Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 took 15 aleves 6 days ago. Now my stomach and lower right side under my ribs is throbbing and hurts a lot. What do I do? That is the only pain I feel. Also, when I eat sometimes I feel like vomiting but I ve been barely eating and have been puking bile. ### REPLY: Hello, The pain you have may be due to gastritis caused by Alive. In this case, omeprazole 40 mg 30 minutes before breakfast may be used. You may try to eat frequent small amounts of food to help avoid nausea and vomiting and also help keep food in. On the other hand, there are other conditions that may cause similar pain such as gall bladder stones or cholecystitis. An ultrasound examination would be able to evaluate your gallbladder, kidney, pancreas, and liver and make sure that these are normal. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an indentation in my gums on the side roof of my mouth of the left side. It has been hurting for 2 weeks now. I have a compact mirror that I was able to see into my mouth and I can see the indentation on my left side and it is definitely not there on my right side. I did have a gum graft about 6 months ago near that spot. Could it be from that? If so, why? If not, any ideas why I have formed a painful indentation in my gums? ### REPLY: Hi. Thanks for the query. A painful indentation on the gum can be due to an ulcer formation over the gum, or it can also be due to injury or tear over the gum with hard foods. It does not look like to be due to the gum graft, rather can be due to infection. So first get it clinically checked so that the cause can be ruled out and treated accordingly. For now to relieve pain and discomfort you can apply Lidocaine gel over it and avoid eating hard foods. Start doing warm saline gargles as it will help in reducing inflammation and pain. You can also take Ibuprofen if pain in continuous. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my boyfriend has mid-lower abdominal pain and sort of loud bubbling noises in lower stomach. he was doing sit ups 3-4 days ago but it s not pain from the sit ups he thinks. what do you think it is? ### REPLY: Welcome to , Setups can cause abdominal pain especially on the sides of abdomen but very rarely in mid-lower abs. About those loud bubbling sounds, it just makes sense to mention that these are just intestinal sounds, but they are usually not so audible as your boyfriend seems to claim, but if it is so then maybe you got to ask him how has been his bowel habits recently, very constipated or too much vigorous to cause diarrhea.  He can just eat himself examined by his Primary care physician who can assess him clinically and then advise accordingly. Hope your queries have been answered well. Have a healthy life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my granddaughter went to the hospital 3 times for a staph infection the first time they cut her open anmd barley got anything out the second time they said it look good but she has a red knot above the cut and it is spreading and getting harder she is only one and can barley walk what should i do? i have done everything the told by the warm baths with epsom salt and antibotics what else can i do ### REPLY: Hi dear, If the swelling, redness and pain keeps on increasing after 48-72 hours of staring antibiotics, this may indicate .  In such cases, an ultrasound to look for any collection, and report of culture sensitivity test if sent initially will be of great help to decide further course of action. Kindly discuss with your doctor. Meanwhile, give her analgesics like ibuprofen 2-3 times a day, clean the area twice daily and apply antibiotics like mupirocin 2 times daily. Hope I have answered your Quertle 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: Got an email with a suggestion that egg whites help heal burns.  The egg white for burns has been posted and reposted, yet more than one site says its a hoax.  Snopes advocates it, but Im aware thats just two people with a website and not a professional opinion. ### REPLY: Earle understand your concerns went through your details. I suggest you not to worry much. Definitely it is not a professional opinion. There are a lot of scientific and sterile way to treat burns. Instead of falling prey to these quacks or unscientific information, it is always better to consult a doctor in health issues. You shall be peaceful. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was in an auto accident, hit broadside. I ve had constant pain at side of my neck by my right ear as well as frequent headaches. My neck was xrayed and shows no breaks. Muscle relaxers and Naprosyn have had no effect. Do I need an MRI. I ve already had back surgery once in my life (L5,L4,L3,L2 and a spinal fluid leak. Recovery was not quick or easy and I m not looking forward to additional surgery. Your thoughts? Sorry, thought this was a free service. Need every cent to replace my vehicle that was totaled. Thank you for your time. ### REPLY: Hello, It may be due to post-traumatic headache usually it may stay up to years after injury. Reason behind this is counter croup injury of the meninges or brain lead to pain. Other possibilities like neck muscles spasm or irrigation in nerves may also lead to this problem. Please take MRI brain and cervical spine is useful. Pregabalin or gabapentin may also useful. If symptoms not improved, please consult your doctor, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing unexplained bruising on my arms and legs. I find one to two new bruises each day. I also started having leg cramps at night. This summer my hemoglobin count was low, but after further blood work, all seemed fine. I am also extremely tired. Any answers? ### REPLY: Hello, Frequent bruising can be there due to following reasons-- Deficiency of vitamins like vitamin C.- Deficiency of blood clotting factors.- Kidney or liver problems.- Allergic conditions.- Raised blood IGE levels-Taking of some medicines like prednisolone, aspirin or which interferes with blood clotting. I shall advise you to consult to your doctor and have at least routine blood examination. Meanwhile, check for any medicines which you are taking for their interference with blood clotting. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has cirrhosis,diabetes & hepatic encephalopathy.  He is in the hospital for high blood sugars (now under control) But he also has high ammonia levels, he was 95 at admission, then 47, 29, 60, 40 he was like his old self at 29 but the next day the levels went up & he was mean, confused & threatening. Can he be stable or will he continue to have his levels go up & down? How can I his wife & caregiver take care of him with his mental staus changing from nice to violent?  Does this mean his liver is worse & not processing the lactulose? ### REPLY: Hi, Your problem is of real concern, as cirrhosis is a chronic disease and the condition that you are mentioning is called hepatic encephalopathy and denotes advanced liver failure. Episodes of hepatic encephalopathy are common in cirrhotic patients and can be prevented by measures like avoiding constipation, monitoring the electrolytes level and avoiding low potassium levels, daily recommended protein intake control, prompt identification and treatment of any infection and most importantly by preventing gastrointestinal bleeding by applying band ligation to the dilated veins in the esophagus (Varices) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have  a respiratory problem that causes me short breathing and heavy chest and also i am unable to talk loudly when this problem occurs...it comes with a running nose and coughing and sneezing...i suspect it to be asthma but am not sure abt it ...plz guide me with the tests i should go for so that i can be sure about the nature of my disease..thank you ### REPLY: Thanks for your question on . I can understand your concern. Yes, by history and description, you are mostly having asthma. Asthma is allergic disease which causes rhinitis (sneezing and running nose) and bronchospasm (cough, wheezing, breathlessness). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment of asthma is based on severity only. You will need inhaled bronchodilators and inhaled corticosteroid. Intranasal spray containing steroid is also useful in rhinitis. Oral combination of antihistamine and anti-allergic .  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir,I am confused with my problem. Some times i feel erections and sometimes its very hard for me to make or keep an erection. when i try to masturbate it is not getting hard.It started from many years.when i wake up in morning my penis is hard but when i want to masturbate it did not become much hard. even sometimes on half tight penis my semen comes out.when i tries to make it hard my semen comes out after 2-3 shakes.also if it gets tight stamina is very low. with 2-3 shakes semen comes out.sometimes after making it hard if i try to put a condom my semen comes outi am still a virgin and never did sex with any one.is it curable?i am very tensed because my marriage is not far awaykindly help me what to do or to take which medicine.will be thankfull to youyours faithfully ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. It is not an erectile dysfunction. It is caused by a lack of foreplay and regular masturbation. You should do regular masturbation. This can can cause your shaft tissue to get used to the situation. I advise you should practice this for month. Mostly your tissue will be adapted. If not you can do take sildenafile citrate. Please take it under your doctors guidance and do not take it in overdose. It will give you good erection. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a knot on the inside corner of my collar bone. It is not painful, however I have felt as if I have a kink in my neck and shoulder for about 10 months now. I experience pain in my right arm about 2 inches above my wrist on the left side of the front of my arm. The knot has appeared only within the last week or so. ### REPLY: Hi! Welcome! After going through your description of the painless nodule on the collar bone, if I were your treating doctor, I would like to consider following possibilities like:1. A lymph node due to chronic infection in local area; however, it could be related to tuberculosis or cancer in elderly people2. Benign lesions like lipoma, neurofibroma, sebaceous cyst etc... Therefore, you need a simple needle biopsy for confirmation; 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 9 month old son has had a cold for over two weeks with an on and off fever. I have been to the doctors twice within the past weeks and nothing could be done but waiting it out. It is going on 3 weeks now and he just had a fever again for the past couple of days. He is still eating and drinking but it has been difficult during feeding time. He is still passing fluids and solids so I do not feer dehydration. Fever broke yesterday morning but now he has tiny red spots on his torso and he just want me to hold him. What could be wrong? Waiting for the doctor to get back to me but I am worried. ### REPLY: Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between two fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness, and it doesn't require antibiotics at all. Once viral fever comes, it will there for four to seven days. So do not worry about the duration if the kid is active. Any normal viral illness can cause red spots like this, and it is called viral exanthem. 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: A month ago I had four wisdom teeth removed. upper left, upper right, lower left, lower right. A few days ago, my cheek started to swell up and I felt slight pain associated with swelling. Now I feel a lump. When that lower-left tooth (where the swelling is in my cheek) was extracted the surgeon noted that I bled the most from that spot. What could be wrong? ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query, as you have undergone extraction of wisdom tooth now you feel swelling lump in cheek don't worry after wisdom tooth removal swelling is normally seen for two to three days after that it start reducing if your socket is painful, and it bleeds then you should consult your dentist for oral examination of socket. In meantime do gently warm saline rinses, follow post-operative instructions and take proper course of antibiotics prescribed by your dentist. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am almost 4 weeks post-op (laparoscopic myomectomy), the 5 incisions are healing well and I just returned to work after being out for 3 weeks. My problem is that I still feel extremely tired and just recently started feeling depressed. Also, my libido was extremely high pre-surgery now the thought of sex makes me feel ill. I had what I think was a period about 2 weeks after the surgery but I feel like I am about to start my cycle again but it hasnt. This has been ongoing for about a week now. Are these symptoms normal? ### REPLY: Hello Post surgery depression is a common thing. You are having tiredness, weakness, poor libido, lack of motivation etc. symptoms and I would like to tell you that these are the symptoms of depression. Try to divert your attention in watching TV or reading good books. If possible exercise daily and practice yoga. This thing help to improve self-confidence. Consult a Psychiatrist for management of depression if not controlled by exercise.  . Cognitive therapy is also a useful alternative. You can contact a Psychologist for this. 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 female, aged 50 years. I exercise regulary and weigh 120 pounds.Today I have experienced significant pain in the left hand side of my chest that worsens  with deep breaths or forward bending . Once I felt the urge to sneeze, and the pain become very intense. It has lasted now for 6 hours. I take daily hypertension medication (lisinopril-HCTZ 10/12.5 mg tabs), but otherwise am in very good health. ### REPLY: Thanks for your question on . I can understand your concern. Your pain is associated with movements of chest wall, so musculoskeletal pain is more likely. But better to first rule out heart related pain because you are having hypertension and post menopausal age. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Musculoskeletal pain is more likely in your case. So apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant .  Don't worry, you will be alright, but first rule out heart related causes. 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: While I was away, my husband woke up in the night to use the washroom and was so dizzy that he fell to the ground. He felt dizzy until he went back to bed. He was fine in the morning and has been ok ever since. He did not go to the hospital. He thinks he had this spell, because he had been working long and late hours. He is 64 years old. ### REPLY: Hello dear, I am getting it like your husband had this single episode of dizziness and as you mentioned that it improved once he went back to bed, it appears to be somehow related to posture. It may be an episode of postural hypotension or syncope. Cardinal features in an episode of syncope are premonitory symptoms of palpitations, excessive sweating and paleness on face just before the episode. Characteristically, patient with syncope have a transient loss of consciousness, for a few seconds following which he regains consciousness. Another differential to think of in this case can be of an atypical form of seizure, but that is a remote possibility. Was this dizziness associated with sudden neck flexion or extension or lateral flexion? If yes, possibility of a benign vertigo can be considered. Is your husband having any ear problems like ringing in the ears, hearing loss? If yes, this may be associated with such an episode. Is your husband a diabetic? Diabetics may have autonomic dysfunction, which may cause this. Some . Please visit a neurologist, he may examine and take detail history and do simple first line tests like screening for hypotension with postural  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 twenty six year old female with a hx of HIV positive fractured back since april 2010 and a complete hysterectomy. For nearly three weeks now I have been having SEVERE chest pain in the right side seemingly worse in the middle and near or beneath the bottom of the breast, pain shoots straight through to the back affecting my right shoulder. I was in the hospital over a week ago from this and then the DR thought it was bronchitis as I have a cough that is as loud and deep as a fog horn, Since then I have quit smoking but the cough seems to be worse. Everytime I try to breath in I cant catch my breath and I start hacking very badly, I have been spitting up green and yellow. I have been on antibiotics for a week and they arent seem to be helping. I have had severe vomiting projectile kind. Moderate to bad headache. However the chest/shoulder pain is so bad I cant sleep for more than a few hours and then it wakes me up and doesnt go away or lighten up at all it seems after all this time to just be getting worse and worse. I have taken pain medicine for it and it helped for a few days but now it isnt even working. The Pain meds were Percocet and now they arent even touching the severe pain. Two or three days ago when i tested my blood pressure it was alwaysaround 98 over 71 and pulse ranged from 120 to 130. I have been scared too call my dr or test it again but the pain is getting bad enough i am getting afraid to go to sleep what should I do. ### REPLY: Hello rearward welcome to .come have evaluated your query in details .* This narration indicates there is substantial amount of underlying respiratory infection.* It is strongly recommended to get hospitalized and start intravenous treatment with antibiotics, bronchi dilators, analgesics, other supportive care. Hope this will clear your query. Wishing you fine recovery. Welcome for any further guidance. 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: Have pain in left hand and unable to move backside.No pain while moving fingers but at bottom of thumb pain exists. Taken zerodol-s tablet, got relief for some duration. It s not a bone pain, seems like a nerve pain/pull. Could you please suggest. Thanks, Ram ### REPLY: Hello, This pain can be due to either of the factors but needs a clinical examination and assessment by an orthopedist.  Either this could be related to nerve entrapment in the cervical spine, or it could be a carpal tunnel syn .  If the carpal tunnel is having compression due to tightness in the flexor retinaculum than needs to work out over it by gentle kneading massage and therapeutic ultrasound followed by stretching. If related to cervical spine nerve entrapment then the process is different and can be made corrected while doing exercises under a guided physiotherapist. In my clinical practice of over 12 years what has helped more to my patients is the clinical examination on time and treatment accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctors,Good evening.About a year back,  I was diagonised to be suffering from COPD with severe sinusitis.  I am mostly living on the following inhalers:1. Livosalbutamol sulphate with ibratropium bromide2. Salmetrol & Fruticasone proproniate Is there any stem cell therapy available in Bangalore by which I may be completely cured for this dreaded disease.Asoke Kumar Ghosh ### REPLY: Thanks for your question on . I can understand your concern. Sorry to say but stem cell therapy has no role in COPD. And COPD is chronic progressive disease. It can be controlled with a . Along with inhaled treatment, You should follow1. Adult pulmonary vaccines like influenza and pneumococcal vaccines.2. Deep breathing exercises, incentive spirometry.3. Smoking cessation. All these come under pulmonary rehabilitation. So enroll yourself in rehab center for better symptomatic relief. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My four grown children say my husband is a mental abuser and that he is abusing both my one grown son who moved back in with us about two months ago and myself. I know for a fact he is mentally abusing my son, glaring eyes, getting on his back (when I am not around). Telling him he is useless because he is having trouble getting a job. How can I stop this and how do I know he is abusing me. We have been married 40 years, I do not know what to do. ### REPLY: Hi, Welcome to  Forum Your husband is not happy with your son, which is leading to adjustment problem between him and your son. As a mother, you can discuss difficulties faced by your son, with your husband.  Try to find out problem which is leading to adjustment problems, like not getting job is one of the problem. After findings start working on solutions of problems and involve your husband actively in problem-solving. Sometime stress, anxiety and depression may also lead to irritable behavior, in that expert like psychiatrist help may be needed. Wish you Good Health and all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mum said she had a cold but when I saw her she didn t seem to have any cold symptoms, but she had a fever and said she had aching legs and pins and needles, she was very tired is it more than a cold? She is 81 and is alergic so cant have a flu jab. i amworried it s her heart? ### REPLY: Hi, Is she diabetic? Usually pins and needles sensation in legs occurs in diabetics while the feeling of cold and tiredness is peculiar for hypothyroidism. You need to get a complete blood count, ESR, thyroid profile and blood sugar estimation done. Symptoms are non-specific and requires complete history along with above advised tests to reach out for a diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the doctors and got told I have a Kidney Infection. The pains got worse and I went to hospital. My temperature was high and I have been having really sharp pains. I have never had pains like this before, they make me cry and have spread from my sides to my stumach.. The pain is getting worse ### REPLY: Hi There After going through your query I understand your concern. I would like to tell you that your stomach pain can be because of kidney infection. So to treat stomach pain you have to treat renal infection. Now, renal infection can be of two types complicated and uncomplicated, so proper evaluation for kidney infection is required. For stomach pain you can take over the counter acetaminophen. It's recommended for you to consult with a nephrologist for further evaluation of kidney infection for proper treatment. Hope this will helping 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: Dear sir, my wife is 36 years old she has suffering from nervous problem since from 1994. she can not walk,sit and stand more than 10 to15 min.as per MRI test spinal cord compress left side in L4,L5. She has numbness left side since from 10 years. Is there any good treatment for this problem without surgery? ### REPLY: Hello, Since she is having numbness & can't walk, sit or stand for more than 15 minutes, she needs urgent medical attention. There are various factors that cause her discomfort, these should be assessed, clinically examined, detected & treated.1. If it is a tumor compressing the spinal cord, it is treated with radiation therapy to shrink the tumor / surgery.2. Physical therapy (to strengthen the muscles of the back & leg, etc.) may be effective.3. High dose steroid treatment save nerves from getting further damaged.4. Medicines & NSAIDs help to reduce pain and swelling.5. Vitamins B6, B12, minerals, folic acid rich food or supplements help to reduce further nerve damage and reduce numbing. You are suggested to get your wife examined by a Neurologist & get treated at the earliest. She may require surgery depending on the severity of the pathology detected. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, im jane my boyfriend has an ambiases he said hes stomach is aching a lot especially on the left side,and hes balls also is aching hes thinking that its bec. of hes ambiases,is he right about that and what medicene should he take,he got the ambiases from drinking top water here in the philippines. ### REPLY: HI. One has to make sure that he is suffering from amoebas. Is he having stool with mucus? The treatment is simple - to take tab metronidazole 400 mg thrice daily (I hope is available over the counter). To .  This has nothing to do with the pain in the testes. There will be another reason for this. He may add on antibiotics which will help treat the intestinal and testes problem at the same time say like define or oflaxacin, for which he needs to see a Doctor too as these are prescription medicines. He also gets clinical examination by the Doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 and thank you ! I just Of recent came down with a slight case of shingles diagnosed about 4 days rash started on left arm and back of neck and one rash bump on right toe and ne rash shingle pimple on top of outside right ear ! Just was severity of itching and some uncontrollable scratching on my part but no pain at all --from additionally as the suffer chronic bab mirgraines and back pain ! I was given antibiotic levaquin and The aclovir stuff ! I have been taking medicine regularly and went back to doctor with healed up where the other blisters were almost completely:) That was over the weekend had doc visit , now the rash has seem to be re-surfacing on my right arm ; do you know why it is returning after healing and appeared to be light case to begin witChatDoctorpared to others? ### REPLY: HI, thanks for using  This rash can sometimes occur in stages, some areas are appearing when others are healing. It is the same as the original infection with chicken pox which would have been years prior. You would need to speak to your doctor and continue your antiviral as prescribed. Would also need to consider the shingles' vaccine if you qualify to prevent future breakouts. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am going back to work next month and will have to stop Bf my little girl. She is now 11 weeks old. I need to put her onto formula, and Lactogen was recommended by quite a few people. Will this make her fat or constipated. She really enjoys the BF as do I, but as I teach, I wont be able to continue to feed only two feeds and express. I have loads of milk and have expressed and given her a bottle when I have left her with my mom. ### REPLY: Welcome to the ChatDoctorI completely understand your concerns but don't worry. Since your breast milk production is enough as you mentioned, I would recommend you to continue by giving expressed breast milk during your working periods. It's in the best interest of your child. Else, you may give lactose or other brands such as Nan Pro 1 or lactose after proper constitution. They may cause mild constipation or weight gain at times, but that should be fine. Hopefully this will help you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 38 years old.  He has been complaining of a headache and numbness (more like his left side is tingling).  He had a bad car accident with face trauma about 6 yrs ago.  He also says if you massage his back between his scapula he feels so much better.  I am not sure what to do? ### REPLY: Obvious answer?  Massage his back between his scapulae.....AND DON'T STOP!  LOL..... I couldn't resist that one..... I cannot get my wife to KEEP massaging an area for very long...she says she gets tired... I will need to send her either to masseuse school or to a personal weight trainer!  HA! Well, in your husbands case; the headache to me is the major symptom here that we need to deal proactively with and the other symptoms will probably follow the treatment of that one.  I'm a headache specialist and run the Headache Clinic at the VA Hospital in Cleveland, OH, so I see a lot of this sort of thing. It seems that the headaches are likely chronic and could be a residual from the facial injury itself or something completely different. But you should get hooked up with a headache specialist is what I would say then, develop a good ongoing relationship with that doctor and ad . If you would like to add ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: lastnight my symptoms began with a mild of what felt like electrical shock in my head and face and about a second blackout symptoms continued to reaccure about 4 more times in around 3 min intervals the last being severe and so intense i cried and had complete paralysis for around 3 seconds. ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Your symptoms can be due to1. Trigeminal Neuralgia2. Desalinating disorders need to undergo1. Clinical Examination2. Funds Examination3. Radiological ExaminationPlease consult a Neurosurgeon in person Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.-loops 1 : After all your doubts have been cleared, kindly (a)  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 25 from last week i am feeling a little bit pain in my right breast, just below the armpit. After a week when i crosschecked i xould feel a small hard lump inside the breast and the pain is from that area only. can you please suggest me what should i do? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have breast lump with pain. You may have fibroadenoma, fibroadenomas or fibrotic disease or some other mass lesion.  Furthermore, you should go for fine needle aspiration cytology or biopsy and mammography.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just received a APE and i got high on GOT (ast) = 35 iu/l, GPT (alt) = 58 iu/l. I am (I think) a healthy 53-year old male, have 5km walk everyday and I drink moderately (never during the week), just 2 years i have stop smoking. Is there something i worry about? ### REPLY: HelloFindings suggests borderline increased SGPT, and it may indicate mild liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to alcohol intake in your case. You need few other investigations like random blood sugar, liver function test, lipid profile. You may need to take some medicines after proper evaluation. It may take 4-6 months to get SGPT to normal level, but you should avoid alcohol completely.AST in non-specific, and it increases in many conditions. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a history of kidney stones. 3 weeksago i was exspriencing seere back and abdomial pain the center and to te left.My stomach had been swollen and sesitive for a while went to the hospital and was treated for kidneystones, the mri showed no kidneystone on the left but one still in the rigt kidney, i have contitnued withsevere pain in  back and middle abdominal pain to the left side,nausia,sweating continuouse,can not cmplete urination always feel lke i need to go,leaky bladder, yellow funny smelling bowl, severe gas, and when i eat or drink the pains get worst. I am also exsperiencing some pains like trappe gas or chest pains. what could this be? do i need to go to the hospital for test ### REPLY: Hi and welcome to .  As a Urologist, I can understand your anxiety. Your symptoms are likely to be due to the kidney stone. You should write your age and size of the stone seen on the MRI scan. You need to see a Urologist, and after examination, do the following tests :1. Urine routine and culture.2. Blood routine, creatinine,uric acid, RBS,LFT and platelets.3. 24 hours urine calcium, phoshorus and uric acid. According to the reports, an expert opinion can be given. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lapro surgery day after xmas i have had staples removed and i advised the doctor and he noticed that on insicion was not right.  today it has yellowship areas around the the insicion it is ozzing somewhat and it has an oder with some pain and redness ### REPLY: In most probability it is an infection most likely bacterial, Staphylococcus aureus is generally the most common infection which tends to occur in such short time span. However, a swab from the oozing pus or blood may be used to culture the growth of organism and appropriate antibiotic is warranted. Do consult your surgeon, so he can examine the wound and can take necessary steps to prevent its spread .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 brother, who is 61 yr old, recently became feeling very faigued at the end of the day and had developed a cough. He went to dr and had chest x-ray. It was noted that he had some enlargement of his heart on one side and he was referred for ECHO, cath, etc. It was found his main artery in his heart had 100% blockage and his heart was only operating at 15%..he had evidently had a massive heart attack some time and didn t even know it. His cardiologist did not feel he was a candidate for surgery, as the risk would be too great. He only offered a defibrillator and pacemaker and Plavix. Would you feel a second opinion at a thoracic surgeon would be in order? Would a no-pump by pass be possible? ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Your cardiologist is right that any procedure would be more damaging to your brother as his heart is functioning at a very low level. As far as surgery is concerned his low EF already makes him a very high risk candidate for surgery. He has correctly advised you for an ICD as the major threat to his life is an arrhythmia that tends to occur more with weak hearts. This would be taken care of by ICD. He has also put him on anti platelets that would prevent any further heart attacks. You have to understand that your brother now requires utmost care and various lifestyle modifications including:1. Total fluid intake should not exceed 1.2 L per day.2. His urine output should be aerial to his fluid intake to prevent any fluid from collecting in the body.3. He should restrict his salt intake to less than 2300 mg per day.4. He should have a low fat low salt diet. Consult a dietician for a detailed diet plan.5. He should restrict his activity and avoid strenuous work. But that does not mean that he should be confined to bed. He can take regular walks and other light exercises. You may consult a CTVS surgeon and consult regarding the possibility of a surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hii my father was diagnosed with GE junction cancer in may,2010. after diagnosis he went thru operation and then six cycles of chemo. on doing PET scan, it was found that cancer has spread to lungs, and near by spleen.and also near the esophagus. but on doing biopsy of the esophagal region, it shows ulcer. i want to know is it possible that inflammation in lungs and other parts are any other thing, not cancer. what is the prognosis in this case. ### REPLY: Hi, Thanks for writing in. In simple words, cancers cause inflammation, but every inflammation is not a cancer. Inflammation is a process in which there is a response of the immune system in your body to any undesired condition. Inflammation can be due to infection, loss of blood supply, injury, toxicity and cancer. An ulcer is defined as a break in the surface of skin externally or lining membrane of organs internally. Your father might have an ulcer that is inflammatory but not necessary a cancer. The inflammation in lungs can be non-cancerous but for this a FNAC or biopsy must be done and confirmed. In disease that has spread to lungs and near the spleen it is stage 4 cancer and with recommended treatment and supportive care survival can be extended by up to two years. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: well i have had pains on my upper left side below the middle of my rib cage it has been going on for a while now and sometimes it will move from there to my stomach . i have lost my apatite for things but when i get it back i eat like i haven t eaten in days. I am a skinny guy 22 years old 125lb last time i went to the doc was for this about a week ago and now have an appointment with a stomach DR but is there anything i can do to ease the pain for the 4 weeks that it will be b4 i see him ### REPLY: Hello, Thanks for the query to . Forum.  If I were your treating for this case of pain in the left rib cage, I would come up with these possibilities, This includes.1 The first possibility is of peptic ulcer disease or Hiatus hernia. Diagnosis can be confirmed by upper G I endoscopy. Try raising the head of your bed 4 inches above with blocks. It might also help to avoid .  To help control the stomach acid, one should not  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My wife and kid has joined me in germany last month. My kid is 10 months/ 9.2 kg boy. He is now suffering with high temperature be 101- 104 F and shivering from yesterday morning.he s normal with no cold, diarrhea. He drinks mother milk n takes little solid.currently giving him lukewarm sponge bath for his head. Kindly advise further. How long will the fever take to subside ### REPLY: Hi.... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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 m 46 years old with high blood pressure (today was 163/93 and 97 heart rate). I m on meds now and the doctor said something about my last kidney count was rather high. I m going back in for a follow up in a couple weeks. What is the possible issue with the kidney count? I d like to understand enough to know what the doctor is talking about and what to ask her. Mahalo! ### REPLY: Hello, High blood pressure for a long time affect end organ damage like kidney disease, heart disease and brain disease. Your last blood pressure monitoring is high with .  You should change or upgrade the medicine to control blood pressure.Meanwhile, your creatinine level is a little high but you didn't mention the level. Generally serum creatinine level less or equal to 1.4 is considered normal. If creatinine is higher than 1.4 then you have to investigate properly to find out father its temporary or permanent. Temporarily due to so many causes, serum creatinine level varies so don't be panic and find out the cause and treat according to that. But if its permanent then better you go for USG abdomen for kidney size along with urine albumin test. If botChatDoctores positive then it means there is kidney disease, and you have to careful with your diet, habit, addiction and regular  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr.Andrew, I am suffering from Yeast infection for past two years. Doctors treated me with suppository and Diflucon. But still every month I am getting this Painful infection. Cottage cheese comes out Everymonth before periods and after periods. My husband has no infection even after intercourse. Thanks, Charlot ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. You should get a pelvic examination by a gynecologist and vaginal swab to rule out the causative agent of infection. If yeast infection it can be treated with proper therapy. First line treatment used is clotrimazole cream (monist at) application. It should be used for 1 week or more according the recommendation of your gynecologist. Fluconazole (rifleman) is usually given weekly once for 1 month or more. Other alternatives are used in case of resistant cases also. You can also use intimate wash regularly to normalize vaginal bacterial flora and PH and there by prevent getting such infections. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 26 and he gets very angry when he can not get things correct the first time he does them. He has lied to us, been in trouble with the law, can not keep a job or a girlfriend. He gets angry with his friends and if he doesn t win on the video games that he is playing he throws things and uses bad language. He takes Adderall for ADD. This has been going on for several years - but it has gotten out of control. Please help. ### REPLY: Hi, Thanks for writing to . I can understand your concern. I think you should consult a psychiatrist at the earliest possible. Furthermore, I also suggest you to encourage your son to follow certain lifestyle changes which could be of help.1. Meditation, yoga, breathing exercises, etc. will help.2. Go for a walk. Recreational exercises will be of use.3. Play with kids. Listen to music.4. Get busy with some work which suits you.5. Try to help somebody what ever small help you can at least once a day.6. Prey God.7. Look at the positive things in life. Continue to ask further queries as required. Hope this helps. Take care. . D.(Pediatrics)Associate Professor of Pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sharp piercing pain in my side, it felt like it was in my liver, or somewhere around that area. When I would try to sit down, my but and lower back would almost go numb. It only stopped hurting when I was in a curled up position, I couldnt even sit or lay down comfortably. What could this be? ### REPLY: Hi, You have not mentioned your age. If you are elderly then there might be having osteoarthritis in yourlumbo-sacral spine giving this problem. There might be having chance of osteoporosis or osteomalacia. Go for x-ray lumbosacral spines. Do back extension exercises. Take calcium, vitamin A and D supplements. If you are young then it might be due to lack of exercise or stiff back muscles. 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: i often suffer from cold or better to say every 3 months i catch cold with thick bulgum formation.In childhood also i used to suffer from cold very often.One of my friend advised it may be due to sinus and you should do upper back exercise to get permanently traeted.Please advice. ### REPLY: Hi Dear !! Thanks for your query to . Read and Reviewed your query in context to your health issues. In the given scenario and history facts, You seem to suffer from-hyper-responsive upper respiratory system, which includes Nasal and para-nasal sinuses along with pharynx / bronchi and its tree. You need to rule out-Allergy to pollen and dust and others with Allergen testing with chest / allergic Specialist.Also, other causes of recurrent cold-could be gastric and upper GI problems, aggravating sinus and upper respiratory hyper-responsive mucosa. Plan Suggested for your treatment-Beside infection with bacteria/ allergens / worms/ protozoal eosinophilic, the gastric infections / acidity also needs to be ruled out while treatment of your recurring cold with phlegm. So treating these causes is needed with proper . Proper 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: sir i have taken first dose of cipla kit, then after 48 hours a have taken all 4 tablets orally. after half an hour i had vomating ..... i get only dead and red small pieces of muscles from my vagina .......but didnt get bleeding yet. please suggest what to do??????? ### REPLY: Hello, Thanks for sharing your health concern with us. I have gone through your query and would like to offer some information. Self-medication is contraindicated in inducing a medical abortion. You seem to have taken an inadequate dose since you vomited soon after ingesting the pills. The amount of vaginal discharge depends on the duration of pregnancy. Please remember that a medical abortion can be induced until 9 weeks of gestation only. In a very early pregnancy, the products amount to a small blood clot and associated with very little bleeding. In the current scenario, I would ask you to see a specialist for further management to avoid complications. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My blood pressure usually stays regulated with my Benicar HCT, until yesterday.  I always take my pill in the mornings.  We had a taco dinner at church last night, and by the time I got home my bp had jumped to 170/99.  I took another full dose of Benicar because my arm, leg, and face were going numb and my chest was hurting.  I went to bed.  When I woke up this morning, I took my pill as usual.  Now, 1 1/2 hours later, my pressure is still148/94 and I just dont feel right.  What is going on? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should consult doctor first. Your blood pressure is still high, and your symptoms are mostly due to hypertension related heart diseases like early heart failure or angina. So consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. You may need additional antihypertensive .  Strict control of blood pressure is needed. You may need anti-anginal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HBSag+ found in my blood before 5 years and i went  to a consultant then he assured that it is HBS+. After six month doctor found no change in my test and he told me it will stay in your blood but never be dangerous to health . But I am scared now though everything is normal ### REPLY: Hello, In case you have HBS AG positive you will need the following fastest for hepatitis Cube AG Liver function tests In case the above are negative or normal the chances of liver disease developing are very less.However I would advise you to check GOT and SGPT one every six month. If these are raised then you might need treatment for hepatitis Hope this helped get back in case you have further queries .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was messing around with my boyfriend and he told me that the inside of my lady bits toward the top felt rough..? I felt for myself and it was rough, like ridges. It felt like it had been slit there a few dozen times (it doesn t hurt, just to the touch it feels cut). Is this normal? ### REPLY: Degree understand your concerns went through your details. To be frank, your question is not clear. The roughness of male penis is normal especially after having frequent intercourse of masturbation. Vaginal roughness is also common because of lack of lubrication. Both of these condition can be cured. Please ask a more detailed and understandable question so that we will be able to answer properly. Take care. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir, I am Bangalore, One of my relatives, is suspecting their 2 years old kid might be become deaf/dumb, because there is no sign of hearing/speaking any kind of word and also his father is dumb and two in their family..they have taken kid to few hospitals they mentioned there are chances of going dumb but not giving clear advice what next..i.e Is there any therapy/treatment or can get operated..Sir please advice good hospitals/treatment centers either in Karnataka/Andra pradesh and what should we do? Thanks, Gopi ### REPLY: You need to first check the hearing of your child. Please consult an ENT specialist and get a play audiometry and ERA test done. With the reports the ENT SPL can tell you whether hearing aids would be of use. In the meantime start speech therapy sessions and also consult a developmental pediatrician to assess whether the child has any difficulty in communication skills. Bangalore has quite a few good centers for such problems St Johns hospital being one of them. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, my question is this , my wife s blood test showed a high level of bun/creatinine and aigh level of potassium .what is the cause of this , and should I be concerned? a previos blood test taken in2010 showed a high level of bun creatinine, but not a high level of potassium.thanks ### REPLY: Hello, high bun and creatinine usually indicates renal failure. Since she's had increased values in the past, its probably chronic renal failure (CRF). CRF may cause increased potassium levels. The severity depends on how high they are. If her potassium is higher than 6mEq/L then you should immediately contact your doctor for investigation. If the ratio of bun to creatinine is high (>20) then she can 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: Hello,Since being diagnosed with Hypogammaglobulemia @ 53 yo , Im trying to figure out the cause: Chronic pylonephritis resulting in nephrectomy 20yrs agoFocal segmental glomersclerosis in remaining kidneyAnkylosing Spondylitis + (spinal stenosis)FibromyalgiaOsteo-Arthritis (hands, feet, knees, etc...)Any ideas? ### REPLY: Hello and welcome to , Gamma globulin is a protein produced by the liver. Hypogammaglobulinemia can be congenital or it can be acquired. Congenital hypogammaglobulinemia is due to congenital absence of production of gamma globulin and acquired can be due to liver disease. All the diseases mentioned by you-chronic pyelonephritis, glomersclerosis, ankylosing spondylitis, fibromyalgia and osteoarthritis are not directly responsible for hypogammaglobulinemia. Treatment consists of replacement with gammaglobulins. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my husband has low blood platelets and its 121.  He did some blood test back in January 2012 and it was 136 but the doctor failed to inform us.  This time aroud they told him he needs to retest in one month.  Should we worry and go sooner? I know the range is between 150-450.  It just worries me that its going to be almost a year and we just found out.Thanks for your help,Lara ### REPLY: Hi, dear. I have gone through your question. I can understand your concern regarding your platelets count. Your platelets count is low, but it is just slightly below the normal range.  So no need to worry at all. Just be relaxed. Many people have this count without any problems. Even simple viral infection can lead to slightly low platelet count. So as par as you don't have bleeding you should not worry.  If you have any signs of bleeding then urgently consult your doctor. Just go for repeat examination after a month. Mostly it will come back to the normal.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir i am facing a problem of heart beating high rate while walking and also working land grass cutting .land scraping abt last 2 months .while high rate of pulse so that time i have faced the problem headache on that time suddenly fall down.it is irregular but alternate motion.pls sir help me. Give me sugestion wt i do now ### REPLY: Hello, This will need evaluation, as we need to rule out cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Two days ago I broke/fractured my baby toe on my left foot. It is now slightly swollen and black and blue. I ve been icing it every hour for 15 minutes and elevating it. This morning I woke up to blood in my stool and blood on the toilet paper. Are these two things related? What should I do? ### REPLY: Hi and welcome to . These 2 things are not related, and you should evaluate each of the separately. Toe pain can be associated with fracture so X-ray is required. Blood in stool can be caused by various cases but most commonly these are hemorrhoids, figures or polyps and less common something more serious but in very case you should see proctologist for further treatment. Thanks for the query. 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 cant understand why I have the feeling I want to cry much of the time.  I do have stress with a husband with Alzheimers disease but I deal with it.  Sometimes not too well.   I get so frustrated with him.   Having said that, I dont feel the need to cry after an episode with him.  The crying feeling comes and goes at random. ### REPLY: Degree understand your concerns went through your problem description. You are really courageous and self-reliant, that you are looking after your husband who is suffering from Alzheimer s disease. Surely you will get its worth from the creator. Random crying feeling is associated with minute depression. Don't be alarmed. You are stressed, over and above distressed. Crying is quite normal for people who are distressed. Therefore, just ignore this. Concentrate on your daily routine, husbands welfare, your family welfare etc., god is with you always. Hope this answers your query. Available for further clarification. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, for the past 5 weeks I have had a persistent cough, and have green phlegm. My right shoulder blade was extremely sore worse when I coughed, now it s the right hand side of my chest when I cough. Dr has indicated bronchitis, but no medication... How long will this last? ### REPLY: Thanks for your question on . In my opinion you should get done chest x-ray to rule out infection in chest. Since 5 weeks you are having phlegm of green color, so chances of lung infection are high. Pseudocodes infection gives greenish phlegm. Another possibility is right sided pleural effusion. Because pleural effusion causes shoulder and chest pain. So get done chest x-ray and rule out both. Even if chest x-ray is normal I advise you to start antibiotic and bronchodilator. As green phlegm suggest infection only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve suffered from a stomach bug for three days now, accompanied by on-and-off fever. Yesterday I noticed a number of small, raised bumps on my buttocks, close to the anus but not right next to it. They are very itchy and tender. What is this? Thank You in advance for any answer provided. ### REPLY: Hi. From the history you have provided, it looks to me that you are having gastroenteritis- the soiling of the skin around has given you the itchy and tender bumps. A proper antibiotic cover for 5 days should solve your problem. Have site bath in warm water. Apply liquid provide iodine locally, NO OINTMENTS please ! IF there is no response within 3 days please visit a Doctor. Anyway you may need prescription based antibiotics. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir,i have made sex wid 32 years married woman almost 6 to 7 times since 1 years and having the problems of nf for last 3 yrs too.my age is 21 yrs.now my condition is worst.i m suffering from anxiety and nerves problem followed by weakness.i can feel skin and scrotum crawling.and all bone joint pain wid cracking sound.plz help me ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. You are probably suffering from That syn .  You need to understand that night fall is a normal phenomenon and that will not lead to weakness. Furthermore, you also need to understand that the semen is formed to be ejaculated and has no use in the body. Furthermore, you may need some antidepressants for your symptoms. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to further details about your query, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 legs get really tired and I am short of breath just going up 2 flights of stairs. I am 35, a former smoker (quit 2 years ago) and am in relatively good shape. I run, bike and elliptical. I have recurrent mucus congestion in my left lung and have had 2 bronchoscopies to clean it out. I have 2-2.2 second pauses on Holter when I sleep recently. I generally do my workouts without any trouble. I ve had an ECHO with an EF of 60%, negative exercise stress test and negative BNP. I do have cough variant asthma since about 3 years ago. Since having the Swine Flu in 2009, my exercise tolerance has dramatically decreased. I avoid stairs in most cases, because they make me so SOB and my legs just get too tired. ### REPLY: Hi Thanks for your query. You have to follow the following steps- 1. First you have to confirm whether you have asthma or COPD. For that you need to undergo spirometric testing with reversibility. If there is obstructive pattern with reversibility then you have asthma and if there is only obstructive changes with no reversibility then you have COPD2. Secondly you have to assess the control of your asthma or COPD symptoms based on symptoms, asthma control test (ACT), COPD assessment test (CAT).3. IF you have uncontrolled situation then you need to step up your persisting therapy to achieve the necessary control.4. You never ever start smoking. You have to maintain smoking cessation.5. Furthermore, you may take influenza and pneumococcal vaccination to decrease the exacerbation rate.6. Furthermore, you may undergo pulmonary rehabilitation program to increase your exercise tolerance and reduce the morbidity. All you can get after consulting a good pulmonologist. I think my information will be of great help to you. If you have further queries you can write back to me. 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 brother, 44 yrs old.had anastomosis in 2007 due to colon ca.went for 6cycle oral xeloda.he was on remission for 3 yrs. but had another surgery june 2010 for recurrent. had 23session of radiotherapy. after his ct scan it was found out he had multiple nodules and tumor 5x3cm in the liver. diagnosed as stage IV. he went for 6cycle of xeloda and oxiloplatin.the tumor shrink and nodules reduced. in february 2011, he was scheduled for radiofrequency ablation. however, he had another CT last week and the nodules are again multiple. the tumor increased in size after 4months from the last chemo. we are advised to see his oncologist again, for possible chemo. please tell me up front, what would be his chance to recover at least to go for the radio frequency ablation? i know that it is only palliative. but we have to try all possible options. thank you for your advise. ### REPLY: Hi, Thanks for writing in. Unfortunately multiple liver lesions cannot be treated completely. Colon cancer causes liver metastasis in half of the patients even after surgery. Radiofrequency ablation is not for all patients and requires certain criteria to be adhered to for response to treatment. Since you know that the condition has become palliative, there is a possibility to extend his survival by giving chemotherapy agents which will reduce new blood vessel formation and also inhibit growth. There is combination chemotherapy with medicine like explain which are known to work in case of colon cancer with liver metastasis. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 intestine disorder from last four years I am taking IBS drugs like Rabeparazole and I am also taking thynorm, 25 mg before breakfast, Please suggest me what to do Now a days I am suffering from headache occasionally, undigested food material in stool, some times burning rectum ### REPLY: Dear Hamidwelcome to  Ayurveda has described IBS as Graham. And it has mention successful treatment for IBS related symptoms. Powder of four sours (Vrukshamla, Amlavetasa, Dada and Gadara) 640 gm, private 120 gm (Papal, Shunt hi, Black Pepper), and five salts 160gm added with sugar 320gm should be used with vegetables, pulses, cooked cereals etc. It is efficacious in colic, indigestion, anorexia etc.b. Panchakola is to be added in cereal soup, Radish soups with black pepper are recommended as diet.c. Buttermilk, sour gruel, and arista should be taken as post meal . d. Buttermilk is specifically advised in this disease due to its appetizing nature, astringency and lightness in all ways. This aids recovery of disease. So take in profuse quantity.e. One passing undigested diarrhea stools due to deficient Agni should take adequate. Dose of fritz (ghee) mixed with appetizing  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir,I use to have pain in the cheat left side so i consulted Dr. after Stress Thellium test i am given medicines : Insmoretard & RANCAD my TMT  showed ST depression at 98% capacity of Heart functioning is the treatment is right direction, kindly advice. ### REPLY: Thanks for your question on . I can understand your concern. Rancad and scorecard, both are anti-anginal . Your TMT is positive, and you are having chronic chest pain. So possibility of coronary artery disease (CAD) is more in your case. So better to get done coronary angiography to identify the blockage and angioplasty to relieve the blockage. This is a ideal way of managing anginal chest pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Husband is shouting and getting angry for very small things.For example if I or my family members touch the wall and if it become a little bit dirt,he shouts like anything.He is very  very perfect in each and every thing.If our child play with toys and spread it on the floor,he is not able to tolerate it.He shouts at him.At times he expects us to follow and agree whatever he says.Otherwise he is very good.Please help me.... ### REPLY: Hi, I am not making any diagnosis here since it seems inappropriate to do so without getting your husbands version. From what you described, it seems that he might be having some perfectionist traits. Perfectionism is a general attitude where one wants life to be 100% perfect. Once you modify this attitude, your anger comes down. Cognitive Behavior Therapy could be a great tool.  Please do remember he could do great with your support! Best wishes, Abdul ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir lab report shows that there is elevation in my SGOT and SGPT value of blood is high. taking LIVOGEN. I am worried about my liver . I completely quit consumption of alcohol . Please advise whether I can travel and join my new job in gulf ! Thanking you ### REPLY: Hello. Welcome to . Alcohol can damage liver, and complete repair may take months to years. This form of liver damage is represented by elevated SGPT and GOT levels. Though per se these elevations are not a reason for you to not join, it will be best to test yourself for entire liver profile including viral markers and thus decide accordingly. Many times these tests will also be done for new employees both in India and abroad. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I am 23yrs old male. Done blood, urine dipstick and urine cytoscopy and ultra sound tests. Evrything seems to be normal except some of the things in the urine routine test. I have got RBC 10-15hpftrace albuminpuss cells 5-7hpfbacteria +Uric acid crystals present.I had urine infection a 3 months back and had high bacteria and puss cells. I had my antibiotics and the RBC became 35hpf while all the other things came to normal. Now, its more than 2 months and the RBC level has been 15HPF for the last 2 weeks and the puss cells & bacteria are again coming up and there are bubbles formed after urination. What could be my problem? ### REPLY: Dear Friend. Welcome to . I am . I understand your concern. At this age in males, RBC's and Pus in urine can be because of stone in urinary tract. I would advise you to follow:1. Ultrasound Abdomen with PUB.2. Hemogram3. Urine culture.4. X-ray PUB.5. After your blood pressure checked. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hallo Doctor, Recently like 3 months i have been experiencing a needle like sharp pain in the right side under the abdomen .This i only feel it when i bend mostly when applying oil to my right leg. It is worth to mention that i had a yeast infection which i treated recently with medicine described by the Gynecologist . the pain only comes when i bent and immediately i stand it disappears. what could be the cause? ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You had a yeast infection and got treated, Now you are getting pain in the right lower abdomen only when you bend to apply oil to the leg for 3 months. Relieved when you become straight.  It appears to be a pain due to stretch, or pressure. It appears to be due to hernia, or stone in the ureter, or may be in the hip joint.  I advise you to consult a surgeon for diagnosis and treatment. You may have to take M.R.I. besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards. ### END