some medications, such as donepezil, galantamine, rivastigmine and meantime, can slow the progression of dementia, but none of these .  Keeping your uncles' diabetes under control may also help to delay worsening of his condition, but dementia is usually incurable. In many cases, the best we can do is keep our loved ones as comfortable and safe as possible; this may require assistance from non-family members (live-in caregivers, for example). Your uncles doctor, who is most familiar with his case, is better qualified to offer advice about the best treatment(s) for his condition. I suggest you contact the physician who is charged with his care. My best 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: I am in Orlando Florida and I went to ride a roller coaster yesterday.  The operator of the ride had to push down really hard on the bar to get it to lock, which took away all my breath.  I could not take in any breathe...I felt like I was suffocating.  I made it off the ride, thank God for a quick ride.  I am still having short breathes.  It hurts to take deep breathes.  I have felt all ribs and no pain there.  Could I have some sort of lower lung collapse? ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. No, it is not due to lower lung collapse. In my opinion you are having mostly musculoskeletal pain due to hard pushing of safety bar. But better to get done chest x-ray first. If chest x-ray is normal then no need to worry about lung collapse. It is musculoskeletal pain mostly. So avoid strenuous exercise and heavyweight lifting.  Avoid bad posture and movements in sleep. Take good painkiller and muscle relaxant. Apply warm water pad on affected site. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 inguinal hernia on my left side which was taken care of on July 31st this year, exactly four months ago. I guess, as a result of this laparascopically treated hernia repair, I found out a mas on my left scroto and had an ultrasound done. It showed epididymitis cyst on left and right, being the left the biggest. About 3.4 cm. The GP advised to leave it alone as the body might reabsorbed it. But  then on the other hand he prescribed flowmax. I have stopped it as a I dont have an enlarged prostate or cancer. PSA 1.0 and rectal examen showed no abnormalities. However, the other day while having intercourse, my wife noticed that I had not ejaculated and sure enough I did not see any trail of semen, so I have taken upon myself the decision to discontinue Flowmax as I have read in some forums that Flowmax creates abnormal ejaculations and/or retro-grade.Your advise, please.... ### REPLY: Hi, Epididymal Cysts are not harmful if they are not causing pain or increasing in size. Epididymal cysts usually develop in adults around the age of 40. Cysts are found in as many as 30% of asymptomatic patients having scrotal ultrasound for other reasons. Treatment is not usually necessary and explanation and advice is all that is usually required. As you have mentioned that you don't have any prostate problem or any other, then you may discontinue Flo max tabs. Its adverse effect is retrograde ejaculation. Do consider positive feedback as a credit to my work Let me know if you have any further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife has had a fever that spikes to 102 and then with tylanol, it drops to normal... this has been going on for almost 3 weeks. she vistited a dr and she told her she has an upper res infection. she has headaches and backaches, very tired all the time... what do we need to look for? ### REPLY: Hi, I had gone through your query and understand your concern. If I were the treating physician, I would look for few more information like>Time when fever rises>Pattern of rising temperature, highest temperature recorded>Rash >Travel history>Respiratory symptoms>Signs of organ enlargement and >Any other local or systemic positive findings etc. Then I might have suggested some laboratory investigations specially blood for culture and sensitivity. Since your wife has been suffering for almost 3 weeks, my opinion is that : Please consult with an internal medicine specialist. Hope this helps you. If you have additional queries, please do not hesitate to write us. We will be happy to answer. Wish your wife a rapid cure. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a lump above and to the right of my clitoris. The lump isn t really visible but you can feel it when you apply pressure to it. It is about the size of a pea. It is constantly hurting and it just started today. There is no drainage at all. It is very sore. J have no idea what it is!! ### REPLY: Hi, This is most likely to be a Catholics cyst that has become inflamed. Apply a warm compress to the area or take a warm bath to relieve the pain. Your may benefit from antibiotics, so I suggest you see your doctor. If it does not improve with antibiotics, then it can be removed by a small surgical procedure. This is not a serious problem and is quite common. I hope this has reassured 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 name is Zaheer, 22 years old and 64kg weight with 1.72m height.I m brown in colour and I want to lighten my whole body colour through pigmentation process.I not much more known about the process pigmentation.But I need to do this treatment.Is it is possible to lighten whole body? What are the after effect of this?How this after effects make impacts in our body?Hope you will reply properly. ### REPLY: Hi Dear, Welcome to . Understanding your concern. The symptoms you mentioned in query you want body color to be lightened through a pigmentation process which is a self limiting process. Most of the cases do not require any treatment, condition usually resolve in 1-2 months after proper preventive methods. You should avoid exposure to sunlight and cover your skin. You can go for chemical peeling and laser therapy as well as it has little or no side effects. Take some over the counter anti histamine .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Heard foot pop during fall. Severe swelling, pain & bruising. Extremely painful to bear weight & can feel movement inside foot when moved certain ways. X-Ray showed no fracture per dr @ urgent care clinic. 8 days ago & feeling sore, bruising spreading, 2 large lumps. Suggestions? ### REPLY: Hi, Thanks for your query. From description, it seems to be soft tissue injury. Large swelling might be due to haematomaformation(collection of blood). I suggest you to consult an orthopaedician nearby for a detailed examination. Beside icing and elevating it, you can take anti-inflammatory . I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 85 year old man, right hand swollen and red on top of hand to wrist almost looks like a burn but is not a burn. Also has swelling around palm of hand and top wrist bone swollen as well is very painful and hurts at wrist. Could it be some type of a spider bite? He was wearing a glove to work on some craft wood last Thurday his hand was fine. Sunday evening it started to hurt and has worsen today which is Tuesday. ### REPLY: Hi... Can understand your concern... As per your query about swellings in joints of wrist and hands is mostly due to inflammatory arthritis as a degenerative change...but if you suspect any spider or bug bit there could be a place in hand where any spot or tenderness will be maximum.you need not worry and consult a physician for its proper evaluation.... Till the time you can take analgesic like ibuprofen for temporary relief.X-ray of joints may be needed for proper diagnosis... I hope this information helps you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor! I have been sneezing continuosly since morning.. I have trouble in breathing from nose too at night while I sleep, i usually have to sleep from my mouth as my nose remains blocked . Since it is getting colder day by day, its getting worse. Last year this time i had got my blood test done in which it said that my eosonophil count is high. please suggest whta i should do ### REPLY: Hello and welcome to !your sign and symptoms indicate towards you having allergic rhinitis. Patient usually has running nose, repeated episode of sneezing watery eyes, headaches, etc. for an acute attack antihistamines are the .  You can use an intranasal corticosteroid for blocked nasal passages mometasone nasal spray-nasonex,200mcg one spray each nostril's daily. Also you can use montelukast 10 mg (montage)daily at bedtime as prophylaxis. Hope this helpsWishing you best of health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir my skin adjacent to my eyes on both sides and forehead is getting darkened with rashes. i showned it to a skin specilist . he performed some peel off process and prescribed medicines also. he gave me some ointment also to applied on the affected surfaces. afterfollowing the medications for a period of time the rashes disappears . after discontinuing it   the rashes again reappears.  please guide me.  RAJESH ### REPLY: Hello, welcome to . There are a lot of reasons for dark circles with rashes most common ones are- hereditary, Allergies, asthma, and eczema, fatigue, age, anemia, some liver problems etc. this is due to excess melanin pigments produced. Most common treatment prescribed are HY . You can continue treatment of your dermatologists. Along with it take plenty of water, green vegetables, rub cucumber juice and potato over dark areas, they also help to reduce pigment stake care, and you can ask future queries ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a drop of BP 70/30 for around 5 minutes and the came back to  117/70. I was resting from asthma attack at that time. I had hypertension for 8 years and taking medication 5mg of amlodepine two times daily. Just two years ago I started taking omega 3 and my BP went normal 120/80. However, I still continued my amplodipine but only 5mg daily. Then I started experiencing really low BP but would be back to normal within minutes. My pulse rate is still within the range of 60-80 per minute. I am 54 years old and 85 kilos and 170mm tall. What could be happening why I sometime experience very low BP. ### REPLY: Hello, Brief answer: Low blood pressure in multiple occasions is an indication to reconsider antihypertensives. Explanation: My opinion is that with asthmatic attacks, people experience some symptoms of low blood pressure such as dizziness with exaggerated inhalation and exhalation blood pressure may .  So, depending on blood pressure reading at or shortly after asthmatic attack is inefficient. Low blood pressure readings in your case, if away from asthmatic attacks and measured accurately that is an indication to lower your antihypertensives dosage or even stop it in some occasions to prevent low blood pressure complications. I suggest my patients the following: stop Amlodipine, monitor blood pressure readings, and follow-up. Conclusion: I suggest you measure blood pressure away from asthmatic attacks and revise your physician. 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: H i have suffered for few years with back and leg pain numbness etc MRI scan showed L4/5 disc bulge causing impingement on left L5 root also anterolisthesisive (where the upper vertebral body is positioned abnormaly, compared to the vertebral body below) of l5 s1 ive had facet injections also in the past root ganglion blocks bilteral rami injections and epidurals which didnt seem to be succesful. and a narrowing of two places where the bones had to be widened to release pressure had the disc bulge reduced in surgery and two sections the bone was taken away to eleveate pressure on the nerves 4 months after surgery i now have much less severe pain which could leave me unable to walk at all now i still have some pain but no way as bad as before but if i try to walk or sit for too long causes more pain which can lead back to a de mobilised situation does this mean my active life is over im taking many types of medication including Butrans 10 mg ive had to change gp 3 times in the last few years and my newest doctor couldnt understand why i had been left so long like this and the consultant nuerologist he referd me too was of the same opinion my life has been distroyed by this condition and in time stopped me from working and my social and private maters too have been affected , i will add at times ive been and the end of my witts with this and after the operation whats the future hold , its a life changing shift and very frightening not having control of your body , im 41 and the problems started in my early 30s while in full time work variably to start and increasing aggresivley in nature over time sorry for the long message ### REPLY: Hello there, thanks for choosing . You need to choose a rehabilitation team including experienced Physiotherapist, occupational therapist and orthotist professionals who can plan/ design a training program to enhance your functional capabilities and how to cope up with your existing pain or to reduce the symptoms mechanically. They can change your techniques to perform the same activity symptom free with similar efficiency...... Good luck for a healthy lifestyle ahead...... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 developed speckled, red, slightly itchy and dry spots on my torso and chest . I have no idea what they are. at first I thought it was ring worm but no, the dots have spread. I also have one large one on my neck and also inner thigh. Please, any tips? ### REPLY: Hi, You seem to have developed lesions of satyriasis rose. It presents with oval round lesions especially over the trunk lesions. Most of the lesions are small, but there is always one prominent big oval lesion. It is a self limiting disease with new lesions appearing every few days. May take turn two months for complete recovery. You may apply rod topical steroid if you have itching. See a nearby dermatologist for confirmation of diagnosis and further management. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had very bad cramping problems for about 2 months every time before I go poop. It feels like minstrel cramps and sharp stabbing pain. What can this be a cause of? I have been getting dizzy easily the last two months, overly tired, my stomach hurts when I eat some foods, and it all seems to be triggered randomly, along with back pains. ### REPLY: HI. Just to recapitulate- you have cramping pain like sharp stabbing, before you to poop, getting dizziness, tired and pain increases on eating something. This is more suggestive of an intestinal infection or diverticulitis or any inflammatory process, his can be due to an irritable bowel syn .  Get a course of an antibiotic and see the results. IF no relief, please go for investigations of blood, urine and stool in particular, both endoscopies, ultrasonography. Get a proper diagnosis by a Gastroenterologist and get properly treated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 kidney stones. Had a CT that showed 4 stones in left kidney that measure 0.7 x0.3 cm and a single faint stone in right kidney measuring 0.2 cm. I have had numerous stones, have never been able to pass any of them on my own. Have had a 24 hour urine and stone analysis that showed calcium oxalate and really try to do the diet recommended. I continue to form stones...the last one about 1 year ago requiring basket extraction. Is this size stone passable without intervention. I have had lithotripsey 2 -3 times and my old urologist said I could no longer do it as there is a risk of shock injury to my pancreas and potential for developing diabetes??? Is this true.? I have a new Dr (because other retired) and he wants to do litho. What are my options? Also, my pain is intermittent at times and at other times is constant and is located right at my Left kidney region. Do you only experience pain when it is in the ureters. Does the kidney itself have pain nerve endings? Can these pass or what is the size stone that is to large to pass. ### REPLY: HelloThnks for query. You are known to get recurrence of urinary stones mostly due to metabolic disorder. Now you have four stones in Left kidney bigger one of the size of 7 mm. Normally stone up to size of 8 mm can be expected to pass out spontaneously.However, there are multiple factors that govern the passage of stone out 1) Shape of the stone 2) Diameter of mouth of calyx. The pain occurs even when the stone is in kidney and occurs when it gets impacted at the mouth of calyx causing distention of calyx due to accumulation of urine in calyx. As regards no of lithography that one can be subjected to I would say that due to advanced technology and modern lithography machines one can have ESL for plenty of times and there is no danger to pancreas or any other organ. Since you have stone of a size of 7 mm and less you can expect them to pass out spontaneously. If they fail to pass down within a month you can go ahead for ESL. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had melanoma,back in 08. one day in the shower i had a large egg sized lump form in my armpit....what are the chances of melanoma?...had a biopsy today...he mentioned it seemed dark,like dried blood...asked i i had any recent trauma to the area... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have melanoma or some hematoma due to some injury.  Or you may have some vascular tumor. Wait for the biopsy results.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. I am 5 weeks pregnant. last week I had bleeding. there was a hemorrhage in my womb. my doctor prescribed duphaston every 8 hour (60 pills). I have used it one week. immediatly after using bleeding stoped and I am fine now but I am concerned about affect of duphaston on embryo. is it harmful? thank you in advance ### REPLY: Hi, It is considered to be safe during pregnancy. Unfasten (Dy . Based on the history you seem to have missed abortion for which your doctor has prescribed unfasten in order to prevent miscarriage due deficiency of progesterone. It is considered to be safe during pregnancy and does not cause any harmful effects on embryo so continue to take as prescribed. 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: Can a baby girl get ring worm in her vagina area? 9 mo old baby, cousin that lives with her was just diagnosed w ring worm, she also today started a yellow greenish discharge from her vagina and has a red ring area around her vagina, no clear ring, just redness in a circle right now ### REPLY: Hi, Thankyou for query. Brief answer.get a swab test done first. Detailed answer... Since ring worm can occur using infected towels or sharing clothes with infected person. But as your baby is also discharging, so get a swab test done to differentiate between chlamydia or fungal infection and treat accordingly. For ring worm you may apply statin powder and cortisone cream 2 times a day daily for few days and follow accordingly. Hopefully my answer is helpful. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been using switch 200 for treatment of chest and throat infections in India for six days with one tablet morning and evening plus deriphyline 300 SR the same doze and cured my chest infection. Now I am in usa and have developed the same infection due to change of climate and allergies. Can I take the same medicines now again and how to get them here in absence of prescriptions ,when I have to be here for one month more.kindly guide....thanks ### REPLY: Hello, Welcome to the forum. You may feel that you are suffering from the same infection, but it may not be true. You should consult a local general physician so that you get physically examined. Furthermore, you need anti-allergic and anti bionics. If you have a prescription, and you have been physically examined it will be better. You should not take any medication by yourself and should follow the doctors prescription strictly. Do alert your treating doctor if you have history of any past illness or have allergy to some medicines or food. Hope you have the reports (records) of your previous investigations with you. It will be helpful for your treatment. You may need a few investigations to be done. You should have warm saline gargle three times a day. Furthermore, you can also use an antiseptic mouth wash for gargling. Have a nice day. 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 daughter, nearly 6 years is being treated for strep throat from lunch time today with Amoxicillin. although she still has a high fever i am concerned about her red, swollen and almost bleeding gums that appear to be worsening. she has young teeth and I am concerned this may be another infection that still needs treatment. What do you think is the cause? I noticed this yesterday evening before she was diagnosed today- but has definitely spread throughout her mouth and it is tender. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems that your daughter is suffering from viral infection leading to inflammation inside mouth along with re, swollen and bleeding gums leading to Gingivostomatitis. It is a contagious infection and the child may get it from kissing, eating or coming in contact with people who have active infection. The initial treatment is directed towards reducing fever and decreasing the discomfort caused due to inflammation in mouth. You should feed your son with a soft, cold and bland diet, a low spice vegetable soup, flavored gelatin, bread socked in milk etc. can be given. Avoid citrus juices like orange juice and can give him fresh apple juice. For fever, you can give him Tylenol or Acetaminophen . Application of a numbing gel like Lidocaine over the gums and other sore areas of mouth can provide relief, but care should be taken not to involve large areas of mouth as when being numb the child can accidentally bite the tongue and also damage other areas of mouth unknowingly. Sucking ice pops or a frozen apple juice Popsicle can help in reducing inflammation and discomfort... Maintain a good oral hygiene and use an ultra soft toothbrush for brushing can help by preventing trauma and pain to gums. In case if there is an outbreak of sores or blisters antiviral medicines like Acyclovir can be advised by a Pediatrician to reduce the duration of the disease and prevent further outbreaks. 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: I as your previous writer am having frequent subconjuntival hemorrhages every other day. I am female age 60 post LASIK surgery 10 years ago and have chronic dry eye. I have my blood pressure under control with herbal meds (not ones that thin blood) and it works well. This is happening in both eyes, I have normal bleeding profile and have stopped using Aleve, fish oils, flax seed and other heart health vitamins. Please advise. I was told maybe the conjunctival chalasis surgery might help, but I do not have eye pain which I thought was a symptom. Please help!!! thanks ### REPLY: Hi, Thanks for writing in. Subconjunctival hemorrhage happens due to break of small blood vessels in the white part of the eye. The bleed is not absorbed quickly and might take some days to resolve. Isolated subconjunctival hemorrhage requires no specific treatment and heals in 2 weeks time. A subconjunctival hemorrhage changes colors and will fade from often red to orange to yellow over days. Patients often report a scratchy feeling in the eye and using eye . A conjunctivochalasis surgery might have to be considered only if you do not get relief from using conservative treatment like artificial tears. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have a seven month old daughter. She doesnt really seem to like baby foods as such. She likes to eat what we eat with all those spices n seasonings but in a mashed, easy to swallow consistency. Can i add cornflakes in her diet with whole milk. She is still on breastfeed. She loves apple but apples, pears n potatoes constipate her. Also which other dals can i add in her diet besides the normal yellow moong dal? ### REPLY: Hi... At this age you can start giving Carla stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. 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: I am a pcos patient and m taking Crisanta from last 2 months....but in the mid of my 2nd month cycle i came to know that my husband is going abroad for a year, i.consulted my doctor and told her that i want to concieve immediately...she just asked me to stop taking crisanta and try everyday for the baby till he goes...i wanted to ask will this work and if this wont than what can i do for the same as i have got only 7 days in my hand....pls reply asap ### REPLY: Hi, Thanks for using , You have PCs and using oral contraceptive pill (Santa). Even after discontinuation it takes some time to regain fertility. Pregnancy depends on your ovulation and proper mating to give chances of fertilization of ovum. You have only seven days your doctor is right in taking chance every day then it depends on ovulation. The option of keeping sperms in preserved condition and using them for future cycles, you can discuss with your husband and Gynecologist.Otherwise, you have to wait for a year till that time you can take treatment for PCs and reduce weight if you are overweight. Hope this helps. Good Luck . D ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, my sister recently had her gall bladder removed and developed infection affecting her pancreas and liver...still in the hospital and cannot eat...feeding her intervienously....to weak for surgery right now so they are sending her to a rehab hospital which will be followed by surgery on her pancreas....not sure if they plan on removing all or part of the pancreas...liver is somewhat involved now but now sure to what degree...family is concerned obviously and is ofterntimes confused by what the array of doctors are telling us....the question is can a person live without a pancreas and what will be the quality of life? ### REPLY: Hi and welcome to . Thank you for the query. Yes, it is possible to live without pancreas because its function can be replaced by certain .  She'll need to take enzymes and insulin till the rest of her life, but quality of life is not very affected. She just needs to be patient and be aware that much serious consequences may happen if pancreatitis progresses, even the worst thing. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi please how can i lower the sgpt and what is the time needed i did a blood test from 14 days ago and the result was SGPT:84 and GGT: 67 the doctor said i should do it again after 5 days and i should go on a diet so the result again was high SGPT:111 this is the third time and it was 90 now knowing that i drinked to much alcohol about 5 liters in 5 days (before that 14 days) and i took 1gram of cocaine does cocaine effect the test ? Note: i did ultra sound for the liver the result was i have a small calcification but its old and test for hepatits is negative is it from cocaine my sgpt high and how long it will take to lower it ### REPLY: Dear Friend. Welcome to . I am . I have read your query in detail. Furthermore, I understand your concern. If you stop consuming alcohol and cocaine, this level would go down with in 2-3 weeks. But if continue that, it would keep on increasing. Also, I would advise you to get an Endoscopy and Ultrasound of liver. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think something s wrong with me first off my mom got into a car accident when I was ten and she lost all her memory and doctors said she would be like a 13 year old the rest of her life and my dad well isn t very involved with me he would come in and out od my life till this day so I m 18 years old now and I have 2 kids and I m really scared for my husband to cheat on me or leave me and Im really scared of my oldest sister to leave again or my grandma that I m so close to to die and it seems to me I get really stressed and when someone in my family has a problem I let that problem become my problem so much I can get stressed about that too and I don t know what could be wrong with me? ### REPLY: Hi.well, because of the pain through which you have gone through you are suffering from anxiety-symptoms.nothing has happened to you after your marriage so far and hopefully nothing would.so don't get stressed. Visit a psychotherapist and then narrate your story.you may require some form of psychodynamic psychotherapy.also some medication may be useful if you consult a psychiatrist.so first don't worry.you will be fine.thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my gall bladder removed 6 months Ago but had bad pains in same place a few weeks ago they found my bile duct was very narrow and had blocked so have put a temporay stent in the duct also towards my pancreas however I keep getting pain in the middle of my tummy at the top and towards my right rib again. I have another op to have the stents removed in 3 weeks time wafts that pain I m having now? ### REPLY: Hi, I had gone through your question and understand your concerns. First, you need to change your diet, reduce fats and fried food and have smaller and more often meals. Second, you should take "Creon" pills and ursodeoxicoli acid, this will help with digestion and symptoms. Also, spasmodic may be beneficial. Surgery is required to see what is going on If there is just benign stricture then it can be easily managed but if there is tumor or stone as an underlying cause then some more extensive procedures are necessary such as biliodigestive anastomosis or metallic stent placement or t tube .  In every case, it may cause some problems in future if this is not treated. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I remember a few years ago, when I had an asthma attach I was put under the nebulizer five times, which had me week for about two weeks. I then went to a private doctor and he recommended asthalin, which really helped. Im experiencing similar symptoms now, im still weezing  and coughing after a week on nebulizer. can I use the Asthalin to help ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. If you have wheezing and coughing, Stalin (Albuterol) will be of course helpful to you.2. I would suggest you to take Stalin 3-6 times a day on as-and-when-needed basis for wheezing, breathing difficulty and coughing.3. I would also suggest you to take plenty of warm fluids during day and avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead and a very good recovery. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is one year old baby he was suffered from seizure disorder doctor suggested to use gardinal 30 mg tablet and he is using this medicene for past 9 months. Is there any side effects to that medicene and for how long he has to use this medicine ### REPLY: Brief answer:Duration of garden varies according to the cause of seizure. Detailed answer:Hi, welcome to . I have read your question and I know that you are very concerned about your child. Garden syrup is given as maintenance therapy in seizure. Duration of garden varies according to the cause of seizure and neurological assessment and development of child. Usually, a repeat EEG is done and if the EEG comes out to be normal with satisfactory neurological examination, then garden is tapered and then stopped. I hope this will help you. Wishing your child good health. If you have any more questions, I will be happy to help. Take care. 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 Ffirst noticed these small hard lumps around my scrotum and shaft of my penis when i was 14-im 27 now and they have gotten bigger and there are more of them,i noticed that when i squeeze them white substance comes out and some of them near the base of my penis have hairs coming from them,but the ones at the tip of my penis dont,what could this be? ### REPLY: Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At . I studied your query in depth and understood your concerns. Causes for the lumps on your Scrotum are as follows-a-Mostly they are Forays lumps with sebaceous prominence, which later on got infected and formed the boil in few.Don't worry of them, as they are not cancers.b-Treatment -a-As few are growing need to be treated like boil with-b- Tab-NDAIDs/c-Antibiotics like amoxicillin under cover of family doctor Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and . Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last time I had a crown at my dentist and took 2 5mg tabs of valium . Did not even feel relaxed at all. Have a root canal tomorrow. How may can I take and hoe long does it take to work I am 250 lb female. I usually do nitrous but they have none. I want to feel like I dont care but not totally messed up. If I try 15mg 1 hr before and I get there and I need another one how long will it take to work? ### REPLY: Hi, Thanks for posting the query, Valium is used to treat anxiety disorders, muscle spasms , seizures. Take Valium exactly as prescribed by your doctor do not take larger or smaller amounts for longer then recommended. Call the doctor at once if you feel that the medicine is not working or if you think you need to use more doses than usual. Generally for relief of symptoms of anxiety the recommended dose is 2-10 mg , 2-4 times daily. I would suggest you to concern a doctor before taking the .  Hope this helps out. Regards..... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a severe pain in my left knee which started after doing lacrosse goalie workouts. I believe it s because I spent an hour exploding onto either leg, depending on where the shot was, but my right knee feels fine. It does affect the way I walk and almost feels like there is something inside my knee. What could this be and what should I do besides ice it? ### REPLY: Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned in history about the workout you did, a thorough assessment in the torque of the muscle needs to be known. Also, the hip muscle Strengthening is of due importance to control the knee in position. Getting a clinical Musculoskeletal assessment by a sport or tho will be of help. Usually, pains and aches are sometimes relates to DOES and subsided in a day or two. But if you feel there is some grinding of the knee than an MRI will be suggested based on the clinical assessment post which the rehabilitation plan will be prepared. In sports injuries the role of the sports physical therapist is of due importance to understand the mechanism of the injury and the mechanism of the role a joint is going to undergo during the workout as well as the game. In my clinical practice, with thorough musculoskeletal assessment patients are guided with a different sort of exercises as to cover up the highly torqued muscle and provide the stability between them to get the maximum score. 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: I was diagnosed with Primary hyperparathyroidism for about 6 years before removal of parathyroid! My bone scare shows cervixal osteopenia not far from full forse osteoporosis. I feel hard on my tail bone to point It make me dizzy, sick, weak, nausea and not sure if I need it looked at ### REPLY: Hello ! I read your question and understand your concern. I would recommend treatment of hypocalcemia from hyperparathyroidism, which is induced by the intervention you have done. This is the cause of your osteopenia. I would also recommend tests like bone densitometry to measure the real problem. This problem can be treated only symptomatically, but once initiate it is difficult to stop. Oral calcium supplements and Vitamin D in the form of calcitriol would increase calcium levels in your blood and stop osteopenia from progressing. However, at high doses, calcium supplements can cause gastrointestinal side effects, such as constipation, in some people. Diet modification would also be helpful:dairy products rich in calcium like: green leafy vegetables, broccoli, kale, and fortified orange juice and breakfast cereal and low in phosphorus-rich items. This means avoiding carbonated soft .  I would also recommend Finalizing for the dizziness or Betahistine. Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 16 year old daughter started getting her menstrual cycle when she was 12. However they are still very infrequent, about 3 menstrual cycles a year. She has not had one since early February. I have had blood work done and it has come back normal. We don t want to start her on birth control because she is a carrier of Factor V Leiden. Should I take her to a specialist? If so, what type of specialist? ### REPLY: Hi, dearI have gone through your question. I can understand your concern. Irregular menstruation is common in early menstrual age. Factors V Leiden mutation is not responsible for it. But still you should consult your gynecologist once and plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last year I had flesh like bumps pop up in a line on my left groin. I got nervous and picked them off which caused bleeding. They hadnt hurt until I picked them off. Its been a year now and I still havent gotten any back but Im still nervous about what this could have been. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst, ingrowing hair, folliculitis or some other lump.  You pluck it out and now there is no lump.  So no need to worry about that. Just be relaxed.  No, any treatment is required.  If it appears back then go for examination. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My two month old son was put on a new formula (similac alimentum) with rice to thicken it over a week ago by his ped. Since then all he does is sleep and i can t seem to keep him awake. I also noticed he s pale when he s sleeping. What could be causing this? Could it be the formula? ### REPLY: Thanks for posting your query at . Ideally (as per American Academy of Pediatrics as well as World Health Organization) a two-month-old baby should be exclusively breastfed for 6 months after which weaning with semi-solid food like mashed boiled food or cereal based formula is done. I would not recommend introduction of rice at this age though many baby food companies market their "stage 1" foods to child .  So, try switching back to breast milk if adequate amount can be procured.  In case of a working mother, breast milk can be expressed and stored in a refrigerator. If not, formula feeds including similar alimentum may be given. It is hypoallergenic. I do not know if your baby has milk allergy or a similar condition due to which the pediatrician asked him to take such a formula in addition to rice. It is not likely to cause paleness during sleep. The paleness can be evaluated by checking the hemoglobin content of blood. Hope that would resolve your queries. Feel free to revert in case of any further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5..has a fever 102.1 and has a cough and goopy eyes...He also has asthma .should I take him to.the urgicare center today? Or call his doctor in the mornin ### REPLY: Hello, Welcome to  forum. A fever of 102 and more is considered high for a young child but if it is controlled with antipyretic like acetaminophen then It's not necessarily an emergency. If your child has or develops any of the following then urgent care might be preferred rather than waiting for routine appointment.1. Persistent fever or worsening fever despite antipyretic .2. Noisy breathing or wheezing3. Flaring of nose or fast breathing (>60 breaths/min) or continuous cough.4. Decreased urination, lethargy, refusal to feeds or irritability indicating worsening of general condition. Also in case of asthmatics It's always better to prevent an attack by timely treatment. Hope I have answered your doubt. Wishing him a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I have been harking up mucus for over a year now, its clear mostly and sometimes yellow. Its like when I lay on my back, its like the mucus just sits in the back if my throat. I do have bad sinus problems, but why does this mucus just sit in the back of my throat? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of excess mucus build up, in throat during sinus infection means you are suffering from condition known as chronic sinusitis. I would suggest you to take nasal decongestant sprays, Antihistamines and antibiotic combination as infection is present. You should take plenty of liquids. Maintain proper oral hygiene. Co amoxiclav is the best treatment option. You should take steam inhalation. Visit ENT specialist once and get it examined. Go for para nasal sinus X-ray and get puncture and .  You can go for surgical reconstruction of opening after proper prescription. Do warm saline gargles. 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: Hi there i have a 21 month old daughter who is currentl suffering from a cold, tgis evening however she has a very high fever and what i think is a heart rate of 180, the heart rate is based on her while she sleeps. Is this a normal heart rate for a child with a fever? ### REPLY: Your daughter is mostly suffering from viral fever as your history suggests, and heart rate increases in case of infection not up to 180 as you have said but up to 140-150. For this you have to give her syrup IFIC 50 mg/5 ml twice daily or syrup co-amoxiclav 5 ml thrice daily with syrup cetirizine or syrup pheniramine 5 ml twice daily for common cold with syrup ibugesic-plus or syrup Coquitlam 5 ml thrice daily for fever. Do cold sponging as it will help in reducing her temperature. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 weeks pregnant and have caught a cold. On day one my fever went up to 100.8. The following 3 days my temp stayed normal during the day and went up to 99.6 at night. On the 5th day, my fever was completely gone. What are the chances that this fever has harmed my baby? What are the chances of spina bifida? ### REPLY: Hello dear, I understand your concern. In my opinion the fever for 5 days due to cold doesn't harm the baby. Do not worry. Take adequate fluids up to 3 liters per day. As the fever is gone it means the infection is subsided. Spina bifida does not have any relation to fever. So relax. As the pregnancy is a low deficiency state infections are common. Take healthy nutritional diet to combat infections. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 1-year-old baby complains of on and off stomach pains since yesterday and passes yellow watery stools with very foul-smelling odor (twice a day since yesterday). I suspect it to be amoebiasis though I cant tell if it has some mucus in it. She was feverish last night, around 37.5C maybe, but it responded well to paracetamol. She has 1 tootChatDoctoring out. I breast fed her purely. Can it be amoeba? ### REPLY: Amoebic infection is unlikely if your child is purely breastfed.it could be a viral diarrhea. Ensure that you give her plenty of fluids (ORS) some prebiotics and zinc syrup.at 1 year exclusive breastfeeding may not be adequate for your children needs. You should also introduce semi solids in her diet once the diarrhea subsides you can deform the child once she is better please visit the doctor if the loose motions don't subside hope this solves your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 year old son has had a rash since this morning. Some spots are around a nickel in size. He has had this happen before, and we figured out it was a new detergent. However, this time, we haven t changed our detergent, and he has now said that it feels like pins and needles in his joints. We have been using Benadryl and Cortaid today to treat. He hasn t had a fever. Thanks for the help! ### REPLY: Hi...sometimes an allergic reaction especially angioedema can cause joint pains and if there is no "itchy" skin rash and yet the kid is experiencing pins and needles sensation in the joints, we need to think about alternative diagnoses like connective tissue disorders.... I suggest you consult your pediatrician with this tip. 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. 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 doctor , me sangam from goa . my father is having problem of breathing so doctor as prescribed him duolin respules trice a day but before an hour onward he found more difficulty for breathing so i just want 2 know after how many min we can use tht duolin respules again. or else is there any problem if we repeat the dose after an half an hour pls answer my question? ### REPLY: Dublin contains Albuterol with ipratropium and is for use maximum three times a day 8 hours apart between doses. Lung function tests are required to see what the problem is - so that the best treatment options can be considered. A Chest physician must be consulted, and if there is suspicion of allergy, an Allergist as well. If your father has multiple birds at home, please mention this to the doctor. Best Wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a stomach ache. my lft report shows increase of sgot and i did ultra sound of full abdomen in which we found pcod problem. doctor suggest me to eat sugar tablets for three months and he suggested me other medicines also. she told me i hve genetic harmons disorder. could u explain me ? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have high GOT. You should go for complete liver function test. Furthermore, you may have some liver disease. Your ultrasound suggest poly cystic ovarian disease. You is also a cause of abdominal pain. It is a genetic disease. Your ovary has various cyst, and you may have cyst in some other organ also. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a male. I had sex with my girlfriend and immediately a day later my penis burns, and i saw pimple like bumps on my head. And foreskin extremely red. It looks like layers of my head are burning off. I now notice small lacerations on my foreskin. And i also have white stuff every morning, hard to come off. Please help with any ideas of what it is. I made an appointment but i have to wait 2 days. ### REPLY: HiT hank you for asking . I have gone through your query. Your problem can be most likely due to yeast infection. A swab test should be done to rule out the condition. If yeast infection and you were my patient then I would recommend using fluconazole ointment for local application and fluconazole tablet weekly once orally for 1 month. Hope this may help you. Let me know if anything is not clear. 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 know I have cancer...been sick for 15 years. I tried for the first 4 years of symptons to get a diagnosis but to no avail. My doctor started inferring that I might need psychological help. Finally about 6 years ago he agreed to a ct scan which uncovered an enlarged liver (they said they couldn t see my spleen)I went to a specialist and he told me that my skin looked to good to have cancer. Six years later I have spots on my face and back and hard nodules all over my arms and chest. I ve read that when cancer becomes cutaneous? that it s too late. My sister thinks I should go again to try for a diagnosis but I already know what I have. I have a myriad of other symptons. I was initial sent due to a bad rash and blood in my urine. ### REPLY: Hi, There are many causes of liver enlargement and treatment depends on exact cause. If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required.Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have had a hard lump about the size of an olive around my collar bone i went to the GP when I first noticed it he said he couldnt feel anything and I am a working mum thats why Im tired all the time.  The lump is still there it is not visible you have to feel it under the skin.  It is definatley more apparent.  I now have been suffering with terrible back ache and more recently chest aching pains.  I am very tired and my neck area often aches although the lump itself is not painful. ### REPLY: HI, Dear,Thanks for your query to  virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the hard collarbone lump. Treatment for Cause about the hard collarbone lumps-The facts of your query indicates that you had a which your GP could not locate, but lately causing tiredness with terrible backache and chest aching pains and with neck ache. All these symptoms indicate that you might be a case of chronic infection-such as TB Lymphadenitis / Lymphadenitis (NHL or HL)with rising systemic complaints of aches and pains of body parts lately .and with progressive growing up of its systemic toxic / rheumatic effects, I would suggest consulting PCP or ER Physician to do ESR and Complete Blood Tests. And to rule out other causes of systemic complaints with the hidden subcutaneous collar bone lump. Primary Treatment-Hot fomentation/ Infra red lam radiation of the collar bone, With Anti-inflammatory for few days. If no relief add Antibiotics, under cover of your family/treating doctor ONLY. As many other causes need to be ruled out by Second opinion from ER Surgeon /Physician or family doctor and hence I would suggest your doctors Second Opinion, If need be your doctor would plan for you permanent cure option by--Surgical Excision with HPR Biopsy of the lump(to rule out NHL or HL -start of Hodgkin Lymphoma-which is the least possibility unless proved by HPR)would confirm the cause of it and your doctor would plan its treatment according to its cause if need be. Hope this reply would satisfy your query and would resolve the worry with it. If you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to . Welcome for any further query in this regard to . Have a good day. With . N.M.S. Genl-CVTS, Senior Surgical Specialist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor : I had a bout of 15 motions within two days a month ago at which time Ciplox TZ and enuff were prescribed to me for 3 days and I felt better. I don t eat outside food. After that again since last week I m having 4/5 motions but the consistency is not like before. They are just motions but I do not feel ok as I feel uneasy all the time in the stomach and feel as if i have to go to the toilet. I get pain on the left side of the stomach. Also I don t like to eat food and the taste in the mouth is also different. Previously I had a lot of gas problems which stopped after i took homoeopathy medicine. Do u think this is the cause of the pain. Gas problems ? I have abdominal hernia measuring 1.5 in diameter after my bypass operation in 2008. I also have hiatus hernia since 2008. my doctor has today prescribed Stelbid for 3 days. Would like yr opinion please. Thank you. ### REPLY: HI. It looks to be badly treated case of gastroenteritis, you took Homeopathy too and now your Doctor if thinking about IBS - Irritable Bowel Disease; that is why you have been prescribed Steamed. Since you already have Co-morbidities like the hernia, bypass surgery of heart you have to be really careful and get properly examined and investigated. Get the blood -CBC, sugar, thyroid, liver and kidney functions. Urine testsStool tests detailed including occult blood Ultrasonography, CT scan of the abdomen Endoscopies. All these will help you get a proper diagnosis to get a proper treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My niece has a hard lump on her chest since birth, she is 14 years old now and the lump gets bigger and now she said she has hard time breathing. When she was young we took her to a doctor to have a check up, they did an X-ray but the doctor said there s nothing to worry. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has lumped and x-ray is normal.  So she has chance of some soft tissue tumor or cyst.  She should go for biopsy and histopathological examination. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have primary biliary cirrhosis & L5-S1 disc herniation causing lower back pain, thigh pain, weakness in extending the big toe and in the ankle (foot drop). Numbness and pain on top of the foot. Normal ESR level is 39 outside flare-ups. Suffer with fatigue. ESR went up to 57, a week later 63. Gastro doc says PBC is under control yet GP says it can t be with flare-up syptoms been suffering. GP has written to Gastro but they are not replying. Am worried. ### REPLY: Hello, I have studied your case and I think that your pain is due to nerve compression in back. For this you need to take Pregabalin M at nighttime and physiotherapy. If this pain continues even after that you might need to consider for surgery. This surgery will consist of removing loose pieces of disc from spine and nerve decompression. As far as ESR is concern it is not a big issue as it can change with many things and not specific for any disease. If theirs is no symptoms then you do not need to be worried about this. Thanks for using . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what is the treatment of globus bilateral pallidal calcification?is it harmful.actually my mother suffer that problem in the age of 50 ### REPLY: Hi!welcome to  .com. The globes pallid us is a part of the brain that helps regulate movement. Calcification of it can be a sign of a neuropsychiatric disorder (idiopathic basal ganglia calcification) that may present itself as having difficulty performing movements and some psychiatric problems such as difficulty concentrating and/or memory and personality changes. However, in age 40 and elderly it is a sign of age related change. Hope she doesn't suffer any symptoms. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 21 years old unmarried male.I used to masturbate from young age. However as suggested on your site masturbating 2-3 times weekly is not excessive. I never masturbated more than this. However now I have reduced this habit and I masturbate 2-3 times in a daywell this is so harmful for me and i will show u my semen analysis testsemen analysis[physical]1.volume................1.5  ml.........2.colour................grey     crystal clear.3.cosistancy............thin[chemical]microscopic1.total sperm count.....4.0 million......60 - 150motile..................50%........>70sluggish................10%........80abnormal form...........40%........leucocytes..............04......06   /hpfplease sir help me and there is a kohinor gold pluse drugs as u see my semen analysis test informaition advice me from which drugs i can use to have 80 million sperm can kohinor gold make it,bay thw way in how much it can make it sirplease sir please and at the and i want to say from weher i can get these drugs u seggested me ### REPLY: HelloThanks for query. Your semen analysis has revealed your sperm count to be very low (Oligospermia). As per your statement you are indulged in frequent masturbation to the extent of 2-3 times in a day. It takes 24 hours for semen and sperms to be formed after first ejaculation hence it is natural for your semen to contain fewer sperms in successive ejaculation.Moreover, ideally semen analysis has to be done with utmost precaution of collecting semen sample for analysis with 4 days of abstinence. Since you have not observed these precautions your semen analysis can not be considered as areal report for comments. Please repeat semen analysis after abstinence (No ejaculation for 4 days either by masturbation or intercourse) . .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 yr old female with trouble breathing. Specifically, it is painful to take deep breaths, and its not satisfying when I do. I also experience heart palpitations occasionally, but went to a heart specialist and they determined I have no heart problems. I was prescribed Prilosec by my doctor and it helped for a while, but now the chest pain is back again. I am not sure at this point if this is a gastrointestinal issue, or a lung problem. What do you think? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) related symptoms. You are improved with Prilosec (pantoprazole). This also favors HERD more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain, palpitations, burping, belching, chest tightness etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take Prilosec (pantoprazole) twice daily on empty stomach. 4. Go for walking after meals. 5. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good evening Doctor, Recently I was suffered with Dengue fever along with Viral Hepatitis. I was dicharged from hospital on 10.10.2012 What are the food restrictions to be followed in my case. I am 47 years old with border line glucose levels.   B C S Rao ### REPLY: Hello, Welcome to , Dengue is a viral fever which is transmitted by the bite of the Andes mosquito, As you had confirmed dengue for which you have been admitted in the hospital and taken proper and adequate treatment, and you have been discharged from the hospital. As you are recovering from the dengue you have to boost up your immunity by consuming protein rich diet and vitamins A and E which will helps to fight against other viral infection. As your blood sugar level is in borderline and considering your age, you need to fall lifestyle modifications to prevent slipping into diabetic zone. Physical activity is an important component of the lifestyle modification. 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, i am stressed out because of certain things are not going well in my life. its not that i am living a struggling life but i am not happy. i always judge myself weather i am looking good or doing good for others or not. i am very much jealous to people who i think dont deserve more than i do. i am away from my family and i like one girl but always afraid to tell her. i think too much and cant concentrate on my work. sometimes i think very weired things on inappropriate situations. i know what i am doing is not good still i do weired things. please help me ### REPLY: Hello. I have gone through your query in detail. You have mentioned your problems like stress, unhappy mood, lack of concentration, weird thoughts, not getting what you deserve and being judgmental about yourself or others. I think your symptoms fairly point towards a depressive disorder. I must tell you that there concrete solutions available for your problem. First is .  You can take antidepressant  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Female, 45 years old. Blood work: Hemoglobin 9.8, Ferritin 5 . Results are typical for me. Dr. only prescribes iron pills, increase in iron risk foods. Looking for alternative remedy. Can I just get an iron drip to help me get my numbers back up? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have iron deficiency anemia. You should take iron treatment.  Furthermore, you can take intravenous iron or oral iron. Whatever is convenient. Also take iron rich food like dates, green leafy vegetables, .  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My aunt had fever and cough 2 weeks back. I accompanied her to a doctor for a check up. The physician examined my aunt and gave a series of test such as cbc, urinalysis, ecg and chest x-ray. He also gave a mucolytic drug for my aunt to expel the phlegm because my aunt was already taking antibiotic.. After we had taken all the result, we went to the the doctor for follow up check up..The chest X-ray shows- suspicious densities are seen in the right apex. Suggest apicolordotic view. The doctor saw this result and the x-ray film..and he advised to repeat another x-ray after 3 mos.and prescribed a vitamin for my aunt. But until now my aunt is still coughing..and i m worried about things that i have just read here about the meaning of this suspicious densities.what should I do? ### REPLY: Thanks for your question, I am  Carlson. Reading through your quarry I would say at first sight your aunt has pneumonia which is most at times caused by bacteria and the right management is by the usage of antibiotics, bucolic .  However, the cough might take a few days to subside after the fever and chest pains if there are any. In case of persistent cough and fever, there might be a need for a change in the type of antibiotics like from Amoxicillin tablets to Erythromycin tablets and if this still does not work I would advise you consult a neurologist for a sputum exam and possibly an endoscopy. The location of opacities at the apex could be suggestive of pulmonary tuberculosis or pulmonary tumors. So I would advise for neurologist consultation. 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 fell and broke my nose 12 days ago. I also hurt my knees during the fall. My left kneecap is very tender with a burning pain at the slightest touch. I am able to walk just fine But when I bend my knee there is a sensation that I can only describe as if you had a cut and you feel it open up. Could I have a fracture in my kneecap? ### REPLY: Hello, As you had a fall over the knee and there is a cut of the skinny area also, I don't think it will be a fracture, because if it was then there would have been no fracture because the knee cap bone is too strong to with stand such falls. But it's always good on a safer side to take up an x-ray.  If x-ray reveals fracture than the limb will be made immobilized using knee brace in hairline fracture but if it's a displaced fracture then treated accordingly.  Most of the time it is a bony hurt and needs only a knee cap and hot water fermentation. Post a few days only exercise to strengthen the weaker muscle groups. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with costochondritis last Tuesday. I don t have any more CC Pain. Now my left shoulder hurts. It hurts when I reach for something, especially in the ground. And, it hurts my shoulder when I burp. It s a stabbing pain. Is there a particular shoulder joint that s effected? ### REPLY: Hello, I have studied your case. It can be rotator cuff injury which may need MRI for confirmation. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Also check your it B12 and it D3 in your blood. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take disregards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been suffering with chronic back hip and knee joint pain for the last seven years i am attending my gp i am attending a pain specialist and ive had scan and mri s and hip x rays but im still not been told what is wrong ive been getting cotasol injections in the hip and the back but im getting no releife imhardly able to move around and im getting worse # ### REPLY: Hi, Chronic back pain and joint pain indicates weakness of muscles. So doing active exercises and taking diet rich in calcium, it b 12, protein with a lot of green vegetables and fluids may help you out. You can also opt for home physiotherapy services from nearby physiotherapy center. Your physio will help you out with exercises and in pain management also. And keep your surrounding warm and wear woolen clothes. Hope you find the answer useful. Let me know if I can assist you further.  ### END