Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 very nervous person I suffer from anxiety. I had a head pain located over my left temple that prompted a visit to my local ER there was 2 CT scans done the last with contrast because the Dr couldnt get a good look at the 1 st this prompted a MRI of the Brain which concluded everything was fine . The only answer I recorded was tension headaches also I had fluid behind my ear. The pain still is there at times and I do feel it is stress related but now I am having a runny/ stuffy nose, thick mucus drainage at times as well as coughing up the phlegm. This has progressed into me losing my voice now .. And I feel as if I may have had a sinus issue the whole time. Is there anything I can do to relieve the sinus drainage at home? I havent noticed a fever, but my sleep pattern has been disturbed due to this. I would like to have my voice back and alleviate the sore throat .. Sorry this is all over the place Im sure I just need some guidance . Thanks ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. As long as the anxiety associated with your temporary health condition is concerned, it is due to non-understanding of the health condition. Temporary anxiety due to non-understanding of the health condition is quite common with everybody and that anxiety should go off within two or three days. For your sinus and other problems, please consult the physician who treated you. Only physical examination can help doctors to come to a correct diagnosis and prescription. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 41 and have had 14 units of , red blood in the past year the last transfusion was 05/16 this year . For two days I have been extremely fatigue !!!!l I feel like I have the flu /w lower back pain I feel full with with few bites of food .. When making my bed or walking from one room to the next I am out of breath , ### REPLY: Hi, thank you for asking . With this presentation, it is possible that you are running short of red blood cells. I would suggest you rush to Emergency Department for proper assessment and laboratory investigations. Apart from receiving blood, the exact cause of this frequent blood shortage needs to be known and may be treated if possible. I would advise you see a hematologist for that. I hope that answers your query. If you have more questions or any follow-up query do not hesitate to write to us. I wish you well ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Ramesh, I live in bangalore. I am having sneezing daily morning. sometimes more and sometimes less. Also blocked nose and itchy eyes. I consulted doctor who prescribed medicine. However it is temporary relief. Is there a permanent solution. Please advice. ### REPLY: HI, thanks for using  Blocked nose, itchy eyes, sneezing are all symptoms of allergies. The only way of completely eliminating this response would be to identify the allergen and eliminate it. There are allergy tests that can be done to determine the source of the allergies. The use of oral anti histamines, which are available over the counter and also topical steroid nasal sprays would help to reduce your symptoms. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2 and 5 year old have been releasing very strong odored gas over the last couple of week.  Their diets have not changed.  My 5 year old frequently complains of stomach pains during meal time.  And the 2 year old has been rather irritable lately.  Are these things to be concerned about?  Parasite related? ### REPLY: Hi, Thank you for asking question on . Cyclopam syrup will relive pain as well as gas problem temporarily. Irrespective of worm infestation Albendazole single dose at bedtime may be given to both child . You may try Metronidazole syrup for guardians or Amoebic colitis. Lanzol syrup 2 times daily will also be of some benefit. Within a weeks time if he is not alright consult pediatrician for thorough investigation and treatment. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake 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, may I answer your health queries right now ?  Please type your query here...hi doctor i am 56 years old male, i have undergone by-pass surgery 10 years back suddenly now i discover gastric pain from stomach till throat only when i walk . my medical reports are very normal. what could be the problem.please help me ### REPLY: Hi. Thanks for your query and an elucidated history. Your question pertained to a bypass of the heart surgery, but that was 10 years ago. Now you have got a problem of gastric pain from stomach till throat and that too when you walk. He probable reasons are:Obviously HERD, possibly a heart problem / angina. I would advise you the following::Urgent ECG to rule out a cardiac problem. If ECG is normal and Cardiologists check-up is normal, then only to go for an Upper GI Endoscopy, Start PPI and / or Sanitizing, ANtacid 3 hourly, soft bland diet. Anti-stress measures like meditation or medicines . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 getting below mentioed problems in my teeth day by day: 1.In the upper jaw of mine having some gap in between two teeth,so I consult with the doctor last saturday and she told that becaus of my Reumatic frver this gap came.She told something disease name (hypo..).She told that I can go for artificial tooth and its cost around 6000 per tooth.Plz suggest me should I go gor this treatment or not or what ever cost doctor is saying is it true or not.Please let me know the cost and what exactly I should do. ### REPLY: Hello, Streptococcus bacteria, left untreated, can cause rheumatic fever. These bacterium are known to cause decay in the mouth. High fevers and infections can cause enamel hyperplasia. Can you obtain the correct name? Did you loose teeth due to a high rate of decay and poor quality enamel? Periodontal disease and lack of bone support can cause tooth movement resulting spacing between teeth. Damage to cardiac tissue is of concern with a history of rheumatic fever and antibiotic prophylaxis prior to dental treatment is recommended. Please make sure you understand the current condition of your mouth. There are many choices to replace missing teeth and fill spaces. First you must repair any broken teeth, ad .  Removable dental appliances can fill multiple spaces in one arch and hold on to your healthy existing teeth. These are usually the least cost, but have the disadvantage of coming out of your mouth daily. A fixed bridge uses crowns or caps to suspend teeth in missing spaces and is cemented over your teeth. This is usually more costly than a moveable denture. Fixed bridges are charged per tooth and space involved in the replacement and enamel is removed on the abutment teeth. The advantage is that it stays in your mouth. The second option for a nonrecoverable replacement is an implant. This requires surgery to replace a missing root, healing time and then restoration with an abutment and crown precision fit to your implant. This is usually the most expensive per tooth, but eliminates any risk of decay and does not involve multiple teeth. A full denture is considered if all teeth are to be removed. If there is lack of a retentive ridge, implants can e placed to help secure a removable denture. I am not sure of your location to give you an estimate on cost. You can always consider a second opinion with a clinical evaluation and review of your x-rays. Your overall health and dental health history must be COSI ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello..My mother received a massive heart atack 2 years back and her angioplasty was done after that...4 stents were inserted and LVEF was around 35%. I went with my mother for regular visit to the cardiologist and he suggested for ECHO..Now ECHO report mentions a LVEF of 30%. Just wanted to consult how can be the after effects of it..and how can we increase the LVEF level..My cardiologist says that there is no way of increasing LVEF by medication. ### REPLY: Hello, With an LVEF of 30%, which decreased from 35%, she can be classified as heart failure with reduced ejection fraction.  There are yet conflicting results in regard to medications increasing the LVEF, but the goal is to prevent symptoms or cardiac events in her case.  There are certain medications which she basically needs (I presume that she has these medications, including antiplatelet, statins, beta-blockers, ACE inhibitors or Arms), and in addition, spironolactone, as suggested by guidelines. I would suggest a consult with a doctor for a comprehensive history and physical examination to tailor appropriate medications. Hope I have answered your query. Let me know if I can assist you further. Take care .  Dion, General & Family Physician ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: One of my back teeth broke yesterday and since then I can feel something hanging down. The end of it feels like part of the tooth. Im scared to try and pull it out and scared to eat anything! I dont have dental insurance so I cant afford to go to the dentist. Help please!! ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have broken tooth, don't worry You do warm salt gargle two - three times a day You can take painkiller Paracetamol 500 mg twice daily for 5 days Consult dentist for oral examination and go for investigations at least, IOWA, to confirm about infection at root tip, if possible go for treatment.  Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: if a 70 year old female has a hemoglobin count of 8, weak, pale,10 dark stools and is taken to hospital and given 1 unit of blood and it drops to 7 and given 2 more units and only has a endosocopy done and sent home in 2 days but no answers and had 3 more dark stools after going home could there be bleeding somewhere? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have low hemoglobin and bloody stool.  You should go for ultrasound abdomen and complete endoscopy.  There should be bleeding somewhere in your gastrointestinal tract.  Search for the cause and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 7 months old baby having vomoting and fever from yesterday..we consulted her doctor and was adviced to take dexamethasone,citrisin hydrochloride ans clarithromycin..sice yesterday evening she is having loose stools.when routine stool test done no RBCs found but little pus cells were there ....what would be the reason? ### REPLY: Hello. Thanks for asking . It seems your child is suffering from infection of the gastrointestinal tract. I would suggest stopping the above-mentioned medicines. Start with antibiotic like norfloxacin/metronidazole 100/120 mg per 5ml. Give 2.5ml two times a day. Ondansetron syrup 2 mg/5ml. Give 2.5 ml two times a day on empty stomach. Oral rely .  I hope it helps. Thanks and Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby is of two weeks. First week breast feeding was good enough for him however from last couple of days it has reduced a lot. Hence we started feeding lactogen but he vomits it out very frequently. What we are supposed to do to ensure he is being feed properly? ### REPLY: Thanks for posting on . Breast milk is the best possible food for a baby and there can be no alternatives for that. Lactose or any other formula, is cow milk based and difficult to digest for the baby. So, in such a condition, the baby often vomits it out. Try not to go for formula feeds and go for breastfeeding as far as you can. You may express your breast milk and store it in a refrigerator before you bring it to the normal temperature and give to the baby. In case of breastfeeding, insert the entire nipple along with the areola (not only the nipple) in the babies mouth. Feed one breast at a time and alternate breasts with each feed. Breast milk is produced as per the demands of the baby as express through the suckling. In case of formula feeding, the hunger of the baby is reduced, and the baby suckles less automatically reducing the amount of breast milk produced. So, reduce formula feeds as far as you can. The adequacy of the feeds would be expressed with the amount of urine passed. Passing urine at least 5-6 times in 24 hours is to be considered adequate. Hope that helps. Feel free to revert with further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing a pain in my right abdomin since 2 days. The pain started near the umblicus, went to lower right side, now shifted little more down towards the lower organ also started in back side. I am confused if it could be appendicitis or renal stones. Please guide ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. Abdominal pain starting around the umbilicus and moving towards the right lower abdomen is typical of appendicitis. Clinical examination will show tenderness in the right lower abdomen. You can confirm the diagnosis with an ultrasound scan. Ultrasound may also show if there is any ureteric stones. I hope that answers 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: dear sir i sandeep kumar chaturvedi , my brother name aditya bhatt he is sufferin from TB (ABDOM) , sir last night he some pain in his head and he is lay down . he is also member of liverpool acdamey in pune , this case is in the prastice section of four hours. he is starting his medicen septmeber 8 ,2013 and now he completed nine month of his course of tTB . Dear Sir , give me a best suggestion for my brother Thanks & Regard Sandeep Kumar Chaturvedi ### REPLY: HelloYour brother has taken full treatment ( assumed that anti-tubercular treatment was according to WHO standard). Hope at present he don't have any signs and symptoms. So first consult your treating physician as different physician advise different duration for anti-tubercular . If tuberculin PCR test is negative, don't having any sign and symptoms, blood tests are normal, physical examination is also normal then you can stop the treatment. But about the stopping the final decision will be taken by treating physician, so consult and get his opinion. Few doctor also advise anti-tubercular treatment for 18 months, but all depend on signs, symptoms, physical condition of patient. 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: Recently me and my boyfriend had sex and the condom broke during it. The next morning, about 8 hours later, i used the morning after pill (next choice). I had just had my period less than a week before that so i wasn t supposed to get again for another 3-4 weeks. About 2 days after taking the pill i started bleeding and for two days after that i still had a heavy flow. I haven t stopped bleeding and this is now day 3. I researched it and saw that heavy bleeding could mean my menstruel cycle was messed up from the pill or it could a side effect of being pregnant. How do i know the difference and if i should go to the doctor? ### REPLY: Hallow Dear, Morning after emergency birth control pill Next Choice is a Levonorgestrel pill. This is Progesterone pill. Therefore, few days after taking the pill some amount of bleeding is expected when the levels of Levonorgestrel in the blood start .  However, such bleeding is usually not heavy bleeding. If heavy bleeding is your usual tendency during menstruation, this bleeding also may be heavy. If the bleeding continues further in such fashion, I would advise you to report to a Gynecologist to investigate and stop bleeding. The menses after Next Choice are reported to be heavier than normal. I 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: hello I have a small pea sized lump under left armpit.  It is a little tender, feels  kind of like a bruise.  I have had this for a couple of weeks.  I recently had melanoma removed from my back and had a pet scan about a month ago.  I was told I was all clear.  However, I am nervous  with this lump ### REPLY: Welcome to . 1. The sore lump in and around the armpit / under arm are hair follicle infection / inflammation.2. Thing you should not do is to scratch the area / press the lump / dust rub in any way - as you will complicate and delay the healing process.3. You need to clean the area twice during the bath, and clean the area with antiseptic liquid.4. The other possibilities are enlarged lymph nodes, which also present in that way. They develop in case of any infection / inflammation / malignancy anywhere in the body.  5. In both cases you will need to get a course of antibiotics and painkillers with local hygiene. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, a month ago i had started coughing everytime i puff a cigarette so i decided to quit.A week after i quit the dr. said i had fluid by my lungs and gave me antibotics. I dont have anymore mucus its just feel like i have a lump in my throat which causes me to have short of breath. Is this normal? ### REPLY: HI, Dear,Welcome to . Based on the facts and data of your query, you seem to have Pleurisy with HERD. Breathlessness is due to reduced lung volume from the lung fluid causing atelectasis lung.Thus, this is not Normal. If it is disturbing you would need ER treatment urgently. If not get pulmonologist to . Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at . Good Day!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi rynne my name is michael and the past few days ive been experiencing pain under my arm pits + chest pain i thought it was the flu but ive also been losing energy physical fatigueseems to get worse as time passes harder to make a fist then it should be i think i should go to er tomorrow. what do you think thanks. ### REPLY: Hi, Possible causes for pain in both armpits are swollen lymph nodes, fatigue, folliculitis, neuropathy, pleuritic pain or breast pain. Until further examination is done, it is difficult to say what it is. Check for cardiac pain or fibromyalgia also. Use tablet Pregabalin once daily for five days. Use tablet Attract twice a day for five days. If symptoms don't improve, please consult your doctor. He will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Id like to ask a question my incisive papilla I belive is what it is called has been swollen for 2 days now it has started swelling after I finished a bag of chip and I would like to ask if there is anything I could do to help it heal faster or whatever cause it is really annoying when I eat and its starts to hurt a little what can I do to help the swelling go away ### REPLY: Hello Thanks for consulting  Read your query as you have swollen incisive papilla after eating chips it can be due to trauma due to hard chips. For this I will suggest you to do warm saline rinses 2 -3 times a day, and can apply ointment like Mugel or Colonel on swollen region. If swelling persists aforementioned then consult oral surgeon for examination and treatment. Hope I have answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey.iam 24 years male,my problem that iam felling so ugly.and even i think iam really ugly,alot of people tell me that.the problem that i lost my confidence because of that and iam feeling sad and nt good,idont wanna make relationship or have girlfriend cuz i dont like my looking.however what i should do to feel okey and plz dont tell me about inside beauty that every body have it, ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Why are you putting up a point for which you and everybody know the answer? You know about your inner beauty, Then why not accept it? Once everybody talks about it, and is being talked for ages, as it is correct, why don't you accept it? Why become rebellious and ruin your present? Think twice. Accept what you are. Everybody in the world does that and try to be happy. Then they succeed. Acceptance is the key. Any other ideas? No one has. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my age is 30, male, my semen analysis is: colour greyishe white, volume 3 ml, reaction alkaline 8, viscosity normal, sperm count 2,100,000, motility 30%. Progressive: rapid 0%, slow 20%, non 10%. Immotile 70%, ABNORMAL 30%. Amorphous head and enlarged middle piece. Can I marry and father a child? ### REPLY: Hello Thanks for writing to your semen analysis report suggests decreased sperm motility. Sperm motility should be at least 55 %. You need proper clinical examination and few more investigations. Investigations include routine hologram, RBC,hormone assay, ultrasound of scrotum. Further investigations can be done if needed.Besides, this you should do exercise and take nutritious food. You should avoid tight underpants. Avoid cigarettes and alcohol if you take these things. Other factors like sperm count and morphology are within normal limit. You should do marriage and your condition is manageable. Get well soon. 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, me Raja, 30 years old having a blood pressure 140/100 these days and today it got increased to 150/110. I purely understand this is due to the stress that I have due to my work. Do I need to consult a physician to reduce the BP level or Do I need to find a way of getting my stress reduced. If so can you tell me whom i can contact in Chennai ### REPLY: It is not wise to decide by yourself high blood pressure is due to stress. So please first consult your nearest physician. He will monitor your blood pressure, will take a detailed history and examination of you. He will order investigations such as blood sugar, cholesterol level, kidney functions and ultrasound scan of abdomen. Depend on above examinations, investigations, monitoring of blood pressure your physician will decide weather . Anyway remember relaxation also needs for a healthy life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 left breast has been hurting for about a month ago. I went to my doctor 2 weeks ago and she did an examination on my breast she said i had a few lumps and that there was nothing to worry about she prescribed vitamin e and motrin. For about a week the pain subsided but then it came back a few days ago and I feel sharp pain, a burning sensation, and under my armpit and back are itching a little. About when all this started I had an accident in the tub in which I landed on my left elbow with all my body weight I have no idea if this is the cause but it s really weird how my arm never hurt just my left breast. I m in so much desperation plz help.... ### REPLY: Hi, Thanks for the query to .-I studied your query in depth and understood your concerns.-Cause of the burning lump in the armpit - is--In your case it is due to the boil mostly as it itches and pains severely lately.-I can understand your worry, why the armpit is getting painful when the blow was more on the elbow.-The finding of the breast lumps is coincidental and is being treated by your doctor rightly.Don't get Worried and Desperate as it's not breast Cancer.Don't worry and things will settle Hope this would resolve your query. Welcome further for any query in this regard. Wishing you a fast recovery.Don't forget to Write a good review ASAP. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 42 yr old female and havent been felling well for a few weeks now. Ive been experiencing upper left side of chest, chest pains. today i took my bp with a home machine is it read 120/90 with a pulse rate of 99. Is that a normal reading for my age? ### REPLY: Hello, considering the blood pressure and pulse was taken when you were at rest, About blood pressure, though in normal range less than 140/90, considering that lower has already been hovering towards upper limit decreasing salt in diet is strongly recommended.  Now for pulse, between 60-100 is considered normal. In most probability both blood pressure and pulse might be just borderline high because of you being anxious about the reading. Relax its completely normal reading for your age. Now for the heaviness, if you have a strong family history for heart events and have an irregular and hectic professional and personal life, a treadmill stress echocardiography is justified to rule out underlying cardiac event. Hoping I could help. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor! I hope you are doing well. My little two-year old daughter has red spots about the size of M&Ms running down the length of her spine. As far as I know, she has not had any major falls. She is not complaining of any discomfort or hurting. Your diagnosis is greatly appreciated!!! ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, ive just had an embryo replacement 5 days ago. SInce then i have had pain down my right leg near my groin , a kind of cold tinkly discomfort. Today i started getting reasonable stomach pains as well Is this suggestive of anything? does it mean the embryo hasn t taken? I have my blood test to confirm pregnany on day ten to come with thanks ### REPLY: Hello and welcome to  The tingling sensation in the groin and stomach pain does not indicate success or failure of embryo replacement. These two symptoms have some other pathology. Stomach pain can occur due to various causes- ingestion, muscular pain, spasm of stomach muscles. Infact it is due to the organ which lies at the point of pain. Abdomen is a big area and many organs are present in the abdominal cavity like liver, pancreas, spleen, intestine, etc. You need to visit the GP to know the exact cause. You may need an ultrasound abdomen. Regarding the tingling sensation in the groin, it could be due to nerve compression while performing the embryo replacement. If it is not relieved in few days please consult your GP for complete examination. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello .. 6 years ago .. it was 4rth day of my period..bathing time i used my finger just like master bating but i didn t want to do such type of bad activity ..so when i felt that it was orgasm (excitement ) time i tried to stop such activity...orgasm time i tried to stop my excitement & that time i felt something strange . after that i felt my urine was not coming out clearly & flow was so weak & slow...i felt that it was coming slowly & it comes only from my right side of vagina ...at the same time i felt some abdominal activity in my stomach( thorax side area).. & after that activity it made a swallow area( in my lungs side area) for that i feel obstruction in taking breath in the middle of my thorax ..i am 25 year old girl & that condition is still remained..& this condition has created a lots of problem for me like- can t taking breathing properly,feeling heavy in my thorax,weakness, blood deficiency ,tiredness , stop growing with age prob,.neck beating , feeling always obstruction in taking breath& yess urine is not clearly come out still now.. but my period is at time..thanks waiting of ur reply ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of stress and anxiety related symptoms is more. But better to rule out Pulmonary causes for your symptoms. So get done chest x-ray and PFT (Pulmonary Function Test). If both are normal then no need to worry about Pulmonary causes. Possibility of anxiety related symptoms is more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic .  So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,my query is that i have always been emotional and cry but more recently i will cry a lot more and sometimes have hysterically episodes of panic, crying and rushed breathing, ill also sometimes usually at same time feeling low and down. Im OK and happy the rest of the time and especially when im keeping busy and not thinking about it. ### REPLY: Hi, From what you have mentioned you seem to be suffering from depressive and anxiety symptoms that is leading to your current symptoms. You should consider consulting a psychiatrist for complete evaluation and starting treatment for your condition. Medications like Escitalopram would be highly helpful in your condition. It will help you overcome your current symptoms and feel better. In addition, you should start doing some exercise like jogging daily which will help you relax better. I do hope that I was able to answer your query. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age 25 Male  I am loosing my hair. Bfore i used neonotion with cavimax plus vitamin and sentox 2nd time i used grow well with some vitamins suggested by a cosmatic specialist but i did not have any benifit from thal please kindly suggest me. ### REPLY: The possible diagnosis based on the description of the lesions is an . The hair fall can worsen after pregnancy due to the hormonal changes. Topical minoxidil in 2 percent concentration can be applied over the scalp twice in a day. Ketconazole shampoo can be used for hair wash twice a week. Oral tablets containing biotin can be taken once in a day after consulting a dermatologist. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 22 yr old female.  I found a lump on my inner thigh when I was about 17.  I got it looked at and everything came back fine.  Back then it was soft and about the size of a small golf ball but smaller.  Back then there was no pain associated with it, and I only felt it when I was looking for it.   Now it is bigger between the size of a tennis ball and golf ball.  When I sit I can feel it and it causes pain.  Sometimes it hurts all the time and other times its as if it isnt there.  It has gotten a little harder but still is a little bit on the soft side.  More recently with the pain I feel sick to my stomach all the time, never actually getting physically ill though.   I dont have insurance and dont know what to do...  any ideas on things I can look into further myself?   Thank you for your time. ### REPLY: Welcome to . 1. Lump inner thigh, possible causes could be enlarged lymph nodes.2. Lymph nodes are enlarged in presence of any infection / inflammation, it can be localized or systemic, and also lymph nodal pathology itself also.3. I can understand about insurance status, but a minimal investigations are necessary.4. An ultrasound scan of the lump will give details about the nature of the lump its source and extensions. If required an FNAC - fine needle aspiration cytology would help to know the cell type.5. Fnally depending on the findings' treatment will be proceeded, Any illness you feel of please get it treated as it can because. Do not disturb the lesion - as you can complicate. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My name is Ali and I am 22 years old. Today I got X-ray for my lunges and here is the report can you tell me what is it? should I be worried or not? what I have to do?.  1- Bilateral increase Broncho- Pulmonary Markings features of :- (Bronchitis)2- Clear both costo-phernic angles3- Normal cardiac shadow.please can you tell me what does it mean?.thanks for your consideration. ### REPLY: Thanks for your question on . I can understand your concern. I have gone through the x-ray report you have mentioned. It is showing prominent bronchovascular markings (BVM's). It is commonly seen with inflammation of the airways (bronchitis). No need to worry about lung infection like tuberculosis or pneumonia and lung cancer. You are having bronchitis only. For this you should consult pulmonologist and get done PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilator and inhaled corticosteroids (ICS) for the treatment. 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: My husbands hemoglobin is 7.1.  He is having his 5th transfusion tomorrow.  He has type 2 diabetes and had part of his foot amputated recently.  Are all these things related to his hemoglobin level?  Is this hemoglobin level dangerously low?  Can a low level br fatal? ### REPLY: Hi, Hemoglobin of 7.1g% is low. Normal level would be around 12-14g%. Low hemoglobin leads to increased load on the heart to pump and at advanced age can be serious leading to cardiac failure or arrest. Diabetes is not related to anemia, and it is more genetics, insulin resistance due to obesity and low insulin. Diabetes could have led to amputation due to gangrene formation. Improved nutrition, weight reduction, supplements like it B12, folic acid and iron is necessary. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI I would like to know I often get tingly then numbness in fingers of the right hand . I recently past couple of months developed lump under my right foot . I wake up sometimes and my left leg caves in for a few secs the evening before i normally have quick sharp shooting pain like a stitch starting on my right side of chest and then goes to left normally lasts about 20 minutes then goes I do not know if the lump under my right foot is caused my hurting my ankle last couple of months. This past year I have been under quite bad stress and dr is treating me with a few things at the same time i have had a sore in my eye which the eyespecialist said its a dry duct i have had this for over 2 months now and have recently been given antibiotic and antiobiotic eye drops it has gone down but comes up again Sorry loads to ask merry christmas ### REPLY: Hi, Welcome to  Forum Your case is complex due to multiple complaints and involvement of multiple systems. More than one problem is possible in your case. From this history there are multiple possibilities in your case, which need to rule out or treated:-Cardiac illness: need to rule out first as there is complaint of chest pain.-Anxiety disorder: as there is history of stress-Vitamin deficiency: So take healthy diet.-Substance use: Stop use if present.-Hormonal imbalance specially thyroid Apart from that get your foot examined by general surgeon for diagnosis and management. I hope this information has been both informative and helpful for you. Wish you Good Health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have numerous auto immune conditions, ranging from hypothyroid, fibromyalgia/chronic fatigue syndrome to adrenal insufficiency and I am now being tested for the possibility of leukemia because of higher white cell counts that happened this past year. I would like to know if taking supplements will interfere with medications such as Synthroid, prednisone, florinef, plus pain killers and muscle relaxants .. I am interested in alpha lipoic supplements in particular. Thanks ### REPLY: Hi, Thanks for writing in. Leukemia is a malignancy of the hemopoietic system which concerns the formation of white blood cells. The autoimmune system also is connected to the white blood cell generation. Leukemia is a condition in which there is uncontrolled proliferation of immature white blood cells and this causes a high WBC count. During infections there is always a slight increase in WBC counts. However, if the increase is more than 3 to 4 times normal and the patient has symptoms like fatigue, tiredness and generalized weakness then a diagnosis of leukemia has to be ruled out. The first step towards work up of possible leukemia is doing a peripheral blood smear. This is a simple test and done using a few .  This will show blast cells which are immature forms of WBC and then further detailed investigations are required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have been recently diagnost with endometrial cancer. Been told I have to be cut from the naval down to pelvis.  Isnt there a less invasive procedure that is just as good. Doing a Total abdominal hysterectomy & bilateral Salpingo-oophorectomy and staging. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have endometrial cancer. You should go for surgery. Total abdominal hysterectomy with removal of both ovary and fallopian tube is the ideal treatment followed by chemotherapy according to stage. 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 have a pain in my lower left back/rib cage right at the very bottom of the ribs. I have had it for about two months and recieved some chiropractor help on it which relieved it 85% since then i have struggled to completely recover from it. Have you any idea s what it might be?? Thank you, Ian. ### REPLY: Welcome to  hi from the above history lower back pain can be due to many reasons one is a muscle pain which will be relieved on taking painkillers .the next is what type of pain it is pricking type or colicky .it might be because of a stone in the urinary tract that again is associated with burning urination. Try taking analgesic like aerosol Mr if muscular pain. Get a urine routine and ultrasound also done. Take care thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor my name is raj i m going to finish my tubrcluosis therapy for six months but my chest still showing the scars on the up side lungs . what but u recon it is still tb or i need to take more medication or i need to stop it .please tell me breifly thx ### REPLY: Thanks for asking your question I completely understand your question actually healed lesion in tb is common, any disease or a wound inside lungs or inside body heals by stepwise manner, one step is fibrosis, so if the effected area has fibrosis and there is no clinical symptoms, or improved symptoms and weight gain and in sputum smear for AFB is negative you can easily stop ATT but if symptoms are still present like wt loss, fever, loss of appetite, no need to worry about but to finally rule out by chest X-ray, sputum smear for AFB. Consult a pulmonologists fibrosis is not indicative of active disease, confirmation is one by smear for AFB test thanks/ regards feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having anxiety and depression symptoms over the last couple of months. I feel that it has been triggered by a psysical condition or issue. I feel that my body is partially number in temperature and feeling, not completely but in part and also have been light headed, having headaches and nervous systems issues for a while. I have never had any issues with anxiety or depression before. I have always been an optimistic excitable lady who just wants to find out whats wrong with me...any idea what it could be? Should I get an MRI to double check? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I hope you are not having any medicines for the anxiety and depression issues. If you don't, there is nothing to worry. Such health related anxiety do take time to get cured, even if you take medicines. Therefore, don't worry about it. Live your normal life, ignore the symptoms, don't obsess with it. You will be clear within some 3 or 4 months. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i am a teenager boy with dark complexion. I applied lot of natural things and cream for fairness but there is no effect. My original colour is fair but in childhood at the age of 10 to 12 year i dont care of my skin and play in sunlight and not use any cream. Today everyone love fair skin and i also want fair skin . Any one qualified doctor please suggest me some cream at affortable price and some step for fair skin , please suggest cream for teenager level.... ### REPLY: If your natural skin type is fairer, and you have got darker due to tanning then you can follow the following instructions for getting your natural skin color.1. Try to avoid going out in direct sunlight from 11:00am to 3:00pm. Use umbrella, large brim hat and full sleeved cotton shirts when possible.2. Invest in Neutrogena sunscreen with SPF 50 and always apply it 1/2 hr before going to sunlight. Reapply every 2 hrs for complete benefits.3. Use Ban a tan cream or Nil tan cream at night before going to sleep. Apply the cream on the face at night after washing the face with cold water and mild face wash.4.you can also consider getting 3 sittings of glycolic acid peel from dermatologist after your skin is primed. Hope it helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 60 years old and suffering from kidney failure. His Cresatinine is about 12.5, HB is 8.5, BUN is58 and K is 5.3 .. he is getiing a low pulse about 45-50 since few days and is very week.. he is unable to eat anything .. what can be done  to improve his pulse..?? He is on dialysis twice a week. ### REPLY: Hi and welcome to . As a Urologist and kidney transplant surgeon, i understand your anxiety. Your father has multiple organ illness with CKD(chronic kidney disease). Low pulse rate may be due to multiple factors. His treatment protocol is not written and hence difficult to comment. However, treatment isn't only for the low pulse rate. His vital parameters, including his B.P. need to be in the normal range. Gradually his pulse rate should become normal. Consider a kidney transplant at the earliest. Wish him well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 relatively healthy and fit 52 y/o/f. I was scheduled for MRA and had blood test performed prior. Have been denied two times now because BUN 14, creatinine 1.1,GFR 55.4. Also UA continues to show blood and nitrites. WBC was elevated but not repeated after given cipro. Any tests that you would suggest next? ### REPLY: Hi.thank you for posting query at . Considering lab values, it appears you had kidney/ urinary tract infection.no further test required. You did not mention why you required MRA?complete the treatment with Cipro. And then have urinalysis, BUN and Blood routine test (CBC) once again. You may discuss results with treating physician or post them here. If tests are normal, you may go ahead with MRA.hope to answer your concern regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my baby girl is 1 year and 7 months old, she used to eat as we thought was ok as per her age and used to take 250ml of milk as 1 feed but now a days she doesnt like to eat food and also is not liking milk. Actually she was down with viral fever 10 days back and after she recovered she started vomiting all of a sudden after a day. The day she started vomiting she totally left food and milk. i m a working mother so in the day there is no scope of my milk but at night i give. Now i dont know how but somehow she has started eating but not that much, she is sometimes taking 50-100 ml at a time or max upto 150 ml. Also she is always irritated and her left thumb is in her mouth everytime. Pls help me in making her eat and drink more and also how to get rid of her habit of thumb in her mouth ### REPLY: Hi, At the one and a half years, your baby girl should be around 11 kg. Milk is not the main meal at this age. So try to add cereal, pulses, vegetables and fruits more. You can give mothers milk up to 2 years of age. If you are a non-veg eater then you can give egg and chicken. It will improve overall health. Some appetizers are there .you can give after your pediatrician opinion. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had sex with someone on Jan 31,2014 and used the pull out method, then had sex with my boyfriend on Feb 2,2014 and he did ejaculated in me. my last period was Jan 22,2014 and on my calendar it says my fertile days are Feb 2-9. Can Jan 31 encounter be the father even though he did not ejaculate in me? Thank you. ### REPLY: Hallow Dear, The egg is released (ovulation) 14 days prior to next expected menses. Considering that egg has life of 24 hours and sperms are active for 72 hours, a period of about 8 days is fertile period. You had period on 22 January, hence your next period would be on 21 Feb. (considering your period of 30 days).  So the ovulation day falls on 8 Feb. Thus the fertile period would be from 3 February till 11 Feb. If your period is different from 30 days, please add or subtract those many days in this calculation. According to your calculation, the fertile period starts on 2 Feb. So the chances of pregnancy due to intercourse on 31 Jan. are remote, though cannot be completely excluded, since variation by couple of days has to be expected. It is too close to the fertile period. Though there was no ejaculation, you cannot exclude pre-ejaculation fluid passage which happens unknowingly. It does contain some sperms which are capable of fertilizing an ovum. So though the maximum chances of conception are due to sex on 2 Feb., for legal purpose, you may opt for DNA test to ascertain the paternity. I 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 had ingual hernia and hysterectomy sugery performed laproscopically in August. Soon after my left ankle began to swell and itch. This is the same side that the hernia was on. Now my right leg and ankle are breaking out and itching. A scan was performed to check for blood clots in the groin area whicChatDoctore back clear. A cream has been prescribed which gives some relief. Could a vein have been damaged during the surgery? Is this a permanent situation? ### REPLY: Hello, It looks from your details that you are worried about post surgery swelling at ankle. In routine surgeries some time this happens. To me, it looks to be sluggish flow in vain due to inactivity or inability to do exercises. Sometimes this happens with person who are obese, who are diabetic or not following post surgery instructions properly. There may also be thrombosis of vein. It does not look to be damage to vein. At present most probably they have given you an anti-thrombotic agent to prevent further formation of clot in vain and to resolve already formed clot. You should also do exercises as advised by your Doctor. This is not a permanent condition and will resolve with time. 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: Im asthmatic , I woke up with a burning sensation in the abdomen. An hour later I felt my chest go very tight. I do not have pains whilst breathing, but sometimes they occur randomly.  Cold temperatures worsens the symptoms.  I also have high blood pressure. This has been going on for 5days. ### REPLY: Hi I read through your question and understood your concerns. This mainly looks like a dyspepsia symptom. This can be due to:-intake of spicy foods-pain medication etc. In your case if you are an asthmatic on oral steroid medication then the likelihood of dyspepsia is more-dyspepsia and acid reflux tend to aggravate or exacerbate asthma. If I were your doctor I would recommend you to continue your asthma medication and take the foll. Medication: T. Pan-D once daily spy. Reflux forte three times daily before food take these medications for at least 2 weeks, when u start using them your symptoms may appear to improve, but it takes at least 2 weeks for any ulcer in your stomach to heal.-eat less spicy food-dont sleep immediately after you eat....give a gap of at least 2 KRS-One eat a heavy dinner.-eat food rich in fibrosis You 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: I had sudden chest pain this morning.  It has fluctuated in intensity and I have no other symptom.  Im eating just fine and can do everything I normally do except a complete gym workout.  It seems to hurt more when i bend down.  Should i go to the emergency room or wait to make a doctor appointment? ### REPLY: HelloSudden chest pain may be due to many causes like acidity, cardio-pulmonary causes, muculoskeletal causes etc. It is always safe to exclude cardio-pulmonary causes in chest pain. You may need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver function test, lipid profile, urine RE/ME, chest X-ray (PA view), ultrasound of abdomen, ECG,TMT, ECHO. Empirically you can take pantoprazole 40 mg half hour before breakfast in the morning for four weeks. Proper treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctor i am in most and big problem daily i am doin masterbation in day 5 times  i want solutiion   so plz help  i am now in   if i see any girl ya women  my body is telling  hey seee that  girl  i want to fuck  you like this my body problem sir so plz help me ### REPLY: Dear User, Thank you for your question, excessive masturbation will affect your physical and mental health. Controlled masturbation on the other hand could even be beneficial. To control your masturbation habit you need behavioral therapy, first avoid porn website, control your eyes and thought pattern, and limit your daily masturbation to once per day, then once every 2 days. Again avoid porn websites. For a more proper control please refer to a nearby psychiatrist. Hope that was helpful. 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: Im 19 very healthy and active. No medical problems. I noticed a lump near my groin area almost where the leg meets the body 4 days ago. I went to the doctor 2 days ago and he says I have just a swollen lymph node and that the drug he put me on will help. Since then i have started getting stomach pain and testicle pain. He said I do also have a slight hernia that doesnt need to be taken care of right away (due to the lymph node). The pain does not get any better no matter what I seem to do. I also have a rash on the top end of my buttocks coming out of the top of my butt crack. They are small lumps that itch very bad. The pain Just seems to be getting worse. What do you think would be the best course of action. (My doctor also mentioned lymphoma being a possibility) ### REPLY: Hi and welcome to . Thank you for your quarry. Lymphoma is the last thing to think of in your age. Your pain in testicles may be caused by hernia. Any infection, genital and systematic can cause inguinal lymph nodes swelling. If pain persists you should do ultrasound of this lump with needle aspiration. If you are sexually active you should consider STD. All in all, in most cases this is nothing serious. Wait few more days and see is there any improvement, if not, do further test.Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, my sister Rupali mitra 41years old. She is feeling some few days abdominal pain. But doctor is advice whole abdomen usg. Usg report....Impession.... 1. Enlarged liver with heterogeneous parenchyma. 2. Heterogeneous parcreas.3. Mildly bulky with heterogeneous us myometrim and ? adenomyosis .4 small cysts in right ovary.Advised........ CECT Abdomen. What can i do present situation . ### REPLY: Respected user, thanks for using .come have evaluated your query thoroughly * This report indicate presence of systemic issue which most probably is hormone related balancing vital structures as liver, pancreas and reproductive organs * Many conditions tend to give rise to this as pancreatitis, fatty liver, POD, metastatic conditions from primary tumor somewhere in body, endometriosis with secondary involvement of pancreas, liver, others* Needs clinical co relation, supportive blood tests with CT abdomen to arrive at the particular diagnosis and further management plan Hope this clears your queryWelcome for any further assistanceRegards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wife is pregnent with 3 month and in sonography report folloing has came out neck region shows cystic lesion of size 25*23 mm with internal septation. Definate bone defect is not seen D/D Cystic Hydroma ? meningomylocele Doctor has told for a 2nd sonograpy after 2 week. Will you pls tell me what is the risk and what is the possibilities of having that risk. ### REPLY: Hello, and I hope I can help you today. Cystic Aroma and Meningomyelocele are two different types of abnormalities that can be seen as a lesion in the neck region of the fetus on an ultrasound. Cystic Aroma is a fluid-filled sac that protrudes from the area of the babies neck towards the front.  The sac can resolve on its own, however fetuses with cystic aroma have an increased risk of being genetically abnormal.  The most common genetic abnormality associated with cystic aroma is Downs syn . Meningomyelocele is caused by the fetus spinal cord at the neck not closing properly and some spinal cord tissue can bulge out in a sac-like structure.  This disease sometimes requires surgery for treatment of the baby when it is born. Neither of these possibilities has a very good prognosis for the baby.  The doctor wants to check another ultrasound test when the baby is a little larger to confirm the diagnosis, and then further testing of the mothers blood and/or amniocentesis will be necessary to determine the best plan of action. I hope I was able to provide you with valuable information and that I could answer your question with the information available at this time.  Your doctor will be able to explain better what these conditions are when the baby is a bit larger on your next ultrasound. I wish you and your wife the best for the rest of the pregnancy, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor my 25 years old i`m having acne and holes on my cheeks from many years i`m using creams for that.problem starts re-occuring if i stopped my medication .i got fed up and stopped consulting doctor since 2 years. acne problem is incresing day by day and i,m also having holes on my cheeks my height is 5.8 inches wt is 58 kgs is there any permanent solution for this if so can u please suggest me regarding the details of treament and its cost ### REPLY: Hi dear, you are suffering from grade 4 acne. The solution for acne and pits will be different. Here are my suggestions, meet a dermatologist and ask him to start u on tab isotretinoin, only if you are not married. The control of new lesions ll take few months, once there is no new lesions u can go for dermaroller. This is very good to heal holes. Finally I would say don't worry u ll be totally cured, just wait. Thank u ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: IS SCRATCH FROM A DOG THERE IS A RABIES?MY 3 YR.OLD DAUGHTER WAS SCRATCHED FROM OUR DOG 1 WEEK AND 4 DAYS LATER.I WASH SOAP.AND I WENT TO CITY HEALTH BUT THERE S NO AVAILABLE VACCINE,WE BUY FOR OUR OWN.HOW I KNOW THAT MY DAUGHTER IS POSITIVE WITH RABIES AND OUR DOG? ### REPLY: Hello. I just read through your question.in the case of a dog that is appropriately vaccinated, there is generally no need to worry about rabies. If we are unsure about the dog vaccination status, we can simply observe the dog. If the dog begins to show signs of rabies, we assume that rabies has been transmitted to the person who was bitten, if the dog behaves as per usual, without signs and symptoms of rabies, we do not have to worry about the person who was bitten. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 problem wIthaca my skin around the check area and I have been given a couple of treatments before so today I was given sporozole and a and a mixture of ashen m 20 and epizone A, I just want to know what treatment is this and how effective is it for psoriasis. ### REPLY: Hi. Porthole (Itraconazole) is an antifungal and psoriasis is NOT a fungal infection. So, it is obvious that porthole is not going to help with psoriasis. Episode A, being a moisturizer, would help in psoriasis but is not very effective when used alone. I guess you might have developed Tina (fungal infection) during treatment for psoriasis and the doctor is treating Tina. Hope it answers your 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: Hi,I have had a chesty cough fo 2 weeks now,It started wheezy at first but now I can easily bring up mucus when i cough,I have no pain,I feel fine in myself,but the mucus is so embararasing as the it comes into my mouth,It isnt coloured its only thick spittle.my husband has it now,do i need antibiotics or is this the tail end of it. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of post infectious bronchitis is more likely. Bronchitis causes bronchospasm and this in turn causes wheezing, breathing difficulty, coughing, expectoration etc. Usually post viral bronchitis is self-limiting in 2-3 weeks. Since your wheezing and breathing difficulty is reduced, your mucus will also subside by its own in 1 week time. Just .  Don't worry, you will be alright. 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: Hello, well on this fine Christmas day, I am wondering what could be causing my gum to swell bright red behind my right lower molar? The tooth does not hurt, but the gum back there does and I ve flossed a number of times and came out with nothing. I do still have my wisdom teeth but as far as I m concerned, it is unlikely they are causing the problem since they are small. ### REPLY: Hello there...please be specific...last molar in the sense is it beyond the wisdom tooth or 2nd molar tooth? If you have a partially erupted wisdom tooth the gum over it swells owing to the continuous friction caused by upper tooth while occluding...that results in redness of you gum... If you already have a wisdom tooth and your concern is behind that, it is also attributed to the wisdom tooth...either of the cases get your wisdom tooth removed...clinical evaluation is required for final diagnosis...get yourself examined from your dental surgeon... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the dr 3 days ago and was diagnosed with Bronchitis and have been taking amoxicillin for 2 days. I now have a  terrible rumbling in my chest when I take a breath. When I cough to try to get he mucus up nothing comes out. It feels like the fluid is just sitting in place and I cant loosen it. I exercised today to see if it would help and it hasnt. Im not sure if I have a fever or not. Do you think I have phnemia?? ### REPLY: Hi. I can understand your concern. Chronic cough is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grandfather was just diagnosed with bone cancer stage 4. It has metastasized and is in his lungs and everywhere else. He is to weak to do radiation therapy so I have been researching holistic cancer killers. What do you think about holistic approach to help get rid of the cancer. The Dr can offer nothing more to do so what do we have to lose? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has bone cancer with metastasis.  It is stage 4 cancer.  Surgery is not possible.  Radiotherapy he can not tolerate.  So no any options are there.  Even if he takes any treatment prognosis remains poor. No medicine or no holistic approach will help him. So no any treatment needed. 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: hello iam 50 years old female i take allot of medication and pain killers do to my conditions wich is lupus,high blood pressure,and a bad case of ra. my problem is that i have some ugly lumps all over back,under arms ,stomach,thighs arms breast . they look like pimples with white tip then they pop and get green look infected pus comes out and is verry painfull its been like a month some clear no pain but others are verry painfull that not even my pain medications help i take metadone and tramadol please help me id had them about four years ago verry lightly. please help me ### 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. Cause and treatment of -lumps all over arms, stomach,thighs, breast-These lumps are due to the Staph infection of the lupus folliculitis. Treatment-your painkillers won't help these lumps, as the pain is due to the infective cause of the lumps. I would advise you to consult ER dermatologist under whose guidance you need to take following . Supplements of It E and Zirconia would help you out. Still I would suggest you to take Second opinion from ER Dermatologist as I don't have any first hand clinical information or a photograph of this extensive health problem. You have to take this treatment undercover from ER Dermatologist. So to rule out other causes I would suggest you to consult ER Dermatologist, who would treat according to the cause found. And act fast on the above suggestions, which helps you to plan treatment with your ER Dermatologist. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at . Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to . Wishing you fast recovery. Have a good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have undergone bypass surgery eight months ago.now at present i am feeling pain in the upper portiom of diaphragm in the left side of the chest and breathing trouble too.i am feeling a pressure in that area always.what is the remedy and what should i do now. ### REPLY: Hello! Thank you for asking on ! Regarding your question, I would explain that it is important performing some tests to investigate for the possible causes underlying your complaints: -a chest X-ray study-a resting ECG and a cardiac ultrasound-cardiac enzymes-complete blood count, PCR, ESR for inflammation. A cardiac stress echo would help investigate for coronary artery disease. A fibrogastroscopy may be needed to investigate for possible gastritis or gastroesophageal reflux, especially if your symptoms are relived by PPI (omeprazole, omeprazole, etc.). Hope you will find this answer helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has a liver hemangioma....it was found in 2003 to be about 1.5 cm in size. He had an ultrasound a few days ago and it showed that it has increased in size to about 5.3 cm. We will be seeing a specialist...what will the options for treatment be? Or will they just continue to check it for growth in the future? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Hematoma is the most common benign tumor of liver.  You should regularly check the size of your liver hematoma and liver function test. Ultimate and only treatment is surgical removal. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 50 year African woman still menstruating. I started having this heaviness in my upper right abdomen just under the ribs about 6 months ago. It is on and off especially after a meal. I also feel some pain there and on my right flank when i take a deep breath or move my body. My right ribs are sometimes tender when i press them especially the last one. I am so worried about what it can be. I carried out some blood tests whicChatDoctore back okay except for the ESR which was high (50). I did a CT of the abdomen which was okay except for multiple liver cysts. What do you think? ### REPLY: Hi. Thanks for your query and an elucidated history. This is so much suggestive of a condition called costo-chon . , although the reason here is known to be a trauma. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful-tender area. This will confirm the diagnosis. I would suggest the following treatment.-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.-Anti-inflammatory medicines in full dose as per the weight.-Steroids if required for its strong anti-inflammatory role.-Las ix to reduce the edema. This sort of treatment helps all my patients. And should help you too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ill for a month, I have had a green mucus on my lungs, but not felt the need to cough, also felt run down, with diarrhoea. My GP gave me aintibiotics, these have not worked and i have got worse, it now hurts down the left hand side of my lung when i breath in, i have been having a bubbling feeling under my lung too. as well as diarrhoea for a week. on top of this i also feel like i have a head cold, but nothing is in there, im breathing thru my nose fine. please help. ### REPLY: Hello, Pain while breathing indicates underlying respiratory infection with irritation of bronchi. The diarrhea might be side effect of antibiotics given for cough or associated viral infection from low immunity. I would suggest you to undertake basic lab tests and x-ray chest for further management guidelines as there is one-month period already. 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: Im43YEARS young and have been diagnosed with cervical and thoraic disc herniatios and neural foramina stnenosis also i ond left shoulder blade osteophyte formation with a ridge. I get left arm weakness ,NUMBNESS and severe pain in neck down my arm. I received 8 epidurals between the neck and thoraic spine with temporary relieve.Im in physical therapy which only provides relief right after they do it. my doc want to do a cervical discetomy is that now the best way to go ### REPLY: Dear friend, if conservative measures are not helping, modern spinal microdiscectomies come to help. If an expert is advising surgery, then in good surgical hands, at good high turnover centers, discectomies could help, esp. if you have distressing euro signs. I am not a spine surgeon. But looking at the results of surgeries at our center, I think they should help you. I would advise you to go by your specialists' suggestion. Thanks for being at  and hope to keep posted on your progress.  Good luck. ### END