Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, sir i am 20 years old male the problem is i feel pain every time i can say in my lower abdomen and the pain gets low when i discharge to toilet, and it happens max time when i eat something, sir i have tried many home remadies like eat soft foods like bread yougert rusk etc etc but no improvement i have this issue of more then 5and a half year, so now i want this fix sir so plz help me and suggest me the best, thanks alot.. ### REPLY: Hi ! From your symptoms is a few things comes to our mind. 1. One is meiosis, which is a global problem and happens due to eating unhygienic food outside. Please get your stool tested by a pathologist and consult your doctor.2. You may be sensitive to any component of your diet, which is irritating your intestines. One sucChatDoctorponent is gluten, which is found in some wheat products. So consult your dietician, and try to exclude food that contain gluten and your symptoms may start improving.3. It can also happen in irritable bowel syn . If the symptoms persist, then I would suggest you to consult your family physician and discuss with him on the above. Wishing you a fast recovery. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had shoulder pain for about 2 months now. Have gone to a Dr. and he had me to do simple stretches. He said since I have full range of motion, didn t prescribe an XRay, simply stop with free weights (I exercise frequently) and take Aleve (which have not helped). It has been 2 weeks now; I ve noticed my fingers on right hand are a bit numb and somewhat tingly. (Previoulsy, I have also taken OTC caffeine headache relieve pills for headaches, which I have also stopped). What is causing shoulder pain and slight numbness? ### REPLY: Hi, Pain in the shoulder with numbness in fingers is sign of nerve compression in cervical spine(neck). Cause of nerve compression may be disc prolapse. X-ray is not confirmation and MRI of the cervical spine is needed for diagnosis.  Please get it done from radiology center nearby you. Meanwhile, stop lifting weights and use soft pillow of low height while sleeping. Start tab Regain one at bedtime for relief of pain and numbness. If MRI report is abnormal you need to consult orthopedic surgeon nearby your area with report.  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 Keep getting large lumps under my skin in the groin and inner thigh area, they are about the size of a 10 pence piece in diameter, sometimes larger. They tend to go very hard and round, they are sensative to touch, they will wither disperse in my skin or work up tot he surface and burst - they have blood and puss in them, these are very painful. My doctor said when i went on the pill this would halp and it did for the 1st year but they have come back and i still have no idea what is causing this or how to treat? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged inguinal lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, whenever I sit on HARD chair for more than 10 minutes, my left calf becomes numb and tight. When this happens, I will walk around and it becomes better. If I have sat down on hard chair for too long and the numbness is bad, I will have to lie flat on my back on a SOFT bed for hours, then the numbness goes away. But this numbness and tightness on calf doesn t happen if I sit on soft sofa or lie on soft bed even for hours. Other parts of the leg and my back are ok. No pain. May I know what s wrong? ### REPLY: Hi, thank-you for providing the brief history of you. As per your history I feel this is related to nerve pathology due to compression of the nerve in the sciatic notch area due to which there are changes in the sensory system and the numbness is feeling. Also, you should get your vascular system checked once as due to venous insufficiency there might be such symptoms as well. So a thorough clinical examination is advised. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother is a 78 yo wf post total abd hyst a week ago today.her bp is running high which is totally a new problem for her.the highest 195/78 and lowest 162/82.now concerned.she s in no pain and her weight is 105 and no other health problems except hypothyroid which she takes synthroid ### REPLY: Hi I did review your concerning blood pressure can be due to syn thyroid overdose, but that is rare. I believe you can get your self evaluated for renal function. The blood pressure can be a new onset problem or may be present for quite some time. I guess antihypertensive medications can be started in this case straight away as the pressure is remaining very high. I hope this yellowish you all the Bethany you for choosing . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 only 12 & in health class we learned about liver disease, & we learned about some signs, i have a bit, a little yellow in the eyes, pain in the right shoulder, & alot of mood swings, alittle bit of depression, & its hard for me to keep up in gym, i also gave pain in my back, whenever i bring up my health my parents think im lying, & i know this is very serious, i do i bring it up. please help me.. ### REPLY: Hi, The only way to find out for sure is to get tested. If you do have jaundice then your urine should be discolored as well. Jaundice causes brandy-like (brownish) urine discoloration. Sometimes the stool may have a pale color resembling clay. A doctor may evaluate the clinical signs and decide whether testing is necessary. If you do get tested, the most crucial test is serum bilirubin (direct and total).  Pain in the back is too broad to .  More information is required like when it occurs, how long does it last, whether there is anything that makes it better or worse, etc. Clinical assessment is of unprecedented value for this symptom. 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: Hello,    My husband had a golfball size cyst removed from the web between his thumb and forefinger 2 weeks ago.  They chose to leave  it open to heal with drainage gauze in, to be removed an inch a day. This partially healed 1/4" hole is still draining pus. It has gone from yellow to white. Is this normal? ### REPLY: Thanks for contacting ChatDoctorI understand that your husband had a cyst removed, and they left it open with a gauze packing into the area. It has been healing and now only 1/4" with white discharge. This is the normal healing process and the white discharge is normal. I can reassure you that all is going as planned and both of you have nothing to worry about Hope I answered your question. Please contact us again with your medical concerns ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m deepak 20 years old from  , my pennis size is so small as is just measures oly in the size of little finger , when it is raised its length is 15 cms , and my testicles size are so small and oly half the size of the normal one, so does ths affect fertility ,please give me a suggestion , and i have the habit of masturbation(not daily ,does at times) ,i feel shy to go to clinics , so oly i choose to consult u thro mail first , please give me a reply ### REPLY: Hello, An average penis length in the nonerect condition is 1 inch and on an erect condition 5 inches. Your erect length is 7 inches.  Moreover, size of penis never matters infertility. The size of testicles can vary from morning to evening.  Even the size of testicles does not matter infertility. Therefore, do not worry about it because if you worry too much about these, you may face anxiety-related erectile dysfunction and premature ejaculation. Therefore, I suggest online sex counseling. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok well hii the other day I was working with a machette and I stabbed myself in my leg pretty de had to get surgery to stob the bleeding with a 3 day vaca spent in the hospital and a lot of painful things being pulled from my body but anyways I am on antibiotics and pain killers and someother meds but my problem is I have a numb feeling on my leg around the wound and the swelling I don t really mind the pain its the numbness I m worried about HELP ME. ### REPLY: Hi threat is quite common to have numbness around the surgical site (wound) this due to a couple of things : blood organizing around to promote healing, soft tissues that had been moved around during surgery can irritate the very small nerve endings in the skin and lastly depending on the area of the injury one of the small nerves going down the leg could have been pressed or stretched or injuriedThe course of action is to wait and see how it goes. Usually within 3 months it should get better if it doesn't and still bothering you then you should see your surgeon again. As long as movements in your ankle and toes are normal any surgeon will still wait for at least 3 months to see if numbness improves. 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: Hi there, I am neary 24 years old, I am trying for a baby, have been off my pill since March 2012 and my periods have settled down to a 37 day cycle at the moment for the last 3 or 4 cycles so that seems to be about the lenght im getting. I have just had my fertility days i think, but about a fortnight before im due on my period i have been getting lower cramps on my left side, a breakout on my chin (which normally wouldnt happen until a few days before my period) and feeling a little emotional. Do you think this could mean i could be pregnant or could it be something else? Also now I am due on my period next week but since yesterday I have had some very light spotting today and yesterday. ### REPLY: Hi, Thanks for posting your query. As you are having regular periods & had sex on fertile days, chances of getting conception are there & spotting that you are having can be due to implantation of fertilized ovum. But without pregnancy test it would be very difficult to be confirmed about pregnancy. So wait till your due date & then get your urine pregnancy test or blood beta  test done. 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: 38 year old daughter has been diagnosed with small bowel bacteria overgrowth syndrome and a bezoar in the upper part of her stomach ( biopsy negative). They tried antibiotics and now they are just waiting. It has been almost two weeks since she stopped her meds and she is not getting any better. The severe bloating continues, as the uncomfortable feeling. Colonoscopy showed nothing; and upper exam through stomach showed the bezoar. Initial symptoms were bloating, vomiting, and pain. She had a 1 ovarian cyst which burst but they indicated that was a separate problem. ### REPLY: Hello! Bezoar is a tightly packed collection of partially digested or indigestible material that is unable to exit the stomach. Bezoars occur in people who have delayed gastric emptying, decreased stomach size or decreased stomach acidity. In case of your daughter the severe bloating and uncomfortable feeling is the result of slow intestinal movement because of small bowel overgrowth syn . Is there family history of connective tissue disorders like scleroderma or diabetes. The treatment includes treating the underlying cause, bezoars can be dissolved enzymatically, removed endoscopically or some patients require surgery. Reduce the intake of foods with high amounts of indigestible cellulose like raisins, pumpkins, etc. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Purple area...looks like webs on back left side if tongue.  Other symptoms are sore painful throat, chest congestion and cough with yellow sputum.  Very few nasal cold symptoms.  Raspy chest started first of last week.I have a history of asthma..controlled and bronchitis once or twice a year since childhood.  Sometimes I can throw these things off without antibiotics.  Think I need to see Dr. In the AM as chills and low-grade fever started today.Never seen this purple area before??Thank you, ### REPLY: Hi thanks for asking question. Noted you have asthma and bronchitis condition. Just you have yellow colored sputum with low grade fever. So is suggestive bacterial infection. It might be bronchitis or pneumonia like condition. So chest x-ray done for its diagnosis. CBC also useful. Take amoxyclav or definite like Antibiotic for it.Meanwhile, avoid spicy and fatty food FP few days. Try to avoid allergens that can lead aggravation of asthma or bronchitis. More water. If breathlessness increasing because of asthma and bacterial infection then nebulization may give to relieve bronchospasm. Wish you good health. Take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a question in regards to my asthmaIm 26 y/o. I was diagnosed with asthma about four years ago. I developed asthma right after I stoped smoking. I have been with my current partner for about the same time, almost five years and he is a smoker. I have noticed that sometimes I get asthma episodes and/or attacks after I kiss him. Now, he does not smoke around me, and I never kiss him after he smokes. What are the chances that my asthma worsens by kissing him? What are the effects of his smoking in me? Im very concerned because my asthma seems to worsen even if I take all my medication and follow up with every treatment.Thank you. ### REPLY: Hello, It's been 4 years that you have been diagnosed with asthma, for which you taking meds already, we need to consider few points first:As you know that asthma needs a trigger, which could be anything for example smoke, pollen, hay, animal fur, dust etc. when exposed to these it triggers a bronchospasm and an asthmatic attack occurs. So, as you said your partner smokes though not in front of you or around you, but he does smoke, that smoke is still present in his breath, his clothes and body and It's enough to trigger an attack anytime. I hope you both are aware about the ill effects of passive smoking, they are almost equivalent to active smoking. I would advise requesting your partner to think about quitting smoke because it's harmful for you and obviously for him in the long run. The medications that you take will also have a slower effect if smoking continues. I would also suggest you to book an appointment with your treating doctor and review your current medications maybe he/she might want to alter some to help you for a better control. I would also request you to keep a check of your Peak flow which is basically the maximum air that you breathe out in one breath and accordingly modify your inhaler doses. You should also indulge in some physical activities like brisk walking or jogging which will help maintain a good lung capacity, ask your doctor about breathing exercises, they also help in maintaining a good lung function. Prevention is always better than cure, so you both should meet your doctor and help your partner quit smoking which is beneficial for both. Asthma can be a very debilitating illness and you both are young, so you can check it at an early stage and keep good health. If you have further queries you can get back to me, am always here to help. Take care keep healthy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is jonathan i am 35 years old,i have bin sufferring from prostatitis for about 13 years and am very much suffering from chlamydia for 6 years,even when i cure my chlamydia it comes back to me so quickly...is there anything i can do about it? ### REPLY: HI, thanks for using  Normally with chlamydia, the partner needs to be treated as well. If this has not been done, this may be the reason for the repeated infection. If your partner has been treated but your infection in still recurring, it is possible that it is not being adequately treated with the medication that you are using. It may be resistant to that therapy. Your doctor may need to look into other antibiotic options. 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: Hi I got diagnosed with WPW last year, I always get strange heart palpitations, struggle to catch breath and sharp pains across my chest. Being only 21 and a very keen footballer I panic about playing and what could happen. I haven t played now for over 1 year. I wanted to know if it was safe to play? You see more and more footballers collapsing on the pitch etc. and I don t want to be one of them! ### REPLY: Thanks for your question on . I can understand your problem and problem. In my opinion you should consult cardiologist first and get done1. Stress test2. Electron physiological study of heart (wolf Parkinson while) syn . So we need to see the severity of block and he's your heart works under stress. On the basis of above tests, further treatment if needed can be done. Treatment option for your Syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 constantly scared to death about something.  I fear catastrophies the most.  A house burnt down a few houses down and I am now paranoid that mine will.  I think I smell natural gas, but my wife dosent and thinks I am crazy.  I often obsess about pipes bursting during the winter, things that go bump in the night, etc.  I am scared to death of becoming ill, getting cancer, aids, or even deep lacerations.  I am scared about finances, bankruptcy, etc although there is little threat of them happening to me.  I was once afraid that I pissed God off and was convinced for months that I was going to hell despite what my pastor, family, and other religious council told me.  I am scared to death of losing my job.  I sleep next to a loaded gun for fear of intrusion or that the government will go rogue overnight and be trying to haul me away to some fema camp in the morning.   I sometimes lose sleep over these fears. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the description you gave I can see a paranoid personality disorder with OCD in you. I am wondering why you had not started psychiatric treatment for this condition. I suggest you should consult a psychiatrist immediately. 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. 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: my face broke into a big rash at start it looked like a big blister and then a big red rash it was itch and painful i went to er and they give me antiviotics and a cream,now is over a month and my face has four big rashes  what should i use dermatologist will propebly can help thanks ### REPLY: Hi, I can understand your concern for increasing facial rashes on face. There can be multiple possibilities of your concern, but I can make a possibility of Allergic dermatitis. In Allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than multiple of days. In this condition a thorough history of contact allergens are to be taken and accordingly a specific diagnostic technique known as patch test is to be undertaken. The only precaution you must follow is not to touch, pinch pop or squeeze any of them otherwise it can get infected and can cause complications. You can apply medium potency steroid cream application such as mometasone or fluticasone cream. You can take antihistamine Ben . 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 sir!! I would like to let you know that am a school counselor who has to deal with hyperactive, anxious and others. With hyperactive kid have currently working on social skills. Apart from this, could you please suggest any other technique for reducing the child s hyperactive behavior. ### REPLY: Hi and welcome to . Thanks for your question... I appreciate your interest in helping child .  The first step in dealing with a hyperactive child is a comprehensive assessment. This is because the causes of hyperactivity are really varied, and further management depends on the probable cause. The causes could range from a normal variant of child behavior to disorders like ADHD or underlying intellectual / learning disorders or behavioral disorders or even a manifestation of stress. Evaluation is best done taking into account the children behavior in multiple settings, like classroom, among peers, at home, etc. Assessment should also include the parents to look into the parenting methods or look for any stressors at home. Similarly, counselling and therapy should not only involve the child but the parents and sometimes, class teachers also. Behavioral techniques using positive and negative reinforcement, social skills training and providing a structured environment for the child to practice his / her skills can help reduce hyperactive behavior. In certain cases, prompt referral to a psychiatrist for a clinical evaluation would also be important. Wish you all the best.-  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking Tri-Sprintec for years now, but about 6 months ago I stopped taking it. I have a prescription...I had unprotected sex and would like to use a method of plan b. Can I do this using the birth control pills I have? I heard if I take a certain amount of them that will work. I am 23, 5 5 and weigh 140 lbs. ### REPLY: Hi, Welcome to . I am . I will be answering your concerns. Plan B pill is more effective as emergency contraception than birth control pills used as emergency contraception. So it is better to use Plan B. Yes it is true that some birth control pills can be used as emergency contraception. Any birth control pill that contains ethanol estradiol and Levonorgestral can be used as emergency contraception (e.g. LO/Oral, Less, Later etc.). The dose is 100 mcg ethanol estradiols and 0.5 mg of levonorgestrel taken as soon as possible after unprotected sex and repeated after 12 hrs. Tri-sprintec contains Ethanol estradiol and Norgestimate. There is no evidence regarding its effectiveness as emergency contraception. Therefore, don't use TRI sprinter as emergency contraception. Instead, you can use any of the above medicines as emergency contraceptive pills. I hope this is helpful. If you have any further concerns do contact me through . 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: sir,    i am suffering from hair loss for last 2 yrs plz suggest me better medicince for my hair ,i had taken biotin tab for 1.5 months it effects but on leaving it occurs same as hair fall before plz suggest me permanent relief treatment male 23 yrs, height 5.5 ,weight 70 kgs ### REPLY: Hello, Thanks for the query. Hair needs certain nutrients which are essential for its proper growth. You can take biotin tablets. Biotin causes hair growth. It is one of the component of hair building unit. It also promotes utilization of proteins by hair. Use minoxidil along with biotin.It's a good treatment. Apart from this you can also use tab an . Regarding food, you can take any diet rich in protein.Also, you can wash hair daily. Washing won't cause hair fall. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http://www.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: Having constant chest pains on my left side. I have had two EKGs one dr said that it was abnormal and possible infection of the fluid around my heart and the other Dr said nothing should up on there EKG and blood work came back normal. But I am still having constant chest pains. What is causing this? ### REPLY: Hi. I can understand your concern. Chest pain 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: Hello Sir,  since 6 months i had severe shakiness in my mind, anything after food use to give me more shaky effect, then felt little depressed , after all the emg tests, mri scans,  my neurologist said i have severe nerve damage in my back, now i am worried if it had affected my spinal cord, now they are saying i have fibromyalgia, i am put under metanx and gabapentin,  my legs and arms joints are becoming so thin, is this becos of fibromyalgia or something else is going in my body seriously, but all my doctors say its all in my head the reports are normal, please help me sirthankslakshmi ### REPLY: Hello Lakshmi! Welcome on  ! I would like to directly review your performed test reports, in order to be able to give a more professional opinion. Fibromyalgia does not cause limb or joint thinning. A peripheral neuropathy can lead to such clinical situation. I would also recommend performing inflammation tests (complete blood count, PCR, sedimentation rate), vitamin D and vitamin B12 plasma levels for possible deficiency. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Lately I have been getting, numbness and a tingling sensation in my hands and fingers. Particularly the wrists side of my little finger and my ring finger. I have also now just noted that the sides of some of my fingers are starting to turn a sort of yellow. I don t smoke so I know it has nothing to do with that. What could it be? Thanks for any help in advance :) ### REPLY: Hi, Thanks for your query. Numbness and tingling in hands and fingers indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had pains in my lower abdomen, below the bikini line for over 6 months, prior I always had good health. Its a sharp pain, sometimes its that bad it sends me to the floor to curl into a ball. It comes and goes, at no particular point and time, I ve been to 3 doctors and all told me different, ether intestines or constipation, I believe that s bullshit since I go to the toilet fine and have a great diet. I ve had a stomach ultra sound nothing showed up, they have done a urine test nothing showed up, blood test nothing showed up. I strongly believe I might have a cyst on my right ovarie, I ve done alot of research online and my symptoms seem to lead me to that. I ve felt hey sick all week, I m getting worse, and not only that I m now getting headaches everyday and nausia. Can you please help me with an opinion in what I should do??? I m thinking i should go to the hospital right now since I m sitting here with the pain again and sick off these prick doctors not helping me =( I m really worried ### REPLY: Hi. Thanks for your query and an elucidated history. My plan would be :::Contrast enhanced CT scan of the abdomen particularly to see any vascular problem; so easily missed as is not thought about. To get the x-ray of the abdomen in a standing position during the abdominal attack - I know this is difficult but gives the best diagnosis of volumes, ; again easily missed as this can not be detected by any other investigation unless done in attack. CT will give other information too. You have to undergo a proper clinical examination to be done by a Doctor who can catch many of the problems on your proper history and physical examination and can then guide for further investigations and treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i masterbit a lot and  i m married but my sexual intercourse is weak and ll those after effects of masterbution has also been problem please recommend me medicine for strong sexual intercourse and how can i get my energy back i keep forgetting things and my iq level is not so good like it should be? ### REPLY: Dear, We understand your concerns went through your details.  Masturbation is not unhealthy, and therefore it is not the reason for your weak erection and low sexual pleasure. Your problem could be erectile dysfunction. Please consult a urologist for investigation. You may also consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have acute acidity problem for last two three years, previously I also suffering from acidity but not so acute. I have also suffering from insomonia but not regularly, some type of fluid is comming out from anus for last two years. Somewhat it has been control by the Homeopathy treatment.Kindly advise me what should I do? I have to take antacid tablet off and on to reduce the burning sensation in the chest.Regards,Debasis SarkarBurdwanWest bengalIndia ### REPLY: **1. Since type of fluid is not mentioned [mucous/purulent/watery/fatty] thus it is recommended to go for an expert opinion with a General Surgeon to rule out any Rectal Pathology [irrespective of cause and outcome]2. Reduce anxiety, eliminate sugar from diet, no caffeine, plenty [2 liters or more] water per day, fiber rich diet, Increased fiber rich diet, probiotics [medicine and yogurt].3. Regarding your Acidity problem:i. Avoid food which take more time to digest or irritate stomach mucosa like: cabbage/ sprouts, onions, asparagus, pears, apples, peaches, chewing gum, milk products, fruit juice, vinegar,alcohol, caffeine, greasy-spicy-refined foods, Avoid oily food, aerated . Avoid swallowing of air i.e. sipping tea, chewing gum, aerated  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Olivia. I am 18 years of age. The beginning of 2009 I feel ill, severe stomach pains, nausea, diarrhea, vomiting, and fainting. I was hospitalized 3 times for these symptoms and came up with no answers (except a very unstable blood pressure, low electrolytes and somewhat abnormal heart rate) I was checked for these afterwards and they came up normal. I was sent to my doctor who blamed my symptoms on Anxiety, sent me to a mental health office and presribed me Nexium to help with the symptoms, which it did, but only with the indigestion, the rest of the symptoms stayed and has made it difficult for me to even get a job and complete schooling but I dealt with it as best I could, thinking it was only Anxiety, and at the time was seeking help for. I was born with a hurt murmur and i ve always had Palpitations but recently i ve been getting new symptoms which have been bothersome and I have not tried to contact my doctor for fear of being shunned because of my age and given the same diagnosis. I ve always had a healthy lifestyle of good eating and exercising. I ve found that my normal strong heart palpitation has been more frequent and has actually grown weaker. During activity just from standing and walking it will Palpitate heavily, i ll have trouble breathing, dizzniess, lightheadedness, my ears will ring and I ll have a strong urge to lay down. My heart will beat fast and then slow at random then Palpitate, at unpredictable times such as laying down watching a movie, playing computer games etc but when laying down it is more a struggle to breathe, followed by chest and back discomfort and often with pressure at the same time my heart will be Palpitating. I ll have days where this happens and I can t seem to be able to concentrate on anything and my boyfriend noticed that my circulation has been bad such as freezing and blue fingers and toes as well as the area around my mouth turns blue. I find it hard to talk as well for I can t seem to get enough air even saying simple things. I was never really a smoker but I had smoked for about a month (a pack which I didn t finish) before these symptoms became more noticeable, I had a blood test and it was revealed that I was quite Anemic, I am on an iron supplement and my periods have always been very light. I would go on ignoring these symptoms but they ve been persistent and i m getting impatient. Can you tell me if i m just being silly or should I be worried? P.S. I m not sure if this is related, but i m constantly having to pee in the middle of the night which is more bothersome than anything. I have been checked for diabetes and it came up normal. I do not drink alot of beverages during late night, I only drink water during the day and that s it, though if I drink more in a day the more likely I am get up more often in the night. Thank you for your time, Olivia. ( YYYY@YYYY ) ### REPLY: Hi, Olivia; thanks for the query & it's indeed sad to know that you are suffering from so many symptoms without any diagnosis or relief from medications. Based on your age (18 years only) & so many investigations till date which were normal (apart from reduced hemoglobin); you are suffering from a disorder known as Generalized anxiety disorder (GAD) which is characterized by pervasive ever encompassing anxiety/worries about day to day trivial things accompanied by multiple non-specific physical symptoms like palpitations, racing heart, choking sensations, .  Fortunately treatment of GAD is fairly simple. You need to take 6-9 months course of medications like Fluoxetine, paroxetine, Escitalopram, venlafaxine, venlafaxine based on your clinical profile & tolerability. Plus substitute these medications with adjunctive medications like Mizoram, clonazepam, diazepam, pregabalin etc. Also, there is a very good but slightly underused medication by name Buspirone which takes a little longer (6-8 weeks) to show its beneficial effects but gives reliable potent relief! Besides, supplement these medications with mindfulness based relaxation & counselling techniques offered by Psychiatrist & Psychologist. Just get a thyroid profile done to rule out hyperthyroidism which can mimic these symptoms. Contact your Psychiatrist or get back to me for further help. 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: What is the best natural way to relieve fluid from my foot? Treating a small open wound with a Healing salve. It got infected- used antiboitic cream- now the salve. Still having problem with pain and swelling and fluid. Please help. Do you recomend honey? ### REPLY: Dear patient if there is delayed wound healing swelling is common due to healing process and increased blood supply to the foot as part of inflammatory reaction. Keep.limb elevated and wear crêpe bandage. Swelling will reduce once healing is complete. Honey should not be applied on the wound. Betadine's ointment or Betadine powder should be applied to the open wound. Daily .  If wound is not healing please consult plastic surgeon around your area. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. So I m a runner and I have good running shoes, but recently my left knee will have a killer pain in it. Also, my left hip feels like it s bruised right on top of the bone in only one place and it hurts to touch it or move it a lot. What is wrong and what can I do about it? ### REPLY: Hello runner! Your sports activities have caused a certain amount of degeneration of the joints with possibility of a cartilage tear in the knee. Its possible the same has occurred in the hip. This calls for rest a to the affected parts. You may use pain medications like diclofenac or proximal along with muscle relaxants. This should be followed by X-rays or an MRI to locate the damage. Treatment will be according to the findings in the MRI. 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 im super worried because i realized I m in my most fertile period of my cycle and i had sex, but only precum was involved. should i take the morning after pill or how high are my chances of getting pregnant, cuz i hear the morning after pill is bad for your body ### REPLY: Hi, You did unprotected sex during fertile phase, and it has high chance to become pregnant. Better to take morning after pill to prevent unwanted pregnancy. In some case it causes hormonal imbalance and side effects are tolerable. You can take it with in 72 hours of sex. But it has high effectiveness if taken as early as possible after sex. Avoid stress, take healthy diet, .  Use condom in future to prevent unwanted pregnancy. Hope this may help you. Contact further if follow up needed. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I ve had a yeast jnfection for almost 2 weeks. Uncontrollable itching burning and irritation. Very uncomfortable. This has been my second yeast infection. My last one was in January and I used monistat 7 to treat it. This time however I had to go to the doctor to relieve my symptoms he have me difluncan. After 3 days on the medication it still hasn t cleared up so I went onto monistat 7 again. I am on birth control pill sprintec generic for ortho tricyclen. I believe it s the birth control pills causing this yeast infection making it not go away. Once I finish my birth control percription I plan to get off of it. Do you think my reoccurring yeast infections are because of the birth control pills? My yeast infection as of now comes and goes but I m tired of it. Even monistat isn t working anymore. ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that yeast infection has no relation with birth control pills. Many women's are taking it but not all women is having yeast infection. There must be some other underlying condition favoring yeast infection. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I just swallowed a really small (about 1cm) piece of plastic which i broke off the back end of my ball point pen (not the lid of the ink tube, but the surrounding, solid hexagonal-patterned plastic. I was a bit nervous and was chewing the small shard of plastic until i inhaled a bit hard and it ended up in my neck. I can very just barely feel the plastic at the front of my throat, but I think its stuck. I swallowed many times, drank water, yoghurt, even exhaled and intentionally attempted to puke, but I can still feel that it hasnt reached my stomach, and is still stuck at my throat. Any way of getting it out? I dont feel any pain now, but im worried about the future. ### REPLY: Hello, I am .  Thank you for your query. I am happy to help you here. The thing what you ate is not worrisome if it went inside your stomach. If you are sure It's stuck in the neck, then do not attempt trying to remove it out. Then here you need an ENT specialist and it's better if you visit to him as soon as possible. They might need one x-ray neck to see if it's really present. If you are just feeling its presence with no irritation then most often it's a false sense that usually can stay up to 1 day. Still for being at the safest side I would suggest you to visit an ENT clinic let the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,I was on the pill ( monofeme )  and i have always had my periods. by the 3rd sugar pill i start getting my cramps and 4th day i get my periods. Its my 5th day today and there are no cramps or any sign of my period. are there chances for me to be pregnant or is it common to miss periods ? ### REPLY: Hello, Thanks for letting us know your health concern. It is common for abnormal menstrual presentation to be observed while on hormone contraception during the initial months until the body adjusts to the new hormone milieu. However, if such disturbance appears after sometime, you need further evaluation by an expert. I would ask you, in the current scenario, to get a proper clinical evaluation, followed by a sonogram of the pelvis, preferably in the trans-vaginal route, to know the status of the pelvic organs and to help plan further management. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was fine all day yesterday but when I went to bed last night, I was shivering even though it was very warm in the room (according to other people in the room). Throughout the night I developed a very high fever and my whole body was really really warm. I got up in the middle of the night to go to the bathroom and get water, and could barely walk because I felt so weak. I couldnt pick up the water pitcher with one hand because my muscles were so weak, and I could barely grip on to anything. I slept for about 12 hours, and now my fever is mostly gone but my entire body still aches. What do you think this is? ### REPLY: Hi, I am sorry for the health situation you are in. Your symptoms are indicative for possible common viral infection. I advise to:- take more rest- . )- have light meals (chicken breast soup or yogurt)- take OTC painkiller or flu medication to relieve the aches - take it. C supplement to increase body energy to fight infection. If no improvement within a week or the symptoms will get worse, should consult with your physician for further evaluations. Wish fast 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 open appendectomy 22 years ago and a long scar on the right lower abdomen. I have been feeling pain from this since. I have had series of urinary tract infection , ultrasounds, both transvaginal and pelvic . The pain can be very discomforting at times. A week ago I had a severe pain after a dance exercise, the pain was so severe that I could not walk, stand, sit or turn in bed. I went to the emergency they had a ct scan and blood work everything was normal and I was given vicodin and muscle relaxers. I still feel the pain constantly I cannot stand straight,the pain is not going away. I have been having headaches consistently with the pain, my blood pressure is high. I went see a GI doctor and he suggested a colonoscopy which will be done nextweek. I cannot bear this pain any longer this month I have not seen my period, I noticed a change in my bowel movement . Also I am feeling a foul smell in my breadth. I am 47 years old this really affecting my work, i read articles about stump, ingunial hernia and would like to go back to my doctor and discuss all these, do you have any treatment regimen for me to discuss with my GI Doc. I want to get back to my normal. ### REPLY: Tithe pain may be due to Incisional hernia occurring in the scar site. Stump appendicitis will be diagnosed in CT scan. Another possibility is Sub acute intestinal obstruction due to adhesions. Please come back with Colonoscopy report, i will further clarify. Till then take Smooth muscle relaxant like Dicyclomine, a Pre and probiotic. As you have not seen your period, please Consult Gynecologist also. Wish you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 62 year old male with type 2 diabetes, since gastric by pass surgery I am no longer hyperglycemic but, I have episodes of low blood sugar now. What is a healthy blood sugar level? right now my blood sugar is 86 and I am sleepy and yawning, yesterday I was sleepy on the road to work and when I checked my blood sugar it was 70 but, I perked right up when I had a diet supplement milkshake. ### REPLY: Hi, thank you for quarry, As there is different blood sugar levels in fasting condition and 2 hours after food.FBS is taken in fasting condition it should be 60 to 110. After food its RBS should be below 180 in diabetic patients. You should regulate your sugar level. Take food and snakes at proper time with lifestyle modification also. Consult your . Hope the answer will help you. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have sperm count was 13 million when use homeopathy medicine it is increas to 22 million .last time i went to india homeopath doctor say to me make semen test result was 8 million ,then doctor advised to me hormone test the result was testosterone was 1.3 ng/ml .then doctor give me testes tablets also .testes 3x .use after one months make semen test count  is nil .after one month again ia make semen test tha result was same if this tablet effect semen count less.now i am 42 year old ### REPLY: HAI, Your testosterone level is subnormal, that is below normal. But initially you got near to normal count (22 million)Normal count - 20 to 200 million/ml.later it has been decreased. I don't have an idea about testes tablets. I advise to better consult an infertility specialist to get a clear idea and further management. Natural way to increase sperm count. Milk and milk products dates, wheat,sesamejaggery, almond,cashew, pista.peanuts.pomegranate, arrowroot,cucumber seed, Avoid junk, fried,caffeinated foods and stress(highly influential)be HY . Thank you hope I answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ever since I got bitten by a recluse spider my left leg has developed a red hot bump senstive to touch and feverish just below the bite. the bite occurred in Feb. 2012 and this has been going on since then on and off what is it? They gave me bactrim a while ago but now it has come back ### REPLY: Hello, Welcome to , Only a few spiders are dangerous to humans. Most presumed spider bites are actually bites from other bugs. For your symptoms, I would suggest you to clean the site of the spider bite well with soap and water. Apply a cool compress over the spider bite location. If the bite is on an extremity, elevate it. Aspirin or acetaminophen and antihistamines may be used to relieve minor signs and symptoms in adults. Talk to your doctor if you have concerns. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My left wrist hurts when I rotate it, and pain goes up my outer foream. my pinkie, ring and middle fingers fall asleep. 10 plus years ago a ganglien cyst was removed from the inside of that wrist but it doesnt appear to be back. Ibuprofen and tylenol does not help, as does a wrist brace. I didnt hit it or do anything to fracture it ### REPLY: Hello, Looks like some neuropathy you are suffering from. Get some tests done. But before that, I would like to know if you have diabetes? 1. Blood tests: CBC, ESR, URIC ACID, IT B12, IT D32. X-ray of cervical spine & wrist AP & lateral3.EMG/NCV Left upper limb Review with reports. Till then continue wearing splint. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a few years ago i injured my knee during a basketball game. I was pushed but my left leg stayed planted to the ground, as a result my knee popped out and back in over the course of 30 seconds...the sports physician assumed it was fine just by looking at it and told me icing it and hot patches would bring down swelling and reduce my pain...however the next morning i woke up extremely stiff....now whenever i run, jump, or move my leg a certain way my knee pops and rolls to the left side and causes serious pain...the only way that i fix this is that i straighten my leg out and my knee rolls and pops back into a somewhat straight position...is there anything doctors can do to fix this or should i just wear a sports brace during certain activities? ### REPLY: Hello, The symptoms seem to be related to overuse of the knee. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also recommend maintaining a brace and rest, avoid activities that can trigger the symptoms. If the knee pain continues, I suggest seeing an orthopedist for further evaluation. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i sometimes get heart palpitations,they don t last long. i also get lightheaded spells of and on,especially while eating. i get short of breath at times,and my legs feel tight and heavy sometimes too,but i am also very overweight,120 poinds over,how do i know if this is all from just being overweight or a heart problem? ### REPLY: You are likely to have some kind of tachycardia! Most likely PSVT that classically cause sudden onset and sudden offset palpitations and during the episode, the person can have dizziness and weakness in the legs as you have described. But there are certain serious types of tachycardia also. So try to get the EKG at the time of palpitations. Or if it is not possible due to very short duration and if they are occurring quite frequently like on daily basis, you can get a holder monitoring done. But you have to understand that holder can pick this tachycardia only of it occurs at the time when holder device is attached to you. However, if your palpitations are not very frequent, but your life is getting affected by these palpitations, then you can get EPS done. But for all these things, first you consult a cardiologist and let him assess you clinically. Thanks and 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 Parkinson s with the physical symptoms & dementia. He is in assisted care living and has just been put on hospice. Are there any medications that will manage his agitation such as constantly moving and sometimes being difficult like spitting at care givers and trying to hit them? He is stage 5. He can no longer stand or walk. He keeps trying and falls frequently. He also has sundowners. My email address is: YYYY@YYYY ### REPLY: Hi, The first line of treatment for agitation linked to Parkinson's disease are the cholinesterase inhibitors (Donepezil, Rivastigmine) that are used to control Alzheimer's symptoms. Antidepressants such SSRI (Citalopram, Sertraline) may also be used for these symptoms. Discuss with your husbands Neurologist about these issues. 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 I m 6 week and 2 day pregnant I m getting this thighting feeling at my pelvis area is quite discomfort special when I need to go to toilet I m really worried because I had two miscarrieges already this one quite different pregnancy to my others pregnancy is it normal. ### REPLY: HI, Thanks for the query. I understand your concern.  - Its natural for you to be worried following two miscarriages. But in my view, when you already know that your pregnancy is normal. You should not be psychologically stressed... taking care is needed, but stress & tension can have adverse effect of pregnancy.  * Actually frequency of urination frequent urge (maybe taken as tightening . Is normal in early pregnancy, due to pressure of growing fetus presses on the urinary bladder. . As a result there is no complete emptying of bladder & the symptoms.  - Try to pass urine in forward bending position with hands resting on knee. This reliefs pressure on bladder. It empties completely & there is no frequent urged stretching!  * If you are not relieved with this - Please consult your treating doctor, tell about your tightening before urination. He will advise you- - Get urine checked for any infection/ SG/ Progesterone assessment to determine hormonal sufficiency & will prescribe needful medicines.  * Actually you had 2 abortions in the past. Routinely such patients are given Progesterone supplements (as a preventive measure) till 12-14 weeks are completed.  You can discuss with your doctor about the supplements (actually you must be already been prescribed ). . As the hormone supports pregnancy, your tension would be relieved.  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 name is john williams, i had a procedure to done yesterday 17/4/2014 at box hill hospital at 6.30 am Rigid Cystoscopy/lithoplaxy/turp but this was cancled at 1.30 pm, i was told i will need 4 weeks off work, and i still have the stones witch are large and are painful,and turps. ### REPLY: Good Day, and thank you for being with  !  After TURN you need to take it easy for 6 weeks. No heavy lifting and exercise. Regular activity like walking etc. can be resumed after one week. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  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: Hello, my mother is aged about 55. she had previously complaints of fatigue in neck, thigh portion and which use to perish after taking pain killers. she recently had fatigue in her neck. after taking medicine prescribed by a doctor, she felt good. now all of a sudden she feels tired after a walking 50 mtrs only. and she feels numb on her leg portion and below her chest since last 5 days. shown to a doctor, and taking medicine, but no symptoms of recovery. her blood report is all good. ### REPLY: Hello, Numbness in the body, especially in chest area after exertion (walking), is commonly seen with heart diseases. So better to get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test).  If all these are normal then no need to worry about heart diseases. Sometimes vitamin D 3 and vitamin B12 deficiency can also cause similar symptoms. So get done levels of vitamin B 12 and vitamin D 3. She may need supplements if Deficiency is there.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had proton radiation therapy about 2 years ago and my psa has been dropping to.09. I now am experiencing blood in my urine and the passing of tissue. I had a test with a scope and my urologist noticed some inflamation or something on my bladder and I am scheduled for a biolpsy tomorrow. i understand that it may be inflamation or bladder cancer. Is this typical after radiation? What is the cure if it is scarring and what is the cure rate if it is cancer. ### REPLY: Thanks for your question on . I can understand your concern. Scarring is more common after radiation than cancer. So for your symptoms, possibility of bladder scarring is more than bladder cancer. But biopsy is must differentiate between these two. So get done biopsy for the diagnosis. If it is scarring then treatment is available and your problem can be solved. But if it turned out to be malignant then you need to get done staging of the cancer. Future treatment will be decided on staging of the tumor only. Early stages of bladder cancer is having good prognosis with life expectancy of 6-7 years. End stage bladder cancer is having life expectancy of less than 2 years. 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 liver enzymes are 140. I do not have hepatitis and an ultrasound of my liver looked OK except for some fat around the liver. I take 5 mg of norvasc daily for highblood pressure and consume 4 to 6 glasses a wine daily. I have been  using 1/2 tsp of cinnamon every morning on my oatmeal. I suspect I need to cut way back on the wine and perhaps the cinnamon. I have read that norvasc could cause elevated liver enzymes. What do you think? ### REPLY: Hi and welcome to . Thank you for your query. It can raise LFT but not so much. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasound didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated .  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. 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: Hi, My name is Kelly. I was just wondering if anyone could help me understand why it s taking so long to get pregnant after the depo shot. I ve been off of it for 9 months now and I have recently seen dark brown spotting but only once and it hasn t come back. I was on the shot for about 4 years. My husband and I would really love to have a kid. Please helps. Tia (: ### REPLY: Hello, and I hope I can help you today. Unfortunately, Depo-Provera is a very long-lasting contraceptive. For convenience’s sake, having to only worry about birth control every three months is extremely helpful. However, in some women, normal ovulation can take many months to come back some even up to one year. The reason for that is that the hormone that is in Depo-Provera is designed to be long-lasting and different people metabolize the .  Also, the fact that you had been on Demo for four years, and likely you did not get your period during that time is a sign that your estrogen levels also had been suppressed by the medication. If at one year since stopping the Depo-Provera you do not have any sign of real menstruation, I would recommend that you and your partner see a gynecologist for evaluation. They could do an analysis of your hormones, and medication to help stimulate you to ovulate again may be a possibility. So I know it is difficult, please try to be patient if at the end of three months you still have not resumed normal menstrual cycle, I would recommend evaluation by a gynecologist or endocrinologist to evaluate why you are not menstruating. It may be recommended also for your partner to do a semen analysis, as most doctors want to know that there is no male factor involved in your fertility issues. I hope I was able to adequately answer your question today, and that this information was helpful. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello,I have had back problems for the past 7 to 8 years. I also have had problems with both my shoulders for the past 10 years. I hurt my shoulders playing softball when I dove for a ball and came down hard fully extended with my arms and hurt both shoulders. my back problems are  from a degenerative disc on L5 S1. I have had two minimal evasive surgeries on my back but to no avail, so recently I had a back fusion surgery done which fully resolved my problems with pinched nerves on the left side but now I am having worst pinched nerve symptoms on my right side. my question is could there be any way possible that my pinched nerve problems in my back are related to my pinched nerve symptoms in my shoulders? ### REPLY: Hi I had gone through your query and understand your concerns. I would come up with the possibility of SERVICE BRACHIAL NEURALGIA due to CERVICAL SPONDYLOSIS.yes the pain in the shoulders due to pinched nerves in the cervical spine like lumbar spondylosis. The problem caused by degenerative changes. Treatment option;- I advise you taking HomeopatChatDoctoredicines gives safe and permanent cure for your complaints -without treating the underlying cause even number of surgeries for lumbar or cervical regions can't give you cure without stopping the degenerative changes.-consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my Implanon removed about two months ago and I have had completely irregular periods ever since. It started about two weeks after removal and went for about five days, then three weeks later another that lasted seven days and then a week after that another. ### REPLY: Hello, Thanks for trusting us with your health concern. In the current scenario, your abnormal menstrual pattern is more likely due to the with .  If the disturbance does not settle in a month or two you need to have further evaluation. You can use styptics to control the bleeding. Please maintain a healthy weight and a healthy diet. You may need a trans-vaginal/pelvic sonogram and a course of hormones to treat further. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had all four wisdom teeth removed 3 weeks ago and for the past week have been getting very severe tension headaches are the two things related.The oral surgeon said it was a very difficult extraction as they were all impacted.  My jaw still aches and I havent regained full range of movement yet ### REPLY: Hi! Welcome to . I read your query. Post extraction of impacted teeth, there can be discomfort for following month. There can be pain or numbness or restricted movement of jaw due to nerve injury during injection or extraction. However, it reduces and go back to normal in 2-3 weeks. As for your headache, post extraction abscess or misalignment of jaw can lead to headache. I suggest you visit your oral surgeon and get checked if there is some secondary infection or MAL occlusion. Ask him for oral exercises for stretching and opening jaw. Do warm saline rinses. Relax oral muscles by putting a warm cloth from outside. If after all corrections headache persists, contact your physician for further investigations. Hope the answer helps you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.  My daughter woke up feeling very unwell, trembling with a high heart rate 109.  She feels very weak and when she woke up her legs were numb.  She also feels a little dizzy.  I checked her BP and got 117/81 but the pulse was 109.  She really feels bed.  Any advice?? ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. You should not worry about. I will try to explain and give you my opinion. You should know that normal heart rate ranges between 50-100 beat for minute. When it exceeds 100 we talk about sinus tachycardia. There are different causes of sinus tachycardia. Simple emotional stress, excessive coffee consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances, cardiovascular anomalies, active infections or hormonal changes. When a person experience tachycardia It's normal to feel anxiety, palpitations, difficulty in breathing deeply, dizziness. If I was the treating doctor I would recommend some examination like a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism or electrolyte imbalance and a holder rhythm monitoring to evaluate mean heart rate during day and night. Only after this we can be sure if is something to be treated or just a stressed period or hormonal changes that soon will pass. Hope I was helpful. Wish your daughter good health. Best regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have swelling of the toes and painful redness and itching with a liquid filled blister in between and under the toes. dr. said it is cellulitis and have started on zocef 500 and enzoflam When can i see relief it is unbearably painful and skin is taut and swollen ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Continue the antibiotic zone. If you were my patient then I would suggest broad spectrum antibiotic creams Bactrian(Mupirocin) ointment also along with this. If there is no improvement then consult your doctor as puss collection should be ruled out and slough should be removed if present. Hope this may help you. Let me know if anything is not clear. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im taking clomid days 2-6, i have PCOS and been trying to conceive for 18 months. im on cycle day 26 now but on cycle days 23-24 I had severe lower abdominal pains and very bloated, was doubled over and couldnt walk or stand up straight. and was extremely painful to touch, went to hospital and they ruled out OHSS, appendicitis etc still dont know what it was, but has completely gone now. however the only thing they managed to find was thrush. wishful thinking but could it be an indication of possible pregnancy? or is it just normal to get this as a side effect due to clomid very confused! ### REPLY: HI, THE PAIN MAY NOT BE DUE TO CLOSED.IT IS NOT NORMAL WITH CLOSED TO HAVE PAIN AS YOU DESCRIBED ON THE CYCLE DAY MENTIONED. THIS FEATURE IS NOT NORMALLY ASSOCIATED WITH CONCEPTION A DIAGNOSIS USUALLY POSSIBLE WITH CLINICAL EXAMINATION AND INVESTIGATIONS .FOR INFERTILITY BOTH THE PARTNERS TO BE EVALUATED AND TREATMENT TO BE TAKEN ACCORDINGLY.IT WILL BE BEST TO ATTEND INFERTILITY CLINIC AND CONTINUE TREATMENT AS ADVISED .HOPE TO REMAIN HEALTHY AND GET THE RESULT SOON ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 karla and i have history of ITP for seven years . I had splenectomy three years ago that was the solution for my problem. My dermatologist recently prescribed me birth control pills for acne . Is there any contraindication for me since i do not have a spleen anymore? ### REPLY: Hi, It is not advisable to take birth control pills after splenectomy. Since there is a risk of formation of blood clots in the veins after removal of spleen and the fact that the combined oral contraceptive pills are also known to cause blood clot in the veins, so the risk of clot formation will be increased if these pills are taken for the treatment of acne. Ask your doctor for an alternative effective but a safer . Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is raul and I am 25! I got a few questions! I masturbate since I was 13! Does masturbating affect your hearth? Intestines? Brain? Vision? Urinary bladder? Shortness of breath? I ask these questions because I think masturbating has affected me some how!! I got a littlebit of pain on my lower stomach! And I have shortness of breath! I think it has to do with masturbating alot! I want to stop but I cant! I have to do it at least once a day! Some times twice!! Also I dont have much pressure when ejaculating!! Please help! ### REPLY: Degree understand your concerns went through your details. Masturbation is a natural process, and it cannot affect your heart, intestines, brain, vision, urinary bladder, lungs etc. Masturbation in moderation cannot have any adverse health problems in you directly. Indirectly, if you be anxious about it, if you become worried about it, without proper knowledge, relying on absurd information, masturbation practice and related worries could lead to anxiety disorder and anxiety disorder could, in turn, lead to erectile dysfunction or premature ejaculation etc. Keep yourself away from wrong information and resultant obsession. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. 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: My 24 year old son has been experiencing overwhelming feelings of despair. He sees the negative before the positive. It s a type of anxiety that he has no control over when it comes over on him. He has tried St. John s wart and it did not help. We need some suggestions. ### REPLY: Hi, I appreciate your concern for your son and can understand the distress that he must be in. From what you have mentioned, he seems to be suffering from depressive illness with predominant anxiety. I would suggest that you should consult a psychiatrist and get your son initiated on treatment. Treatment with anti-depressants like Escitalopram or sertraline would be highly effective. The treatment should be initiated as early as possible as delaying treatment can only cause increase in the severity of depression. I do hope that I was able to help you with 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: My mother was taking Eptoine 100 mg thrice a day along with levera 500 twice a day. Her recent eptoine level study reveals 28.3 level, my neurologist advised me to stop eptoine & added levera 250mg in afternoon also.Requested you to guide me whether sizers can be handled in absence of Eptoine. She is also advised Frizium 5mg at night. ### REPLY: Hi, Thank you for posting your query. Levera (levetiracetam) and Frisian (cloacae) are good and effective medications for controlling seizures. So, I am sure your mothers seizures would be well-controlled with these .  If needed, the dose of lever can be increased to 3000 mg per day, given as 1500 mg two times daily. Eptoin (phenytoin) has been stopped in your mothers case, as the level in the blood is in toxic range. High levels of option can cause imbalance while walking, vision problems, etc. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am due to have nuclear stress test and i have anxiety disorder. i have put the test off three times, yet i know i really need to have it done.. is it safe for me to take xanax prior to test? my disorder is chronic and i heart problem due to the stress put on my heart from the anxiety disorder over the years. ### REPLY: Hi, Xanax (Alprazolam) is a short-acting benzodiazepine and is often prescribed before many procedures to allay anxiety/for conscious sedation in some individual who appears apprehensive. Many investigative/ therapeutic procedures are performed, ideally after light sedation if the patient is conscious. Nuclear stress test is undertaken under presence & guidance of Physician. Hence, you need not worry. Hope I have answered your query. Let me know if I can assist you further.  ### END