Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my gall bladder removed a couple of years ago. My main symptom was a severe stabbing pain whenever I ate food. Since then that pain in the shoulder disappeared until recently I had a couple of mild pains in my shoulder in that same spots within 30 minutes to an hour. But since it was only twice I thought I was fine. I currently am using ChatDoctor injections for the first time & Im on my 3rd week. For the past 3 days in a row, almost immediately after I eat that severe jabbing pain in my shoulder is occurring.  Is this a sign that has to do with previously having gall stones or is this signs of maybe developing pancreatitis? Whats going on? ### REPLY: Greetings of the welcome to ChatDoctorShoulder pain is unlikely to be due to pancreatitis. One of the possibility could be post cholecystectomy syn .  I would suggest you to avoid oily and spicy food. Another possible cause of your symptoms could be duodenal ulcer. Management includes long term use of proton pump inhibitor and Helicobacter eradication treatment to prevent recurrence. Wishing you a healthy life. Get back to me if you have any other overtake disregards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, HRU, i am monitoring my BP my upper arm digital monitor in the moring it is always above 14o systtolic and above 80 in dyastolic. when I check in the clinc it is always 130/90or 130/80. Actually I was taking the medicine candesartan cilexetil 8 mg daily, but suddenly my BP dropped to 105/75 and went to the GP and was told stop medication. He monitored 10 days without medication it was in normal range, then the doctor adviced me to come and check your BP after a month. Doctor please advise me why the difference between the morning BP and evening BP. ### REPLY: Hello, Blood pressure fluctuations could be related to anxiety. From the other hand, the digital monitor is not the best tool to monitor your blood pressure values. For this reason, as your blood pressure values are stable without antihypertensive therapy, I would agree with your doctor on the recommendation of stopping BP medicine.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hai..iam rajesh,24 years old ,5.7feet tall and my weight is 58kgs.iam suffering with a slight pain above the chest region slightly leftwards since two months..smtimes the pain is severe for fraction of seconds and again its becoming normal,during this if iam taking long breath means it is just like am getting a shock like thin in the chest region..CAN U PLEASE HELP ME ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. But since it is left sided chest pain, better to first rule out heart diseases. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Musculoskeletal pain is more likely in your case. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2.  Avoid bad postures in sleep. 3.  Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Take painkiller like ibuprofen. Don't worry, you will be alright with all these. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi & regards,my liver is mildly enlargewith generalised fatty changes,vertical span of rt.lobe is 15.07cm(normal 14cm) gall bladder ,hepatic and portal veins,cbd, pancreas , spleen ,kidneys, urinary bladder ,prostate all are normal in ultrasound.the impression is mild hepatomegaly with fatty changes,associated git problem. in lft test serum bilirubin 0.8(normal 0.2-1.20) direct bilrubin 0.5(0.00-0.40) indirect bilrubin 0.3(0.10-1.20) sgot 50(10-40) sgpt 88(10-40) alkaline phosphtase 126 (34-94) protien7.4(6.0-8.0)serum albumine 4.0(3.7-5.3) serum globuline 3.4(2.3-3.6) blood uria 56 (10-50) serum creatinine 1.8(0.6-1.2) serum uric acid 8.0(3.4-7.0) calcium 9.6 (8.4-10.2) sodium 141.7 (135-155) potassium 3.98 (3.5-5.1) one year ago i suffred from this desies at that time my doctor gave me ursocol 300, antoxid,ec350 but now the doctor has been shifted to another place now a new doctor gave me viboliv 500 and febuget 40 for uric acid .i an alcoholic with intake once a week one peg and non vegitarian ,i dont smoke. i shall be highly oblised if u help me. thanks ### REPLY: Hi, Welcome to  ! The cause of fatty liver in your case is alcohol intake. The liver enzymes are only mildly raised. Abstinence from alcohol will reverse the condition. If you are obese, weight reduction is necessary. If you are a diabetic or if you have high cholesterol, those issues should be treated as they can also contribute to the development of fatty liver. Continue taking protocol and violin. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 breast reduction surgery four days ago and I have a slight yellow discharge coming from the incision, it is constant slow drainage, it took all day to soak through a piece of gauze. I also have a small blood blister on the incision..is either an infection? Should I caal my doctor? ### REPLY: Hi, Welcome to . I understand your concern and yellow discharge and a blister does indicate infection. Thick yellow discharge and foul smell indicates infection by bacteria like staphylococcus. You might be prescribed antibiotics and painkillers to be taken after the surgery. I suggest you get in touch with your doctor and get the prescription for antibiotics extended for 7-10 days. Also get the wound . Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had pelvic ultrasound done and small follicles bilaterally were found with no free fluid in the cul-de-sac what does this mean? ### REPLY: Hi there, I received my ultrasound and I'm unclear with the results. It states:Both ovaries are of normal appearance with small follicles bilaterally. There is a trace of free fluid within the pelvis. Comments: The uterus appears unremarkable. There is a slip of fluid within the uterine cavity and a trace of free fluid within the pelvis. What does that all mean in simple English? Should I be worried? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Back ache after walking all afternoon! ### REPLY: Hello, Welcome at . I have read your complete question. If this back pain is not present since last longer time & is of recent origin then this looks to be due to tightness of your hamstring muscles. This muscle is present at the back of thigh. You should not worry about this. Taking bed rest, good analgesic like evil/sleeve & doing warm fomentation over back will relive this spasm associated pain. With best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am taking bisoprolol for svt i am overweight and really want to get fit but each time i go to the gym the treadmill machine slows down to a walking pace after about two minutes because it says my heart rate is too high what type pf wxercise should i do? ### REPLY: Hello Thanks for posting here. Your heart rate tends to be fast as soon as you exercise. Bisoprolol keeps the heart rate under control. You need to walk on the treadmill at slow speeds initially then gradually progress to faster speeds. Due to lack of exercise, the heart is not accustomed to it, hence heart rate increases rapidly when you exercise. Once you do it regularly, the heart rate will start getting under control and your treadmill will not lower its speed automatically. Continue taking bisoprolol. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a knot on one of my lower right ribs, not near the spine. I am also a breast cancer survivor, lumpectomy, right side, 5 years since diagnosis. My docs seem to think there is nothing to be concerned about, but no imaging tests have been ordered. One doc suggested that it is a calcium deposit. Is this probable? ### REPLY: Hello, It could be anything ranging from a soft tissue swelling or mass to a bony swelling. If its consistency is soft and bulbous it could be a lipoma and if its hard as stone it would be a bony deposit, anything in between could be anything. You hadn't mentioned the duration and associated symptoms. In case it is of long duration and causing any discomfort, you need to get an x-ray chest app view and a FNAC of swelling to reach out for the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My arthritis doctor prescribed that I take two arthrotec a day for arthritis. My family physician is not keen on this and pharmacist says it is hard on organs. I am perplexed. I take a 1 a day vitamin and one a week an osteo pill. What do you suggest ### REPLY: Hello, Arthrotec has two ingredients diclofenac and bisoprolol. The bisoprolol is to protect the stomach from ulcers. The diclofenac is an anti-inflammatory medication like Advil and can be hard on the kidneys. It really depends upon the amount of pain that you are in. If you are in enough pain to require an anti-inflammatory every day, this is not a bad choice since it will not cause an ulcer. If you are not in too much pain then I would avoid it. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having tightness and soreness in my chest and trouble breathing for about a month now, ive been extremely tire and weak too. i had some blood work done and i have a low rbc count, low wbc count, low neutrophils, and very low alkakine phosphatase. my thyroid, liver, kidneys and all that came back fine. why could this possiblly be? ive been searching everywhere. ### REPLY: Hello rearward welcome to .come have evaluated your query in details .* This is more likely in relation with low levels of hemoglobin, along with possible deficiency of vitamins, proteins etc.* Needs precise evaluation with clinical findings, study of lab reports, x-ray , EKG of the chest. Hope this will help you for sure . 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: Hello, I am a 37 yr old woman. Over the past 2 weeks I have experienced ~4 episodes of sudden, stabbing pain in my left abdomen. The pain ranges from moderate to severe and, thankfully, only lasts for less than a couple of minutes. The episodes have occurred at various times of the day (never at night) in various situations (i.e. while cleaning, while driving, while sitting at my desk). My family has a history of fibroids and other gynaecological issues. Should I arrange to see my OB or General Practitioner? ### REPLY: Hi. Thanks for your query and an elucidated history. You should see a General Surgeon. The reason being your problem is suggestive of the following:This is not definitely related to obstetric or Gynecology. This may be due to intestinal spasm due to intestinal infection or some allergy, intolerance to something or just a stomach upset and nothing serious. This can also be due to ureteric colic on the same side. I would advise you the following:Routine blood, urine and stool tests. Ultrasonography; A course of 5 day antibiotic and metronidazole, probiotic - see the response and if the symptoms recur, get further investigations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 15 year old male when I lay down and try to go to bed I cant sleep because I feel like Im not getting enough air what could this be?  I recently took a prescription drug with this as its side effects but I stopped yesterday and it happens again tonight ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern.Don't worry, It's nothing serious. This feeling of not getting enough air might happen for different reason. Sometimes just a simple stressful situation, anxiety can cause this symptom. All sow a fast heart beat, an extra systolic-heart beat might give this sensation of not getting enough air. This tachycardia or extra-sistolic heart beat might be quite normal, to come and go, or might happen because of a different pathology, an anemia, hyperthyroidism etc. But you explain taking a medicine with this side effect. If it is sow, you have to wait for some days, minimum 48 hours for these effects to rebound. The time depends on from the kind of medicine, for how long does it totally eliminate from your body. So, just wait for some days and see. If you have the symptoms again than take a look at you rhythm when you feel this breathing difficulties. Only then, you might do a simple electrocardiogram, an echocardiography and maybe a holder monitoring. This can show us better your heart structure a rhythm tendency. Hope I was helpful. BEST REGARDS. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: multiple discrete reactive mesenteric lymph nodes seen in umbilical region and right iliac fossa, largest measuring 14.8*8.5 mm in right iliac fossa My son was affected on this issue, he is 7 year old. Can you explain what is happen in general english.Thank you for your help. ### REPLY: Multiple reactive lymph nodes in abdomen at 7 years of age. I need further information to conclude. Is he having fever? Any abdominal pain? Any loss of weight and appetite. If none of the above symptoms are present, then probably you need not worry about those lymph nodes. If symptoms are present, then I would like to suggest you to consult local physician and do the necessary investigations thanking 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 experiencing some heavy brown ordorless discharge, it has been happening the past week or so and comes and goes. Ocassionally it is barely noticeable in other Ocassions it come out in large amounts. I have had sex without using condoms. However I am on the pill and have not missed a pill so far, I do not have a period with this pill therefore I cannot tell if this is breakthrough blood or not. I have only started to get concerned as it seems to be getting heavier.  I have had some itchiness but no burning and also some slight bleeding, please advise me on what to do next, Im worried in case Im just being a hypochondriac. ### REPLY: Hello good morning at first u don't tell yr age, if you are taking pills then no cause of regency, have u suffer first time or in past u also suffer from same problem if u have symptoms of back pain, weakness, giddiness, u may suffer from leucorrhoea, u have consulted yr gynecologist and do sonography, if u r suffering from leucorrhoea nothing to worry 15 days medicine will cure yr all problems if other problem yr gynecologist will guide u ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: as you might guess I am on Dialysis and need a vitamin/mineral that has the most benefit to keep me going strong I am getting FERRITIN INTRAVEINOUS , I M TAKING WARFARIN, ATORASTATIN, PROBIOTIC, Q-10, IAM NOT GETTING A LOT OF VEGGIES BECAUSE THE ONES I LOVE I CAN T HAVE THEM. ### REPLY: Hi and welcome to ! Thanks for your questions.  Vitamins and minerals in general are in green leafs, vegetables and fruits. However, in your case you have not mentioned what other problems such as diabetes or electrolyte abnormalities? Without going through your health records, suggesting any diet may be harmful. You need to consult your treating physician/nephrologist for diet prescription based on your blood reports. You can get back to us with your complete health report for appropriate diet advice. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir,I have swelling of the foreskin. A few days back I applied some shampoo, may be the contact with it has caused the swelling. Some five years back I had such problem, but with some allergy tablets it was cured. What allergy tablet will you suggest? ### REPLY: HellloThanks for query. You have swelling of your foreskin It is mostly due to infection of foreskin (Prostatitis). Get your blood sugar levels test done to rule out Diabetes. As this is common presentation of Diabetes. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory . Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve been congested and coughing for about 2 1/2 weeks. For the past week when I sneeze or blow my nose or even just so my teeth actually hurt like I had root canals done on all of my teeth. Tonight I went into a coughing spasm, I coughed that hard that I got a weird feeling an blacked out for a few seconds. My head hurts, I feel really weak and my face feels has a hot feeling ,but my temperature is 98.9. Could I have broke a blood vessel in my head from coughing so violently and why do my teeth hurt so bad? What could I have and what should I do? ### REPLY: Hello, I can understand your concern. As you have got root canals on all of your teeth, if the treatment has been done well, there is less chance that the teeth can cause pain as they have become non-vital after root canal treatment. In addition, the root of the upper molar teeth lie near to or inside the maxillary sinus. So when the maxillary sinuses are congested sue to could and sinusitis, they cause pressure on the teeth and cause pain. When you cough or sneeze or blow your nose, the fluid moves inside the sinus and that causes severe toothache. When your cold and sinusitis will get cured, you will find relief in toothache. You have not broken any blood vessel in brain so do not worry about that. Thus, I would advise you to take Azithromycin 500 mg (AEE 500) once a day for 3 days along with Levocetrizine 5 mg (Exocet) once a day for 5 days. You can also use nasal decongestants. Hot water vapor inhalation will help a lot in clearing sinuses. If you do not feel better in 5 days, you should visit an ENT specialist for further investigations and treatment. If the teeth keep paining after clearing sinuses, you should visit a dentist to follow up on the teeth for re-infection in the root canals. I hope this information helps you. Thank you for choosing . I wish you feel better soon. 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: Hello sir My wife missed her rutuin periods.. It my be 6 weeks .Yesterday she gave a pregnancy test and its positive.. So what we can do now.?can she takes mifty kit..its effected or not..?acctucaly someone suggest her to use mifty kit..plz answer me ### REPLY: Hi, I have gone through your question, and I think I have understood your concern. Please do not panic. Even if she is pregnant, she can opt for termination of pregnancy with medicines safely till 9 weeks of the pregnancy under expert supervision. Usual procedure involved is.- Tab Mightiest 200 mg followed by Tab Mistrust 600 mcg after 48 hours. I will suggest taking appropriate antibiotics cover for 5 days. I hope this answer helps you. Thanks.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, im 17 years old and having erection problems. Ive noticed one day that my erection was weak and not as big. i didnt think much of it so i kept masterbating. but 3 weeks ago Ive noticed i dont get morning erections or random erections, i cant even give myself one. could my penis be tired and my telling me to give it a break? ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. If you are masturbating too much this can occur. Do abstinence for 2 to 3 days then you will get the normal erections back. Also have enough exercises and have nutritious foods. Foods like egg, meat, seafoods, various nuts like almonds, cashew, peanut and citrus fruits all help also. Wear loose underwear. Avoid underwear while sleeping. Get some mind relaxation by doing breathing exercises also. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 16 year old daughter that has been having sinus tachycardia with symptoms of chest pain, dizziness, and heart rate up to 200.  This has been happening since having an upper respiratory and sinus cold in December.  We are now being told that the tachycardia could be caused from the virus in December.  Is this possible? ### REPLY: Hi, Thanks for writing in to . Yes sinus tachycardia or arrhythmias can be caused due to severe viral infections. In such cases usually the virus affects the heart muscles causing weakening of the muscles and disruption of the electrical activity of the heart. Your child may be treated with medications that reduce the risk of heart failure and diuretics which prevent edema and medications that lower the stress on heart.Also, a low salt diet is advisable to maintain Blood Pressure. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think I m depressed. A few years ago my father mentioned to me that he thought I was and I passed it off and got over it but lately I feel like I did back then. I m tired all the time, even when I sleep for a long time. I get these feelings of dread and like nothing will ever go right or work out for me and I ve had thought about ending it all and I m really starting to worry that it s something very serious. am I depressed and do I need to seek help? ### REPLY: Hello have symptoms like tiredness, easy navigability, feeling of .  Feeling that nothing will go right and have hopelessness. All these symptoms which you have mentioned are the symptoms of depression. As per my opinion you should consult a good psychiatrist for expert opinion. Medicines like SSRI, SARI, tricyclic antidepressants etc. are commonly used in depression. These medicines are safe and free of serious side effects. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi ...i got married last year 2021 jan ..still im not able to get conceive...last month 14 i got my last period n fifth day i went to doc...she suggested siphine for first 5 days nite n ovacare for 30 days noon n gynovit syrup for 30 days both morning n nite before food...i mostly get abdominal pain....is it a problem.???will i get concive this month..... ### REPLY: Hello, For pregnancy ovum with patent tubes and normal semen analysis is important. You have been given sphere which is given for ovulation stimulation. It causes mild abdominal pain during ovulation. If you don't get periods on expected date go for urine pregnancy test. If you fail to conceive this month you should go for USG lower abdomen and follicular studies as you are complaining pain. If you don't conceive on these medications detailed investigations may be required. Consult your gynecologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 get a sharp pain on my left side near my heart whenever I lay down for a long period of time. Its worst when I lay on my left side. I went to the doctor for it in my mid 20s and they could not find anything wrong. Im 49 (male), have always been very active, and in great health otherwise. ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that your symptoms may be related to a gastroesophageal disorder (reflux or esophageal spasm). A muscle skeletal pain can not be excluded by this clinical scenario. Your symptoms don't seem to be related to any cardiac disorder. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests: -complete blood count- PCR, sedimentation rate (inflammation)- blood electrolytes- kidney and liver function tests. A GI endoscopy is necessary to exclude the above-mentioned gastroesophageal disorder. Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.. my 2-month old son has a WBC count of 27,000. X ray shows he has pneumonia. He was given antibiotics tru IV fluids, then it went down to 22,000, but after 3 days of oral antibiotics, the wbc went up to 25,000. He also has his lymph node enlarged (below the left ear). Is it because of pneumonia? thanks ### REPLY: Hi, I am .  You have not mentioned size of lymph node, it is tender, is single node enlarged or others are also enlarged.  Lymph node enlargement is not due to pneumonia, it may be related to factors responsible for pneumonia. If there are significant lymph node enlargement, especially if persists after antibiotics treatment one need to rule out other causes by detailed peripheral blood film examination for any abnormal cells, Manitou test, ESR and if required biopsy of lymph node. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. 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 name is Mark and for the past week or so I have been experiencing a strange sensation on the left side of my crotch area. It is a pulsing throbbing that has a rhythm of three or four seconds on then the same period off . The best I can describe it is as a weak cell phone phone vibration or one of those electric pad massagers that pulse . I have no pain or swelling . I generally feel well and am active. I am 5 7 160 pounds. I am a light smoker and have a few drinks 3 or four times a week. I eat well and living in Japan have a very healthy diet . This throbbing is extremely annoying. Should I be worried? I appreciate your time and attention to my query! Thank you! ### REPLY: Degree understand your concerns went through your description. I suggest you not to worry much. You should not worry about such things. You should observe this pulsation. Are they available during your work period, or when you are busy with something, or when you are happy etc.? If No, you are clear. If yes, again you are clear. That is it. Means, such pulsations do happen anywhere in the body because of so many reasons. Ignore it and it is gone. If you fear it, then it shall become obsessive, and you feel it always. You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. 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 have a blood filled red lump on my cheek for about 3 weeks now, I ve tried popping it with a needle and it just keeps bleeding non stop, and it keeps refilling back up with blood. It seems to be getting bigger but I have a dermatologist appointment scheduled for june 2nd since I cant get anything sooner. Any idea to what this is? It does not hurt at all either. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some vascular tumor like hematoma or other vascular lesion. You should go for biopsy or fine needle aspiration cytology of lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain near the surface of the basil epidermal layer; to the left of the sternum approximately 1.5 inches to the left and under the right half of the left rib cage arch. I also have pain on the appendage that connects the shoulder to the hind of the skull. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. It is mostly due to heavy exercise or bad posture which cause muscle strain. So better to avoid movements causing pain. Avoid strenuous exercise. Avoid heavyweight lifting. Avoid bad postures in sleep. Apply warm water pad on affected sites. Start painkiller and muscle relaxant .  Don't worry, you will be alright with all these treatments. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, My wife is suffering from ITP and recently underwent Spleenoctmy.Though her platelet count has increased,she is still on steroids(30 mg of wysolene).Once she takes the tab she starts to shiver and would be out very low till the effect comes down.This may be for 4-5 hrs. Is this a a sympton of Wysolene? Also she feels heaviness in her body,Also are there any food intake that would reduce the tablet effects?Thanks in advance ### REPLY: Hello Kumar, ITP is an autoimmune disorder. And Cyclone (which belongs to the class of corticosteroids) is given to suppress the immune system. However, once the platelet count improves, the dose of corticosteroid is gradually reduced and the possibility of relapse is monitored. Long-term steroids usage is associated with certain side effects like:1. Increased susceptibility to infections2. Abnormal fat distribution3. Osteoporosis4. Diabetes5. Hypertension6. Cataract, etc. Symptoms aggravate if medication is stopped abruptly. Make sure while discontinuing the medication, its dose should be tapered gradually instead of stopping it abruptly. Food products which strengthen the immune system should be taken like fresh fruits & vegetables, milk, etc. Wishing a good health. Let me know if I need to clarify further. Thanks & 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: 52, female,200 pounds,5ft8in. charlie horses in diaphgram ( Showed my sister she thought I was pregnat) told her it was a charlie. (it is as big as a babies head)sometimes I can push on it with my hands,but I end up with brusies on my stomach. Very painful,if I m driving I have to pull over and get out and try to strech it out.It can happen any time. Been going on for a couple of years now. What is it? ### REPLY: Hello, It looks from your details that you are off and on feeling swelling and painful cramps a upper abdomen area. In my opinion this can be epigastric hernia or one of the other type of hernia. I will advise you to consult to your physician. A clinical examination is must in such case and almost confirmatory in such cases. 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 had sex with my bf on 27th May.. I tk emergency contraceptive pills on 28th May.. I hit my chums (periods) on 4th June.. from 6th June I m undergoing through burning sensation in my vaginal part.. I cant touch the end of vaginal part.. It itches and irritates.. wen there is a white discharge it causes more burning sensation.. Can you please tell any home remedies.. I cant go for medication because my mother dont know that I am sexually active.. can I use clean and dry cream ### REPLY: Hi &. I have gone through the problems described in your query. I am of the opinion that you have some sort of fungal infection termed as vaginal candidiasis (yeast infection). This infection can be effectively treated by using antifungal creams like Clotrimazole or Fluconazole to be applied on the affected area for 2-3 another effective treatment is single oral dose of antifungal . These medications are available over-the-counter. The home remedy for such infection include:A fresh garlic clove. Take a clove of fresh garlic and peel off the natural white paper shell that covers it, leaving the clove intact. At bedtime, put the clove into the vagina. In the morning, remove the garlic clove and throw it in the toilet. One nights treatment may be enough to kill the infection. Continue one or two days until all itchiness is gone. You can also eat yogurt as this has proven to be effective in such cases. Since your genital area is inflamed and painful, sitting in warm water (in a bathtub or site bath, not a hot tub) may help. Or instead, you may try putting a cool, damp cloth on the area. Do not rub to try to relieve itching. Use loose cotton cloth undergarments. Hope the suggestions give could be useful in eradicating the infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been getting rashes on my skin for past 3 weeks. I visited a physician and she recommended Vozet 5mg (glaxo) for four days. Once I started that tablet, the itching disappeared. But started again after 2 days. I took one more course for 4 days the result is the same. I have never had any allergy in my life (43 years male). The itching started while returning from a foresty region. I remember I had few bites of mosquito likes - -. What should I do? ### REPLY: Hello. Thank you for asking at . I went through your history and would like to make following suggestions to you:1. I usually suggest my such patients regular montelukast-levocetirizine for at least 2 weeks.2. Furthermore, I also suggest them to apply a lotion like calamine/moisturizer over itchy areas immediately after bath.3. As your problems' starter after a trip, I would suggest you to take a course of antiparasite .  (parasitic infections can commonly cause such hives). Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health and a very good recovery. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son was bitten by a dog last saturday. the dog was injected anti rabies last 2007. my son already get vaccinated after an hour when he was bitten. 2nd dose and 3rd dose to follow. do i still need to worry about his health? because i cant check if the dog is still fine for the next 10 days ### REPLY: HI, thanks for using  Since the dog was immunized against rabies and your son is going to receive the full rabies course of immunization vaccines then he would be adequately protected against this infection. You should also make sure that his tetanus immunization is up-to-date. Tetanus is also an infection that can occur due to dog bites. Monitor the wound for an evidence of bacterial infection-swelling, tenderness, increased warmth, increased redness, discharge 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: Hello, I am 20yrs of age andI seem to be having an issue with my full development of hieght aswell as penile growth. I was only wondering, besides quitingall of my bad habits; smoking, drinking and stress is their a naturalway to enhance growth? ### REPLY: Degree understand your concerns went through your details. Growth is related to many factors including genetics and nutrition. If you follow a healthy life pattern, your bones will be able to grow naturally without any external problems. Penis growth is also the same story, but there is no hereditary angle to it.  But in that case, you don't have to worry. Even a penis with an erected length of two inches will be able to satisfy any women in the whole world. Size never matters in sex, passion matters. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: please can somone help me. I am 23 and have had severe sciatica on the left side for 16 months ive tried co-codomal, solpadol, tramadol for the pain also had physio for 3 months but nothing worked. Last week I was admitted to hopsital with saddle Anaesthesia. I had tests and an MRI and the doctor said I had 3 prollapsed discs which were leaning on my sciatic nerve but not leaning on them enough to do anything apart from give me pain killers, which I already take daily! Anyway tonight I have got pins and needles down the left side of my whole body should I be worried? ### REPLY: Hi, Thank you for posting your query. It is reassuring to note that your doctor feels surgery is not required, which means the nerve compression is not severe. For nerve pain and tingling, medications such as pregabalin or gabapentin are useful. If medications do not help, you can go for epidural nerve block injections, which can be given by an anesthetist or a pain specialist. Please continue the physiotherapy. Wishing you good health, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My test report shows that i have elevated levels of estradiol 72 (Normal upto 42).I did exercise to reduce fat level and also i made dieting.Because of poor dieting,i was not getting sleep at fullnight before 3months.then i changed to my normal eating habits and doing exercise.Still estradiol level is high.I am afraid that i have some prostate issues>kindly suggest me ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your estradiol level is slightly high. There are many causes of high estradiol level. Hepatic cirrhosis, hyperthyroidism, estrogen secreting tumor are the common cause. You should check your thyroid level and go for ultrasound abdomen. It will give some idea about cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My fiance and me tried to make love on one week before my due date for periods. I used emergency pills after it. A week later , i had periods. On the first day of my periods, I had sex with him again using emergency pills. But my periods stopped after 30 hours and brown coloured blood started coming from my vagina. The light bleeding in the form of brown blood with no pain persisted for 10 days from 17th january. I doubt if Im pregnant or if it was a side effect of ghe emergency pill which i had. Please help me with this confusion. ### REPLY: Hi, Thanks for the query. In your case there was no need of emergency pill. Because usually in case of regular periods' ovulation will not occur one week before expected date of periods or during periods. Emergency pill will have high dose of hormone. That may be responsible for stopping of your bleeding after taking pill. Once the hormonal effect decreased the collected blood might have come out. Brown color of the blood indicates collected blood. Emergency pills can lead to menstrual irregularities. That may be responsible for prolonged spotting. You should not take two emergency pills with less than 2 months gap. Anyhow, possibility of pregnancy is less in your case. 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: yes have allergy bad and i was wonder if you can tell me.why im having problem i been coughing up thick clear mucus.is this cause by my post nasal drip or my allergy.it stay in my throat and some time it hard to cough up.i also have acid reflux.can you tell me what causeing this. ### REPLY: Hello. Thank you for asking at . I went through your history. From your history, I would think both reflux and post-nasal . Were I treating you, I would suggest you as follows:1. I would suggest you daily montelukast and levocetirizine for at least 4 weeks.2. I would also suggest you an antacid like omeprazole or pantoprazole daily before each meal for at least 6-8 weeks.3. Regular warm saline gargles and steam inhalation will help you a lot to reduce your medicine requirements.4. Please avoid exposure to dusts, smokes and air pollution as much as possible.5. For allergies, I would suggest you allergy testing which will help you to identify and avoid the substances that are causing troubles to you. Hope above measures will help you. Wish you a quick recovery and the best of the health. Should you have any other query, please feel free to ask at . Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor! I have had pain on my left abdominal side for a while now. The pain starts from my left abdominal side, moves on to my left chest and then back to where my shoulder blades are. The pain can be sharp, burning or very constant. I have had many EKGs done, blood tests and all possible tests you can imagine but it all came out clear. I am going crazy, the pain comes and goes, usually stays for a 1-2 weeks and then disappears for a while and comes back again. Please help me! Sincerely, A frustrated patient ### REPLY: Hi. Thanks for your query and an elucidated history. It is good that doing EKG and other test the heart problem has been ruled out. Yet, it is better to get a cardiac consultation from a Cardiologist to undergo further investigations like Eco-cardio and so on. Another reason can be recurrent colitis or HERD. I would advise you the following:-Upper GI Endoscopy as you have burning pain, it is recurrent.-CT scan of the chest and abdomen as sometimes there are hidden problems which can be detected only on CT.-MRI of the spine- as the disc prolapse can cause you such weird problems. Once the diagnosis is made, treatment is easy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 head does not feel right.  When I try to think or focus it actually feels like too much work.  Very emotional at the slightest provocation.  Feel foggy and slow.  Its been about a month like this and seems to be getting worse.  Im tired and sore in my neck and sholders within two hours of getting out of bed. Writing this explanation right now is taking more energy than I have. ### REPLY: Hi, I went through your query and can understand what you must be going through. From what you have mentioned, it seems that you are manifesting symptoms suggestive of a depressive episode. Feeling tired, slow and emotional are all symptoms of depression. You should consult a psychiatrist for undergoing complete evaluation of your symptoms and initiating treatment. Had I been your psychiatrist, I would have also advised some blood investigations like complete blood counts (to rule out anemia) and thyroid function tests (to rule out hypothyroidism). Both these conditions can lead to depression and lethargy. Treatment with anti-depressant .  You have to remember that almost all anti-depressants are slow to act. So, you will have to be patient about the response which will need at least 2 weeks after starting the medications. I do hope I was able to help with your query. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.i just experience an on and off chestpain lasting for 15-20 minutes,the first day and subsided.took aspirin and slept the whole night. Had to wake up early for work,it happened again maybe for 5 minute,pressure on left sideof my chest,and gone to work. During lunch hour it came back and iiit radiates to my shoulder and slowly down to my left arm.I am not too worried thinking if this is reall a heart attack i will be dead by now.It was my co worker who insisted me to go to occ health. I had a very bad family history.My mom died of stroke,dad died of right ventricular failure,my sister died at age 47 of heart attack,and in family side two died of stroke,tripple bypass in early age.In ER my Ecg,chest X ray and blood work is normak and im feeling like an idiot waiting for them to tell me that everything is normal. I reall dont know what to do now. Would you mind telling mr whats the next step i have to do. Thanks in advance ### REPLY: Hello I have gone through your question and understand your concern. Chest pain of cardiac origin can still be the cause with ECG changes, even high intake of caffeine causes chest pain by increasing heart rate. Right now it is not necessary to undergo any further test, but you should consider seeing a cardiologist if pain reoccurs and radiates to shoulder, back, jaw along with any other symptoms like shortness of breath, increased heart rate, sweating. Gastric diseases also cause chest pain take some over the counter antacid to see if this reduces pain.  And also the next time you go for health check-up test your lipid profile and ultrasound abdomen for better understanding of the cause behind pain. For now your condition can be classified as Atypical chest pain. Hope your concern is answered. 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: What treatments are available for simple visual partial seizures in absence? My 17 year old started noticing these 1-2 times /day about 5 years ago, and they gradually increased to 10 instances/day. This happens when she is standing or walking, and her vision goes black (but she never loses consciousness). She has been tested for Neuropathy, MS, and a few other things and all came out normal. So now her neurologist prescribed Trokendi XR (Topamax), beginning with 50 mg/day and over a few weeks, up to 100 mg/day. She had horrible side effects, such as difficult with memory and concentration, muscle weakness, Paresthesia, dizziness, hypoesthesia, so we are going back tomorrow. Are there other drugs without such significant side effects that can help, or other non-drug remedies? ### REPLY: Hello! Welcome on  ! I read carefully your question and would explain that the fact that her seizures are triggered by standing up position is not typical of partial epilepsy seizures. For this reason, I would recommend performing a Head Up Tilt test to exclude possible orthostatic hypotension, which may trigger this clinical situation. If orthostatic hypotension is excluded, I would recommend trying Aborigine for the seizure control. It is better tolerated compared to Tokamak. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, I have been suffering from shoulder and neck pain from last 20 months and went for MRI Scan two times. Today s MRI Report is showing as everthing is normal except loss of cervical lorodosis . I am experiencing civiar pain at right shoulder joint and even in right side chest also. Can you please suggest that how can I get relief from this one? Thanks for your kind help. Regards, Vasu ### REPLY: Hi, Thank you for posting your query. First, I wish to reassure you that your MRI findings are minor and there is no need to worry. For treatment, physiotherapy is the most important. You should do neck extension exercises twice daily, at least for ten minutes each time. You can learn them under the supervision of a physiotherapist. Medications for pain relief in this case are pregabalin or gabapentin capsules. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I accidentally clipped the skin on my scrotum while using clippers it took off the upper layer of skin the size of a captial O. I hit a tiny blood vessel and it wont stop bleeding. I have a bandage and a clamp on it. i had it on for 2 hours but as soon as i took it off it started bleeding again. so I have clamped a new bandage. this has been going on for 4-5 hours ### REPLY: Is it an ooze or active bleeding ? If an ooze let the pressure bandage stay for about 4 hrs, if active bleeding then it would require a stitch. A pressure bandage in that area is difficult wear a tight underwear with some cotton pads over the area. Consider having a BT CT done to rule out any bleeding disorder. Are you on long term aspiring ? Infection is very common in this area so plan to see a 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. I m not sure what to do - a large table fell on my finger today - offcourse at first i felt serious pain, and noticed that there was a small wound with something bubbly and jellow sticking out of it. I thougt it was skin, so i Tried to Cut it with a scissor, but that was too painfull. What do you Think it is? Becks ### REPLY: Hi Becks, and thanks for visiting . The bubbly yellow stuff you described sounds like serous exudate. Serous fluid is normal - all of us have it in our bodies. It is found in many of our bodies cavities. It contains proteins, water and cells necessary for day to day functioning. So when there is a wound, serous fluid can sometimes seep out (exudate). Please do not try to use scissors on your wound. Gently clean it to prevent infection and .  Do ice that sore finger every two hours to reduce the swelling - if there is reduced movement after a few hours, please visit your regular doctor to rule out a fracture. Hope this helps, 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: Hello. It recently felt like something was stuck in the back of my mouth. I looked in my mouth with a flashlight and noticed bruising or a purpleish-black mark on each side of my Uvula. My throat feels better and do not have the sensation of something stuck in my mouth but it is still the same color. ### REPLY: Hi Dear, As per your query you have symptoms of purple rash around the uvula which is because of viral infection which sometimes spread in the tissues around the tonsils and produce this coloration. Need not worry about it. I would suggest you to do warm saline gargles.  .  Apply Lidocaine containing gel if it is painful. Take Advil or Tylenol for pain and swelling. Consult ENT specialist for proper examination. Doctor may order blood test or throat swab test. Doctor may prescribe antibiotics course for at least 10 days along with anti-allergic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: in December echocardiogram saw 1 cm lesion on liver, 6 months later ctscan with dye and ultrasound say it is 18mm. My primary says nothing to worry about do another ultrasound in three months. what kind of doctor do I see for a second opinion because im not satisfied with its fine ### REPLY: Dear friend, greetings, this has to be handled by surgical Eastern neurologist. Please visit nearby institute and get his opinion on the CT scan report. Even a good radiologist also will give better opinion If there is no jaundice or pain also bleeding tendency or edema nothing much to worry. It could be a benign passion. But nothing wrong in ruling out. Get the complete hepatobiliary profile too. Thanks for contacting us and do contact us for more queries ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 77. He needs triple bypass. He has begining stages of dementia. He had brain surgery for an aneurysm 23 years ago. Cardiologist says surgery needed.One artery completely blocked one 90% and 60%. Will this affect his dementia . Brain surgery was a miracle although it affected short term memory at time. Over years he lost his mother, sisters and grandson and never cried or showed emotion. How will this affect his quality of life? ### REPLY: Hi, Thank you for asking to , In subjects with dementia undergoing a surgery on most cases deteriorates the condition. The main reason is blood hypoperfusion during any kind of surgery. Then having in consideration your father past medical history of cerebral aneurysm this is another negative factor. I would advise you to have an appointment with your doctor to thoroughly discuss the possibility of other options for treatment or other ways how to levitate this problem. Hope this will help with the solution of your problem, feel free for any other information. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19-year-old daughter is experiencing pain in both her shoulders. She has not suffered an injury and does not participate in sports. This has been going on for several months now. The pain started in one shoulder then graduated to both shoulders. It seems to be especially bad at night. What could it be? ### REPLY: Hello, As mentioned there is shoulder pain we need to know what type of pain it is? Is it dull aching? Is it sharp shooting? Also is the pain in the shoulder or around the shoulder?  Or is the pain present in between the neckline and the tip of the shoulder or just the shoulder? Just with a brief history what you provided I feel she needs to do regular exercise for strengthening the shoulder girdle muscles and also the trapezius muscle.  As with most female using the accessories tight which may become one of the cause too. But as history is too less It's difficult to give you an accurate reason for the pain. But with exercise, she will definitely perform well. 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: My husband 53 has opcd dx about 5 years ago. His ataxia, speech & swallowing problems along with a cough have seem to gotten worse in just the past few months. Can he possibly have a remission of these symptoms or are we on the road to more difficult problems. He has alot of drive & a good attitude but the balance problems & fatigue are discouraging. I just dont know what to expect for the future. Does anybody know for sure what course this will take and how soon? ### REPLY: Hello In your questions you have mentioned OCD, and it is not clear that it is OCD or CPD. But still from available history I can assume that its OCD. If his problems of cough, swallowing has started occurring again, and he is feeling fatigues along with balance problems most likely the symptoms are reoccurring again. OCD is a disease in which there is waxing and waning course. It is characterized by periods of exacerbation. I would advise you to take him to his psychiatrist and get him evaluated. OCD is associated with depression in about50-60% of patients so kindly don't ignore and visit a psychiatrist. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im 26 my partner 31 we are in the middle of our icsi treatment ive started my menopur injections today, my scan today showed good results but im still worrying it aint going to work for us my partner has gotta have sperm retrevel on the same day as my egg collection but we are both light smokers and the sress of all this is making it harder to quit what are our chances of this working for us? ### REPLY: Hi, Welcome to . Kindly stop thinking negatively as it can negatively affect CSI result by increasing your stress. Though it's true that smoking slightly reduces chance of pregnancy, it's not that it will lead to 0% pregnancy rate. You can negate the side effects of smoking by eating diet rich in antioxidants/taking nutritional supplements. It's quite understandable to have the stress of such an invasive & costly procedure, but please don't stress overpower you. Regarding chances of getting pregnant, it depends on many factors like the quality of sperms your doctor gets during retrieval, the centers' baseline success rate etc. Your treating doctor is best judge regarding prediction of that chance. Hope this helps you. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.... i am a 21 yrs old female. I am worried that i am pregnent but i have not experienced any nausea or my period is still due... so i dont know whether itll occur or not..!!! but i am very worried. I did not have any intercourse but me and my boyfriend were playing and with a jerk he touched my vagina due to which just the hymen broke but his penis did not enter my vagina...!!! what should i do ??? ### REPLY: Hello dear, I understand your concern. In my opinion just mere touching of vagina with penis doesn't result in pregnancy even if the hymen is broken. There are chances for pregnancy when semen is ejaculated inside or on or around the vagina during the fertile period. As nothing such happened you need not worry. The first sign of pregnancy is missed period. So wait and check for the period. But anyway there is no chance of pregnancy. Just relax. Avoid stress regarding that because stress might also delay the period sometimes. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Recently I found out my younger sister was self harming. We were worried about this before and hid all sharp objects. Today we found out she used a blade from an old pencil sharpener that we gave her when she went to take the SAT. On top of that we found out she shared the blade with her friend who also self harms and used it when she gave it back to the next day. Her friend recently lost her virginity to a guy she was casually seeing and even had a pregnancy scare. You can see why we are concerned. There are so many scary blood borne pathogens out ther and we are worried she is danger of having caught something. I know there is HIV testing at the clinics, but is there any test that check for all blood transmitted pathogens? If not, which tests do you suggest she gets? She is already seeing a therapist and we are now keeping a vigilant eye on her, but we need peace in mind in knowing she hasn t contracted something. ### REPLY: Hi, The situation of your sister is something that needs attention but not to be much scared about. There are so many blood-borne pathogens that it's difficult to suggest you a single test. If she is doing well then there is no need to worry. The HIV if any does not stay long enough on a blade to cause reinfection. However, considering the closeness and sharing your sister enjoys with her friend, it will help to do infection testing only if she develops symptoms. As mentioned, HIV transmission is the least likely by above method. Testing for sexually transmitted infection is required only if she has been in a relationship. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I have a lump on my chin. It is a non-moving sharp lump. It is on the left side of my chin. You cant see it on the outside. But it can hurt at sometimes. People feel it and they say it is most likely a bone spur. But im not sure. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query sharp lump on the chin which is not very obvious from outside could be because of salivary gland dilatation which could be seen as a lump in chin area, it could be because of sebaceous cyst as well. Need not worry. Visit general surgeon once and get it examined. Go for ultrasound to check the exact cause and to make out diagnosis. Go for massage therapy of this particular area. Take proper course of antibiotics to subside infection. Digital manipulation techniques will help to reduce this. Chew on citrus substances. Incision and .  Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A whooping cough epidemic is sweeping across California. In California this year, nine people have died and over 4,000 people have been infected. Read about whooping cough symptoms, and learn about potential side effects of the whooping cough vaccine. ### REPLY: Hello, Yes, treatment is definitely possible for whooping cough. Whooping cough is caused by bacteria known as pertussis. Antibiotics like amoxicillin, levofloxacin and azithromycin are effective against this infection.  So consult your doctor and start any of this antibiotic. Do warm water gargles and steam inhalation 4-5 times a day. Avoid cold beverages and ice creams. You can also take pertussis vaccine as it is safe. Hope I have answered your query. Let me know if I can assist you further.  Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing severe neck pain for several months. While it isn t terribly bothersome during the dy, I am awakened mny times during the night with my entire head feeling numb and can brely move it. also, I am awakened during the night with aching in my hips an legs, generally a total body aching . my email address is YYYY@YYYY ### REPLY: Hi, Thanks for your query. Neck pain that you are having are suggestive of degenerative -spondylitic changes of the cervical spine. X-ray of neck in lateral view or MRI will help in the diagnosis. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical . 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good morning. my 4-month old broke out in a full body rash after his second ever bottle of enfamil formula. we went for allergy testing and passed for milk, soy, and a couple common proteins . Gave him similac... full body rash and threw up. passed allergy tests again. gave him soy formula, was fine for over 4 bottles in 2 days. woke up this morning with full body rash again. no other environmental changes come to mind. advice? ### REPLY: For 4-month-old baby no need to add any other Milton mother milk is required for baby for 2 years and after that no military has no immunity till 2 years which is given by mothers milk till 2 years after that the internal immunity of baby starts, and he does not need support of mother milk after 2 years you can add other thingsThis age also you can be other substances instead of million add any milk till 2 yearsCamelmilk has the same structure as human milk you still want you can add but no need for rashes you can apply calamine lotion ABD fluticasone ointment ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I am a 65 year old woman who is active, 30 lbs. overweight and relatively healthy. Over the past 6 months my shoulders, elbows, hips, wrists and thumb joints have begun to have pain to the point that now I am in extreme pain most of the time. Even difficult to stand due to the pain in my left hip. This has come on so fast, I m not sure it could be arthritis.. ? ### REPLY: Hello, Pain in multiple joints of the body may be due to inflammatory arthritis such as rheumatoid arthritis.  Other reason may be: 1. Osteoporosis with weakened bones 2. Osteoarthritis. Detailed clinical examination is needed to assess exact cause. X-ray of both shoulder and knee joints anteroposterior and lateral views should be done. Serum testing for RA factor, serum calcium, serum phosphorus and alkaline phosphatase levels should be done.Meanwhile, start tab Attract P twice a day for pain relief.  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 just had my chest x rayed PA and lateral views. FINDINGS: LUNG FIELDS: No focal findings. Mild increased interstitial markings, likely chronic. Mild hyperaeration. Could you please explain what this means. Is it serious? I do have a cough and white mucus comes up. I have allergies (mold spores, grass, running nose) ### REPLY: Hello Your report suggests mildly increased interstitial markings. It may be due to COPD, asthma,infection, inflammation etc. Mild hyperaeration is related to mild air trapping. It is also important to rule out infective etiology since you have symptoms. You may require antibiotics after clinical assessment. You also need further tests like routine hologram. Avoid smoking if you are smoker. Inhalational bronchodilators or steroids may be needed after clinical assessment. Hope I have answered your query. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I hit my arm yesterday on the outside on my forearm now there s a big bump and it s bruised but doesn t hurt bad. I have a high pain tollorence and I ve broken my wrist before with no bruises at all. I can sometimes feel a little pain in my pinky ring and middle finger when I push on something and in my elbow when I lean against a table. Please help ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have bump on the forearm after hitting. Well there can be many reasons for symptoms you mention in query like hematoma, soft tissue injury or fracture. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, x-ray along with physical examination. Doctor may give plaster, prescribe antibiotics along with anti-inflammatory and painkiller. For now apply ice pack for first 48 hours, then apply warm compresses and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sunday I woke up with a bad headache and started getting quesy and for the next 14 hours I was throwing up almost every hour and when I was done each time I broke out in a sweat and then got chills. I am still alittle nauseas today but this happened 2 months ago too. Is this a flu? ### REPLY: HI, thanks for using  It does not sound like the flu. Nausea, vomiting, headache are commonly related to viral or bacterial infection of the stomach. If the intestines are involved may also have diarrhea. In some persons, who have severe reflux, these symptoms may also occur. Treatment(1)Restricting your diet till there is a 4-hour window with no symptoms(2)using meds such as Pepto-Bismol or .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 37 yrs old male. I have undergone discectomy at L4-L5 and L5-S1 four weeks ago. I had recovered well after 2 weeks and doctor advised me slowly start normal activities.But after the 3rd week I am experiencing severe pain in my lower back. I have a twist towards my right above the hip area. Doctor has prescibed Medrol 4 mg 3 times a day for 5 days. But the pain is still persisting . Please advise. Sunil. ### REPLY: Hi Welcome to ChatDoctorI have gone through your query regarding your persistent back painTroubles coming again & again is caused due to imbalanced metabolism and weakened immune system, and it depends on regular life style proper regular exercise yoga Panama healthy diet. Gulping on medicines will not help total cure if regular regimen is not followed. Proper nutrition is an integral part of a healthy immune system if we take simple, fat free nutritious diet including all essential nutrients as fiber vitamins minerals, veges, fruit antioxidants as lemon water with water, garlic, ginger onion -whole grain almonds, walnut AMLA, coconut water all help strengthening our immune system .and pave way for our disease free, healthy life. Avoid fried, fast foods, tea, coffee alcohol meats colas, sodas as it can cause accumulation of toxins in the body. Take good night relaxed sleep & Meditation, helps further. Keep your bowels clean. Do exercise properly / regularly, / but don't do any exercise which involve front bending, It will do more harm than good. Back bending slowly, without jerks, will give you instant relief.  Stand straight keep your hands on your waist feet 2 ft apart. Bend body back gently as much as you can. Sit on the chair straight both NDS clutch at the back on the hips. Pull hands, neck, shoulders, head as much as toucan gently help recovers your back, spondylitis cervical back problems instantly. A cup of hot milk fee with a level teaspoon of turmeric or Hilarity - a herb will give relief from pain & strengthen bones. Hope this give you reply of your query. All the best. Take care. If any doubt pls mail at . common hesitate to get back if you have any further query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am 13 years old and my penis hasnt grown at all since birth, nothing, at all. i do try to produce sperm but i never did and never succeeded. please tell me what to do to make my penis bigger without any pills or drugs or doctor and operations but just doing it alone and naturally. thank you. ### REPLY: Dear serve understand your concerns went through your details. The average erect penis size is less than 5 inches. You are just 13 and your penis should grow for another 6 years. Please do stop worrying about your penis and its length and sex etc. They all should be perfect when you grow. Concentrate on your studies. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, we have a patient who is suffering from pain in the lungs,he has been bleeding from his mouth and has been advised to test his sputum. However, we are not sure what we should do. Kindly suggest what needs to be done and the best hospital in Bangalore for the treatment. Thanks, Puja ### REPLY: Hi. I can understand your concern. He is mostly having tuberculosis and will require evaluation with a chest x-ray blood test and sputum examination. It would be advisable to consult a pulmonologist at the earliest. Any organ can involve with TB. Pulmonary TB usually presents with chronic cough more than 2 weeks duration, loss of appetite, loss of weight, evening fever. If you are having pulmonary TB and have not taken treatment for TB before, then you will require 6 months of anti-TB medicines. Along with that you will require nutritional supplements. If taken regularly TB will be cured. Hope I have solved your query. Wish you good health. Thanks. ### END