Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a bite on an airoplane it got obviously infected and a doctor perscribed me flucloxacillin capsules bp 250 mg, but the problem now is that i think my groin lymphnodes, to the left on my pubic bone have two small pea size lumps and im worried, is it just cos of the infection? im hoping so they hurt a little and not sure if they are mobile as its a bit painful to move em. Thanks for the help, stephen ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Yes, it seems to be infection. But it than must be cured with the flucloxacillin. I advise you should do FNA biopsy, culture and sensitivity from the swollen lymph nodes. This will guide us regarding possible pathology and treatment accordingly. Please maintain good local hygiene. Also avoid sexual intercourse during the period. Possible cause of sexual exposure should also not neglect. Wearing a condom while sexual exposure can prevent cross infection. Please wear cotton undergarments. This will help to prevent infection. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: can an echocardiogram be wrong i had two within 9 months totally different reading one in oct. said had a systolic pressure of 32  and a tricuspid valve with moderate leak, now 9 months later had another one says tricuspid valve has minor leak and mitro valve has moderate leak and systolic pressure now is 49. I asked doctor to retake test they said cannot until 6 months and want to do a right heart catherization to check pressure in heart. I feel this may be an incorrect test and do not want to subject myself to such a invasive test as a catherization ### REPLY: Can help u more if you see in more detail both echo... Ur second report shows in crease pulmonary artery pressure ...what was Your mitral regurgitation previously...if long term mitral regurgitation is there it can increase right heart pressure and increase pulmonary pressure which is measured with help of tricuspid regurgitation... Need to take your detail history to find cause of tricuspid regurgitation... Rather than only echo finding need to understand problem... Your doctor will definitely tell you... Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is katy and i have sarciodoisis.i havent been able to respond to treatments provided by my doctor. i have the granulomas in my forearms,outer legs above the right knee. and both breast.i am a lifelong nonsmoker but have been exposed to radiation prior to my late husbands death due to lung cancer. I failed to mention first;I had numerous granulomas in both arms and a biopsy proved this was or is sarcoidoisis.i am a 53 yr old white female.this diagnoses is very alarming as i research the possibilities of lung cancer following.can you provide any advise.tthank you.katy ### REPLY: Hi. I understand your anxiety. However though there is increase risk of malignancy in case of background sarcoma, there is no documentation of cancer prevention in such cases. Avoidance of risk factors like smoking, radiation will have there usually health benefit and reduced cancer risk however if I keep myself in your shoes, then I would probably like to take anti-inflammatory compounds as both cancer and acidosis. However I can not give a scientific documentation to justify myself at present. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: woke up w/ painful swollen glands in neck (left side) 2 nights ago & today have hard lump, that protrudes above left breast ( sternum), tender, neck pain, back pain around kidneys, itchy, achey, rash, discoloration, redness & dark like bruising around face, chest & neck. Had Lumpectomy in left breast, 2yrs ago-non-cancerous. don t feel very well... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have cervical lymphadenopathy. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for biopsy or FNAC of that lump. It will give you exact idea regarding diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with paget s disease and am having a lot of pain in my left hip and leg. I have been prescribed alendronate sodium which helps as the day goes on, but the mornings are very painful. This all started about 9 months ago even though I was diagnosed in 1996 after prostate surgery. I would like to know what I have to look forward to ( prognosis I guess) and if there is anything I can do for the pain. Thanks, Nick Farris ### REPLY: Thanks for your question Nick. To answer the first part of your question outlook for people diagnosed with Pages disease is generally good, particularly if treatment is given before major changes have occurred in the affected bones. Life expectancy is not altered and the chances of developing estrogenic sarcoma is less than 1 %. Also note that disease does not spread to normal bones answer your second questionable pain can require anti-inflammatory .  Prior to undergoing surgery on bone affected by Pages disease, it is helpful for doctors to treat patients with medications, such as bisphosphonates or calcitonin (Miscalling), as this tends to diminish the risk of surgical complications, including bleedingBisphosphonates are the mainstay of treatment for Pages disease of booklet me tell you Nick that I cannot inform the dosage over the Internet as tests have to be run specially your Liver profile to decide the dosage.Therefore, I suggest you talk to your treating physician about the dosage of bisphosphonates and calcitonin can however suggest Ibuprofen 800 mg twice a day for your pain hope this helped. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have swollen glands on the back of my head behind my ears and on one side of my neck i just noticed one growing under my arm i am very worried. they dont hurt the one on the back of my head and by my ears are hard as rocks i feel fine what could it be ### REPLY: Hi! Good morning. I am  answering your query. If I were your doctor, after a general physical examination of yours, I would advise you for a FNAC (fine needle aspiration cytology), and an excision biopsy if need be for confirmation of the diagnosis of the FNAC. One could plan out a treatment only after getting the cytology/ biopsy report along with the reports of some routine blood tests. 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 have suffered from what seemed to be RA for five years now. I was treated with methotrexate yet continued to suffer joint pain at times when having allergic reactions. I was tested by an allergy doctor and told I did not test positive to any known allergens on tests. Yet continue to have knee joint pain and itchy tattoos that turn bumpy throughout the year. On and off. I discontinued Methotrexate treatment and I went on a hunch and was treated for Lyme disease. I am around rescue dogs as a hobby not all the time. I got better and was able to walk again. However now I find whenever I have allergic reactions itchy tattoos sinus issues my knees become painful again. Any ideas? Tatto related? ### REPLY: Hello, I can understand your concern for side effects of tattoos. After analyzing your query it appears that you are quite stressed regarding the tattoos and its side effects. Though in general if the tattoos are made in sterile procedure then there is no any harm of the same but in case if the tattoos are carved by unsterile needle or is made with infected needle then can transmit multiple infections. Temporarily it can cause secondary infection and later on the tattoos can cause permanent darkening of the skin which is actually difficult to be managed. You can take further guidance from a family physician. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had an itchy rash that comes and goes in different areas of my body for a couple of weeks now. It started with an index finger being very sore to move and then rednes around the joints of that finger, then redness and itchiness all over the body, especially in the back of the neck, ears, and chest. It comes and goes, especially rub I rub on it in the shower. ### REPLY: Hello, Thanks for the query. Itchy rash whicChatDoctores and goes can be urticaria. Even autoimmune disorders can be associated with itchy rash. Take some antihistamine and apply a mild steroid cream if required 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: I have 4 bulging discs in my neck and over the summer, my chiropractor attributed weakness in my hands to this. Nothing had changed until yesterday when I started feeling tingling in my fingers and I had the feeling as though my hands are locking up. I am also having muscle spasms in my arms starting yesterday night. Does this sound like a serious condition? ### REPLY: Hello.this can be due to the bulging discs.they actually press upon the nerves coming out of spinal cord and cause symptoms like pains tingling numbness burning lack of strength/grip etc.I advise you to visit a neurosurgeon for proper clinical evaluation and MRI scan if spine.if the problem is very severe it has t be operated.for symptomatic relief you can take lyrics at bedtime and MySpace for muscle spams(if you have any)hope my answer helps you if you have any more queries I would be happy to answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 semen sample shows the following resuls, volume 2ml, sperm count 55million/ml,liquiication time 30min, Ph 8.0, active motile 15%, sluggish motile 25%, pus cells 8-10 RBCs 1-2 morphology 60% normal. please observe and advise me that how can i improve myself if there is problem with me? ### REPLY: Hi, Your sperm motility is less than per the report. You can avoid excess heat exposure to improve sperm motility. It's advisable to take a multivitamin tablet for improving sperm motility. Smoking and alcohol should be avoided. You can take Hey Forte, which can help in improving sperm motility. After one month of intake of the tablet, you can repeat your semen analysis report.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had in 1985 hammer toes worked on with surgery to peg middle joint of toes together but in past year notices hard lump under 3rd toe next to baby toe that hurts when baby toe presses next to it the lump seems under the skin and seems to move slightly dont think its a calluos also im diabetic ### REPLY: Hi.based from your description, it could be a tendon cyst, lipoma (fatty deposit) or a fibrous (fibrous tissue formation). Other lesions that must be ruled out are gout and arthritic lesions. It is best if you consult with a doctor for physical examination and clinical evaluation, especially if it causes discomfort for you. If it's indeed a cystic formation, lipoma or fibrous, definitive management is excision and antibiotic treatment after. 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 mom has been sick for months. She started losing weight and at Dr found her blood oxygen was 88% while up and walking. She then developed SEVERE abdominal pain only at night, then food (meat) would make her vomit. The Dr finally removed gallbladder a week ago. The problem has not gone away. She has no appetite, she feels off balance, and hands tremor. Her abdominal pain is still SEVERE at night. ### REPLY: Hi. The only diseases where there is pain in the abdomen can be a few::Acid Malaria-called so for abdominal presentation of malaria. There is severe pain in abdomen mainly at night. Please discuss this with Her treating Doctor, go for tests of blood particularly for malaria by slide method and by antigen tests. Empirical treatment with anti-malarial may help her a lot. On the safer side to rule out other problems- it is better to go for CT scan of the abdomen. I hope this will help your Mother. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 10 yr old virgin daughter has a real strong foul odor coming from her vag and we tried over the counter items like summers eve wash and deep scrubbin. But no change and we fear it will get worse once she gets her monthlys we been fighting this persistent problem for years but every time we seem to have it licked it comes back in full strength pls help ### REPLY: Hi, I have gone through the medical problems of your daughter carefully and understood your concerns. 1. Urinary tract infection can be a possible cause. Get her urine checked by urinalysis and urine culture and sensitivity testing. 2. Be sure she is still virgin: consult with gynecologist to make sure she did not have forced sexual intercourse.3. Vaginal yeast infections are also to blame. Vaginal swab testing can rule it out. Bear in mind not to go deeper in vagina for vaginal swab testing. 4. Intestinal parasitic infections can be another cause. Examination of stool for ova/parasites is highly recommended. For the moment, I highly advise to:- keep a good hygiene of her genitalia-avoid foods/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr, Hope all is well. I have recently been diagnosed with Factor V for blood clots (Thrombosis) My GP advised me not to go onto the birth control pill. As i am getting married soon i went to n Gyne (New Dr) and he said no its fine i can go onto Yasmin as i have used it before as a teenager and nothing happened he insisted that the Factor V test was unnecessary and claimed that 9 out of 10 people have it.... I have been taking the pill for a week now but have been experiencing numbness and pain in my legs. I also have Lupus so pain is not something new to me. This feels different tho, legs feel stiff, weak and uncomfortable. Please can you advise Best Regards Monique ### REPLY: Hello, I have studied your case and I think that there can be many reasons of such pain. Like lack of vitamins, fatigue but I do not think it is related to factor V. So I would suggest you to visit an orthopedic surgeon and get your vitamin B 12 and vitamin D examination. If there is lack of this vitamin it can cause such symptoms. Also, some time there can be lack of carnation in muscles. So for that you need to take Acyl carnation. Factor V deficiency make you susceptible to clots. Avoid OCP as they can also promote clots. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hit his leg last week. It was really sore and he complained when I would wash his leg but the bruise wasn t even that bad. Now it s a week later and the area is still sensitive and he has developed a hard lump. I am concerned because the lump was not there before. Should I take him to the doctor? ### REPLY: Hello sir... I'm . . Yes you should take him to the doctor immediately... get a tetanus toxic injection first ABD take a X-ray of the leg. Reasons 1) could have attained a hairline fracture 2) a foreign body like a splinter or dirt could have entered inside and that could have caused an infection lead to an access formation. So get a doctor to see him first and get it evaluated immediately. Hope this information was helpful. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daugther is 23 and shes has a lump in here stomach .she was in a bad accident back in 2004 her digestive system hasnt been right every since then . i have took her to a family doctor and the only thing they said that she was back up from her bowels not moving . they gave her some laxatives but it doesnt do any good . her stomach is so hard it want go down. what can i do . i have no insurance. ### REPLY: HI, Dear,Welcome to . Based on the facts and data of your query, you Seem to have hard lumped in stomach which could be PoST-ACCIDENT, RESOLVED HEMATOMA with disturbed bowel movements. In this scenario-Many factors need clarification for which-Second opinion from GI Surgeon/ with Contrast CT Abdomen Study, who would do physical and clinical evaluation for various possibilities in Differential diagnosis and would treat it accordingly. Treatment-Consult GI Surgeon for the execution of these suggestions-Plenty of floodlight Fiber Bland Diet, with Fruit/Banana Shakes -x 2 times per day with Spinach SoupsStool softeners -Bisacodyl like/ if need be lactuloseSporlac-Lactobacilus treatment-to normalize probiotic Colonic flora Other causes need to be ruled out by Second opinion from your doctor and by Contrast CT studies, which would help you to plan treats in the future. Hope this would help you to resolve your sever anxiety. 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: I have (for about two years now) abdominal problems that include chronic diarrhoea and severe stomach cramps (only in the morning). Beside that, Ive experienced total loss of appetite  and occasional (every few months), but terrific vomiting that lasts for about a day. I vomit for about 12 hours, in that time I cant take water nor tea without vomiting some yellow liquid.I dont have ulcer and doctors in Sarajevo cant find anything wrong with me. Please, help!Lana ### REPLY: Hi Lana. Thanks for your query.2 years is a long time to suffer without a proper diagnosis. You have chronic diarrhea, severe stomach cramps, loss of appetite, once in a while terrific vomiting of yellow fluid. The probable causes can be :Tuberculosis of the abdomen - intestines particularly the jejuna that is early part of the small intestine with intermittent obstruction, which gets relieved after vomiting to restart the cycle over and over again. Get Barium studies, Diagnostic laparoscopy. IF there is TB get started wit medical management, and surgery may be necessary only if the obstruction is severe enough. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi ! I am a 40 year old lady with a history of lymphedemea {sp?) and cellulitis in my feet and legs, I have rexcntly been treated at a local vein and vascular clinic. They have been wrapping my legs in compressions until I can get compression stockings, On my right leg I am having pain with burning and stinging sensations. The area this is occurring in has been red and dark colored for sometime, I was wondering what is causing the pain and burning sensations ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion swelling causes pressure on nerves leading to pain and numbness. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I have developed a darkish bruise like rash on my skin over my rib - on lower left side. This rash has been there for many years. It can become extremely irritated and itchy many times a day. The rash has progressed from a mild state of being a small reddish area to now a brownish leathery scaly area. I believe the change of appearance to be caused by the constant scratching to obtain relief from this irritation. ### REPLY: Hello have read your query. There is possibility of atomic dermatitis or eczema leading to rash. I will advise you clinical examination and further investigation like CBC, ESR, CRP.your doctor may prescribe local steroid after clinical examination. Laser therapy may help for small patch. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. 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: It started less than a year ago with cluster headaches. The headaches then changed to burst of pain that would blur my vision and cause such pain that I would be kind of out it for a few moments. They never lasted very long. Since the last burst which, thank God, has been over a month ago, my head is numb on the right side. I am having vertigo and numbness in my head, right side and back. At times I lose my thoughts, confusion sets in or forget in the middle of something what I was going to say or do. I even went to step out my door to my house which has a couple of steps down and its like my brain forgot to tell my feet to step down. I almost fell flat on my face. ### REPLY: Hi, Cluster headaches are awful...possibly worst headaches known to man.  The other headaches you are describing are most likely a form of dysautonomia as well and could be a slightly atypical hemicrania continuum since the numbness overhead seems constant.  There are many things you can do for clusters and headaches in that family which are referred to as trigeminal autonomic cephalic (TAC).  You need to find a headache specialist or a neurologist very well versed and who really makes it a passion to treat and manage headaches.  Do not settle for someone who really doesn't wish to really approach these to find out what's at the root of your headaches if possible and then, offer you legit treatments that have a chance of working.  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: my22 year old son was admitted to the hospital last night for what they say is a virus that has attacked a sack around the heart. thay also say his heart has suffered some minor damage. My queastion are...Is this a frequent type of virus or is this rare for a 22 year old health man? My other question is could there b any long term effects to the heart and is hesusceptable to this virus now that he has had it? ### REPLY: Thanks for posting your query here. It seems your son suffered from viral pericarditis. It is usually caused by the virus which also causes common cold. But rarely only, this virus would cause heart problem. This generally doesn't cause long term complications if the heart function is not much affected during the initial illness. But even if the heart function is greatly reduced during the initial illness, majority will recover over time. I hope this would help you. Thanks and all the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir,I used clorox for bathroom cleaning on yesterday night mix with Lux liquid(dish wash). When I started the cleaning, I faced some tiredness. After that my breathing is  not proper also I am very tired. Kindly please give me enough information about this and I would like to know it will be any side effect in future. ### REPLY: HI, thanks for using  Inhalation of excess Clorox fumes or ingestion of Clorox can be associated with side effects. If the exposure is minimal the symptoms should resolve on their own. Inhalation can cause shortness of breath, chest discomfort, burning discomfort in the chest, coughing. If you are very symptomatic then you can consider visiting your doctor for an assessment. 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: Good Morning. My Mrs. age is 59 & she lost 5 kg. weight in just one month & has 110 ESR .She had fever up to 100.5 degree c.After consuming anti biotic tablets fever comes down but it comes again when we stop taking anti biotic tablets. What should be the reason ? ### REPLY: Hi! I appreciate your concern towards your wife. Nothing to worry about it, she will be alright in due course of time! Fever not responding to routine antibiotics associated with weight loss and raised ESR could be due to chronic infection like Tuberculosis. Does she have cough with sputum?Anyhow, she must undergo the lab investigations like chest X-ray, sputum analysis, and other tests to rule out tuberculosis. Once it is confirmed complete treatment will ensure the eradication of the tuberculosis. Besides, she must take nutritious food like high protein diets, fresh fruits and vegetables. 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: Hii  doctor..,  am a final year B.Tech student. i started masturbation since at the age of 13 and have been continuing till today. i think that i got addicted to masturbation and am unable to control it. So i kindly request to suggest me some steps for controlling the masturbation. ### REPLY: Degree understand your concerns went through your details. Please understand masturbation is normal, natural and do not affect your health directly. You are safe to masturbate in moderation, that translates as thrice or four times a week. Habitual masturbation can be controlled with physical activity, exercise, games, late night activity etc. Engage yourself in the above activities so that you are almost totally exhausted. Then you will not have any energy left for masturbation. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. 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 wife was given streptoquin on holiday saying this was used for tummy bug but just wanted to no what there used for ?? It has come to our attention throught our local dr that she caught samonella poisoning on our holiday we just wonderd why the gave her this ? ### REPLY: Hi, Streptokinase is a thrombolytic medication used to dissolve blood clots that are formed in the blood vessels of the heart, lungs or in the legs causing myocardial infarction (heart attack), pulmonary embolism and deep venous thrombosis respectively. Whereas streptomycin contains clioquinol, atropine, sulfathiazole and streptomycin as active ingredients and is commonly prescribed to treat infections like diarrhea and intestinal meiosis, caused by susceptible bacteria and protozoa. Based on the history your wife seems to be suffering from diarrhea caused by intestinal infections for which her doctor prescribed streptomycin. Let her continue to take the prescribed treatment along with oral rely .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 56 is not socialised person,he alway have adoubt on my character,,he never allow me to go out alone he never keep any male servant in house,he always tell others that i am fad up with my wife ,,even he also doubt  my neighbours,his brother,neighour child,,as in fact whole my family knows that there is nothing,, i suspect any mental disorder,,he is very successful advocate,rich,good practise in supreme court  india ,,kindly helppppp ### REPLY: Degree understand your concerns. I went through your details. Your husbands' behavior may be due to two reasons. Either he is over obsessed with you and never wants to lose you or your love. The second being paranoid personality disorder. Both are treatable with the help of a psychologist. To determine what is your husbands' problem, the given details are not enough. Please provide whatever details you can provide, examples for his behavior, life, normal attitudes and anything personal you can add. Or take your husband to a psychologist to diagnose correctly. If you consider my help, Please post a direct query with every detail. I shall prescribe some psychotherapy techniques to practice. I assure good relief. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor ,i am 18 years old now my hair loss started when i am 13 years old from the left part of toip region of my head ,then all told that i should shave my heaD then i did it and then the density still decreased and then i took treatment in dermatologist he gave some medicine then i used it for 2 months then i found no result so i left it and then after some months i consulted to dr batra he told i should take treatment for atleast 3 yearsd i took 1 year treatment and i found no result then the hair started falling more and almost my scalp begin to shine even if i have long hairs then after leaving hope i regularly shaved my head and then i counsulted again to dermatologist in cutis,banglore he told shave head every 15 days and apply x-pecia in morning and some lotion in evenind and gave told to take two tablets 1 small white another reddish brown and he told to take treatment for 3 months so will it be helpful? ### REPLY: My DearWelcome to  ! I have analyzed your problem and feel that it is really bothersome for a teenager to have such an embarrassing condition. To me, it appears that there have been some missing pieces of information in your account related to the size and location, demarcation, and pattern of hair loss bur based on your description I feel that you are most likely having Alopecia Area ta. For my patients who attend in person, i usually esquire about the history of allergies (atop) in the family, symptoms, examination of few hairs plucked from the margins of lesions and family history apart from the scrapings from scalp skin. Then, when the diagnosis of AA is established I put them on Folic for few weeks, to be supplemented with steroids locally, intralesionally if necessary either through a delicate needle-syringe or by dermaroller.  That works in more than 95% cases while others may need systemic steroids. I am sure your condition can be managed somewhat on the above lines with great results as UPU are young and more likely to respond favorably. Our best wishes! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I found an almond sized lump on my left butt cheek. It has now been there for a couple months. It hasnt gotten any bigger, but I cant help but be concerned.  It doesnt hurt but I can feel that its there and its sometimes slightly sore especially when I exercise. Should I be concerned? ### REPLY: Hi this is . Thanks for the opportunity to help you. As per your description of swelling it is fitting the diagnosis of lipoma or sebaceous cyst. As it is difficult for you to confirm its location it is advisable to show to your general surgeon and follow his advice. Still I will guide you :-1) if it is a neurolipoma causing pain then you can get it surgically removed. As the size is small so it won't take much time.it will be a minor surgery and your surgeon can decide about biopsy. You can leave it also if your surgeon after examining you clinically confirm lipoma.2)if it is a sebaceous cyst excision has to be done otherwise it will get infected and form abscess. There can also be a possibility of papilloma, evolving abscess from a pre-existing hematoma etc. If papilloma excision biopsy is ideal. If evolving abscess then initially higher antibiotic coverage. Rarely it may totally resolve. Normally the abscess localizes and small I and d is perfect. An USG of the gluteal region or FNAC from the swelling as per the surgeons advise will be ideal.is there any discharge from the swelling?kindly let me know if the consultation was beneficial. 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 have recently had a mirina removed and have not had a period since or in the past few years. I had unprotected sex on the weekend. The following afternoon i had brown spotting. I then got the morning after bill but it had probably been close to 24 hours after the intercourse. I am now at day 3 after and i have more brown blood and it is chunky.. also causing cramping. what could this mean ? ### REPLY: Hello, You are perhaps experiencing a with .  Intake of the pill within the stipulated time offers 99% protection. As you do not know whether you ovulated and if so, when it happened and if you had the intercourse during the fertile period, you should wait for three weeks after the incident and get help from a specialist if you do not see a period by then. Hope you find this information useful. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had bleeding in the 12th week of pregnency. Told its a retro placental clot. I ahve been given complete bedrest and injection of Susten 100. Now after 5 days bleeding has stopped. Are there still chances of any abnomalities in pregnancy or the baby. Do we have gynecologist ### REPLY: Dear Madam, At any stage of pregnancy, retro placental clot is not a good sign. This clot is formed due to separation of placenta and furthermore, it further causes more and more separation of placenta. Placenta is that organ of the baby which nourishes the baby and breaths for the baby. So if substantial placenta is separated, there is great risk to the life of the baby. Sustain 100 you are receiving is a progestational preparation. Progesterone is known to arrest the process of abortion. However, if the baby has already been rendered non-viable, use of progesterone will still arrest the process of abortion and lead to missed abortion. Hence, I would advise you to get ultrasonography done to ascertain that baby is viable and the size of the retroplacental clot is not increasing. If baby is safe, please continue Sustain, however continue to have repeated follow-up ultrasonography. If the baby is non-viable, you will have to undergo termination of pregnancy. So ultrasonography is the key guideline for you. I hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My husband is an alcoholic, and was seen in the ER last week because of dizziness. His blood work showed enlarged liver, pancreas and bone marrow not functioning properly. The Dr. said if he didnt stop drinking, he could possibly be dead in 3 months. This morning his heart rate is low, he is vomitting, dizzy and skin very clammy....He will not go to hospital, ony wants to sleep. Any idea what could be going on? ### REPLY: Hi thanks for contacting ... Here you're all symptoms direct or indirectly because of alcohol.... Here heart failure should be ruled out..... It can lead dizziness...... So for that ECG or echo need to be done to rule out cardiac cause.... You might have cirrhosis and portal hypertension as you are chronic . . It can lead functional pulmonary failure by portal hypertension called hepatopulmonary syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What happens if I drink a Plan B last night and another one the next day? Because I had unprotected sex on Friday & Before drinking the pill on Saturday night I had unprotected sex again. When we were done I drank the Pill and again after drinking it we had sex again, But this time with a condom. I need help please, I dont know what to do & I have 2 days left to drink this Pill ### REPLY: Hi, I understand your query. Plan B is effective when it is taken 72 hours after unprotected sex.  (Earlier it is taken, more sure is the action).- It is effective for any number of sexes within its action time. Because it acts by postponing ovulation/ not allowing sperm entry in female genitals to allow fertilization.  I think you should not be tense, you will be protected for all three sexes you refer to. Only thing is as you have taken 2 doses of plan B, you are likely to get hormonal disturbance & delayed period this time- * So wait for period patiently,- If delay is more than 10 days, you should exclude pregnancy by urine pregnancy test & get your doubt cleared.  * Plan B has high hormonal content. It is not to be used as contraceptive on routine basis. When you take it once in month, it better to use barrier method contraception in remaining days rather than repeat the hormones repeatedly.  * In case you plan to have regular sex, better option is using monthly cyclical hormones (Oral contraceptives.)  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 went to the dr yesterday I have asthma but no wheezing he put me on steriods but my ekg was abnormal. My chest feels tight and I lose my breath whenm I do activity. I am taking a stress test next week. I too s baby asprin and I am still feeling uncomfortable. What shoud -i do? ### REPLY: Hello, Asthma is only one of the causes for a breathing difficulty. There are other causes related to the heart, the lungs, blood, fluid retention, anemia, embolism etc. A lung function test (spirometry) will help in diagnosing asthma and some other lung diseases. In asthma, a albuterol inhaler relieves the acute symptoms whereas steroids are more beneficial for prevention. Aspirin can make asthma worse. So it is important to have your symptom diagnosed correctly, and then the appropriate treatment can be advised. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Ranjit, 37 yrs old. I am diagnosed with Neurocysticercosis. Left frontal lesion on CT. I got partial sezures on right side 4 times in may be 2 hrs. After medication they stopped and didn t occur. I am taking levetiracetam( Keppra ) 500mg since a week, 2 times/Day. I was discharged and told only 1 lesion is there and anti parasite tratments are controversial. So only this tablet is enough? doctor told me to go for approx 2 years. I see in internet that 1. Steriods 2. albendazole and then anticonvulsants. I am in Auckland, NZ. ### REPLY: I read your question and I understand your concern. The management depends upon the parasite cyst status. If the parasite is dead then the treatment is directed mainly at seizure prevention. Otherwise, if the parasite is active as you have read steroids and albendazole treatment is used. As for Levetiracetam being the right medicine, there are many .  Levetiracetam seems like a pretty good first choice, both for its wide range of efficacy in many type of seizures and for its fewer side effects compared to some other  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, so over the past couple days I ve developed swollen lymph nodes with the pain being more significant on my right side. Also, I developed a lump behind my left ear where my lymph node is. It was about the size of a pea. As of today, it disappeared but I discovered a lump about the same size on the back of my neck. It is immovable and is not sore. When I press on it it gives me a headache. My glands on my right side don t feel that swollen but are more painful if anything. So my question is whether I should go to the doctor and be worried or let it ride out for a few more days? ### REPLY: Hi, Dear,Welcome to . Based on the facts of your query, You seem to suffer from-Scalp hidden infection with Multiple Lymph nodes on the neck. Yes be worried about them NOW urgently, and You should check with your Doctor. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. 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: For about 4 weeks I have been having odd pains in my lower right abdominal area. Getting worse as time goes on. It feels warm almost like a warm feeling in my lower right abdominal area and above my groin to the right. Sometimes there are pains and my skin is really sensitive in the area of the discomfort. I have a date to see my doctor on Monday. Tonight I am having a really difficult time getting to sleep I move certain ways and I feel like something is inflammed inside me. I am thinking about going to the ER at 2 in the morning. Should I wait till Monday or go now? I actually thought I heard a voice right as I was about to fall asleep and I got scared and woke myself up and worked myself into pretty much panic mode. I am a 25 year old male. ### REPLY: Welcome to  .1. There is nothing exactly I could suspect by your symptoms - so in this case if you are my patient I would have start with.2. An ultrasound abdomen, a chest X-ray PA/LAT to come to a conclusion.3. I feel like you are paranoid with your symptoms - so sorry for that. 4.Recommend being with some friend / family member during this time.5. If symptoms exaggerate you may have to visit ER. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a purple red lump on the outside of the bikini line just where my underwear hits. It is on the surface but you I can feel it underneath as well. Its been there for a few days and is very painful to touch. Im scared. What could this possibly be? ### REPLY: Hi! Good morning. I am  answering your query. Even though it needs a physical examination to arrive at a diagnosis of a lump, from your history it seems that possibly you got a cellulitis (inflamed soft tissue) in the area along with the possibility of developing an abscess if not taken care of. Therefore, I would suggest you to please take an appointment with a general surgeon in your area, and get it clinically assessed by him for an appropriate treatment. Till that you could go for an anti-inflammatory . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 39 years old. Fit. Not overweight . Non smoker. Avid cyclist. Diagaonsed with late onset asthma a year ago, use albuterol twice a day, only symptom though is bad chest pain , mainly all the time, but especially in the morning. Not tight, no wheezing never really out of breath Chest x rays clear, no heart issues. Does astma sometimes mean just chest pain? ### REPLY: Ask your doctor if sodium cromoglycate puffs every morning would be preferable to albuterol for prevention of attacks? Lung function tests should be carried out to assess Status. Sometimes Chronic airway obstruction or alveolar function may be the cause not sometimes visible on X-ray chest. In your case, chest pain is unexplained, sometimes in heavy exercisers, muscle fatigue could be a cause for which get serum CPK level assessed which is raised in muscle trauma in which event you would have to cut on too much cycling-alternatively just cut cycling and wait for 15 days if it is a contributory cause-the pain might go ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m a submariner and suffering from allergic sinusitis.i m in vishakhapatnam and want my tretment even by surgery bcoz i for the last 14 years taking cetrizine now i m completely habituated of cetrizine.i want to get surgery for sinusitis,comfortably ad Delhi.plz guide me what to do. ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Allergic rhinitis can cause recurrent nasal congestion and sinusitis. Antibiotics and nasal decongestants will help to get rid of it and regular taking of antihistamine like levocetirizine and mast cell stabilizer like montelukast for long term will help to control allergic rhinitis. Endoscopic examination by an ENT specialist is well appreciated to rule out some obstruction or masses which can cause your condition and an endoscopic resection of it helps in such case also. Can you provide information about what your doctor has told you for the reason to do surgery? Let me know if anything is not clear. I am happy to 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: Hii I got typhoid three times in 2 years... Suffering from frequent fever, weakness, excess sweating. Doctor told me may beI have enlarg liver. He suggested me..thyroid test, liver function test, complete blood test, urine routine test, cholrstrol test... Should I go for these test ### REPLY: Hello and thanks for sharing your concern with us. As you recently had typhoid and then again fever is seen, so typhoid relapse should be ruled out first. Inadequate antibiotic course could cause relapse. As many patients become carrier after typhoid fever and these bacteria remains dormant in gall bladder and can shed off the bacteria in stool for more than a year. That's why a complete course of antibiotic should be done to eliminate the bacteria completely from system if the cause of fever is found a relapse. To know the exact cause of such manifestations diagnostic tests are mandatory to be done in guidance of any GP which will direct the further treatment. I wish you good health. Best . OMAR ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 first c section delivery in July 2012 and them the second c sec in January 2014. My younger child is now 10 months old and I am still breast feeding, which I plan to wean him off once he turns 1 year. In April this year I was diagnosed with fatty liver for which I was asked to loose weight as I cld not be given my medicines coz I was nursing my baby. I made diet trey changes and managed to lose 7 kg, following which pain in my upper right abdomen got better. Although the discomfort has gone but on my recent scan I found that fatty liver is still there. I badly want to lose weight , and I know skipping rope is very effective on me. But can I do this exercise post 2 c section deliveries ? Is it safe? Please advise. Thanks ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have fatty liver. Treatment is diet modification, exercise and weight reduction. You should avoid high fatty diet and alcohol. Take high protein diet and large amount of green leafy vegetables and fresh fruits. Exercise and weight reduction is the key in fatty liver. You should go for regular walking and skipping rope can also be done. There is no harm in that. Your C section is very old and nothing to worry about that. Some fatty changes are common in pregnancy and with exercise and diet modification you will feel better. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am experiencing a sharp pain behind my right shoulder blade which runs to my chest (where my clavicle and sternum meet). It feels like a pinched nerve but would like to make sure its nothing serious. Important facts: I am 25 years old, 5 11, 175 lbs, have psoriasis, I workout, work a desk job and sleep on my side. Thanks for the help! ### REPLY: Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant .  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had a cystoscopy yesterday morning and is still having a lot of kidney pain, nausea and vomiting. Is this common? It was found he has a 2-3 cm cancerous tumor. Also what is the most common treatment for this. His Urologist wants to remove his left kidney. ### REPLY: HIT hank for asking to ChatDoctorI can understand your concern, the cystoscopy may be painful to your husband, (Post surgical pain) and he may not be able to tolerate this pain, this might have developed vomiting, give him Ondansetron sublingual tab. This will relieve his problem, the treatment of cancerous tumor are surgical removal, chemotherapy, radiotherapy (Combination of these three) the oncologist and the once surgeon can only take the decision have nice 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: I ve been trying bathsalts and this is the third day im on it. i just took it again for twenty minutes ago. While i m on it ive had increased heartrate, massive headaches, and just today am getting bumbs on my cheeks . While im on it im happy and hyper, but afterward i lose my voice, headache,stomache, and such. I ve been on it for three days and to make the after affect go away i take more. i fell asleep on my boyfriend lastnight and he said my heart beat stopped for a few seconds and i was sleeping with my eyes open and stuff. I just want someones opinions and facts about it because if its gunna mess me up or hurt me in anyway im not going to continue doing it. im only 15, i dont want long term affects over something as stupid as wanting to try a new drug ### REPLY: Hi. Thanks for using . I wish to inform you that Tranquility Bath Salts contain a controlled substance which has potential for addiction and abuse. It causes a sense of euphoria, increase in heart rate and palpitations and insomnia. Soon person starts getting dependent on it. Over long term it can damage your heart. So my advice for you would be to stay away from such stuff. Not worth the risk for your life Hope this answers your query. Thanks and .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 year old daughter has been complaining for a considerable while now (over 6 months) on a regular basis ie. usually once a day, that she has a HOT tummy, and for the last couple of days has also been describing it as SORE (she specifically mentioned it was from her lower tummy up to just under her ribs). She frequently feels the need to lie face down on a cool surface to try alleviate the symptoms. About 3 months ago when I took her to the doctor for a check up relating to another ailment (to do with feeling like she needed to go to the toilet again to do a wee immediately after doing one - this had been going on for over many months too). At the time I mentioned the hot tummy problem and the doctor felt around her stomach for any obvious lumps but could not find anything. At the time she had two urine tests whicChatDoctore back negative for any urinary infection and so far she does not seem to have any noticeable problems with that original complaint, however, I am planning on taking her back to the doctor again because of the stomach pains but wondered if I should try this Miralax medication first although as we live in Spain, am not sure that particular medication is available here. My daughter insists her tummy problems are not because she needs to go the toilet although I have not kept an actual record of her regularity in passing stools . Any advice greatly appreciated thanks. Jenny ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  Your 6-year daughter since 6 months complaining of hot abdomen, and since 2 days had pain abdomen. Before when she was sick you have used MiraLax.  Previously you have used MiraLax(Composition is poly ethylene glycol) it is a laxative for treating constipation.  If there is constipation, you can use it as constipation also causes abdominal pain.  Still you should consult a pediatrician for diagnosis and treatment.  Avoid giving her spices, junk foods, and oily foods.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I woke up and my face was swollen and my left eye brow bone was really sore and I noticed a small purple dot on my eyelid, my dr thought it might be because of my high blood pressure, which was 157/106 today, never mind, Im not paying a quack online that probably isnt a real doctor anyways! How misleading! ### REPLY: Hello! Thank you for asking on ! I carefully read your question and would explain that your symptoms could be related to sinus infection. Your blood pressure values are above the normal ranges too, but they don't seem to be the cause of your symptoms. I recommend consulting with your GP for a careful physical examination, a sinus X-ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes). Antibiotics may be needed. 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: Dear DoctorI am 47 yrs old and since I was 16 I used to have stones i my kidney (About 2 times per year) Last time a stone came out was 3 months but 2 months ago, I feel a renal infection which is not like b4. I do not know what is it. Could you lease advise. Thanks and Regards ### REPLY: Held and welcome to . As a Urologist, let me assure you that, all renal infections are treatable. You are a stone former, and should have had a metabolic stone work-up. The tests for this include, urine calcium, phosphorus,uric acid, blood creatinine, calcium,phosphorus, uric acid, and oxalate. A stone should have had a biochemical analysis also. What are your present symptoms, to suspect a renal infection. You see a Urologist, with reports of urine routine and culture, blood creatinine, uric acid, sugar and SUB, scan. If you want my expert opinion, you can send reports as a direct question. . Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 4 and half year old .when ever she get cold it go longer she start heavy breathing ,allergy kind symptoms ,very fussy ,she is little and can,t explain  she feel very sensitive,she was a colic baby .what should I do  to keep her safe and less cold period and as she  will grow ....is it will improve? Thanks ### REPLY: Hello. Thank you for asking at . I went through your history. I think your daughter has allergic respiratory problem, but I would like to ask more questions about nature of cough, cold, whether she wheezes, frequency of symptoms etc. to know exact nature of her disorder. However, for allergic respiratory diseases, I would suggest her Montelukast whenever she develops symptoms. This will reduce her symptoms along with other medications prescribed by your pediatrician. If she is having problems during any specific season, I would suggest to start daily Montelukast 2 weeks before the season and continue during the season. This will also reduce the number of episodes. I would suggest you to avoid exposure to dusts, smoke and air pollution as much as possible. Limiting foods that usually trigger her episodes will also help. Childhood allergic respiratory disorders usually can improve by ages of 6-8 years, but it depends on type of allergy she has, her diet and environment, hereditary factors, genetics, etc. So It's difficult to predict most of the time. I would also suggest you to consult an Allergist who will suggest her allergy testing and help you identify what to avoid and how to. Hope this will be helpful to you. Wish your daughter the best of the health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I ve been having body aches, shortness of breath and coughing since Sunday. I have had walking pnumonia and bronchitis in the past couple of years. I m currently taking PVK 500 I got from a friend. I started the dosage last night and took another this morning and again after lunch. I don t feel any different. What should I do? ### REPLY: Thanks for your question on . I can understand your situation and problem. The most common cause for bronchitis is viral infection. And viral infection is common cause for generalized weakness and fatigue. Viral infections are self limiting in nature. But bronchitis needs proper treatment. So better to consult pulmonologist and start inhaled 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 fell down a few steps and i am in a lot of pain on my right side..bruise on my hip but i have a lot of pain and its tender around my kidney...it hurts to cough and breathe a little. Hospital visit they gave painkillers with no x ray said bruised..im worried about my kidney ### REPLY: Hi thanks for writing fall you had might have caused some injury on the flank side which may cause pain. It is not necessarily from the kidneys. If you don't have any blood in the urine or any other problem in passing urine it may not be a kidney problem. Although my concern is whether you had a rib fracture because of the fall as the pain is increasing when you cough or breathe. X-ray might be of help. Even if it is a rib problem all it needs is a rest and immobilization. You may write back with your queries. Tx ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is there a cure for elefanttis..because I was told if I get a surgery that it will grow again.But that doctor could not do nothing for me. so they send me with a other specialized and they are going to do all the paperwork again.and I m so tired of this because my balls are just growing and growing more day by bay. ### REPLY: Helots is a very difficult to say "IS THERE TREATMENT FOR ELEPHANTIASIS OR NOT???" Now a day better treatment option is available and better diagnostic technique e.g. ultrasound, lymphoscitigraphy, circulating filial antigen assays, PCR. While treatment based on block of lymph nodes, if one or two and very close to each other surgery is an option. While diethylcarbamazine is still . In my opinion consult a hospital where treatment for communicable disease available. Hope this will be useful for 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 im almost 8 weeks pregnant and a week ago i had some brownish spotting so i went to er and they done blood test and smear? and internal and said everything was fine then 2 days later i woke up and went to the toilet and was bleeding red.. so i when hospital again and they did an scan and said 2 things it could be that your not as far gone as you think coz the babys size was like 5 weeks no heart beat yet and they dont get heart beat till 6 weeks or my baby stoped growing at 5 weeks and now im starting to misscariage?? so they told me to go back in a weeks time. But after that day which was 4 days ago iv bin bleeding red everyday almost like a period and yday i had small clots n 1 size like a penny and really bad pains, today is the same but pains much worse n stop for a couple of mins then come back, im so upset iv bin trying for 7 months this is my first pregnancy im so scared i just want now, am i going through a misscarriage for sure??? ### REPLY: Dear Madam, I empathize your situation. In fact whenever there is brown bleeding during any stage of pregnancy, the first suspicion is death of the baby. When brown bleeding takes place in the first three months, there is a possibility of old or stale abortion. However, in spite this when the abortion does not take place, we call it as Missed abortion. You had non-viable baby when you had first bout of brown bleeding. However, the  levels do not .  Only ultrasonography would have detected non-viable fetus at that stage. Now that your missed abortion is confirmed, it is advisable that you undergo the completion of termination of pregnancy ASAP as delay may lead to the complications like clotting disorders (DIC), infections, kidney failure, etc. Before you undergo any intervention, it is advisable to get investigated for DIC by Bleeding Time, Clotting Time, Prothrombin Time and Fibrinogen Degradation Products on your blood. I hope this has given you some guidance for further management of this condition.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in the front of my neck it radiates on both sides. If i push in on it sometimes my eye on the left side with twitch. I also feel like a piece of popcorn is on the back of my tounge. When I get up in the morning the pain in my neck is not to bad but as the day goes by it gets really bad. It is not in the center but just to the side of the center ### REPLY: Hello, I have studied your case. Due to compression of nerve root there can be pain in your neck. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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: My daughter felt dizzy and like she was weak feeling like to faint and her face and looking at her lips it looks blue after a hot bath.  I towel her dry quickly and let her lay down on the bed with blankets on then I gave her water to drink within minutes she was pink again but I was very worried.  What caused this to happen because shes a very active healthy kid? ### REPLY: Hello. I just read through your question. Typically, when we sit in a warm or hot bath, our blood vessels expand and our circulation slows. This often causes a slower delivery of blood to our heads because the blood flow is fighting gravity. The result is a feeling of light headdress and the symptoms you are observing in your daughter. Cooling the water by a few degrees and spending a little less time in the tub will help resolve the 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: tripped over bedspread and hit concrete floor. Landed on side of left leg. Terrible pain. Did not go to doctor for two months. Thought pain would go away. Had X-ray done yesterday. Results say non displaced fractured fibula that is lined up. Pain should be in lower ankle but is on side of left knee cap???? Why???? ### REPLY: Hello, I read carefully your query and understand your concern. The fibula and the tibia join together at the knee and ankle joints. So, the swelling in case of fibula fracture may also happen in the knee. Ice is used to relieve the pain and reduce swelling. You can use anti-inflammatory medications such as Ibuprofen to relieve the pain.  suggest consulting an orthopedist for further evaluation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind 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 recieved a call from my doctors nurse stating My Alkaline level were at 184 and my live ALT was at 67 and was just told to come back in a month for another blood test. I have struggled with trying to get my doctors to help me come to a diagnosis but I dont get one. What does this level of alkaline mean? One doctor in Chapel hill said I had Mycosi fungoides and I suffer from inflammation of the knees and my thyroid was removed several years ago due to non-malignant growths. I moved to Elgin, Illinois and was sent to Rush hospital and now been told I am a mystery. He doesnt feel I have mycosis fungoides...ayyy I just want to get better and cant seem to find the way to get the help I need. When I asked my doctor what can I do or what should I expect...he said...well or these test are wrong or your a tremondous liar. I cried driving home. the results say one thing but when I ask what is the next step he would say...see you in three months...I have had 2 major knee flareups since and sincerly dont know what to do..Can you help or guide me. I appreciate it. Thank you, Linda ### REPLY: Hi Linda, Thanks for asking. Based on your query, my opinion is as follows.1. Raised alkaline phosphatase levels indicate mild bile duct obstruction. ALT in elderly at 67 is bitten increased, but due to medications and liver damage can be near normal limits.2. You might be suffering from osteoarthritis. X-ray or arthroscopy is necessary to identify the amount of damage.3. As there are limited details present, I cannot comment further. Do repeat the test for alkaline phosphatase and ALT after a month, to check whether CT is necessary to identify further cause. 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: I have this black spot on the tip of my tongue and it bothers me when people ask what happened, is there a way to make it go away? My doctor said its moles and its fine, but I honestly dont like it. I will be willing to do anything to get it normal . Thx. ### REPLY: Hi A black spot /mole at the tip of tongue, which is not increasing in size, neither changing its texture and is painless is rather harmless, and you need not be worried. Although I do second you and accept that it might be irritating and uncomfortable. Out of various modalities, surgical removal has been an age-old remedy for such moles. Latest modalities include laser which are painless and also have a better acceptance amongst patients.hopefully this might be of some help to you .take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had lose stools for many years. I am 31. I dont know if it has always been like that but I have noticed my stools are not very round. More oval or flatter. There is lots of squelshing noise around my bowel the last week and lose stools (no blood)  sometimes when I eat a big or greasy meal I must rush to the toilet. Are these sypmptoms of colon cancer? As I am not old and no family history. Thanks for your help. ### REPLY: Hello, Loose stools and undesirable noise during stools are unlikely to be from cancer. It is possible that you have irritable bowel syn .  If there is no blood in the stool, then the risk of cancer is low. It is suggested that you consult a gastroenterologist and give a detailed history of your problems and get examined clinically. It might require doing a colonoscopy on you. Furthermore, it is a simple office procedure in which a slender tube-like device with a camera at one end is inserted after bowel preparation and anesthesia and the large bowel is visualized. Any suspicious disease areas will be evaluated, and it will provide adequate information on the cause for your loose stools. Please do not worry. 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 hard lump that came up on the bridge of my nose on right side proximal to the face. This came up in August. Now this week another lump has come up on the distal tip of my nose and is painful. At first I thought it was a cyst but now I m not sure. I just had my third child this past January and wondered if this is hormonal or if I should have other concerns. ### REPLY: Hi! Welcome to , and thanks for sharing your recent health problem with us! After going through your description of the hard lumps on your nose, if I were your treating physician for this problem, I would like to examine it carefully first as there are so many possibilities in this case as follows:1. Small retention type or inclusion cysts of the skin adnexae2. Infected skin adnexa or folliculitis3. Rosacea-like skin problems4. Type or variant of acne5. Small benign skin tumorsTherefore you must see a dermatologist for a clinical examination and opinion regarding potential medical therapy in this case!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: Is ensure a safe drink to have while on both chemo and radiation for metastasized stomach cancer? I have read articles stating that ensure is filled with sugar, which can actually be counterproductive in cancer patients due to the fact that cancer feeds off of sugar. ### REPLY: Hello, welcome to . Ensure is an energy .  I don't see any harmful effect of it in cancer patients in fact it is beneficial as in chemotherapy and radiation receiving patients the demand of nutrients in body increases because of regeneration needs of body cells. So you can continue using it in my view without any apprehension. Still it would be in your favor if you would consult this with your treating doctor as well. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir,i m suffering from IBS from past 4 years all blood tests including colonoscopy,endoscopy is done.now after som mor tests it is concluded i hav B12 deficiency and given injection VITCOFOL 10ML AND RIFAGUT 400MG FOR 10 days.will these drug really work out and solve my problem.i m very tired suffering.plz answer me ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that vitriol injection is given in vitamin B12 and folic acid deficiency. So your treatment is in right way. Kanamycin will treat the infection if any you have in the gastrointestinal tract. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what has been the procedure for treatment for patients who refuses to go psychiatric hospital, but their behavior is very erratic,local psychatric doctors told to refer patient to government hospital thane ,patient behaves as a wise person in front of doctor, ### REPLY: Halloween patient refuse to visit Psychiatric Hospital it results in huge confusion in family members and also to treating doctor. Patient should not be given medicines without his consent if he is adult and with consent of parents if patient is minor. But under certain exceptions if a patient suffering from psychosis or with lack of insight refuse to visit psychiatrist then he can be given some medicine without knowledge to make him compliant to treatment. Medicine like Olanzapine, Risperidone etc. are available in liquid tasteless form and can be given by mixing with food. If you are primary caregiver of patient you can consult a good Psychiatrist for expert opinion and prescription. After some time he may become complaint to treatment. Thanks, hope this helps you. ### END