Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctors thank you for your help i have an answer: sometimes i feel that my health temperature become high suddenly in my legs then i feel that my heart is beating so fast and i feel that i can not breath normaly this comes for me time to time. pleas answer me . thank you so much ### REPLY: Hello, I understand your concern and would explain that your symptoms could be related to anxiety or a panic attack.  But, before coming to this conclusion, I would recommend performing some tests: - a resting ECG-complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction.  If all these tests result normal, you should consider anxiety as the main cause of your complaints. 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: Im 9 and 1/2 weeks pregnant, and my doctor called me to say that I tested positive for a kell antigen. She is referring me to a specialist, and also told me a have a titre (sp?) of 1:4. What does this mean? Can I have a healthy baby? I had 2 blood transfusions, which she said may have been the culprit. My husband and I are scared. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Well is the antigen present on RBC. Well is the system of blood grouping antigen just like AGO and Rh system. At time of transfusion it gives reaction with antibodies.  So you should match your well antigen also at time of future blood transfusion.  Hope I have answered your question, if you have doubt then you can contact me atbit.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: hello doctor, i am 30 old male my work is field job i usually work at late till evening whole day sometimes i skip meals for a couple of months i am checking my bp - 140/90 , 145/88 and so on i never drink or smoke, i mom is hypertensive patient, i have consulted doc he told to cut down salt, i am not on allopathy medicine this bp is majorly harressing me at summer even last yr summer should i consult some specialist physician ### REPLY: Hello, Your blood pressure is round the margin as age increases 140/90 is considered fine. As your physician told to go for a saltless diet go for it. Try not to stress much avoid pressure cooked good to for steamed foods. As you're susceptible to hypertension as your mother is hypertensive do the BP checkup often to be on safer side. If it goes above this you should go for antihypertensive .  Also check your cholesterol levels to be on safer side, HDL, triglycerides and LDL.  Otherwise, don't stress much. 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: Hey i have kidney stone since last 4weeks and taking the medicine for the same. I tried masterbating in between this period but no ejaculation. Is this because of kidney stone? My list of medicines are: Norflox 400mg Hyocimax tab Urimax 0.4 cap Spiromide tab ### REPLY: HelloNorflox contains norfloxacin and it is an antibiotic. It is prescribed in many types of infections. Norflox is not recommended for kidney stones. Treatment of renal calculus depend upon many things like composition, position,size of calculus etc. Up to 5.0 mm calculus may pass spontaneously. . Climax is generally prescribed in enlarged prostate and HBO Max tab is an antispasmodic prescribed in pain. Get well soon. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother who was a first responder on 9/11 has been vomitting for 3 weeks, fever, chills as well as abdominal pain.  He finally went to the ER last night where they discovered swollen lymph nodes and an enlarged spleen.  They released him and told him to follow up asap with family doctor.   He is a terrible patient and hates to see any doctor.  I am worried about the many cancers associated with 9/11.  any suggestions would be greatly appreciated.Thank in advance,Kerry ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. In your case it looks like infectious cause. Generally enlarged spleen is called splenomegaly and there are various causes possibly leading to this. In first case these are infections such as mononucleosis Parasitic infections, such as toxoplasmosis or Bacterial infections. It means that any infection in your body may lead to spleen enlargement.  Second most common causes include autoimmune diseases such as thrombocytopenia. If this is ruled out by specific tests then some other causes may be considered and some are more or less serious such as Leukemia Lymphoma, or noninflammatory diseases such as acidosis, lupus, and rheumatoid arthritis. In every case, infectious causes are treated with antibiotics and other causes may require surgical removal of spleen. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a swollen thigh after been given an anti sickness injection. The swelling/ hard lump is red and and hot and tbe injection site bruised slighly.I can hardly walk and its very very painful. I feel ok in myself except my body is stiff like i have the flu.What should i do? ### REPLY: Hi If you have a flu like symptoms after an anti-sickness injection, it is obvious that an injection abscess is being developed. Immediately send you blood for culture and sensitivity and then get started on an antibiotic and an anti-inflammatory medicine. Take full bed rest. Get an ultrasonography of the area done, if it shows abscess formation go for incision and .  Get the routine blood tests done including that of sugar to rule out diabetes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 54-year old woman and have had a chronic dry cough since Spring; everyday I get at least five bad coughing jags. Last fall I had a similar cough (though I seem to recall it as a wet cough) but my doctor concluded that the cough was attributable to post-nasal drip and it resolved during the winter. I m concerned that this has been carrying on every day for at least five months. No other major symptoms exist except perhaps tiredness and achiness. How might you proceed with diagnostic procedures? ### REPLY: Hi, Thank you for your query. I can understand your concerns.it seems that you are suffering from seasonal naso-bronchial allergy. Most common allergens for naso-bronchial allergy are dust and pollen. Do blood test for absolute eosinophil count and serum IGE level. Try to avoid possible allergens. MonteluKast 10 mg orally and Fexofenadine 120 mg /Levocetrizine 5 mg daily orally may help. Consult your physician for review. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 19 years old, aside from asthma, a soft systolic heart murmur and dizziness I m normally fit and well. The other night I was on first aid duty at the open air theatre for a status quo concert and just over an hour before the end I was sat in a chair in the first aid post and my head went *funny* I felt likeiI wasn t really with it and I felt lightheaded. I gradually got worse over the next hour as my hands started shaking which got worse then just stopped, I was confused and disorientated. I had barely any energy and it was difficult trying to move and I was having problems talking and at one point couldn t speak at all. I kept zoning out or there would be times when I knew people were talking hut didn t know if they were talking to me or even what they were saying. I was taking to the hospital by our ambulance crew where I had an ECG done which was normal and my blood sugars were normally but I m not sure about anything else. I don t remember a lot of what happened, some of this is what I have been told by my colleagues. I currently work in a theme park for which I do a 40 mile round trip on a moped as well as having several other first aid duties to cover this season so I would be very grateful for an opinion on this and what I could do to stop it happening again. ### REPLY: Hello! I read your question and understand your concern! In my opinion these troubles may be caused by epilepsy. But epilepsy is not commonly lasting for hours, but minutes, and it can leave disorientation and weakness for hours after a seizure. Although repeated partial seizures can occur. Another cause would be a panic attack. I would recommend a EEG to check for epilepsy, and a brain MRI to rule out possible cerebral lesions. Hope to have been helpful! Best wishes  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i had my regular periods till last dec, jan i dint get my periods, feb i had irregular bleeding leaving one day which was thick, march only on 20 th i had one day period after tat i dint my periods yet. Today i tried a pregency test were left side was complete red and right side light pink line please suggest me not to get pregent ### REPLY: Hello dhanalakshmi, You missed your period in January and had irregular /scanty (less) bleeding after that. If you are sexually active, and you miss a period, the first diagnosis is to rule out pregnancy. If there is a pregnancy, the irregular bleeding could be because of an abnormal pregnancy - either an abortion process or a pregnancy in the tubes. The Urine Pregnancy Test is positive for pregnancy if there is a second red line. Light shade may be in either case - abortion process or pregnancy in the tube. Considering all this information, I suggest you get a Transvaginal Ultrasound tomorrow morning and consult your doctor with the reports. You must first solve this issue or whether you are pregnant; if pregnant then where is this pregnancy - inside uterus or in tube. A pregnancy in the tube is a real emergency and can even take away life. You will need to visit your doctor, who will solve your problem after an examination and ultrasound report. You sound very young. Furthermore, you should use contraception if you do not want to get pregnant. I would suggest Oral Contraceptive Pills available easily in any chemist shop. This is very effective in PREVENTING a pregnancy, but it cannot .  Abortion Pills can do that, but they should be taken only under doctors supervision otherwise there can be complications. So you should take Oral Contraceptive Pills to prevent pregnancy and your partner should use a condom EVERY time you have sex to prevent Sexually Transmitted Disease, HIV and AIDS. 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 took a cross check to the face about 2 months ago and ended up getting a whole right through my mouth requiring 10 outter and 6 inner stitches . to the right of the cut is what appears to be a large ball. I went to dermatologist today where he said he thinks it could be a keldoid scar excuse spelling but as i search the keldoid scars it appears to look nothing like them, just a fairly large ball type blister that wont go away. He injected cortizone this morning hoping to make it smaller.. Any ideas what this is? ### REPLY: HI, Welcome with your query to . Based on the facts of your query, after its review, In my opinion you Your dermatologist in his diagnosis and cortisone injections treatment. What you see an active keloid lumpy red blisterlike lump and not a blister in real terms. Such blisterlike lumps are of active keloid growths of fibrous tissue, which could indicate FB of the stitched thread in it. You have to keep this second possibility of FB granuloma in external cheek scar in mind, at the red lump you have. In that case Surgical Excision after The USG lump study would fix FB in that lump and would fix your problem. Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at . Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mlLd diabetes for over 4 years now.  It has caused me gastroparesis. I take two nausea pills aday 12 hours apart.  My doctor has said it will only get worse.  some days I still have nausea and the pills do not control.  What will be the next step when the medication does no longer work? ### REPLY: HI, thanks for using  Gastroparesis is a possible complication of diabetes. It is normally related to the control of the blood sugars that can cause this complication. There are medications that control peristalsis (movement of the intestine) that may help with your symptoms. There are medications that can help to increase movement such metoclopramide, risperidone, caprice. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband, age 32, is having a fluttering sensation as often as every several min. high on the right side of his chest. He has been fatiqued with headaches for the last couple wks. Other than that, lightheadedness and saw black spots today when he felt faint. Any ideas on what might be causing this? He weighs 190 and is very physically active and a smoker. Thyroid issues over a decade ago. ### REPLY: Thanks for your question on . I can understand your concern. Since he is a active smoker, possibility of arrhythmia (rhythm disturbances in heart) is more. Arrhythmia can cause similar kind of symptoms like Fluttering sensations in chest, dizziness, black-outs etc. So consult cardiologist and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). You may need anti arrhythmia .  If all these reports are normal then no need to worry about arrhythmia or other heart diseases. Smoking cessation should be done as soon as possible in any case. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am having lower back pain and on my right side in the buttock area it has been going on sometime what treatment can I use I have been using the icehot cream and messager it works sometime its hard for me to stand a length of time and sit for a length of time ### REPLY: Hi, Thanks for using ChatDoctorIn my opinion all you need to do is give you back a little rest. For immediate relief have some painkiller along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks. You can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally and make a routine of doing some back strengthening exercise daily. After 2 weeks start with some back strengthening exercise. It will help you build you back muscle, and you will be able to continue with your practice in few weeks but do not overlook at the symptoms right now. As it is still early days for you, and you can be fine and back in action with these small things. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc.i am a female aged 47 yrs. i have been diagnosed with melasma. i have pigmentation problem. my dermatalogist has advised laser light peel with claze and glycolic peels. she has also advised to take oxidon plus. another doctor advised evening primrose caps 1000mg once daily. i m confused. pl advise. ### REPLY: Hello, Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. I can understand your dilemma. Though the treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like Glycol, Lesser, TCA with or without microdermabrasion. At home, you can apply cream containing comic acid, albumin, etc. and vitamin C serum for maintenance. Use high SPF sunscreen on regular basis. Use glycolic acid based face wash. Hope this will take care of your issue. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The age of my child is 3 yrs.He is suffering from fever since last 7 days. last day doctor has prescribed an antibiotic medicine named CLAMP-KID,FORTE,suspension.But even after taking that medicine (already 3 does with 12 hrs interval) temperature of my child rise around 101.5 F to 102 F. At that time I am giving Febrinil syrup.Preliminary clinical test have been made but no tangible anomaly have seen. Is any alternative antibiotic for the same. I need suggestion as early as possible.Thanks & Regards Saikat Majumder West Bengal Kolkata. ### REPLY: Since the reports are normal, as you mention, probably the cause is a viral infection. Viral infections in child .  Antibiotics are ineffective but since you have started it, I would insist you to complete the course. No alternative antibiotics required. Just continue fearing which contains paracetamol which will help in bringing down the temperature. Steam inhalation would be helpful. Give plenty of curd. In 5-7 days things generally return to normal. If not, get blood tests done to rule out typhoid. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been having bloody dirreahea lately and hes not sure whats causing it. He says he doesnt have any pain of any kind. He hasnt eaten anything unusual or been anywhere. He has been under a lot of stress lately with work and his mother recently passing. ### REPLY: Hi madam, welcome to , I understand your problem, Bloody diarrhea is a potentially critical condition in which there is blood mixed in with loose, watery stools. The blood can arise from anywhere along your digestive tract, from the mouth to the anus. Bloody diarrhea is often a sign of gastrointestinal bleeding due to injury or disease. Diarrhea that contains bright red or maroon-colored blood may be referred to as hematochezia, while Elena is used to describe black, tarry, and smelly diarrhea. Bloody diarrhea may also be referred to as dysentery, which is usually caused by a bacterial infection. Hope u satisfy with my answer, thank u ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just sneezed and then had a sharp pain in my lower left abdomen. It was short-lived..like 30 seconds..but very severe. Almost felt like something ruptured. Bracing the area supportively with both hands brought a little relief. Haven t moved from the living room chair I was sitting in when it happened, but so far now the pain is completely gone. What could that have been? ### REPLY: It could have been a spasm of the abdominal muscles because of the sudden and explosive sneezing. The sneeze reflex involves contraction of a number of different muscles and muscle groups throughout the body including abdominal muscles which contract suddenly to increase the pressure within the abdomen, which pushes the diaphragm upwards and is one of the actions performed during the sneeze. I wouldn't worry about it if the pain subsided completely within a short time. I hope I have answered your question. Please feel free to get back to me in case you have any more doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a stress test last sunday, below were the findings: left posterior hemiblock, intraventricular conduction defect, right axis deviation, sinus arrhythmia and insignifican ST-T changes. What do you mean by these? my email addresses are: YYYY@YYYY and YYYY@YYYY ### REPLY: Sinus arrhythmia means that heart beats rapidly and irregularly. Right Axis Deviation means tilting of electrical axis of heart to right when left half heart is affected as in your condition. During stress test, your heart could not cope up to meet the exercise demands. Here, heart has difficulty in conducting the impulse generated. Kindly consult cardiologist to rule out mechanical defect in heart by ECHO. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. My 6 months old daughter hasn t have a good bm since Tuesday. I notice shes been passing gas a lot and pushing like shes going #2. But nothing when I check. N now I feed her she vomited all her milk that she just ate. Should I be concern n have to see her doctor? Thanks. ### REPLY: Thanks for asking I have gone through your question. And understand your concern just one vomit is not cause of concern, You should try after some time, hopefully she will accept it.  And there is no cause of concern it is not passed good motion one day.  If the baby vomit again then you can give spy ondansetron 0.15 mg per .that will check her vomit.  If the vomit not stop after the medicine you can see doctor hope I answer your question ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the beach a few weeks ago out in florida. I came home with really itchy skin. Ill scratch all hours of the day. But sometimes it s unbearable. I have like little red bumps Wherever I scratch. Yesterday while bathing I realize I have 1 on my crotch near my vagina lip. The more I think about the more paranoid I get. The last time I got tested was about a month and a half ago and I haven t slept with anybody since then. I read a article saying they could be bug bites from the beach, but it wouldn t last this long would it!? I really want to know what s going on I m scared only 20 years old. ### REPLY: Hi thanks for your question have developed itching following visit to a beach, few weeks ago. The itching is still persistent and leads to bump formation, on itching think it is due to bug bite may be right, it could be due to bug bite. Bump formation after itching is normal, as this due to histamine release. Have you taken any treatment for itching, I presume no. Take antihistamine and short course of antibiotic (since we presume this is bug bite of few weeks' duration).Hopefully you symptoms will subside in a week time. Consultation with a physician is encouraged. There are negligible chances that it could be an STD(sexually transmitted disease). Hope this answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, last year october i had about 4 weeks of heavy bleeding. took an ultrasound and it was discovered that i had cyst on my ovaries. my periods were always irregular but the longest id go without a period was two to three months. since getting the bleeding to stop last october i beefed up on vitamins- folic acid and b complex especially and also was taking a heavy dose of herbal medications. what concerns me now is that i havent seen my period since, yes ive had unprotected sex since that october in fact that november. now its a whole lot of months later and i want to know what are my chance of being pregnant. i did one of thoshad a e pregnancy calculator things and when asked to fill in my last period i did which was oct 26 2012 and it told me the day i might have conceived which was the exact date i had intercourse. im now experiencing naseau, indigestion, mood swings, weight gain, alot of sleeping and always tired, breast tenderness at times, what confuses me is that when i researched PCOS i read that it mimic pregnancy symptoms and i took a hpt which had a negative result but i know my body ive never missed a period for this long Could i be pregnant? ### REPLY: Hi, Thanks for the query. As you are having irregular periods it is difficult to guess the time of ovulation. So though you are having some symptoms of pregnancy just by them, we cannot confirm or rule out the pregnancy. As some other conditions as you told PCs etc. can present with this kind of symptoms. So you once consult gynecologist, get examined and go for ultrasound. By this the chance of pregnancy can be rule out and also the possible cause for your amenorrhea can be made out. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has a bad weeping/oozing rash under his left armpit. It itches and is very red. It has grown over the last five days and is about 3 inches in diameter. He has no time or money to see a doctor due to his job situation. From what I have found on the internet it sounds like intertrigo and candidiasis. I am considering Domeboro Astringent Solution as well as a topical antifungal liquid and cream. Am I moving in the right direction? ### REPLY: Hi, I too think that it could be a fungal infection; body folds being a favored site for fungal infection. Fungal infection is usually itchy. I suggest him to use OTC topical antifungal ointment e.g., Clotrimazole 1% cream, twice daily for 2-4 weeks. In addition, I suggest him to use an antifungal dusting powder e.g., Clotrimazole 1% dusting powder. It is .  He may also take an oral antihistamine e.g. Tab Cetirizine once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if you need any more assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: -Constant dull upper back pain  -Labored breathing when lying on back for too long  -very occasional sharp stabbing pain around lung areas -Feels like a lump in my throat that narrows my breathing occasionally have issues swallowing? Under the impression that it is lung cancer that has spread into my esophagus. I am a 17 year old male that doesnt smoke. ### REPLY: Thanks for your question on . I can understand your concern. First don't think about lung cancer and esophageal spread because at your age without smoking habit, lung cancer is extremely unlikely. So don't worry about lung cancer. Labored breathing and chest pain in young individual is mostly due to asthma. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). If chest x-ray is normal then no need to worry about lung cancer. PFT is must for the diagnosis of asthma. Don't worry, you will be alright with inhaled bronchodilators and inhaled corticosteroid. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 43 years, non-diebetic female from . there are some pigmentation like spots in my neck , face, back and arms. Recently, as per advise of doctor i got biopsy of affected skin; which s result is- Macular amyloidosis . My doctor advised me to under go some sessions of Glycolic Peeling. Pl suggest: what to do? is it curable? will glycolic peeling be helpful? ### REPLY: Hi. Thanks for the query. Macular amyloidosis can be reduced by the following steps:1) Avoid Friction: you should avoid any rubbing or scrubbing of the affected areas. Skin should be very mildly patted . 2) Sunscreen: Use broad spectrum sunscreens even at home and repeat after 4-5 hours.3) Chemical peels: Glycol peels (50-70%) or Tricolor acetic acid peels (15-20 %) for multiple sessions every 2-3 weeks. The above when combined, should lighten the pigmentation to some extent. It might not go away completely although. Macular amyloidosis is a deeper fort of pigmentation, and it takes several months to achieve a good improvement. Hope this helps.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 was told I had IC (interstistial cystitis) and fibromyalgia. I also have osteo arthritis. I am only 42 and have ate well and exercised my whole life. Noe exercise is so limited due to fibro pain. I am now seeing a new urologist who said the bladder problems lie more in not being able to void fully. I don t know I am just so tormented and completely exhausted. Wondering if it could be more of a kidney issue? I feel and feverish many days. Sometimes my body gets hot.... Mainly my legs and people can fell how they burn to touch them. Had to stop working etc. but hoping I ll have my life back at some point. Feels like I carry a thousand pound weight around with me every where I go. Just plugging through. ### REPLY: Hello your urologist says interstitial cystitis, then cause may be looked for-many a time it's the medicines which may be causing this, or infection itself may cause this, for latter- a urine examination and culture should be done for tracing any infection, also temporarily stopping all medications you are taking for few days. A surgeon must examine for any prostatic problem as you can't evacuate fully, incomplete voiding may be due to benign enlargement of prostate and should rule out. Your urologist may have to give a thorough work up to find cause for staring definitive treatment. You may avoid, spices, excess beverages and take plenty of plain water, also avoid sugary . Uris pas tab is given for burning in urine, if present -so seek urologists help 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 26,5ft8 15 stone...no medical history other than usual coughs and colds ,I have a lump halfway up right side of my neck,feels like half a golf ball just sat there,the pain feels like a muscular aching and i have noticed fatigue and  tiredness but im not sure if thats just coincedence....no other noted symptoms such as sore throats or swollen glands,problems swallowing etc... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  You should go for fine needle aspiration cytology or biopsy along with ultrasound study.  It will give you exact diagnosis. Then you should take treatment accordingly. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just been to have ultra sound as I had alot of bleeding, like a period, and the fetus, has a heart beat but is lying very low in the womb, near to the entrance, I have been told by the radiologist chances are this pregnancy will end in miscarraige but my gyn was a bit more positive. What would you think? ### REPLY: Hallow Dear, Your Gynecologist seems to be correct. However, the period of gestation will play an important role. If your placenta is not near the opening of the uterus (internal OS of the cervix), if the cervix is closed and having sufficient length, fetus in the lower part of the uterus should not cause any threat to the pregnancy. Please have frequent scans to follow the condition of the cervix. If the cervix starts funneling due to opening of the internal opening, you will require encircle stitch around the cervix to reinforce the cervix. This stitch will be removed before delivery, any time between 37 and 39 weeks of pregnancy. Meanwhile, keep watch on the uterine contractions. The uterus is continuously contracting and relaxing (Braxton Hicks's contractions). If they become painful, you will have to report to your Gynecologist who will put you on uterine relaxants. Better take bed rest, avoid weight lifting and avoid exercises. Hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thank you. I have knee ankle and foot pain. I have a torn meniscus in my left knee which is causing pain and difficulty walking and severe arthritis at least which causes pain and unsteadiness. I also have chronic kidney disease. Need an ortho doctor who accepts Medicaid in the pueblo or Colorado Springs area, colorado. ### REPLY: Hello, I have studied your case. Most commonly meniscus injury occurs may be associated MENISCUS Tariff pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have soft swollen elongated lumps across both of my shoulder blades. I have pressure at the base of my throat and I feel like I have an object at the back of my throat. I have hypothyroidism and take synthroid for this. I have had 75% of my thyroid removed in a previous surgery. Could the remaining thyroid be causing this swelling, pressure and pain? ### REPLY: Hi. Thanks for your queries-you have three different ones:The soft swollen elongated lumps across both shoulder blades can be due to a condition called papilloma, Get them checked and removes as they are hanging at the pressure points of the body. You get 2 benefits- 1. The disease is removed and 2. You get the histopathological diagnosis. The feeling like an object behind the throat can not be due to thyroid for sure as thyroid is lying low in the neck. There may be lymphoid hyperplasia or some real lump or may be just a globes hysterics related to psychological problem. This may indicate the anxiety you have or the not so good thyroid control. Since you are on Synthroid the remaining thyroid can not increase if you are on the right dose. Consult an ENT Surgeon to get the examination done. Get the related endoscopy and other tests done to get an appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been having anxiety symptoms For 6 yrs. My doctor says its anxiety and hormone imbalance. Yet no test show any imbalances and they will only do certain tests. I started having panic attacks back in february of this year. They are awful. Sometimes I have skipped heartbeats heart flutter heart beats hard or fast but rarely over a 100 beats a minute but it feels like its running a race. The heart palps really scare me, but the heart doctor says there is nothing wrong Im just anxious. Can u help? Any advise also the dr says I have pmdd Im 37 yrs old ### REPLY: My dear friend. It appears to me that there may be some psychological factor playing role behind your anxiety. More likely you are having generalized anxiety disorder with panic disorder.  You need to check your thyroid function tests too as hyperthyroidism can cause anxiety too. Next is to visit a psychiatrist to start antianxiety . Propanolol can also help. Lastly you should do some relaxation exercises too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Does an ECG show up any potential heart problems. I had one last week for ectopic beats Ive been getting as a part of anxiety and it came back normal. I have had 3 in the last 8 years all normal. I had a weird sensation in my chest almost like my heart bubbled or flip flopped whilst I was vivid dreaming. Wondering whether I should be comforted by the recent ecg and its scaring me and making my anxiety worse. ### REPLY: ECG is the representation of your heart activity for that 30 seconds.  Like all test it helps us detect many problems of your heart, however like other test It's not always true. If at all you want to investigate for ectopic beats consider below. I'd the symptoms do occur every day, get a 24 hour holder.  If they are very rare once in a month or so and troublesome, an event recorder is a better investigation .  Before you embark of such a tedious job let me assure that 85% population has at some point of time in life ectopic s, however most 99% of there are benign and not relevant clinically, so you should be worried it there are no associated symptoms 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 14 year old daughter has very red rash with broken skinon the knuckles of both hands. She also said there has been some bleeding. I want to take her to the dr (dematologist) but she is resistant. Please adviseon a course of action to treat her... Thank you. ### REPLY: Hi, I can understand your concern for red rashes on knuckles in your daughter. There can be multiple possibilities of the red rashes, and it requires a close physical examination to diagnose the exact entity of the problem. In my view correlating with the facts you have provided it appears to be allergic dermatitis of the area due to multiple causes. I suggest you to meet a dermatologist to for proper therapy. In between you should avoid contact of dust to the area properly. If I were your dermatologist then presumptively would have preferred to apply fluticasone cream. You can take an antihistamine such as loratadine for twice a day if itching is present. Do not try to pinch, pop or squeeze the area as it may cause secondary infection of the area. All the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 36 yrs and 34weeks pregnant. I m having severe bouts of itching over my body. LFT test has shown bilirubin indirect- 0.79mg/dl, bilirubin direct- 0.18mg/dl, SGOT- 74.65IU/L, SGPT-116.78IU/L,ALP-117.17IU/L and GGT-33.02IU/L. My doc has suggested Udiliv300 twice daily along with folic acid,iron and calcium tablet. I have to take HCQS 400 as I suffer from SLE. Ialso suffer from severe heart burn due to acidity. Will Udiliv300 help me to get rid of itching? Is it pregnancy safe? ### REPLY: HelloUdiliv 300 mg is ursodeoxycholic acid, and it is CONTRAINDICATED in pregnancy according to one test book .2nd point is that liver function (enzymes) tests, enzymes level is high and this is contraindicated, when there is increased level of got and Sept present. Since you are having itching and this is natural and at present you are 34 weeks pregnant, take some antihistamine tablet after consultation with a gynecologist. Since you are 34 was pregnant, so if every thing is within normal limit, you can stop folic acid, iron, calcium tablets as sometimes they develop itching, but only after consultation with a 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 hav pimples in my face frm last 4 years i took treatment 4m an mbbs doctor but it didnt get cured till nw i took femcinol A with acniva soap i continued ths 4 2 years thn i went to other doctor she recommended me to use erytop gel with sum tablets i didnt remember those tablets name nw......... but nw i dnt use any medicines nw.............i quitted evrythng since 1 year nw i am using multaninitti but still nw i am facing tht trouble .....i hav an oily face i am using ahamam soap.......... please suggest me sum remedies pls............ ### REPLY: HI, welcome to , All types of pimples become clear usually after 25 years of age if it is not scarring. Therefore you need to worry about it. You could try the following for pimples- 1. Wash with a soap (e.g. Acne Aid bar) twice daily 2. Apply a combination of Retinoid plus benzoyl peroxide cream/ gel at night for 1 month.  3. You could take A doxycycline 100 mg daily after meal for 1 month. You need to consult us 1 month later, with 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 - my 11 year old was seen at the ER about a month ago for severe abdominal pain.  We thought he was having appendicitis, and it turns out that he was very backed up in the intestines with stool.  He is a distance runner and runs about 20-30 miles per week.  He is 49 inches and weighs 77 pounds.  We have been giving him a daily dose of miralax and recently the pediatrician upped it to 1 and 1/2 cap full per day.  He has increased his water intake, but still could drink more (in this moms opinion!).He is not having the acute belly pain any longer, but does get sharp stabbing pains before and sometimes after a BM.  The BM is now flaky.  I was wondering if I should be taking him for a follow up x-ray to see if he has decreased the amount of stool in there.  What do you think? ### REPLY: Hi, Welcome to  forum.  Your boy is having stabbing pain in the abdomen before and after the bowel movements.  It appears to be due to the infection in the colon, may be amoebas.  I advise you to consult a gastroenterologist for diagnosis and treatment.  Avoid giving wheat, and barley, etc. I usually prescribe to my patient with such symptoms of lox, ornidazole, and ranitidine150.  Wishing for a quick and complete recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am having cold and cough from last two days.I m worried because of swine flu.So shall i see a doctor immediately or wait for natural recovery? Please suggest. ### REPLY: 1. although flu and cold has similar symptoms yet flu tends to be more severe.2. Any associated fever, headache, body aches more with flu and stuffy runny nose more witChatDoctormon cold.3. If you start experience shortness of breath, pain or pressure on chest/abdomen, confusion, vomiting, reappearance of symptoms after initial disappearance i.e. sinusitis to life-threatening pneumonia seek medical attention.4. If you are worried about your symptoms because whether they are because of swine flu or common cold your doctor will collect sample from your nose or throat to detect H1N1 infection.5. Daily take 10-15 leaves of holy basil (Tulsa) with Dinosauria Cordelia (Duchy) decoction for protection.6. Avoid junk, canned and packed food. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my blood work done, as a part of my corporate health package along with ECG and Urinalysis. All have come normal other than 3 parameters.1)HIGH SENSITIVITY CRP Low risk for CAD: 2.312)RCDW : 14.73) MPV : 12.4Is there any reason to worry. My BP is 120 / 90 and ECG is normal. ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. CRP is an inflammatory marker. Its level is low and this says you have low risk for heart attack.2. Red cell distribution width is mildly elevated. It is normal and not to worry. If your hemoglobin is normal, not to worry.3. Mean platelet volume correlation is necessary in bleeding disorders. As it was a routine workup, not to worry. As your BP and ECG findings are normal, your health is good. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my mother is 46 years old and is detected with uterus fibroid in the USG report. The size of the tumor is 3.61X3.62 cm. Its written hypo-echoic lesion . Is this a thing to worry if the uterus removal operation is done. Can this lead to cancer?or any other problem later on? My mother had breasts tumors 5 years ago and those were removed by operation.does that have anythng to do with her present problem?Pl help...I am very worried... ### REPLY: Hi and welcome to . Usually ultrasound is accurate in detecting such tumors and most probably this is benign tumor as it says. Women who have had breast tumor in their medical history or in family have more chance of suffering from uterine and ovarian tumors. Fibroid or MoMA are benign lesions and malignant alteration is extremely rare. It can cause problems if grow up too much and cause bleeding or press surrounding structures. This isn't significant size and I recommend doing frequent check-ups and see is there rapid size progression or not. Uterus removal is also option and this is a routine procedure today. So you don't have to worry, cancer would have more intensive symptoms. Wish you 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 lump on the left side of my shin and its mor noticible when i run, t doesnt hurt or anything all it does is stay in that one spot. could it be a blood clot or something else? I am 24, a male and 167 pounds and I jog 15to 20 miles a week on a tread mill. ### REPLY: HI, Dear,Good Morning From INDIA. I studied your query with all its details and understood your health concerns. Causes of pressure lump on the shin--Causes in your case are-i-Chronic Compartment Syn . Ii-The lump is of valvular insufficiency of perforated vein with a soft lump as described you. So consult your doctor and wish you fast recovery. Hope this will help you to recover your urgency. Wishing your fast recovery. Wellcome for any further query in this regard. IF you get relief-write a good review and recommend my  clinic to your foes and friends. Have a good Day. With 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... My wife, 50 yr old, has excruciating lower back pain and can t get out of bed currently. trying to find a way of getting her up to get her to emergency. Any tips as to how we could minimize pain to get her up? Already borrowed wheelchair once she is up. ### REPLY: Dear-thanks for using our service and understand your concern about your wife. Back pain is one of the most common reasons to attend to the ER. It could be from herniated disc, spinal stenosis and acute or spontaneous fracture. She will need to have MRI of the back to find the reason, the treatment is basically anti-inflammatory as ibuprofen, muscle relaxant, heating pad, local menthol cream and short term of narcotic treatment if no improvement. If patient still with pain, then epidural block is the next step. I would recommend bringing her to her primary care doctor if still with pain for more than 72 hrs. I hope that my advice will be helpful .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 boil on the back of my neck. It is very painful to the touch. I applied warm compression to it and it drained a little witChatDoctorpression but its still hard and painful. My assclown doctor wont be in until 1 week from tomorrow and er cost on my insurance is crazy is there anything I can do from home. ### REPLY: Hello! Thank you for the query. Swollen and painful lump indicates an infection. Most likely it's a kind of abscess. Can be caused by infected sebaceous cyst. There should be a lump present in this area before. Waiting a week is too long if it's an abscess. And It's hard to treat it at home. It should be incised and .  So you should rather consult a surgeon with it. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i wana know the report analysis of MRI Lumbar spine with screening of whole spine findings are here Disc dehydration is seen at D10-D11. there is mild disc bulge causing slight thecal indentation. there is ligamentum flavum hypertrophy seen at this level causing mild posterior thecal compression. and also loss of lumber lordosis is seen . Dsic dehydration with preserved disc heights is seen at L2-L3, L3-L4, and L4-L5 levels. at the L4-L5 there is a diffuse disc bulge causing thecal indentation with foraminal narrowing on either side Mild disc bulge seen at L3-L4 causing slight thecal indentation with encroachment of the neural foramen bilaterally. Can I play Badminton with this problem. and suggest me any excersie. thanks ### REPLY: HiT hank you for your question. First, MRI findings provide guidelines for treatment, but the treatment decision is primarily based on your symptoms. Disc deny .  Disc bulges are commonly seen on MRIs of middle-aged individuals even in healthy population. If you had only the lumbar findings playing badminton is absolutely fine. The finding that is of concern is at D10-11 and extent of compression needs to be evaluated before further decision is made. Again, as I said the treatment is guided more by symptoms than MRI. Please let me know if I can be of further help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has had a temp of 99.5/99.1 for a week. Other symptoms include congested nose, yellow green mucus in nose now starting to clear up to yellowwhite. he is 5 years old about 44pounds. Have been giving him tylonol, but still has temp. what should I give him? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your son have symptoms of fever along with congested nose and green mucus seems to be due to infection in child leading to rhinitis. Need not worry. I would suggest you to visit pediatrician once and get paranasal sinus X-ray done. Go for blood and sputum test first and get it examined. Start treatment after proper diagnosis. Take steam inhalation as well. You should take cough expectorants. You should take antihistamine such as Ben .  Use vaporizers rub. Use room humidifiers as well to prevent any allergic reaction to child. You should take combination of bronchodilators and antihistamine  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having Anxiety or panic attacks the past year they seem to be getting worse to the point that all i do is worry all day about why im feeling this way.  My doctor tried to put me on zoloft and xanex i dont like taking medication so i dont take it at all. My husband just left for afghanistan in Feb, It is getting even worse because of this I just want to feel normal again? What should I do? ### REPLY: His understand your concern. I guess it is form of anxiety disorder with panic attack. To be very frank 1st line of treatment is medicine in these disorders. The medicine that given to you is appropriate, and it will improve all symptoms.Besides, this You have to do exercise regularly. Take proper sleep. Healthy diet. Keep yourself busy. DO stress-free work and pleasurable activities. But all this is supportive management and can not replace . So do consideration and get well soon. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Sally , my last period was on Feb 20 and it is regular as cycle average 28 days and it is late this month , i did three pregnancy test at home and all was negative result , on March 2nd i go to hospital with the diagnosis of kidney bacteria i finished all the antibiotic tables that was described by doctor . is this the reason for my period late or maybe i m pregnant and what is the accuracy of the home test ? ### REPLY: Hi Sally, Thanks for writing in. You have mentioned that you were suffering from bacterial infection of kidney and took antibiotics treatment. Antibiotics are known to decrease the efficacy of oral contraceptive hormone pills in some women. Coming to your delay in periods, you have said that your cycle is 28 days and regular. Your periods have been delayed this time. The home pregnancy test is most accurate (more than 95%) around 28 days after unprotected sex and following a positive pregnancy. You could repeat your home pregnancy test once after calculating 14 days following your last unprotected sex. 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: doc i have pain on the right side of stomach i.e. i think on the right kidney..the pain pinches me lik nethng...i cant walk straightly coz of this pain...i went to a doc nearby he adviced me for a urine test and ultrasound...urine report was normal but in ultrasound it showed that there might be a grain sized stone which got passed out through urine but there  is swelling in the kidney...i had treatment for ths thing but aftr few days again i got the similar pain ...i dnt knw wat to do ....i m getting irritated by ths...plz help me..n suggest me some solution ### REPLY: Hi, Thanks for writing to , I am . Stone are many types like calcium phosphate, calcium oxalate, cysteine etc...it causes severe pain that can lead to nausea an n vomiting and also hematuria. If u were my patient I would like to do USG abdomen pelvis again n do urine R/E and also do CT if needed BCS some stone are only visible on CT m may easily miss by USG. After DX then I'll give some antibiotic for infection that caused by stone, painkiller n ask to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr. Grief,My son, age 35, was scheduled for a renal transplant today with a living donor; my son has PKD.  The surgery was postponed, because the surgeon discovered that the veins to the donors kidney are very short, requiring that my sons iliac system be lifted to perform the transplant.  My son is overweight and the surgeon said that he needs to loose 20 lbs to make this transplant possible.  He also needs the assistance of another surgeon to do this, who isnt available today.  To compound the situation even more, the nation-wide and local shortage of blood is a concern.  So the stars werent aligned well for my son today. My question is this: even under ideal circumstances (i.e., his weight was normal), how much more dangerous is such surgery than compared to using a donor kidney having adequate length veins?  I know from my own transplant experience (I was transplanted at age 55 under ideal circumstance), recovery is relatively long and any pressure on the midsection causes great distress.  Additional body fat must not only lengthen the recovery period, but endanger the transplanted kidney. I know there are probably many other factors to consider, but Im wondering if we should possibly consider another donor or cadaver kidney, if available, with adequate length veins. The surgeon is a vascular specialist and has expressed, optimistically and enthusiastically, that he can perform a successful surgery.  Well certainly try to talk to him about this, too, but would like to have some preliminary info and/or professional opinions beforehand.  Thanks for your time:)Marc D ### REPLY: Hi, If the donor vein length is low, the transplanted kidney will be under tension and there will be angulation in the veins also. It will compromise already weakened kidneys and chances for rejection will be extremely high in such situations. So it is better to find out a donor with adequate vein length rather than compromising the entire surgery. Wishing you good health. 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 have a rash in armpits and groin that started while I was in Iraq in 2004. It does not respond to terbinifine tablets, lamasil creams, or even monostat.  It comes and goes about every six weeks.  I wash with Tea Tree soap and it seems to help.  Also bathing the area with saturated salt solution helps too. ### REPLY: Hello, Thanks for the query, Armpit and groin area are more prone to develop fungal infection. The duration of treatment is long in fungal infection.  You might have developed fungal infection. Your description matches with that. Usually fungal infections are itchy and recurrent. Please get a KOH mount done, This can confirm the fungal etiology. Treatment can be with oral antifungals as well as with topical antifungals. Treatment must be continued for at least a month to prevent recurrence. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ . Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 23yrs old, 60 kg and my height is 5 1. I have PCOD for past 5 yrs. Have been taking allopathic treatment all this while but not much improvement. Past medications have included Krimson 35 and Hyponidd. Are there any alternative treatments for PCOD? Plz suggest sm gud hospitals in bglor for this. ### REPLY: POD can be cured with Ayurveda medicines in a very satisfactory way. Pls do mention the detailed symptoms you have. I would suggest you the following medicines which is to be taken continuously for some days.1. Trayantyadi Keisha 10 ml with 1/2 glass warm water twice daily before food.2. Kandahar juggle DS tab 1-1-1 before food.3. Varanasi Keisha tablet 1-0-1 with kashaya4. Ovarian syrup 2 tsp twice daily after food.  Continue these medicines for a month and do follow up. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had bad fever like symptoms, cold sweats and aching. these have subsided but i have great pain in my chest area that feels like a trapped wind pain but i am not burping or getting rid of the wind in any way so i bought some wind-eze but it is having no affect and the pain is very bad and hindering me getting to sleep and my family has heart problems and i am starting to worry it may be something to do with this ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of fever and body ache which seems to be viral fever or flu. It seems to be due to compromised immunity of body. Need not worry. I would suggest you to do warm saline gargles.  .  Take analgesic such as Flexion and take light diet. You should take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache. Your symptoms will resolve in 3-4 days. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests as well. 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: hi... my son is 6 yrs old and suddenly i noticed some hairloss , not much but there is a small white spot on his face which he scratched today and the skin peels like dandruff... he is an asthma kid since birth... he is on seretide inhaler twice daily n montelukast tab 5mg ones a day.... just wanted to know ### REPLY: From what you described I feel the hair loss or alopecia as in medical jargon is a result of Dan .  The spot on face which peels like is also seborrhea dermatitis, all these are usually associated in a child who is atomic. The same explains his atomic asthma. Atopic dermatitis is the most common form of eczema. It often affects people who also have:Asthma or hay interfamily history of eczema, asthma, or hay feverDefects in the skin barrier, allowing moisture out and germs isotopic dermatitis usually begins during infancy or childhood. But it can strike people at any age. Treatments for atomic dermatitis include:Products to lubricate and moisturize the spinsterhood creams and ointments ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 35+6 days pregnant. It s my third pregnancy. Since last week having a severe pain just under my right side ribs. At first pain was felt while sitting. But now having all the time while lying or standing. Tried pain killer panadol tablets and spasfon tablets but no effect. Baby position is cephalic. My doctor suspects it a gal bladder pain. What to do? ### REPLY: Hi.noted history of right sided abdominal pain, subcostal area. Yes, it is possible that you have a gallbladder pathology (most commonly gallstones). Costochon .  It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Diagnostics (ultrasound, complete blood count, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. If it is indeed of gallstone disease, definitive treatment is cholecystectomy or surgical removal of the gallbladder. If it is not an emergent case, based on ultrasound and clinical evaluation, an elective cholecystectomy after giving birth will be advised accordingly. It can be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend has been complaining of abdominal pain for months now. I am a nurse but I just can t seem to place this. He has regular bowel movements. He abdomen becomes distended often. I have not noticed a common reason. Today he is now complaining of back stabbing pain going to his abdomen and decreased urination. Kidney stones maybe? ### REPLY: Hi ! Good evening. I am  answering your query. He should avoid eating outside if he does to prevent any intestinal infection creeping into him which might give rise to pains in abdomen. If I were his doctor, I would advise for a stool test for ova and cyst, and also a urine routine/microscopic/culture sensitivity test to rule out a urine infection as well if he is sexually active. Kidney stones could be known only after an ultrasound abdomen or an X-ray if need be. You could advise him to consume plenty of liquids and an anti-inflammatory till then. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a full std screening because ive been having discharge and bumps appearing on my vaginal area and all the tests came back negative.. but im still having these symptoms.. but at the time of my testing i was on my period.. so could that have altered the test results or something?? ### REPLY: HI, Welcome with your query to . Based on the facts of your query, Your being in the periods will not affect the test reports for your bumps on vaginal area and STD. As its all normal you should not worry about STD. Take care of hygiene of vaginal and private parts. Mostly perianal and derivational infection is causing these lumps. Check with your family doctor for Second opinion and if need be from Surgeon/Dermatologist. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at . Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 23 years old male, i am suffering from burning sensation just below my chest. the end of my ffod pipe is burning and even when i drink water i can feel the pain there and feel it passing through the end of my food pipe with a lot of pain. Please help this problem is there with me for a year but since a week it is giving me a lot of problem ### REPLY: Thanks for your question on . I can understand your situation and problem. You are mostly having HERD (gastroesophageal reflux disease).  It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain. So follow these steps for better symptomatic relief. 1.  Avoid stress and tension. 2. Avoid large meals, Instead take frequent small meals. 3. Avoid hot and spicy food. 4. Start proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in bed to prevent acid reflux. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 46.no medical illness.I think i am a cumpulsive gambler on roulette..i tried to stop it but couldnt work. do you think i have psychological problems. i have a broken family.i find to an answer to blame on it. could you help me finding solution for this please.i am financially depleted.... ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Any addiction is psychological problem mostly. Those addictions due to substance abuse also affects body. Addiction to gambling, risk taking activities etc. are purely psychological. Such addict people get a .  More over, there is money involved. Urge to regain the lost money and to gain more make the person involves more and more in gambling. Best method is to involve in other activities which consumes your time and gives you exercise. Sweating can remove the addiction. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been having reoccurring sharp pains on the left side of my chest, directly under my left breast, seemingly in my heart. They are sharp stabbing pains that come and go, and last a few seconds to a few minutes. It s bearable, but very uncomfortable. I m only 50, so it s a bit concerning. I don t feel sick in any other way. Are these symptoms that I should be concerned about? ### REPLY: Hi, I understand your concern.  The sharp pain on left side of your lower chest can be out of various causes ranging from simple muscle pull to heart problem.  Various heart conditions, lungs/respiratory problems/ digestive problems like HERD/ muscle, bone problems of rib cage can lead to sucChatDoctorplaint.  It should not be neglected, certain conditions need to be diagnosed/ treated in time & specifically to avoid further complications.  You need not be tense, get yourself fully physically checked up by a physician, get investigated for doubtful conditions. Specific treatment according to diagnosis will help 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: Hi I am Nurul Haque from Bangladesh, my wife Ms. Nasrina Haque is suffering for the following, pls give me a better suggestion:-Investigation : Anti-HCV Patient Value : 2.536 Cut-off Value : 0.155 Interpretation: Positive (23)Method: ELISA Treatment : Injection-Peginterferon alfa & Epoetin Beta ### REPLY: Hi welcome to  ... You are strongly positive for CV as per your ELISA report... For that you are given anti-viral medication to suppress viral load... Take more fruits and less fried food. Take rest.... Green leafy vegetables, sugar cane juice, apple, avocados are good for your condition. Avoid alcohol... You can take one tsp crushed carom and cumin seed with water daily... Regular follow up done in your case to look for chronic case... Take care Hope this will helpConsult gastroenterologist for examination... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 period came like spotting on the 12 an i was suppose to start the pill but becuz it never flowed the saturday jus spot i started the pill the sunday and tht was the end of my period the pill had me feeling quite nauseous so i quit it and had sex once or twice whiles quittin ive still been feelin nauseous lately and realised a little weight gain especially in my stomach area could i b pregnant??? ### REPLY: Based on your description of what happened, it is possible that you are pregnant.  It would be a good idea to take a home pregnancy test just to make sure.  However, there are other possibilities as well.  Sometimes minor hormonal fluctuations can cause these types of symptoms due to stress, illness, weight gain or loss, medications or many other things.  Usually they will resolve on their own in a few weeks.  If this persists, you should see your doctor to figure out what might be causing this problem. I hope this helps.  Please let me know if you have any more questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 30 year old woman who is suffering from lower dull back pain that resembles pain suggestive of a UTI. The thing is Ive been tested and everything came back negative. What esle would cause that. Another symptom associated with it is a very strong ammonia discharge. ### REPLY: Dear patient At you age this symptoms might be due to pelvic inflammatory disease or its muscular pain. Pelvic inflammatory disease is a condition in which there is inflammation of pelvic genital organs which leads lower back pain and mild lower abdominal pain with symptoms of UTI. You need to be investigated with 1. Ultrasound of abdomen 2. X-ray of lumbosacral spine anteroposterior and lateral views to confirm diagnosis.  Need to consult expert gynecologist with report. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 something hit me, I started with my heart pounding 100 miles a minute, then my head starts pounding, I couldn t breathe, and my body was burning from the inside out. This has happen to me twice in the last 3 months and you feel like you are about to die when this happens. ### REPLY: Hello! Thank you for asking on ! Facing your recent complaints, it seems to be any cardiac arrhythmia (probably supraventricular tachycardia). It is necessary to perform a medical check up (physical exam, resting ECG and some blood tests) to investigate for any identifiable reasons. A cardiac ultrasound and an ambulatory ECG monitoring may be judged useful by your doctor if there are any suspicions to confirm. 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: The other morning my 5 year old daughter woke up wiht a rather large "white headed" pimple on her forhead, as the day went on and today, she has a few more ..... i was putting an oily penaten cream in those areas for her dry skin.. could that have clogged her pores and caused this?  Any help would be appreciated. ### REPLY: Howell come to ChatDoctorI really understand your concern, certain commercially available cosmetic product of baby product some works as growth medium for the bacteria and this could cause skin infection something like this might have happened here in your daughters case now the condition can be treated with local antibiotic first, if this does not respond then oral antibiotic may be added, Erythromycin cream for local application, and Erythromycin syrup for oral, 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: the tip of my penis is peeling and if i pull the dry skin off it hurts very bad also it itches so very bad inside of the penis to the point that i want to rip it off. i have had this problem for over a month and doctors do not know the cause or the problem even took samples to send to lab. neg, please help ### REPLY: Dear, We understand your concerns went through your details. You are most probably wrong that the doctors do not know the cause of your problem. If the doctors do not know the reason, wait and work with them. They will come up with a treatment for you with which you will be alright. At least they will refer you to a specialist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END