Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 44 year old female.  I eat a healthy diet and I exercise regularly.  I recently spend two night in hospital with pneumonia.  During my stay at the hospital, I had a visit from an internist who told me that I was severely anemic with a hemoglobin level of 77.  He also said that it did not appear to be diet related or a deficiency.  Nor did he think that I was losing blood somewhere.  He thinks it has something to do with production of red blood cells in the bone marrow.  I am currently taking 600mg of iron and am waiting to see my family physician at the end of this week.  I was wondering if you had any thoughts.  Thank you ### REPLY: Thanks for query. To comment on the cause and type of anemia you have got I need to know other values like MCV, MCHC etc. For time being as you intern said it is something related to decreased blood production .it may be folate or B12 or iron deficiency .as you are being treated with iron alone I assume it to be iron deficiency. If it is the case you need to undergo bone marrow biopsy to know the cause and treat accordingly. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am missionary in Guinea Bissau, therefore, i cannot go to the doctor. I have been having mild chest pain for about 3 days...what could be the cause..I am 37, and work out everyday of my life, am very physically active, am not over weight, and have never had health problems.  I do not drink, have never smoked, never done drugs of any kind...Our diet here is very basic. Fish and rice and root vegitables every day. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having simple musculoskeletal pain. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. 6. Sit with proper back and chest support. Don't worry, you will be alright with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 32 year old married mum of 3 children,and constantly unwell,i have ibs and they say m/s but not 100% about it as i have so many different symptoms.i have had numerous mri,which show scaring on my brain and spine,lumbar puntchers which are always abnormal with to many white blood cells ,nerve tests which show my left side of my body is less sensitive to pain,i suffer from pins and needles in feet,legs,arms and hands,also pain in these aswell,pain in my face that comes and goes,constant urine infections,headaches,numbness in legs,blurred vision on and off in my right eye along with pain,memorey loss,confusion,dizzyness,lack of balance always walking into things,red blotchy palms of hands,upset one minute the angry the next,missplacing things,leaving things,panic alll the time and so much more i have seen lots of people but i just get given different medication,which lead to to lock myself away in my bedroom from jan 2010 to july2010,and its started agian but worse i have thought about ending it and know how i would do it,just sick of been ill please can you help ### REPLY: Hi! I am sorry to know that you are going through these! Considering the various symptoms and the workup you have already done, it would be difficult for me to comment and advise much on the issue. It may also be a good idea to consider seeing a psychiatrist to get some help with the mood issues that apparently you have been encountering due to other health problems. Obviously, consulting regularly with the internal medicine specialist along with a neurologist may be a good idea. It is also important to see what symptoms are prevalent presently and which of those you mentioned are presently bothering you. The various symptoms at different timeline would mean different things. However, taking good diet, regular exercise, stress management, taking medications as advised (if any) and seeing the doctor as asked for follow up would help a lot in managing the issues. Please feel free to write further if you would like to specify the issues further. Take care! Wish you good health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i just had 2 back surgeries one on may 19th 2014, and he made my back worse, so i went to chicago university hospital and had back surgery again to try and fix what went wrong before one hernated discs and three bulging discs and i also have bad nerve damage in the right leg so the new doctor tried to fix the damage to the right leg on nov. 5th 2014 , how long do you think i will be able to find out if the nerves have been repaired, he said he scraped off all the nerve damage and also he tried to find out if the discs are off the nerves so my pain would be releaved. i have had 3 epiduals in my spine and i cant have anymore, i am taking oxycodone , ultram, 2-10/325 norcos every 6 hours and i still hurt and now i have a new problem my foot and leg blow up like a ballon when i try to walk , is there a solution to my problems and how long will it take for me to know if i am better? ### REPLY: Dear, one thing we all need to learn, knife is not a solution to problems, most of the time consultants are knife happy, and they are hellbent on removing those discs, but do you know why you were in this in the first instance, any spine surgery without change of lifestyle is bound to fail in two to three years. Moreover the recovery in nerves depends on two factors, one if the damage was to the extent of severe damage, hope of recovery is not much even if you remove the offending disc. Your symptoms in the leg are due to sensory feedback lack in your limb. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 A puppy I was seeing too nipped me on my thumb. It s not even visible its so tiny. It bled a bit and felt uncomfortable but thats all. I have health anxiety so I tend to see the worst. I woke up with it stinging and my arm is sore. Chances are I just slept on it. I had tetanus when I was probably 14/15... im 26 now? Should it be ok? ### REPLY: HIT hanks for posting your query. Two things : 1. You need to get a shot of Tetanus Injection. 2. Regarding vaccination for Rabies : If your Puppy was vaccinated then no need for rabies vaccination. But if it isn't vaccinated then observe the puppy for 10 days and in this 10 days if nothing happens to Puppy then no need for Rabies vaccination.  But in case your Puppy dies then you need to get vaccinated. Hope you find this information useful. Any clarifications or Queries feel free to ask. Happy to help you. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having chest pain in the middle of my chest for three days. The episodes of heaviness, tightening, and squeezing in the center of my chest are becoming more frequent (every five hours) and lasting between five minutes to an hour. I had a severe allergic reaction to something unknown five days ago that resulted in hives and was prescribed prednisone, Atarax, Pepcid, and received a steroid injection. I ve never had this feeling before and I m determined it s not heartburn or indigestion. It wakes me up at night and doesn t get better by lying down. It makes no difference what I eat or drink. I also don t believe it s panic attacks, as I have no stress right now- other than this unknown pain in my chest. What else can it be? It feels like my esophagus is closing and it s hard to swallow. ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion we should first rule out cardiac cause for your symptoms. So get done ECG. If ECG is normal than no need to worry much for cardiac cause. Since you are having central chest pain with difficulty in swallowing and feeling of closing esophagus, we need to rule out esophageal spasm and motility disorders. So get done upper GIS copy by gastroenterologist. Also get done esophageal manometry to rule out motility disorders. If all are normal than your symptoms are mostly due to anxiety. So avoid stress and tension. Be relax and calm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: today i was driving and i felt this popping senesation in the back of my head. After it popped it started to tingle and then it started to feel numb.It hurt to move my hand from the back of my head. i have dealt with this for a while now but today was different. It popped at least 10 times in an hour. each time was worse. what could be causing this? ### REPLY: Hello, I have studied your case. I think you might be having cervical spondylitis.  In this there is nerve compression in spine. It causes pain in whole shoulder. It can be confirmed with MRI of the shoulder. You should apply soft cervical collar.  Hot water fomentation and volition gel should be applied. Avoid using very high pillow.  Intermittent cervical traction is also helpful. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister went to a dentist on Friday for wisdom tooth removal. it was done but no antibiotic was given or anything else .On Sunday she had some tea, then a big chunk of blood came out and it started to bleed. but then stopped,  throat was swollen couldnt eat or drink from the pain . Went to the hospital they said her throat was badly infected with bacteria. so they went in with a camera and they cleaned it up but the pain still there and the swelling of the face and behind the ears ### REPLY: Hello, I had gone through your question and I can understand your concern.  As it seems to me that your patient is suffering with post extraction infection. Because the wisdom tooth (3rd molar) has proximity with soft palate or throat, it is because of this.  Now the infection must have involved sub mandibular or pharyngeal spaces (chin and throat and chin area) If any patients with these symptoms come to my clinic my treatment will be. 1.) Augmenting 652 thrice a day (8 hourly) 2)trypsin or chymotrypsin twice daily.  Take plenty of fluids and use chlorhexidene mouth wash 2 times daily.  Hope my answer will help you, and you will write to us further in case of any further help. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last month, I woke up with a tingling along my inner ankle.  It has progressively worsened to burning pain.  Just yesterday, it spread to the heal and the pain doubled to where it hurts to walk on it.  If I take NSAIDS and stretch, I can walk, but not comfortably. ### REPLY: Hi, You may be having plantar fasciitis. In this condition there is inflammation of the calcaneal tuberosity. Calcaneus tuberosity bears weight of whole body, so you get pain on walking and weight-bearing. Treatment is use of soft heel cushion and soft slippers. Ankle stretching exercises in morning before getting out of bed and hot wax bath helps in pain relief. Tablet Attract P twice a day can be taken for pain relief. Visit to orthopedic surgeon for detailed clinical examination is recommended.  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: when I was 6 years old I had Hep but not sure what kind. I was yellow and was in the hospital and no one could come and see me unless wearing gowns and mask. in the last 4 years I have had stomic bleeding, big red blood blisters, poor short term memory, joint pain, and orange stool and occassionaly I itch all over. Could this be Hep C???? ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. It can be Hep C or Hep B, leading to cirrhosis, which lead to stomach bleed. I will suggest you to visit a Gastroenterologist for evaluation. He may advise tests like Bag, Anti Cab, LFT, Ultrasound abdomen, endoscopy and further test depending on the results. I hope I have answered your query and this 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: I have been experiencing pain intermittently for a month or two... sometimes just once a week, sometimes more frequently. The pain usually begins in my upper back between my shoulder blades and increases over a quick period of time, ending in upper and lower back pain, more like a strong ache. And then also in my gut/stomach area below my ribs... all at once. I feel nauseaus. it usually occurs in the evenings and lasts into the night. At times it carries over into the next day. I am wondering if it is an ulcer or something more serious. It has increased this past week... ### REPLY: Hi, thank you for providing the brief history of you. As you have pain in the upper back, shoulder blades and lower back you need a thorough clinical Musculoskeletal examination. As most aches are muscular in nature but post examination we can come to a conclusion if the pain is related to the pinched nerve. Also, such cases in my clinical practice responds well to physical therapy. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,I am Waheed and I am from Afghanistan. I had my SGOT and SGPT lab test today. My SGOT is 32 (Normal range is 15-37), but my SGPT is 73 (Normal range is 10-45). These normal ranges are shown in the lab result. I had hepatitis two times, once in childhood and once in 1998. I am 33 years old. I am having cholesterol medicine as well. Please kindly advise what I should do to reduce my SGPT. ### REPLY: Hi, Your sgot value normal and Sept not raised two times Hence here is no need to take much tension alcohol, .  Sometimes, there might be temporary viral infection that also can lead elevated Sept If your liver enzyme value persistent is high, then work up done with:- USG abdomen-viral marker like bag estimation and Anti HCV ab estimation by Elisa - Serum bilirubin estimation According to cause further specific treatment plan decided. Overall for good liver health, low fat diet is consumed and fruits eaten more. Avoid alcohol if you are having the habit. Consult gastroenterologist for examination with keeping all this in mind. 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: My 11 months old daughter doesn t like to eat anything . We tried all varities of food. She likes to eat herself. We tried that as we ll.. But of no use... Please suggest how can we make her eat... We consulted a doctor ghe gave one medicine but of no use... ### REPLY: HelloThanks for writing in ChatDoctorI had gone through your query and understood your concerns. I suggest you train her to eat food by saying that if she eats that day properly you will give her reward & give her small gift .this is reinforcement technique. Start her on spy activate I spoon thrice daily Hope this guides you. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can please close the discussion. Thank you. Wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear dr., I am asthmatic since brith and now my dr. has sujested to take respicaps of tiomist ( tiotropium powder )and formonide200( formoterol fumarate and budesonide powder for inhaiation ip ) . please inform what are the side effect of the same ,is it safe to use ?, I am suffering from dibetic , asthamtic , heart problem . my email - YYYY@YYYY thanks , Ajay Dhariwal ### REPLY: Dear Concerned., Thanks for writing to us. Your doctor has rightly prescribed Dear Concerned., Thanks for writing to us.  You have mentioned that you are a Diabetic and a Cardiac Patient in addition to being an asthmatic. You have to keep your Diabetic/BP under control in addition to preventing Asiatic attacks.  The treatment given by your doctor are absolutely safe as the Respects/inhalation products will be acting on the bronchi and respiratory system for minimum required duration thereby preventing systemic side effects(Metabolic Side Effects-Diabetes and Effects on CVS). In addition, they will be preventing the dilatation and destruction of Bronchi and Alveoli by preventing Emphysema. Theorist contains a long acting beta agonist(LAB) with a glucocorticoid). Salmeterol is a bronchodilator and budesonide a steroid. They will effectively restore the brochodilatation/reduce secretion due to inflammation in bronchioles and control ROAD(Reversible Obstructive Airways Disease)The IV administration of Medications and Oxygen supplementation are reserved for emergency situations only. Pls follow up with your doctor for Pulmonary Function Tests at regular intervals like how you go for Sugar and BP check-ups to doctor. In this way you can keep control on Asthma as well. Regular exercises such as long walks also helps. Keep your FBS within 126 mg., PPBS within 199 mg and HbA1C within 07g%. Wishing you a safe and speedy recovery., Best Regards., .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Panic like attacks usually at night, rapid heart beat, dull aching pain in upper sternum, area above left and right breast bone, pain in upper shoulder area, temperature swings from hot to cold, shaking, anxiety. Normal ecgs, bloodwork, stress test, holter, MRI of head and chest xray. ### REPLY: Hithanks for using  Panic attack is a psychological disorder, and it happens due to underline stress. It usually happens due to conflict in unconscious mind. I have seen mostly patients have panic attack at night. That may be due to unconscious thought run at night during .  In panic attack, all tests would come normal. For treatment u need an antidepressant and benzodiazepine. Consult a psychiatrist for further treatment. 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 Doctor, I am using skin lite cream containing 2% hydroquinone for the past 2 years on alternative days. Now i wish to stop using skin lite cream. Can u recommend any safer alternative ? Will I become more dark if i stop using skin lite cream now ? Is there any permanent solution for this ? ### REPLY: Hi Welcome to ChatDoctorI, have gone through your query regarding your complexion. Death actually the complexion which we possess depend on many factors. 1.  is genetic we get by birth. This, more or less we can't change much 2. Depends much on general health. If we are taking good nourishing diet with all essential nutrients including fiber, vitamins, minerals IIN form of fruit, raw leafy veges antioxidants - ginger, garlic, bitter gourd, papaya, tomato, carrots, lemon with water, turmeric powder with a cup of hot milk at bedtime Algebra juice in the morning all anti oxidants give us internal health, Exercise also is very important role to play helps in proper circulation of healthy blood giving Immunity to our body which assures healthy happy life ahead. Impact our total health reflects in our skin. It looks good, bright, lighter in color.  Constipation , mental stress worry anger, fried Fast foods should be avoided Since your skin is basically composed of Retinol, which is vitamin A, helps keep your skin healthy nonfat milk, oysters, and egg yolks. [& eating foods that are high in beta-carotene, help minimize the effects of sun damage to your skin. 3.  Constipation, mental stress worry, anger, fried Fast foods should be avoided 4. Upkeep of your skin also matters :Exfoliate daily with a mild exfoliant, or every other day if your skin is sensitive. This will help increase cell turnover, [1] meaning softer and smoother skin, and may also reveal lighter skin underneath. Apply sunscreen daily. Your skin will stay light, be protected from tanning free radicals that age your skin, and have a reduced risk of skin cancer! Mix rosewater, lemon juice and glycerine in equal quantity. Preserve in a bottle. Take a spoon or 2 in you palm and apply alternate day, before baton your face, neck arms, feet or wherever you want, stay till .  Next day prepare a mixture of turmeric powder, flour, curd and little mustered oil apply on your face, neck, arms. Let it  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 40 years old and for six months having problems with allergic reactions. my test results show that i have a 792 allergy. i am getting rash all over my body but most in the face and chest. i am using diprofros injection for 4 months once a month sometimes every 3 weeks. do i have to take this for the rest of my life or is there something else i can do? to avoid the use of diprofros? ### REPLY: Hello. Thank you for asking at . I went through your history and from your history I think you may have what we call "chronic urticaria". It is important to identify the cause of chronic urticaria, it is not always allergic. So I would like to ask you in detail about possible causes like excessive sweating, sun exposure, contact with hot/cold water, any .  And I would also suggest you investigations like CBC, ESR, CRP, thyroid tests, urine & stool examination. If these investigations reveal any cause, I would treat the cause. If these do not reveal any cause, I would suggest you to consult an Allergist who will ask you in detail and suggest you further investigations to look for cause of urticaria. Till your cause is identified, I would suggest you to take Levocetirizine in morning and Montelukast and HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cut my thumb on glass last Sunday. Cut was deep but didnt cut anything serious. My aunt cleaned the wound and bandaged it up for me. I went to my own Doctor on monday and they checked it and said I dont need stitches. They put sterile strips it and a bandage and put gause to hold it the thumb in place. they also gave me a tetnus. Ive been trying not to use my right hand but its hard as im left handed. Its been 6 days since the cut & today the cut is throbbing and ive a pain in my fingers and the pain is shooting up my hand. I checked the wound and theres clear watery stuff coming out of it. is the cut infected? Thanks ### REPLY: Hello, Welcome to , Any injury with the glass should be treated with all precautions, because some glass pieces will remain in the wound and may lead to infection in the future. As you taken TT injection it will protect you against tetanus. I hope your treating doctor has put you on oral antibiotics. Oral antibiotics definitely help to control infection and protect you against sepsis. As you are having severe pain your wound should be properly examined under the light to check whether there is any leftover glass pieces in the wound. I wound suggest you take oral Naiads, before you take consultation of your treating doctor. 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 son is 1 yr 8 months old...he is not walking on his own...so dr suggested MRI n MRI report shows .ventricular system appears mildly prominent,normal in shape position and signal morphology,cisternal and sulcal spaces are mildly prominent,small faint hyperintense areas noted in bilateral periventricular frontal and Pareto occipital regions.rests things are normal....pls tell me wat does it means ### REPLY: Hi...though I do not have the images of the MRI before me right now, by what you quote, I feel it should be - Periventricular Leukoplakia - a condition which occurs in prematurely or underweight born babies. Their mentation and IQ will be perfect, but they will have problems with their legs and walking. Usually there won't be any problem with the hands. This condition is called - Spastic Diplopia and is amenable for physiotherapy. Please do not worry as the kid will get better with physiotherapy. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, I am 24 years old male and I have problems with my joints specialy knees cracking sound and little bit pain when I take the stairs or put a pressure on the knee. I feel it is related to masturbation because every time I masturbates the symptoms increses and the pain increase, even though I read about it and someone asked the same and the answer was its not related. Please tell me what to do about it and is it related to masturbation or not ? Best regards ### REPLY: Hi, thanks for posting your query at . Masturbation is not associated with your knee pain. Masturbation can cause a sensation of weakness or felling of release in your muscles for a few moments. But it is definitely not the cause of your pain. It would help you, if you can masturbate at nighttimes so that u have good sleep before being up and about. In this case definitely we can say don't mix pain and pleasure. Have a nice time.regards.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brothers father in law ( In Gaziabaad, India) is suffering from lever cancer in forth stage now . Jaundis is started last three days & his lungs / stomech is fulfill of water . He had treatment with appolp hospital & they get cemotherepy But i m not stissfied with them . Plz help me on very urgent basis. & tell me a doctor who will save his life. ### REPLY: Hello and thanks you for your query. I am  and I will try to help you as much as I can with my answer. Unfortunately, there is no doctor in the world who can save his life since this is terminal stage of the disease and incurable. It may only be treated with palliative measures by pain suppress and nutritional support, but prognosis is poor, very poor. I am sorry. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. 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: I have been having dull pain in lower abdominal/pelvic area. I have an appointment to see my Dr. next week, but it is really bothering me today. This has been going on for about 2 weeks. This past week, I did some yoga and played tennis and it seemed to be a bit better. No so today. Played tennis and it really hurt. I nearly went to urgent care. There are no changes in my urinary or bowell habits and I am generally healthy. Historectomy years ago. No fever or nausia. Any ideas? ### REPLY: Hi. Thanks for your query. The cause of the dull pain in the pelvis / lower abdominal are can be due to low grade inflammation of the small and / or large intestine. This can be without the obvious symptoms of loose motions or so. Since you have already undergone Hysterectomy, uterus can not be the reason. It is but possible that the ovaries if not removed could have been having cysts or so.Another possibility of the appendicitis and Nephritis (inflammation of the beginning of the colon can be the cause. I would advise you:Actual physical examination by a Doctor, A course of an antibiotic and metronidazole on an empirical ground. Ultrasonography and other tests of blood, urine and stool will all help to get the proper diagnosis 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 have undergone rct in one tooth but due to  repeated infection in the tooth, the tooth was extracted. Now after the extraction of the tooth there is mild swelling around the gum and down, little pain and heaviness around the affected area. 10 days have gone after extraction of tooth. Can u tell me what are these symptoms and treatment ### REPLY: Hi, Thanks for asking the query, Extraction of the tooth is often associated with post-operative complications like pain and swelling.Don't worry about the symptoms as they will subside after sometimes. Follow the post-operative instruction properly. According to your clinical history I suppose that the infection in your tooth was deep after extraction a curettage and rinsing of socket with antiseptic saline rinses was required. I would suggest you to take a course of antibiotics and analgesics for 3-5 days. If the symptoms persists or worsen visit the Dentist and get the checkup done. Maintain a good oral hygiene. Hope this helps out. Regards.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering from low blood plate count that varies from 0000 to 0000 maximum 0000 in sme certain case. My physician suggest it as ITP and bone marrow aspiration cytology report impression no definite impression can be given as no marrow bits seen and suggest Bonemarrow trephine biopsy . I am in confusion what shall I have to do ? ### REPLY: Hi there, if your platelet counts are constantly low then you do need to get a bone marrow examination done and if the first aspirate was not adequate may be an experienced pathologist can try and do it again a second time. If still it is inconclusive then you may need a bone marrow orifice biopsy to know the cause of your low platelets. You should also consider the temporary causes of thrombocytopenia and investigate for the same as very common infections like falciparum malaria and dengue to name a few. You need to get reviewed again by an experienced doctor. Do not neglect it as low platelet counts can lead to life threatening conditions in some cases. 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 hard lump on my chin bone where i have fallen and badly brused it . Bruse is pretty much gone after 2 weeks. lump still remains about the size of a quater, I can now touch it without pain,lump is very hard still. Will this ever go away? Is there something i can do to help it to go away? ### REPLY: Hi ! Good evening. I am  answering your query. Possibly you have an organized hematoma on your chin. This might take a long time get absorbed. However, sometimes it gets calcified, and in that case might persist for life. I would suggest you to show yourself to a maxillofacial surgeon for further opinion and needful. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have an enlarged lymphnodes in left side of my neck..i have this for more than 2 yrs ,,i didnt bother to consult a dr..last wik i had a pre empoloyment medical examination..my x ray showed i have tb in upper left lungs..i ask my dr if there is relevence on my lymphnodes she told that there is no relevance..my question is y didnt i felt any symptoms nor signs that i have ptb?? ### REPLY: Greetings from . Thanks for posting your query.  Well I feel there is a definite relevance between your TB and Lymph nodes. It could be just a reaction to your TB in lungs, or it could be TB in your Lymph nodes itself.  But the treatment is same for both. Its Anti-tubercular therapy (ATT). I hope you have been started on ATT for your lung TB, with ATT your lung TB and enlarged lymph nodes will resolve gradually.  If still not started on ATT kindly get it started. Hope this information was useful to you. Any clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir,, i m mitali,my mother is 49 years old, she is suffering from so many problems now a days,, firstly she is having pain in her bones specially backbone, ribs, thighs and arms as well..other then that she has swelling on her legs, and lower abdomen. can you plz give me an idea what is the problem???ill be really thankful to u. ### REPLY: Hello, It looks from your details that your mother may be suffering from osteoporosis. You should do following to have relief to her- -Start a calcium and vitamin D preparation.-Give her a mild analgesic like ibuprofen for 2-3 times day for 3-5 days.-Advise her to take milk and milk products like cheese, yogurt,curd, etc.-Weight bearing exercises like brisk walking will be helpful.-Consult to your doctor and get her evaluated for vitamin D and x-ray of spine. 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: my 20 year old son broke his leg (fibula and they found a cracked bone in his foot) in december 2010, he went thru physical therapy. he has recently started a basketball league again and is experiencing shooting pain through his leg. what may be causing this and what should we do ? ### REPLY: Hello, It may be due to nerve compression at lumbar spine level. For further assessment you may require MRI back, nerve conduction studies after orthopedic consultation. You may require regular physical therapy after physiotherapist consultation. For pain, you can take tablet acetaminophen. You may require tablet Pregabalin after consultation. Avoid forward bending. 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: Thank you Dr. My worry is my son who is 14 years old has a temperature of 39 when given panadol it susides to 37. H eis also takin augmentine i gram bd. He has a cough due to the dust storm in saudi arabia. He gets slight  respiratory problem when exposed to dust which is relieved by ventolin nebulizer. Wll be very grateful for your expert medical advice ### REPLY: We have to reassess his lung function to determine if he is asthmatic or no according to the severity of the attacks and rate of recurrence. But now the acute attack of fever and cough will resolve well with the antibiotic and antipyretic but if he doesn't respond to the regimen you have to change antibiotic and the nebulizer is the treatment of choice for cough ABD asthma for immediate relief of spasm ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 right testicle is larger and harder than my left and I have been reading about this and testicle cancer keeps coming to mind it has been like this for4/5 days now and I am too emberassed to tell anybody should i be worried about this ### REPLY: U should be worried regarding this..... Visit some good pathology lab and get you following blood levels done.... 1. Alpha Veto Protein 2. Beta ........ both are markers for testicular tumors....... As you're giving history of 4-5 days and hard swelling... IT MAY BE SOME MALIGNANCY.... Examination by some good oncosurgeon and blood levels I suggested and incisional biopsy is necessary to arrive at conclusive diagnosis......... Immediately consult an oncosurgeon... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here... I often have sists bumps in my breats they always go away but now I have a huge purple bruise that seems to be growing its very dark in color and I don t bruise easily and ides? ### REPLY: Hi, Dear,Welcome with your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-FibroCystic Adenoid of breast.Thus, the bruise and bumps on your breast suggest the enlarged Fibrotic Adenoid with increased vascularity of the breast. This suggests the -Benign nature of the breast lump and need not worry as it could be successfully treated by Surgical Excision of the Cyst.USG and Mammography would be needed with FNAC biopsy prior to this surgery. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! . N. Senior Surgical Specialist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a laporscopic assisted vainal hysterectomy 16 months ago. Everything has been going pretty well, except the burning pains in my lower abdomen, sometimes the pain is a shooting pain. honestly, the best way I told my gynecologist who performed the surgery was, it feels like I m having PMS cramps all of the time. She suggested it was possibly because of my lack of sleep, that stomach issues are related to lack of sleep. (which, because of lovely shock of menopause, sleep issues have arisen). I have charted my pains, as per her request, and it doesnt get better with anything except ibuprophen. I do not take ibuprophen all the time, because I don t want my liver to be shot. anyways, my gynocologist has now moved. do I go see another gynocologist? or should I see a regular medical physician? or where should I go from here? The pain is getting worse every week. ### REPLY: Hi, From history it seems that as your problem arises after some time of hysterectomy there is possibility of some adhesion developed in lower abdomen causing lower abdominal pain. This type of pain can also occur due to some hormonal disturbances produced some atrophic changes, . Consult GAEC and get examined and investigated.Meanwhile take Ibuprofen as needed. Do pelvic floor exercises daily. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, my mother has been suffering from SLE possibly since the end of 2002, but her disease was actually diagnosed at the end of 2004. Since then she has continuously been on Prednisolone, Hydroxychloroquine, Calcium tablets. The dosage of Prednisolone have four times been resumed from 40 mg daily and then tappered to 5 mg every alternate day. Once she was advised Cellcept (MMF) capsules and continued for One an half year.  During her prolong illness she was under attack of Liver function disorder, Kidney function disorder, AION, Lacunar infarct two times. Her major problem is hypertension. Now, after 2nd Lacunar infarct her BP remains continuously high after being given several aggressive antihypertensives. At present, she is taking Hydroxychloroquine 400 mg daily, Wysolone 5 mg What should be her next course of medicine? Pls. advise, we are helpless. The Doctors are trying best without having their expected results. ### REPLY: I read your question carefully, and I understand your concern.However, I am afraid it is difficult to make precise recommendations when you say only she is under several antihypertensives without mentioning neither the names nor the dosage. There are many classes of antihypertensives out there, but in order to recommend something really helpful we must know what has already been tried and failed and whether it has been tried in the correct dosage. Otherwise, we might be suggesting the same .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, Since childhood I have been suffering from continuous allergic rhinitis & sinus infection. for the last 3 years ihave chronic Urcaria . All the anti allergic and anti histamine medicatoion didn t give any cure to the disease only little relief to rhinitis only.can I be treated with Histaglobulin injections for a a year to get rid of this IGE mediated urticaria and rhinitis.Thanks alot doctor ,expecting reply. Varghese Innesent. ### REPLY: Hello, Welcome to , Your history and symptoms are suggestive of allergy to dust mite. As you have undergone absolute eosinophil count (AEC), which is also evident of some allergic reactions in the body. These dust can stimulate the mast cells to release mediators like histamine which is producing all these symptoms. I would suggest you to undergo skin prick test to identify the proper dust causing all these symptoms. This will help to avoid the allergen otherwise you can go for immunotherapy. You can go for sub lingual immunotherapy (SLIT) or subcutaneous immunotherapy. For the present symptoms you can take Tab Monte LC, once daily in night for at least 15 days. 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: 9 month old had scant amounts of bright red blood in 2 stools, which were green and then yellow. They were about 2 hours apart starting at 4 am Friday morning. After that he has had yellow diarrhea after every bottle, but no blood. His bottom is red and irritated. He has had no fever or vomiting. His demeanor is normal with a little difficulty getting comfortable when sleeping ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking Cetalopram 20 mg a day for almost two years. At the moment I am living in a country where this kind of medicine is not regularly available. It will also not be possible for me to legally receive it from another country. What shall I do ? May any damage occur due to cancellation of its intake ? ### REPLY: Hi Vadim, Citalopram belongs to SSRI group of antidepressants. If you have tolerated and benefitted from it for two years and now are unable to get it, then first evaluate the need to continue it. If your psychiatrist feels you still need an antidepressant two years after being well, then ask him if he could change it to any other available SSRI type antidepressants. This may help as all of them act in the same way.  If stopping it is thought to be the best option to take, DO NOT STOP SUDDENLY. You will have to keep reducing some fixed dose of medication periodically and then stop.  Yes, if you stop suddenly, it will cause something called as with .  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: Previously i had a surgery of hie tie of varicocle and inguinal hernia...about 5 years ago...since from the surgery..i feel extreme coldness in the scrotal sac and during hot sunny day...i felt too hot.that i cant even walk...things is aggravating day by day...i heartly welcome your suggestions... ### REPLY: Hello and. As a Urologist, let me advise you, that a varicocele and hernia surgery, has no effect of temperature changes on scrotal skin. If you're feeling that much discomfort, you should get examined by a doctor urgently. The basic test to do is a scrotal scan, to know if there are any changes, inside the scrotum. You should do a blood routine, sugar, and show the reports to the doctor. You can also send a copy of the reports to me, for an expert opinion. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I am a 24year old female. I ve been having abdominal pain, dry mouth, dizziness, loss of appetite, headaches, chill, sweat at night, and fatigue. Ive had a urinary tract infection 2 weeks ago. Then last week I developed the flu, had a fever for 4 days straight. I dont know whats wrong? Should I go back to the ER? ### REPLY: You certainly should go to ER and get fully investigated. It is possible that you may be suffering from septicemia or bacteremia, and you need to in the hospital for investigations and intravenous fluids and antibiotics. GO for the tests of blood-kidney function and all routine, urine and blood culture sensitivity, ultrasonography, and all those advised by your Doctor. Get a proper treatment and continue till you are cure. It is possible that you have some obstructive lesion in the urinary tract, which might have caused all the problems you have, you may need intravenous paleography. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father had a fall yesterday afternoon. He said it wad from a coughing fit. I think it wad a seziure (from a stroke 5 years ago). He has a massive lump and bruise on his forehead and his eye is bruised and swollen. His left eye has trouble staying open. His forehead is massivley swollen. He wont go to the Dr, and says his ok. What should i do? ### REPLY: I think you should take him to a doctor definitely. There are many possible causes of his fainting. As you said, it may be a seizure. And in that situation, earlier he gets to a hospital, the better. Then we can do an EEG for him. If you delay it, EEG may be negative despite it being an actual seizure. There is also the possibility that this is a TIA, or a brief stroke. In that case his medicines may need to be readjusted. There are other cardiac conditions also that need to be confirmed such as Atrial Fibrillation definitely would think that he should be examined by a neurologist for sure. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 scared because I don t know if this is stress or really a heart problem? Last friday (last week, not this past friday) I had been experiencing difficulty breathing, more pronounced then usual. I went to the doctor and they did an EKG and said I had AF, so I had to go to the ER, where they did another EKG and said it looked normal, and the doctor EKG looked normal (they say) and that there were artifacts that were contributing to it. I am still not convinced. Can an EKG reading be abnormal one instance then an hour later be back to normal? I am scared because no one will try to conform anything, and if I ask to go to the doctor one more time I m afraid my mom is going to slap me X_X She really can t afford all this. I normally don t breathe really deep, it s somewhat shallow, and everyone pointing this out has me worried now. For the past month I ve had alot of chest tightness. A panic attack only lasts a little while, but the chest tightness/pain doesn t go away, and my heart beat still feels very odd every so often (like there are extra beats) They said it sounded fine but these weird beats come and go. I m scared because I don t want to have to sit around until it gets worse or something bad happens. They ve done bloodwork a few weeks ago and last week (never heard about last weeks) and said it was ok. I ve had numerous x-rays done the past month (one at the ER too) and they said it looked ok. I just don t know what to do. I m mostly bothered by the difference in the 2 EKGs, and why it would point to me having AF if I supposedly don t have it. I don t know, CAN it just be stress/anxiety? This weakness and shortness of breath (even though im getting enough oxygen) and the constant discomfort in my chest has made me loose so much sleep, and i ve got so much tension pain from that and so many aches in my legs and arms . I am not sure what is what, and it s scaring me. I m 17, btw. I have been tested for asthma twice in my lifetime, I don t have asthma, and they kept trying to give me asthma medicine that did not do anything :P So I m pretty sure by now I don t have asthma. Nothing directly causes the chest tightness. ### REPLY: Chest tightness and difficulty breathing are normal symptoms of Anxiety disorder but its also normal symptoms for Asthma. I would get heart palpitations (irregular heart beat), and shooting pains through my chest and arms. The only way to find out if you have asthma is to take the medication for a test run. If you feel better after using it, then its just that. The doctor can also put you on a test run of antianxiety medication for a week or so. It's best to just give it a try to find out what you have, because anxiety and asthma are difficult to diagnose by having tests done. As for the type of anxiety medication you should try, I would recommend Effector XR, or something similar. You can ask your doctor. I wouldn't recommend Zoloft as it can make you depressed. It is possible for one test to come back differently than another. It can all depends on a lot of different factors. I hope this helps a bit. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes my husband has had 2 heart attacks in the last week, they were able to insert 2 stents that repaired 4 of his blockages but there is still 1 blocked at 50%, he also has cll and recently had a stent put in his kidney, his urine has been dark red for the last three months. the doctor wants him to take pLAVIX . WILL THAT CAUSE MORE HARM TO THE KIDNEY OR INTERFER WITH THE BLOOD PLATLETS ### REPLY: HIT hank for asking to  I really appreciate your concern, if your husband have history of stent in renal system and now the urine is dark then this is really matter of concern, the first possibility is hematuria and that need to be look from where the blood is leaking, (The Urinary system has to be investigated) once the bleeder found then the cause of this would be next step and that may include the platelet, I would advise you to have a word with his doctor hope this information helps you take care of your husband, bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 can cause pitika?  My platelets were low (80,000) 5 months ago when I delivered my baby.  Is this a sign that they could still be low, or is it OK to get this once in a while?  I understand what it is but what can cause it other than low blood platelets? ### REPLY: Welcome to . I am . My pleasure to help you. Patina are eruptions on the face of adolescents. In patina, normal excretory function of skin is disturbed, and waste material stagnated inside producing symptoms like itching, pustules and nodules formation. It is not due to Decrease platelet counts. Earlier your platelet counts was low so I suggest you to repeat platelet counts to rule out thrombocytopenia(Decrease platelet counts). The exact cause of patina is not known, but hormones called an ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend fell down from a flight of stairs in mid 2010. She has a spine injury and now since is pain in her back is getting severe, she went to the doctor. Her mantoux test is positive. What does that mean?? Does it necessarily means that she has TB?? Whatever the case, is it cureable?? It has been a year since she had the accident and her checkup was on July 2011. Please help me out. ### REPLY: Hi thanks for contacting ... Tuberculosis is curable through AKT course of antibiotics.... So don't worry about that.... But positive manitou test not always means TB positive .... It could be latent TB infection.... If BCG vaccine given then also test can be positive .... Atypical mycobacteria also gives positive reaction.... Tuberculin skin test also affected by few factors like....../age/immunity/chronic illness etc... So for tuberculosis confirmation other tests done like chest x-ray, sputum examination etc.... Consult physician for examination ... Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctors My father is 70+ yrs old, recently 4 weeks ago doctors Diagnosed that has Staphylococci on heart valve while inflammation was reached to 1200 , doctors giving him 2 vein injection daily(Vancomycin) and after 4 weeks inflammation reached 113, my questions are:1-What are the degrees that inflammation has to reach that allow us to stop the medicine?2-yesterday his body get rash every where, is it from the medicine (Vancomycin)?3-Does Staphylococci can be retrieved (come back again)? ### REPLY: Thanks for posting your query to ChatDoctorI didn't understand your meaning of inflammation as there is no test to level the inflammation. Inflammation is a bodies protective response which manifest as fever, pain, redness etc .but as your father are suffering from Staphylococcus infection, and he is on Vancomycin treatment. So I suggest you to do repeat blood culture and sensitivity examination and if it is found negative with no clinical symptom considered it as recovery from infection. For rest of other problem consult to your creating physician .feel free to contact if any query.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 i am 23 weighing 55kg stand 5.4 inch suddenly i have got too many pimples and due to irritation scraped one and have developed a reddish white spot please suggest to get the shin color back and even what to do on other pimples ### REPLY: Hello Welcome to  forum. Pimples appear due to hormonal changes / imbalances / exposure to pollution / oil foods. Would suggest you to keep a check on your diet and reduce the intake of oils and fats. Wash your face frequently with Luke warm water. Do not rub on the pimples. Apply algebra plant extract over the affected area. Also use the following face pack for the facial glow: 15 rose petals soaked in milk, ground along with soaked almonds, add a pinch of turmeric, glycerin, honey, half spoon of Multan mitt and apply. Wash after 20 min. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pulmonary Dr. says he is 80% sure that I have ideopathic pulmonary fibrosis. I want to know what I should be prepared for . I am 83 years old, in good general health, but my oxygen level is from 90 to the high 80s and I am tethered to an oxygen tank 24/7. My Dr. will be checking me regularly with various tests and I trust him, but would like more information on what this disease is and what I can expect. Thank you. ### REPLY: Thanks for your question on . Idiopathic pulmonary fibrosis (IPF) is classified under Interstitial lung disease (OLD). It is chronic, progressive and idiopathic disease. Usually seen in old age. In these lungs become fibrosis, thickened and stiff. So all capacities are reduced and due to this oxygenation is hampered. You will need PFT (Pulmonary Function Test) and HRCT (High Resolution CT THORAX) for the diagnosis of IPF. The final confirmation of IPF is based on lung biopsy. So better to consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night I took a couple of pills of ecstasy. Today my right cheek is swollen significantly and I have tremendous pain. I can t smile or talk. I know I tend to bite myself on ecstasy but I have never experienced the swelling or pain. Could it be an allergy or infection? Is there something I can take to relieve the pain and fetishism the swelling? Thank you. ### REPLY: Hi, Welcome to the forum. Your symptoms are indicative that either you have taken an over dose of the said pills, and you have been suffering from the side effects or the pills did not suit you and have produced adverse effects with inflammation and pain that you have been complaining of. You should visit an emergency room, get examine, you may need infusions to counter the effects. You may need a stomach wash, depending upon the situation and diagnosis after clinical examination. Take warm beverage/soups, anti-allergy medicines can give you temporary relief but see a doctor and co-operate. You will be fine soon. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have been suffering stomach pain and lower back pain. the doctor took a urine sample and found blood. they sent that off to be tested which found no infection but pus cells so they did a smear but im really worried, what do you think it could be? My stomach pain has nearly got but my lower back still aches. ### REPLY: Hello, Thanks for posting in . As blood and pus cells were found in urine, presence of bacteria or infection will be confirmed on the culture report which will take 3 to 4 days to come. In my opinion it is still urinary tract infection and that is the reason you are having referred pain to the lower back. I think the doctor you are consulting will be putting you up on the appropriate antibiotic depending on the culture report. Meanwhile, try .   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hair is thinning all over the scalp, especially above the sideburns i.e.behind the eye(wherein i ve every bald person has hair on the sides except on the top) so i hope this is not androgenetic alopecia, i ve lost hairs from all over the scalp, the temple hairs have almost gone, my scalp can be seen through the hair, no history of hairloss runs in my family. My dermatoglogist prescribed hair bless tablets, he said that this is due to biotin deficiency. Can biotin deficiency cause hairloss on the entire scalp? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it is very true that excess of deficiency of Biotin can cause thinning of hairs and can cause severe hairless. So in case if you are diagnosed with Biotin deficiency then hairless can occur. Hairbless tablets contains Biotin, Niacin amide, amino acids and minerals, and it is an appropriate composition for hairball. You can also apply 5% Minoxidil solution over the scalp. You can massage you scalp with coconut oil or olive oil or other appropriate mineral oils. Wash your scalp every alternate day. In case if there is no improvement you can consult a Trichologist and get evaluated, and he can advise hormonal assay as well, so investigations like Pictogram and Endoscopy to rule out the exact cause and treatment can be done accordingly. You can also discuss Platelet rich plasma, Monotherapy etc. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I started using triglow cream for a month continuously n I got good result but now I stopped using it from past 2week I am finding scars n rashes on my face very badly so pls do suggest me what exactly the remedy to get rid of it n prefer any treatment naturally that can heal ### REPLY: Hi. Thanks for the query. I would like to inform you that Trig low cream is a steroid based cream containing HY . Steroid creams initially show wonderful effects on face by reducing pigmentation and brightening the face. But long term use has severe side effects like skin thinning, pimples, inflammation, rashes, itching, excess hair growth and dilated veins under the skin.Also, on long term use the skin becomes addicted or dependent on steroids and once the use is suddenly stopped, there are with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr Age: 36 Gender: Male Constant feeling of urination after abusive, lengthy masturbation and persistent mild burning in male urethea. Any nerve/tissue damage? I am having a sensation of constant/always urination; with a weired kind of burning senation in peline urethera and penile head. This situtation occurs after i did abusive/lengthy masturbation 10 MONTHS ago. After masterbation or having intercource with my wife it used to come for only 2 - 3 hours and after sleep in the morning used to feel alright. But due to a lenghty/abusing masterbation session 10 MONTHS ago feeling of urination have become constant and not going away The following test are done so far. 1. Urine Culture - All Normal. 2. Renal Ultrasound - All Normal (prostate size is normal about 24) 3. CBC - All Nomral. (Dr Says very slight Iron Deficiency Anemia; dr put me on iron tablets for a month) 4. LFT - All Normal. 5. Diabetic - Normal 5. Vitamin D - I am deficient (Dr put me on tablets for a month) 6. Vitamin B - Before the onset of these symptoms i was deficient in vtamin B and had few injections of cynacoblamin were given. All the doctors are clue less as of now; these symptoms are really really killing me everyday. I have seen a few urologists with the following diagnosis and treatment but with no relief. 1. A urologist diagnosed it as non-specific non-inflammatory prostatitis and put me on Cipro for 4 weeks but to no avail after that he put me on levofloxacin for a week with no relief at all. 2. Another urologist marked it as NSU and put me on numbing jell and a tablet which turns your urine dark yellow for 5 days with no avail. I also took a TCA Tofranil (Imipramine) for about 2 weeks for no avail at all. After being exhaused from thease treatments i have also tried alternative treatments as follows. 1. Homeopathic for 2 months with no avail. 2. TCM (Traditional chinese medicines for few months with no avail) As I am running out of ideas may be the following can be considered. 1. parasitic infection. 2. Pudendal nerve entrpement or perinal nerve pinching etc. Dorsal nerve etc. Or any other nerve disorder. 3. IC 4. MS Please help me to get rid of these annoying symptoms. ### REPLY: HelloThanks for query. Based on the facts that you have narrated you have a long-standing history of pain in urethra and constant sensation to pass urine which followed after prolonged abusive masturbation which has not responded to treatment with multiple antibiotics and none of the various relevant test are conclusive as regards the diagnosis and cause of your symptoms. In view of all these symptoms started after prolonged abusive masturbation I think the prolonged masturbation has caused trivial damage to urethra resulting to form a scarring and flimsy stricture of urethra. I would suggest you to consult your urologist again and explore need for doing endoscopic examination of urethral passage (Ureteroscopy). This procedure of visualization of urethral passage directly perhaps may help to diagnose the precise cause for your symptoms. Further treatment will be decided by him on final diagnosis. There is no possibility of pinching of any nerve as it never happens in reality. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello , Im 30 year old african american woman, and have been having alot of pain and problems with the left side upper chest. I recently found outi have a bone spur in my left shoulder and the doctors though that was causing the pain. however the pain is not in my shoulder its like a burning sensation on the top of my chest . like the musceles are tight ### REPLY: Thanks for your question on . I can understand your concern. Bone spur can cause muscle irritation and muscular pain. So better to avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Start painkiller and muscle relaxant .  Apply warm water pad on affected site. If you are not improving by all these then you need surgical removal of this bone spur. 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 I recently had a circumcision (3 weeks) and from the erections Ive had since I fear they might have nipped to much skin from it. It feels just like my phimosis felt, that the skin around the shaft was restraining the entirety of the penis from coming out. Is it possible that the skin might stretch in the next months or should I be looking for consultation about the possibility of another surgery? Thank you and excuse my grammar, english is not my mother tongue. ### REPLY: Hello, No need to worry. Even though your surgical wound has healed, please do not try too much to pull the foreskin back before 30 to 40 days after the surgery.  After that you will be able to pull your foreskin back without effort. You may talk to your surgeon for further clarification and guidance. Therefore, I suggest consulting your surgeon. 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 have just went through ventickular tachacardia I was admitted to a hospital with 271 beats per min and they gave me meds to control heart rate and they installed a difibulator in my chest I smoked weed for 20 years and being told that it has caused this is this possible? ### REPLY: Thank you for your question. Weed or marijuana has been shown to affect the heart such that long term heavy users may develop heart attacks at a younger age. It may also cause cardiomyopathy that is changes in the structure of the heart muscle. Though I cannot conclusively say that weed is the cause for your problems. My advice would be to stop using weed and to follow a healthy lifestyle including adequate exercise (consult with your cardiologist regarding exercise regimens) and a healthy diet. And please do continue your present medications since ventricular tachycardia can be a serious issue. I hope this has been of help to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is there a way to avoid future seizures? My friend has seizures often due to a brain injury when she was little. I believe that is the part of the story. But, is there a way to get them less often like could you work your brain, like give it exercises like reading, doing math problems, or doing breathing exercises? I am not so smart about the seizures people have because I have no information about it and I have never experienced one myself. ### REPLY: Hi, I had gone through your question and understand your concerns. Seizures after brain injury are not uncommon and treatment is also sot always responsive. The best way to avoid seizures is a correct treatment with antiepileptic .  Then, there are several factors which could induce convulsions in an epileptic patient, like stress, sleeplessness, intense physical activity etc. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your friend good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother just called me and said she is having trouble with the right side of her body...her hand isnt working very well....however, she has no slurring of speech and no issues with brain funcitons of facial paralysis....she has been feeling a little unsteady on her feet the last week as with issue with equuilibrium...of courrse, this has me scared and she s gonna see a doctor on monday, but could this be something as simple as blood sugar or something, or is it likely a stroke, even though no paralysis or slurred speech ### REPLY: Hello ! I read your question and understand your concern. In my opinion the symptoms you describe may be related to several problems. The main cause may be a stroke, causing loss of sensibility in half of the body, causing unsteady gait and inability to control the hand properly. Another problem would be a polyneuropathy, typical in diabetes, but it is associated with pain and tinglings in both feet and hands. Diabetic patients can also have seizures from high blood glucose, causing numbness in half of the body, but these are episodic, non-permanent. So to conclude I would recommend a good neurological examination, a full blood work, HbA1c and a brain CT scan. If these tests result normal, an Electroneurography for polineuropathy and a EEG would be necessary. Hope to have been helpful! Thank you for using ! Greetings,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter has had repeated canker sores in her mouth and red spots on the back of her throat for about three weeks now. we thought it was hand , foot and mouth but now think different. she now has them on her tongue and roof of mouth. has no fever or has not felt sick at all., however she s trying to get off affrin nose spray and is on half saline and about half affrin now. ### REPLY: Hello, as per location of sores- it seemed to be some viral infection, but all viral infections mostly heals within 2weeks. But since your daughter is still facing them, I would suggest you to consult an oral medicine specialist as by clinical examination he can diagnose it whether-infective/allergic origin/side effects origin. Afrin Side EffectsThese include but are not limited to: High blood pressure (hypertension), Heart palpitations, Difficulty passing urine, Signs of an allergic reaction, such as:An unexplained rash or hives, Itching,Unexplained swelling, especially of the mouth, lips, or throat, Wheezing or difficulty breathing. I would also suggest you to consult an ENT surgeon for nasal congestion .and get proper treatment at earliest.multivitamins containing Disband C, Lycopene will help in healing of sores in all cases.if sore are painful then apply local anesthetic gels. Prior to meals for comfort during chewing.after consult from ENT surgeon/Oral medicine specialist take medicines/gels-antiviral/antibacterial/antifungal (infection) or antihistamines/steroids (allergic/side effect)please try to get her off from Affair at earliest.take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc, i am less than 35 years old & diagnose with POF. My FSH is 17.9, estradiol level of 45, LH of 4.33. Just started DHEA a few weeks ago. what is my chances for IVF? should i go for it? is there any cure or help to help in my chances of pregnant? ### REPLY: Hi, I have gone through your question and understand your concerns. Premature ovarian failure with a serum FSH levels more than 10 is not compatible with IVF using your ovum. There is no treatment for premature ovarian failure as in this condition, ovaries have lost their ability to produce ovum. However, you can have IVF using a donor ovum and your partners' sperm. Hope you found the answer helpful. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i had a panic attack some two months back after i used some medicines for alcohol withdrawal. Now, I am suffering from anxiety having heaviness on my head sides .and using stalopam and lonazep. in addition i have been prescribed betacap also. How effective would this medication prove and when should i stop this medication? ### REPLY: Hi there ~ Slalom along with located is a very effective combination for panic disorder, depression and generalized anxiety disorder.  Please consult your psychiatrist before going off of these medications.  I am glad you are thinking about stopping alcohol.  I would like for you to see a substance abuse counselor to overcome alcohol dependence / abuse issues.  Beta cap is useful for performance anxiety and if you have hypertension (high BP).  Also, please do not stop the medication without expert advise. I hope this helped. Take care and have a good day ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Worked out last Friday, including a 35 min run...everything good. My left knee tightened up that evening...never have had any problems with either knee. Since then, when I get up in the morning, knee feels OK but as the day goes on, it tightens up and is painful. When I sit for a long period, it is painful to stand and strertch out my leg. Eventually it stretches out and feels better but still somewhat painful. I am 63 years old and in excellent health. Never had any problems with my legs. ### REPLY: Hello, If I was your treating doctor for this condition of the knee, it could be of the following possibilities.  First - Mild ACL - Anterior Cruciate Ligament injury. Often we can diagnose with a physical examination.  An ultrasound and an MRI will confirm the diagnosis. If it is, so I suggest providing rest to the joint, use kneecap while moving around and also avoid jerky and quick movements of the knee.  Secondly - mild osteoarthritis - This can be diagnosed with an x-ray. It can be diagnosed with physical examination too.  I suggest consulting a physician and get an X-Ray of the joint done to rule out the other possibility.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END