Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my friend was wind surfing and fell off. The board slammed into his right front shin. It swelled up immediately to about four inches in diameter. He received several stitches, but his foot is black & blue and after sitting for a while, his leg feels numb when he gets up to walk. Is this normal? ### REPLY: Hi. Well bruising is a common finding after an injury due to spillage of blood from blood vessels into the soft tissues. Lump can be due to Hematoma formation. Numb feeling occurs due to trauma to superficial nerve endings and inflammation. It can take a few days for the condition to improve. For now, he can elevate the leg while lying down. Do cool compresses over the injured area. Take anti-inflammatory painkillers like Advil if there is pain. Do not exert Mich and can apply Thrombophob gel to reduce the bruising. Hope I have answered your query. Please let me know if I can assist you further. 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: This it a little awkward but I have a weird rash on my foreskin and head of penis. I haven t been sexually active in almost 3 months and was with that person for about 4 months so I d like to think that std is out of the question (although from what I ve searched it looks like herpes. The rash is really dry, sometimes shiny, and itches like crazy. I also have tiny little bumps on my head that are not pearly peniles. I have no other symptoms or rashes or discharge that I m aware of but any advice is welcome. If I had to guess I would say maybe a male yeast infection.? I don t know though someone please help. If necessary I can post pictures ### REPLY: Dear user about your question I would like to tell you that these symptoms of rash on the penis refer to having viral or bacterial or sometimes fungal infection....so if you found small blisters around penis and itching it suggest viral infection of hsv2 that acquired by sexual contact.you should see your doctor to examine you clinically you need to do some investigations for that as urine culture as primary investigative test of bacterial infection as in this case you should have antibiotics for treatment .........discuss with your doctor to do urine culture and if bacterial infection suspected do antibiotic sensitivity test as it will help a lot.......you should . .......wish you healthy life ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 29 years old and a mom of two and a half old son. I am planning to conceive again but my periods have been always irregular. When I wanted to conceive first time I was in India and My Doctor asked me to take folic acid tablets 5mg dosage once a day and glucophage metformin tab thrice a day and also letoval 2.5 mg letrozole tablets starting from day 3 of my periods til 7th day. And I have conceived in 5 months. Should I start taking it again to conceive. ### REPLY: Hello, Above medications are quite helpful to get regular period with proper ovulation and facilitating chance of conception. But, you must consult with your doctor for overall check up with relevant investigation before taking this medication. Do unprotected sex close to ovulation day (14 days prior to due date) or within fertile days for high chance. Use ovulation prediction kit to tract ovulation day in mid-cycle. Take vitamin-E and folic acid supplements for 3 months. 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: My grandmother is 92 yrs old and she was dignosed with gall bladder cancer. The doctor is releasing her today, they said there is nothing else they can do just let it run its course. My question is what problems are we facing? What do we need to look for? ### REPLY: Hi and welcome to . Thanks for the query. You are facing with fact that your grandma will probably pass always within few months since this is fast progressing disease and nothing can be done. She will have obstruction of biliary tract and hepatic insufficiency and probably this will be direct cause of death. She needs all your emotional support, thats all you can give her. Wish you good 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: For the past two days I have been having very sharp/stabbing pains above my rib cage like under my breasts between there. And it will come and go and it really hurts when I eat. Even the smallest bite it will hurt I went to the doctor and they said I had a UTI? Please help. ### REPLY: HIT hanks for posting your query to .  It is highly unlikely to be due to UTI as UTI cause pain in the lower abdomen and not in the region described by you.  I need to know whether your pain is on the right side or left or both the sides. This is important as the probable causes varies from side to side. But in general most common causes are :1. Ulcer in Stomach. 2. Stones in Gallbladder.3. Inflammation of Pancreas. 4. Lung problems.  I advise you to get Ultrasound Abdomen, Serum Lipase, LFT and revert to me with reports and the details asked. Hope this information was useful to you. Any clarifications feel free to ask. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 13 year old daughter has been experiencing pain in the upper right abdomen for one week. It started during a soccer game and we thought it was just a cramp. She experiences it now whenever walking or running right from the start of exercise, not after being fatigued. She is very physically fit and has high endurance. She also has experience heartburn several times this week. This is interfering with her physical activity. She says the pain can be quite severe. ### REPLY: Hi, Such a pain in the right upper abdomen needs to be investigated by a clinical examination by a General Surgeon and an ultrasonography. This may be due to Gall bladder problem like cholecystitis, liver abscess, hepatitis and so on. Get investigated Get started on the right treatment in the form of an antibiotic and supportive medicines. Your Daughter should stop playing and take rest till the diagnosis is made and treatment constituted well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. Mimi. I am sheila,26yrs old,female. I use furosemide for a month and my hair start to fall out. I take furosemide twice a week to lose weight. I dont take any medication. I have no disease. My thyroid is fine. I am still eat nutritious meal eventhough i am on diet. My question is how long does furosemide stay in my system? I am so scared. Thanks for your help ### REPLY: Hi! Welcome to !First Furosemides should not be used to lose weight. Its duration of action lasts for 3-4 hours inside the body. Following are important side effects seen with the use of Furosemide:Hypokalemia and deny .  Since your body weight and BMI are not mentioned in your question, it is advisable for you modify your lifestyles, follow some dietary restrictions (reduced salt intake--avoid fried potato chips, pickles, papas, etc., take plenty of water, take the whole fruits and increase the fiber intake in the form of vegetables. If you fail to notice a reduction in the body weight then consult your doctor. 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 am a beginner juicer. im on my almost 3rd week and within the first week in i started getting rashes on the inner part of my thigh and crotch area. now is beggining to spread to my hip area. that look like random heat bumps and itch badly. i am using topical things. but I would like to know what is casueing this?is this the cleaning of a certain organ? will it go away and if so how long? ### REPLY: Hello, Thanks for the query, You might have developed fungal infection. The area of groin is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please don't use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,My name is izwin.Me n my 3 boys has been down with flu n cough for 3weeks now. we have been going on the second set antibiotics since yesterday.My main concern is that my 8 yr old and 6 yr old has been having stomach ache vomiting and they wont eat. what do i do? from what i gather is that they r having too much meds to cope with. ### REPLY: Welcome to the ChatDoctorI understand your concerns but don't worry. The most likely reason for these symptoms is a viral illness which easily spread amongst child .  They do not need antibiotics unless and until blood or culture reports suggest a bacterial infection. Repeated antibiotics should be avoided. The need to development of gastritis, indigestion, antibiotic resistance. I would recommend a symptomatic management including antihistamine such as Chlorpheniramine or fexofenadine along with antipyretic. Give Lansoprazole for stomachache and associated vomiting. Hopefully this will help you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doc ! My mom is having knee pain (right leg) for a month. Every year, specially during winter time, she gets such joint pains for at least 10 days. After taking medications, she will get relieved of the pain. This year, it continues in spite of taking medications for more than 10 days An Ortho specialist prescribed medicines like Omez, Zerodol - P and some vitamin capsules. Her symptoms are swelling of joints, specially at her right knee and mild swelling in her toes and finger joints. She is finding so hard to climb staircase. After taking necessary lab tests for arthritis, it was all normal as told by the Ortho specialist. Recently through some of our friends, we heard of Class IV Deep Tissue Laser Therapy which is great for relieving pain at joints. Can you please let me know how the therapy is efficient in relieving joint pain? will it be beneficial to give it a try? Please suggest any herbal or drug therapy as mom is reluctant to go under the knife for a surgery. ### REPLY: Hello! Welcome to  ! Since you say all test came out normal. I think its normal knee joint pain which occurs in elderly people. As one ages, a fluid called synovial around knee caps which protects from friction during motion is degenerated. And hence one experiences pain around the knee. I suggest you to get ayurvedic treatment called Japan bast. In which we try to regenerate the fluid around knee and reducing pain. Laser therapy and any other surgery will not help you much. I won't recommend at least. Hope this clarifies your concerns. Thank you for contacting us. 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 QUESTION REGARDS RENAL CELL CA. HOW LONG DO I PLAY THE SURVEILANCE GAME. HOW LARGE DO RENAL CELL CA HAVE TO BE TO USE THE ROBOTIC PROCEDURE . (HAD A PARTIAL NEPHRECTOMY THREE YRS AGO)  MOST RECENT CT SCAN NOTES 1 CM ON RIGHT AND 8 MM ON LEFT. CT OF CHEST CLEAR, NO METS.  I WAS UNDER THE IMPRESSION THE ROBOTIC PROCEDURE COULD REMOVE VERY SMALL LESIONS.   WHEN I ASKED ABOUT ABLATION; THE ANSWER WAS ; TOO SMALL. I AM TOLD THIS IS A SLOW GROWING STAGE 2 RENAL CELL. ATTEMPTED TO HAVE SECOND OPINION AT MD ANDERSON BUT WANTED 3500.00 UP FRONT WITH TWO INSURANCES. RECURRENCE ON LEFT, NEW ON RIGHTPLEASE NOTE: I AM HEALTHY, WORKING FULL TIME AT AGE 71. I WOULD RATHER NOT WAIT UNTIL AGE 80 BEFORE REMOVAL . ### REPLY: Hi, Surveillance is mostly used for small tumors in elderly. Since you fit in to that category they have advised you the same. You can be on surveillance for as long as you want. Usually the benign tumor will not grow faster that 3-4 mm/yr. However, if there is any rapid growth you will need intervention.  Robotic surgery is one of the mode of treatment and there is no strict size criteria for selecting the patients for surgery. It depends on the surgeons skill and experience.  Radio frequency ablation is one of the option but since your tumors are small, it will be difficult to target them. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good afternoon doctor,  I have suffering from hair since 2 years. i have taken Dr. Batras course for 6 months, the fall was stopped when i was using the treatment but again after a break of one month the hair fall started. Can i get a permanent solutions for my hair fall. ### REPLY: Hi... It seems that you may be having a condition known as halogen effluvium. I would like to say few things about halogen effluvium. It is a condition in which the hairs fall in halogen stage of hair cycle. The causes may be many like. ...tension, anxiety, thyroid diseases, endocrine diseases, hormonal diseases, diseases like typhoid, malaria, viral diseases, surgery,trauma, . .methotrexate, internal diseases, anaemia, nutritional deficiencies..... etc. might precipitate the disease. Excessive sun exposure may be responsible for the disease. Dan ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 child has just turned 3 years... She used to say few words but apparently stopped saying them now... 4 months ago she was sent to daycare and after that incident she entirely changed like crying all the time and lost all the words she used to say... She has also lost her confidence and is always in anxiety and fear... she also started display a strange behaviour with her fingers.. that is she twists her fingers whenever she is nervous or excited... could you please tell me if this is a neurological problem and also she only used to speak 8 words when she was 2 1/2 years and also had all her set of teeth until she turned 3... could this be a delay development issue.... ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. You must understand the neurological process in a behavior disorder. Anxiety and phobias are behavior disorders which when studied deep has neurological connections. Anxiety and fear can change the signals sent through neurological channels and can further alter the behavior. In this case, there should be an element of neurology. The behavior change is to be established whether gradual or sudden. The day care episode seems to be the basic for the children behavioral problem. I suggest deep evaluation. For the time being, I suggest a clinical psychologist / child psychologist psychological / behavioral evaluation. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 36 year old male, married, non-smoker, non-drinker.  I went to the dentist to get my teeth cleaned and was refused because my BP was 155 over 103.  I checked the following day and it was 149 over 90.  Would diet and excercise alone be enough to control it or should I see my GP? ### REPLY: Hi Charles lifestyle modifications do control Blood pressure in some young patients if followed properly which include1. Brisk Daily morning walk for 45 mins a day for 5 days a week.2. Reduction of dietary salt intake3. Avoiding canned food and junk food and . 4. Including good amount of fruits and green vegetables in daily diet.It's advised to follow this routine for 3 months properly and then monitor Blood pressure. Even if it remains unchanged will I hope will not happen then you need to start some antihypertensive medicine after consulting a cardiologist personally. 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 am 29 years old and having severe abdominal pain so they sent me to have a colonoscopy done yesterday it all came back good but yesterday I had a couple of bowl movements and it was pure blood and then this morning I wake up and my face is swollen also I have chills and I feel so bad is this normal after a colonoscopy? ### REPLY: Hi, Blood you experienced is indicative for hemorrhoids or any possible anal fissure, especially when your stool was hard. Having a swollen face is not related to colonoscopy. Depending on your actual age, it might be due to:- kidney problems (e.g. infection)- changes in blood pressure- medications you might be currently taking. I advise getting an emergency appointment with your physician for further evaluations and adequate treatment. 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: hi ia 40 male no h/o any chronic disease .2years back had disc prolops hith accidental finding of moderrate spleenomegaly .fatty liver grade 2 .my all investgation wnl.serology ...neg all infections ruled out .no portal htn .what cause of spleenomegaly what to do further ### REPLY: Hi dear as all your routine tests and serology are normal would go for some rare possibilities it can be infectious mononucleosis, a viral disease - a serology for cytomegalovirus is to be done endocarditis (inflammation of inner layer of heart can be a cause -2d echo is to be done to rule out you have not mentioned your . Blood cancers like leukemia can be a cause of it, investigations should be done to rule out the possibility, especialy Hopkins lymphoma is associated with metabolic disorders, such as Gaucher disease and Niemann-Pick disease-are very rare, but genetic reading is to be done to rule out this rare cases are rare, but they do happen, a thorough investigation is to be done to find out the cause in your case ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,my son is 4 yrs,and is complaining of stomach ache since yesterday,he had high fever also,but on giving him medicine it went down,today again hes colmplaining of stomach ache and makes smelly toilet,had a bit fever is now ok on giving medicine,is his problem severe?plz advice.thanking you. ### REPLY: Thanks for your query. Read the history and understood it. The most probable cause of pain in a child -Tummy tonsils-meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms. The best diagnosis is a high resolution ultrasonography. Some blood, urine and stool tests. A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis. Also given is a dose of medicines active against worms in intestine. I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. If this is indicative of appendicitis, please go for the surgery of appendectomy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 swollen glands on the left side of my neck, for 12 days now.  Cant cough/sneeze/laugh without severe stabbing pain in  abdomen & under left rib. Lochia got worse after a little activity and it had tapered off.  Birth was 2 weeks ago with no complications. ### REPLY: Dear patient thank you for the question. Swollen glands warrants a physical examination by your GP as it could be salivary glands, lymph nodes or tonsils or even a swollen thyroid gland you have fever and trouble swallowing it could be your tonsils in which case Amoxicillin +clavulinic acid 650 mg for 5 days should help. This is an antibiotic. For the pain ibuprofen 800 mg SOS is to be takenHowever swelling on the left side of neck is a vague term and I again suggest you should get yourself examined ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3 stiches and glue on my upper lip to my nose on sat. i was galloping a horse at work and the horse that was infront shoe came off and caught me.i v been laughing and i felt like a split it a tiny bit jst v small n sum watery yellow n red came out.is it infected? ### REPLY: Hello, Welcome to ChatDoctorThe history and symptoms suggests that you may be having the infection of the affected area, but it should be examined to know the presence of the infection. As there is a discharge following the injury it is a protective mechanism of the body. To confirm the presence of infection you rs acquires physical examination. If there is any infection you requires1. Topical Antibiotic cream2. Oral Antibiotics like Tab Augmenting, twice daily for 5 days3. Oral Analgesics. 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: Pain in left side to stomachScan resultKidney : reasonable corticomedullary diferntiation of both kidneys seen with normal renal cortexRight Kidney : shows minimal dilation of pelvicalycealComments : Right kidney minimal kydronephrosis                    Left Ovarian simple cyst ### REPLY: Hello according to your report it seems you have simple cyst in left ovary which is causing pain to you in left side of the stomach. As you have not specified the size of the cyst It's difficult to comment on it. It will be advisable to show the report and consult a gynecologist for the same. As for the right sided HY .  But as there is no comment on any stone presence in right kidney there are 2 possibilities. Either the stone must have slipped off and passed out in urine, or it has not been picked up on the USG scan for which you might need CAT study to pick it up. Kindly consult your gynecologist with the report and follow up. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi! doctor i am 27 years old( female), height is about 5ft 6 inch and weight 58. I was was normal befor nearly 2 years but suddenly i got faint n found that i am patience of neurocysticercosis according to doctor and doctor said to take medicine for 2 years and refer me medicine zeptal CR300mg but i got rashes from that medicine n doctor refer me another medicin valprol CR500mg. It been nearly 2 years after that no promblem but whenever i put tight sandal my foot used to hurt right as peripheral ring enhancing lesion noted in LT. parietal convexity at parafalx region with market perifocal oedema... plz help me out? ### REPLY: Hello, Neurocysticercosis is a parasitic disease. The symptomatic treatment of this consist of anti-epileptic medicines for seizure, corticosteroids and antiparasitic medicines depending upon presentation of patients. The present pain in foot due to tight sandals may not be due to your neurocysticercosis. If it is burning or radiating then this can be due to neurocysticercosis. At present for relief you may have Tylenol or ibuprofen. You should also avoid wearing tight sandals. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 10 year old daughter keeps getting bruises on her arm.  They look like purple tiger stripes.  She is currently having some stomach issues that are being treated.  She is also allergic to pork and seafood. She also has asthma.  Can any of this be related to the bruises ### REPLY: Hello. Thank you for asking at . The most important thing that I would like to ask you is whether they itch. If they itch, I guess, they are urticaria, which is common with other allergic disorders lie food allergy, asthma, etc. If they do not itch, I would suggest you to show them to a pediatrician or dermatologist. Hope this will help 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: my feet and ankles ache constantly. Especially after sitting. Can t hardly sleep at night for the constant ache. I seem to stretch all night but the ache is still there and to step into a pair of shoes after getting out of bed is horrible. Doesn t matter if i wear tennis shoes, heels or flats. What could this be? ### REPLY: Your issue is pain in ankle and feet especially after you be in one position and then when you start walking or stand, it aches a lot. Here as per your symptoms there are a couple of possibilities. It can be due to calcium and vitamin D deficiency. And because of this your feet bones are weak and so that when ever you do weight-bearing on legs, due to weak bones it starts paining you. It can also be due to ankle sprain along with plantar facts (inflammation in plantar facial). It can also be due to ankle twist along with hairline fracture if it has happened to you.However it is not possible to rule out anything without examination. So I suggest visiting an or tho doctor and let him do an x-ray as well required test and based on that here doctor will guide you for further treatment. If every thing is fine with bones and its problem related to ankle sprain along with plantar facts then physiotherapy treatment along with keeping ankle and feet in hot water at home will Also be helpful. I suggest use only flat and soft footwear. And do not do more of weight-bearing activities. I am sure this will be helpful for you. Just follow the advice given above. 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: Mother, Age 50, Female. Have pain in hands, occasional burning senseation, numbness and can not grip things with hand. Pain and burning sensation goes worse during the night. MRI scan report for the neck region says mild diffuse prosterior disc bulges also noted involving c4 c5, c5 c6, c6 c7 disc spaces mildly intending anterior thecal sac & rest is normal. ### REPLY: Hi, i read your mother cervical MRI report which looks not bad for female with 50 yrs old. This are mild degenerative change of disc and joint of her spine which is age related changes and this are irreversible. But your mother symptoms are moderate to severe. So there is mismatch INRI finding and her symptoms, so her main problems are not due to spine so other probable causes are-Diabetic neuropathysensory/motor neuron disorder you required a euro physician for further treatment. All the best. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump that has appeared on the inside of my knee overnight. It is the same colour as my natural skin and the size of half a golfball. it isn t sore but uncomfortable when I use my knee. It is hard and feel like bone but I know obviously that this is not what it is. Are you able to help? ### REPLY: Hi! Thanks for your query on ! After going through your problem of the lump inside your knee, I must consider following possibilities as per ultrasound/needle biopsy reports in my clinic:1. A bursa or degenerative benign cystic lesion: 50% possibility2. A ganglion or benign amyloid cyst 20% possibility3. Acute synovial collection or effusion due to arthritis or irritation: 20% possibility4. Recent hematoma or some benign cyst 9% possibility5. Malignancy 1% possibilityTherefore, it should be investigated properly, and you must not neglect but get it to some doctor for imaging and needle biopsy if needed to relieve your concerns!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 am from pakistan.. and my age is 22 and half. my height is 5.9 & weight is 55 kg.... i have multiple fibroadenomas in left breast from last 2 years. and i am very much worried about it... there is a 1 huge fibroadenoma of about 3.2 cm previously it was about 2 cm... its size gone increased... and a surgeon recommend me to use femicol medicine twice a day for 6 months...please guide me should i start take that medicine? would this medicine bring decrease in size ? ### REPLY: Hi, You are 22/F, HT. 5.9. WT. 55 Kg. - you are suffering from Multiple Fire Adenoid of left breast for 2 yrs. One of the fibroadenoma which was 2 cm in size recently increased to 3.2 cm. You are less than 25 yrs (important age to bother), immediate Mammogram, Scan, FNAC to be done. If every thing reports as non-cancerous - without wasting time - without bothering disfigurement and ductal damage total excision all the fibroadenomas and once again wait for HPE report especially from the recently increased size. If every thing is normal don't bother - when it is excised in total recurrence is rare. But a close observation is needed for the development of new fibroadenoma. If HPE reports are not normal, treat accordingly. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 47 years old have type 2 diabetes high blood pressure obeses in weight but under control via gp and cardiologist .now my problenm past 2 days sudden onset of squeezing mid chest lasting only 2 to 3 seconds.with no other symptoms other than panic.can u tell me should i be worried .the discomfort cames on at rest also.n.b i have a waist size of 44 inch ### REPLY: Your concern is about chest pain which lasts for 2-3second only. If It's really only in seconds then chances of cardiac origin is less. However being a diabetic obese and hypotension patient cardiac ischemia can not be ruled out. Better is to take chewable aspirin 300 mg and get an ECG done. And further investigation if required as trade mill stress test, echocardiography. And advise you to consult a cardiologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, 5 months ago I fell on my back awkwardly while playing basketball and ever since the center of my chest has been hurting whenever i do activites, i can reduce the pain by popping my chest but it never goes away, what do you believe may be the problem? ### REPLY: Thanks for your question on . In my opinion it seems muscular pain only but since it is chest pain, we have to rule out cardiac causes. So better to get done ECG first. If this is normal than it must be musculoskeletal pain only. And chances of musculoskeletal pain are more as you are having trauma history. Try to follow these for musculoskeletal pain.1. Avoid heavy weight lifting.2. Avoid strenuous exercise. 3. Avoid bad postures in sleep.4. Take good painkillers and muscle relaxant.5. Apply warm water on affected part.6. Wear chest belt so that minimal movements occur. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was in a bad work accident in 2005. Since then I have had two C-5 C6 Fusions and a L-5 S-1 post, and anterior fusion. I was diagnosed with AVN of the femoral head in 2006. I am now almost unable to walk. And can not sleep. I had a CT scan done because I am unable to have MRI due to the fact I also have a spinal cord stimulator implant so unable to do MRI. The CT was read and it stated that there is no evidence of AVN but there is mild osteoarthritis in the left hip. I understand that if AVN is in fact not treated it can and will turn into Osteoarthritis. If in fact it is Mild why does it hurt so badly? What are my options? ### REPLY: Hello, Yes because bone cells need a steady blood supply, osteoporosis can ultimately lead to destruction of the hip joint and arthritis. So physiotherapy and lite exercises may useful. Use tablet cartilage twice a day for five days.  If no improvement please consult with your orthopaedician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 yrs son is suffering from cough since three months. Along with difficulty in breathing. I take medicine but doctor said that your child has allergy from unknown items. You have to take one injection annual (cost $18 Approx)Till then medicine are there my child is ok but when medicine end my child suffer from cough with wheezing( having prob in breath) ### REPLY: Hello, Thank you for asking at . I went through your sons history and would like to make suggestions for him as follows:1. I usually suggest my such patients regular montelukast, levocetirizine and inhaled corticosteroids for at least 6 weeks. Then further continuation of medicines could be decided after evaluation of his condition. I also suggest my patients to use albuterol inhaler on as-and-when-needed basis for asthma symptoms that may occur in between.2. I would suggest your son allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, pet dander (if you have pet). This will help you identify the substances causing allergies to him as well as to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe him allergen specific immunotherapy which gradually improves his symptoms of allergies over long time.4. In general, I would suggest him to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish your son the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has had cramping of one leg for many years but now both when walking up hills, he now has one leg smaller. His father had Peripheral Vascular Disease and had one leg amputated. My husband smokes about twenty per day. His diet is good eating nuts and vegetables every night. ### REPLY: hither seems to be an indication for checking with Doppler ultrasound for circulation especially when history of smoking is there. There are medicines to increase blood flow and prevent clots. As is evident he has to cut smoke, do massage of limbs and get serum lipid profile and blood sugar checking done in addition. Vitamin E is supposed to help in cramps in moderate doses and injections of methycobalamin or erosion forte.consult a doctor/vascular surgeon and orthopedic doctor to rule out possibilities 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: 8 weeks ago.. Random swelling of left side of my face and swelling of the throat. Completely irrational panic attacks and mood swings (crying, screaming..etc) for the 3 days that followed. Emergency room.. Said after swab of my throat I have some kind of virus.. No health insurance... Symptoms subside except swollen ymph nodes under my jawbone near adams apple... 6 weeks later, swollen lymph nodes still there. But now a lump underneathe my adams apple as well. Anxiety, depression, loss of appetite, unreasonable bloating, constipation, excessive sweating, and extreme fatigue. Please help. :( ### REPLY: Hi ! Good evening. I am  answering your query. If I was your doctor, I would advise you for a thyroid function test, and a possible ultrasound of the lump in the neck along with a FNAC (fine needle aspiration cytology) of the lump to arrive at a histological diagnosis supported by a clinical examination. Further management would depend on the clinical findings and lab investigations along with FNAC. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc, I took postinor 2 in november and sw my period that same november on the 30november and I missed by period for december without having unprotected sex. I have done pregnancy test using home kit which is negative. What do u think is delaying my period.thanks ### REPLY: HU, I have gone through your question and understand your concerns. Posting 2 causes delay in the next expected periods by2-3 weeks. It also can cause irregular periods for few cycles after its intake. However, other causes of irregular periods like hypothyroidism, hyperprolactemia or polycystic ovarian disease should also be ruled out. Hope you found the answer helpful. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is a mmc patient. was operated for the same when she was one month old. now she is fifteen months old. till now does not walk independently. problem - urine infection. so started acuclav (Amoxycillin and potassium clavulanate). does not eat food. cries often. till now breast feeding continued. only demands for breast milk. ### REPLY: Hello, I take this opportunity to tell you certain scientific facts and relieve your distress -1. An active is a well kid even if she/ he is not eating well.2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause .  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 VEIN ON THE LEFT SIDE OF MY CHEST THAT IS VISIBLE AND IS SORE. I JUST HAD A STRESS TEST DONE AND EVERYTHING IS NORMAL WITH MY HEASRT. THE AREA IS VERY SORE TO THE TOUCH. I ALSO HAVE BEEN HAVING FLUTTERING SPASMS JUST UNDER THE LEFT BREAST AREA. I AM A 53 YEAR OLD MALE. ### REPLY: Thanks for your question on . I can understand your situation and problem. No need to worry about heart diseases because your stress test is normal. Possibility of skin infection like herpes zoster is more in your case. It is viral infection of skin caused by skin contact. It is commonly seen in chest area. Herpes causes pain, redness, itching and venous engorgement (dilatation of veins) in localized chest area. So better to consult dermatologist and get done clinical examination of your local part. You may need antiviral, painkiller and anti-inflammatory .  Hope I have solved your query. 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: Hello, I am really struggling with urinating, A brief history, I was diagnosed with bladder cancer in Nov. 2013, I had the tumors removed,but the cancer returned. My urologist told me I needed to have a systecomy as soon as possible, but I did not agree, so, I went to Seattle to another urologist and got a different opinion. We decided to start chemo and see how things progressed. things so far are very positive. My blood work is great, the tumors have not grown. Is there any new technology that I might try to help with my stream. Alan ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Treatment of bladder cancer depends on the type and stage of cancer.  However, partial or complete mastectomy is necessary. Then you should go for chemotherapy or radiotherapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey, i just found out im pregnant and have had a miscarriage before. i havent been to the doctor yet but im guessing im about 2 months pregnant. ive been have severe pain after sex and i have started having discharge and some blood. im also having constant severe pain in abdoman especially on right side of abdoman what could this be ### REPLY: Hello dear, I understand your concern. In my opinion the spotting in pregnancy can be due to various causes pike thyroid abnormalities, progesterone insufficiency, abnormal pregnancy, bleeding from cervix etc. The cervix becomes soft and vascular in pregnancy, so it might bleed due to intercourse. So usually we advise to avoid intercourse during the first 3 months. As you had previous miscarriage I suggest you to consult doctor and get the necessary investigations like ultrasound, thyroid profile done to know the pregnancy status and rule out thyroid abnormalities. Avoid physical strain and intercourse. Avoid stress. Take healthy nutritional diet and folic acid supplements. 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: Started a new med Triamterene 37.5/25mg one in morning and still taking 2 bisoprolol 10mg at night how does the 2 work together? My blood pressure spikes at different times for no reason so she put me on this just wondering if im taking them at proper times and the facts of the two together ### REPLY: Hi, thanks for using  Anti-hypertensive medications work in different ways to help lower the blood pressure. Triamterene 37.5/25 is a combination of two diuretics, and they would reduce the fluid volume to cause a reduced blood pressure. Bisoprolol is in the beta blocker family of medications. It works by relaxing the blood vessels and slowing the heart rate. They would reduce the blood pressure in different ways. Once you use them consistently at approximately the same time each day, it would be fine. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with malaria and prescribed maxlumforte, for 4-5 days by first physician. I changed the doctor, and second doctor asked for chest xray and blood tests that revealed  bronchitis of chest, symptoms were, cough high fever, nausea, diarrhea, red eyes, skin rash and swelling of face.  Doctor prescribed me Cefiget 400mg/twice daily besides continuing maxlumforte for malaria. I consulted the third physician because I wasnt satisfied with the doctors attention to my problem. Third doctor  asked for retesting malaria and dengue test, both were negative.  So stopped maxlum forte.However test revealed low platelets count 140, sgpt 97. Hr immediately gave new prescription of cravit 250 mg/twice daily. Second test revealed platelets back to normal range 160 however increased sgpt 124 and normal sgot 45, bilirubin normal, but high gama gt of 66IU normal range is my Hav Igm is negative and HBs Ag is negative, but i am worried about my sgpt increase from 97 to 124 in less than four days. Please advice what can be the cause, before all this I also had gastro allergy as I drank over 6 shots of alcohol after 10 years. my age is 29 and smoke only 2-3 cigarets per day. ### REPLY: Hi.thanks for posting query .most likely alcohol or fatty liver disease advise:1. Restrict fat intake and Quit alcohol2. lose weight if obese3. Monitor fasting blood sugar (if non-diabetic)4. If diabetic, control blood sugar5. Monitor liver enzymes and have ultrasound (abdomen) after 6 to 12 weeks6. VitE intake after discussing with treating physician wish you good n sound 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: Hi my child whose age is 3yrs caught severe flu,coughing with mucus,fever aswel from last five days.i m living in spain plz advise me what type of medicine should i take from farmesi bcz my child is nt eating anything due to severe flu virus.here drs only gave us ibuprofeno. ### REPLY: Hello, Thank you for asking at . I went through your children history and would like to make suggestions for him/her as follows:1. Personally I prefer paracetamol to ibuprofen for fever in flu or flu-like infections. The reason is better safety profile. If fever does not respond to paracetamol, then only I would suggest you ibuprofen.Also, I would suggest tepid sponging for fever in addition to medicines.2. I would also suggest him a cough syrup containing an antihistamine (like pheniramine) and decongestant (phenylephrine). It will take care of other symptoms like cold and to some extent, cough.3. Maintenance of HY .  Please ensure that your child is taking plenty of fluids during the day. I would suggest you to offer him oral fluids frequently.4. During a viral infection, it is very common to have loss of appetite. Please do not force your child food. Let him/her take according to appetite and continue to offer him fluids in between.5. Viral infections usually take 5-7 days to resolve. If he develops any new symptom, fever continues or increases or does not respond, I would suggest you to consult a pediatrician who will examine her and also will suggest him tests to look for infections other than viral infections. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish your child a very good recovery and a very good health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad is 73 years old and had a quadruple bypass seven years ago. He has been passing blood in his stool and has recently been in and out of the hospital having to go through blood transfusions. Also he has diabetes though it is controlled and was recently made aware of being anemic. Should I be worried? ### REPLY: Hello, I understand your concern. I am , Infectious diseases specialists, responding to you. If anemia is of high grade like 5 or less than the matter sorry some. Having diabetes and anemia in combine itself won't increases risk. Until the bleeding of your father won't stop it will never possible to recover from the anemia It is advice to stop the bleeding and start the iron therapy to stop the anemia progressing. I will be glad to answer your further query. Thank you for your contact to . Wish you the best health. Thank you, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 32 year old male. I am suffering from asthama by last 2 year. I am taking inhalor regularly after consulting to my physician, but now I feel congestion in my chest and also there is no permanant relief from asthama. Please advice me what I can do OR where I can get proper treatment? Thank you. ### REPLY: HI, thanks for using  If the asthma is not controlled, you may need to look at your asthma triggers and also consider whether the medication dose needs adjusting. There are different triggers for asthma, if you can control your triggers it may help to control your asthma. Triggers could be exercise (would need to use inhaler before), reflux, sinus problems, allergies, common cold, strong emotion. Your medication may also need to be adjusted. This can be done with your GP or pulmonologist (doctor who specializes in lung diseases). 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: Hi Doc, my lower front teeth are not in line,  they have just zigzaged a litle bit. and i am thinking there can be a way to make them look nice. in fact is only a tooth which is out of the line. please, can there really be a room for that to happen?bastin orgaz ### REPLY: Hi Basin OrgazThanks for posting your concerns you have mentioned your teeth are not in line. This condition is very common. In dental terminology we call it as crowding or maligned teeth. This condition can be definitely corrected with orthodontic treatmentDepending on the severity of the condition, your age and your oral health, there are various options available in orthodontic treatment.- The first option is to go for conventional orthodontic treatment (Braces). This may take about 1-3 years depending on the severity and age. The dentist may or may not extract few of your teeth to gain space so that the front teeth can be aligned. - The second option is to ask for invitation, where there are no braces, but a series of appliances will be given to you. The appliance would be transparent and hence it would be aesthetically pleasing, nobody would get to know that you are being treated.- If the crowding is minor and if the teeth have to be moved very little to align, then the dentist may recommend removable appliance. However, there are more chances of recurrence if the condition is treated with removable appliance. Hope I have answered your queries. 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: ive been excersising alot recenlty and been getting burning pains in my cheast. I bent down there to pick up coins from floor and got the burning again but it traveled to my throat  and i got a  headache! Ive had a kidney transplant and had heart palpatations n been put on 2.5mg of bisoprol at morning and night! could this be angina? ### REPLY: Hello! Thank you for asking on ! Your symptoms seem to be related to gastroesophageal reflux. But, considering your past medical history, angina can not be excluded either. For this reason, I recommend trying an antacid or PPI (omeprazole, omeprazole) first. If this helps improve your situation, it would indicate possible gastroesophageal reflux as the main cause of your complaints. In such case a fibrogastroscopy would be needed. But, if your symptoms persist, I recommend consulting with your cardiologist for a careful physical exam and a coronary Anglo CT scan or Dobutamine stress echo, in order to investigate for coronary artery disease. Hope you will find this answer helpful! 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: I have a foot pain in the top of my foot. it doesnt hurt whilst I am walking but it hurts on and off when Im exercising. I play a lot of sport especially netball and football. Ive looked on a few websites and the only one that sounds a bit similar is inflammation of the extensor tendons of the toes. Please may you give me your opinion. Many Thanks ### REPLY: It is most probably extensor tendon inflammation.  Rest until the pain has gone. Apply a cold therapy and compression wrap. Apply ice of cold therapy can be applied for 10 minutes every hour initially reducing frequency as required over the next 48 hours. Once the initial painful acute stage has passed then application of heat may be more effective. Ensure footwear is appropriate and in particular the shoes are not laced too tightly. Over tightening the laces puts direct pressure over the extensor tendons in the foot. When all pain has gone a full rehabilitation program to strengthen the extensor muscles should be done. By doing certain exercises to strengthen ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was feeling pain in my right testicle after masturbating b4 sleeping at night, not immediately but later on that night. After i woke up in the morning my pain was gone! But again at night i started to feel the pain. the pain continues the nxt day also.  it feels as if some1 has kicked in my knards!! what shd i do ? is this becoz of masturbation?p.s. i m not a regular masturbator. ### REPLY: Hello, The masturbation usually doesn't cause such pain until there is some inflammation of genital organs.  The seminal vesicle inflammation, prostate inflammation or testis inflammation could be possible according to provided history. I suggest you investigate with ultrasonography pelvis, abdomen and per rectal with special emphasis on testis, seminal vesicle and prostate.  The antibiotic course and anti-inflammatory .  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I think I may have Trush, the symptoms add up, but I was told by my GP earlier in the year that I had genital herpes, although not tested, have since been told it might not have been, so would it be ok to use canesten to treat the Trush or could this make it worse? ### REPLY: HelloThanks for writing to ChatDoctorCanesten is one of the topical creams that is used for vaginal candidiasis, though there are other treatments.Your doctor was may sometime add additional therapy is needed. If you use the prolonged course and the response is inadequate then you should have a swab done to confirm that it is yeast infection and if there is any resistance to medication. Discuss this with your doctor and then decide Hope this keepsake 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: Hello sir! am from india ....(age 22).......for the last 3 months regularly, at nights while sleeping sperms is coming involuntarily.......I m very lean&tall GUY!Now i just warn to avoid this situation.I ALSO warns to know y this happens?Because every morning feel very tired & bodypain . I m mentally depressed......please tell me some remedies or suggest me some medicines if it is available... I also heard that coz of this lots of energy & weights will loss.......... Actually I WANA gain some weight ,for that what s the best way? ### REPLY: Hi, Involuntary ejaculation of sperms is pretty normal, and you need not worry about it. It NEVER causes loss of energy or weight loss. This is a misconception. The option to avoid wet nights is to avoid things that sexually provoke you. For example watching a song that causes sexual attraction, thinking about someone/something that makes you feel sexually pleasurable etc. It might seem more difficult to control these thoughts when comparing to just ignoring your involuntary ejaculation. Since you are not involved in any sexual activity that lets out your sperms, your body is naturally finding a way to get rid of the excess sperms stored. This is the reason for nocturnal emissions. True it causes body pain and tiredness in morning. This will get sorted out if you during plenty of water during those times ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cardiologist wants to move me from Sotolol 80mg  twice a day---to 400 mg Amiodarone  twice a day---have had debibulator/pacemaker  for 4 years----has recenty "shocked med-due to AFIB---    SEEMS TO BE MANY  POSSIBLE SIDE EFFECTS TO aMIODARONE??  SCARES ME   77 YR OLD PATIENT  (4 BYPASSES IN 1980, 3 MORE IN 1996) ### REPLY: Hi, If you have inappropriate shocks while on Stall, it means, that its effect is not sufficient. You are right, Amiodarone has many side effects, but usually when it is taken for a long time. You can start Amiodarone, and maybe after some time your doctor can change Amiodarone, when you are in more stable condition. Hope I could help nourishing you good health In case of further questions don't hesitate to ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im a 54 year old male and weigh around 169 pounds. Last night I was brushing my teeth when I spit up blood, I also had some acute chest pain. This afternoon, the chest pain started up again on my left side and is getting milder. I have acid reflux, but I dont think thats causing my chest pain. ### REPLY: Hi and thank you for asking in . According to your complaint better to exclude some lung diseases in order to be sure that everything is ok. Coughing up blood is the sign of lung diseases first and when excluding these last, you can go further with other tests. I would advise you to do as follows:Chest X Rathole blood count PPD testSputum smear for tb EKG Cardiac UltrasoundNasoscopyAfter you have the results first you should see a pulmonologist. According to the above results he will decide for the next step you should follow. I wish you good healthThank 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: Well i am sexually active, and i have only just started taking the pill yesterday i finished my first full packet of the pill and the doctor s said after i ve took my first packet i should come on.. i haven t but when i went for a wee and i wiped my self, there was a brown-ish type on the tissue , at first it looked like poop. well kinda:/ i have been getting sick as well lately, i don t no if that has anything to do with it. And my vaginal area has been quite itchy since the other day.. i d like some help please to no if im pregnant of anything like that? im only 14.. ### REPLY: Hello, Itching around the vagina is likely to be due to some infection locally. Please use mild antiseptic and lukewarm water to wash the genital area. Do not douche or use strong solutions. If you have foul-smelling or greenish or yellowish discharge, please get a swab test done to exclude infection. Your sexual partner also may need to be tested and treated. As for the pills, if you do not see any period within a week you should get further help from a specialist. Menstrual disturbances are common with pills and the first 2-3 cycles need additional protection. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dental hygienist checked my BP yesterday. It was borderline high bp, I guess 136 over something. The portable wrist cuff showed a heart sign that she said suggested a heart murmur? I don t know whether this is worthy following up with my cardiologist. Why would my dental office be checking blood pressure? ### REPLY: Hi systolic blood pressure 136 is presynaptic hypertension and lifestyle modification will revert things back to normal,, heart murder are usually auscultated through stethoscopes meant for this purpose, even there are automatic machines to listen to murder, yet by tying it on wrist it's not possible to listen to a murder. You can follow up with a general practitioner, and he will auscultate you. Checking blood pressure is a basic protocol before any medical procedure, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 37 yo female. No past medical conditions. In may of last year I went for my 1st prenatal visit I also had std testing done.  All the results were negative. On june 11, 2010 I had a miscarriage, and a D& E. I received the Depo shot for birthcontrol. I had bleeding from that time until January. I became sexually active with my partner in September of 2010. In January of 2011 I had a hysteroscopy with a biopsy done. The results were all negative. My partner came to me yesterday, and told me that someone he slept with had trichomonas. I am scheduled to be tested, and treated tomorrow. Is it possible with all of the testing I had done I spread this? ### REPLY: Answer: HiT hank you for asking  .my name is .  Fortunately trachomas is considered as most common curable Sexually transmitted infection. Yes, it can be transmitted from an infected individual to an unaffected individual during sex. You should go for scheduled test and further management. You test may have been negative in the past n may even be negative because It's still not sure whether your partner who slept with someone who had trachomas has itself contracted/ got that infection. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 2 year old baby has a fever on and off,during night time it increase to 39,she s complaining of stomach ache and just this evening she vomit.no signs of rash..how will i know if she has dengue fever?and what s the best thing I should do if rash appear?thanks ### REPLY: Hi, welcome to . Your child has stomach pain, fever and 1 episode of vomiting. It seems that your child has probably got acute gastroenteritis or food poisoning. In my opinion, you should give paracetamol syrup for fever, and antibiotic like of lox for 3 days. This doesn't look like dengue, however if rash appears on baby then you should give more liquids to the child and do NS1 Antigen test and complete blood count to rule out dengue. I hope this will help you. Take care. Regards: .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a problem with my left buttock muscle my nerve pain goes into my left calf muscle I have had a laminectomy 3 month ago but my pain is still the same .my problem has not been in the spine but the muscle in my buttock. I have been told by a physio that the nerve goes thru the peravormus muscle and that is my problem . please tell me what to do ,I have had it for 18 month thanke you Marthel ### REPLY: Hello Mather. Thank you for writing us here. What you're suffering from is the performs syn .  Performs is a muscle in the buttock region which is infected and causes pain in buttock and the muscle could also affect the sciatic nerve which is near the muscle and could result into tingling sensation, shooting pain till your calf muscle. You can go for either of the following alternatives for relief from pain and treatment1) You can go for heat and cold therapy for relief from pain.2) taking medications for pain like ibuprofen or naproxen or paracetamol3) Botox injection which would help you to get relief from pain as it would relax the muscle and it won't irritate the sciatic nerve. You can go for any of these methods for getting relief 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 am 17, I have just recently noticed two lumps on my neck. since then ive been getting severe headaches and mood swings, sore redness around my eyes, as well as being generally tired and weak feeling. i had a full blood count test yesterday whicChatDoctore back normal. any ideas as to what this may be? ### REPLY: Welcome to  .1. Considering your age, I would think of infective etiology.2. The lumps could be lymph nodal enlargement.3. I would suggest an ultrasound scan to identify and find out the consistency (cystic/solid)and relationship to the adjacent organs.4. After that an FNAC - fine needle aspiration biopsy.5. I think it could be tubercular/infective.6. Take possible appointment with your doctor and get examined - do not postpone till it get complicated. 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 am jose paul.i am having problem with my 1.5 month old baby. she is having red scars on her face,and all over the body in some areas.when consulted with a doctor he said it is a kind of exima . she is not sleeping someties and crying as if somebody beat her so please give me some information about this exima and tell me if it can be treated ### REPLY: Hello, Please send to me a photo of your 1.5-month-old baby face in order for me to get it analyzed myself.  Sometimes, some babies do develop baby eczema at the age of your baby. It is called baby eczema. Should wash the face and skin with sensitive non-soapy baby shampoo. Apply eczema cream and zinc oxide ointment locally.  Normally it is clinically expressed with .  This explains why your baby keeps crying without knowing the reason.  You should try to soften the skin by applying eczema lotion. Looking forward to getting the requested photo in.  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the last few months I m so tired I cant sleep enough. i have no energy, I used to work out all the time and loved being active now if im not at school or work all i do is sleep or lay around. I keep prrocrastinating even simple things like cleaning and doing homework. In school i cant focus at all. Im a 20 year old female ### REPLY: Thank you for choosing  ! I could imagine the phase what you are going through. It is a kind of tough transition from a teenager to full adults as person will have to deal with personal and professional tasks. Do not stress out at this time. If you feel like you are not able to cope up with both the things at time do not feel shy to take your parents help. Discuss with them about your difficulties and discuss solutions along with them. Start learning multitasking which is very important as everything is important in life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: when i sit or bring my legs closer to chest i feel sort f air filled in abdomen & makes breathing difficult.what could b the reason. which specialist to consult.then any possiblities of sweating blood, since my pillow cover & towel & cloths have shades of pink. r light red colour. ### REPLY: Dear-thanks for using our service. I read your question in details and will like to tell you that there is no possibility of sweating blood, so it might be that you have been bleeding from some part of your body. You have difficult breathing when you fold the legs because you are compressing the diaphragm which is the muscle that control breathing and when you are in this position that what happens. I recommend you to check for any site of bleeding. I hope my advice has been helpful .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having some discomfort in my upper/middle back, and chest when I breathe in. A little bit of tightness in the throat as well. I was moving some furniture over the weekend and thought maybe I pulled something but now I don t know. I am 48, female, smoker, diabetic, high blood pressure as well. All those things have been doing well and under control. This pain happened this weekend and continues. Thoughts? ### REPLY: Hello, By your history and description, the possibility of musculoskeletal pain is more likely. -So apply warm water pad on affected areas of chest and back.-Avoid heavyweight lifting and strenuous exercise. -Avoid sudden jerky movements of chest and back. -Take simple painkiller and muscle relaxant .  -Don't worry you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father is 81. ha enlarged prostate[benign].given Veltam plus and taking for almost 25 days. 25 days prior he could not urine and had to use catheter for the first time to drain urine.now he is passing good amount of urine but sometimes feels a burning sensation while passing urine which goes the moment he passes urine. his urologist has asked him to see him after a month.is the burning sensation because of veltam plus. he doesnot have any other problem.no medicines expect supradin(vitamin) once a day.kindly please guide me. ### REPLY: Hi, There might be mild burning urination because he had an indwelling catheter for some time, but this should not be a problem and will disappear with time usually. Delta is a reasonably good rug in that it will help your father avoid retention of urine, especially if it has been combined with Finasteride. Importantly, your father might be feeling he is voiding urine well, but the correct estimate of how well he is voiding is to get a test called Uroflowmetry done, followed by an estimate of post-void residue in bladder. If the flow is poor or if the residue is very high, he could still benefit from endoscopic prostate surgery which is, under normal circumstances, a very simple procedure. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 46 year old female, standing at 1.57 cm and weighing 51 kg. Received my health screening report- my liver profile is normal except for an elevated GAMMA GT reading at 66. Is there any reasons that would caused the elevated reading? I have been advised to take another test in 3 months time.  Thks Sally ### REPLY: Hello Thanks for writing to ChatDoctorIncreased GGT indicates liver injury. It is important to know about other parameters of LFT like SGPT, SGOT, bilirubin level etc. It is important to know about alcohol history. You need proper clinical examination and few more investigations. Other investigations include routine hologram, RBS(Random blood sugar), Viral markers, Ultrasound of abdomen. Further investigations can be done if needed. You may need medicines after proper checkup. You should avoid alcohol if you take it. Hope I have answered your query. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 33 MALE, 5.5, 65 KG.sir, I have skin problem. Doctor says it is allergy. I get rashes, ozing liquid, then it grows wider and wider in rounded form. when I use clobetasol it goes in 3 days. These are present on the back of palm and on the back of sole of feet, scalp. and dandruff type problem. from about 10 years if I use medicine it cures but after 3-4 months it comes back and severe in winter. ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. I would agree that when such skin lesions occur, topical corticosteroids such as clobetasol can provide relief. So I would agree with this treatment.2. To identify the allergy, I would suggest you to observe yourself regarding exposure. For example, as it occurs on feet and palms, is it related to particular type of socks and gloves? Etc. If you are able to find out any such association, you should avoid such exposure in the future.3. When your skin is good and normal, I would suggest you to apply moisturizing lotion over all . Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: They found a small spot on my kidney over a year ago. When I went back to the urologist he said the size had not changed but he wants to do surgery to remove it. Other option was check it every 6 months. My insurance isn t that good but I wanted to see what you thought. I appreciate your help. ### REPLY: HelloSimple renal cysts are generally asymptomatic in nature, and usually it only requires follow-up ultrasound. Simple renal cysts are generally developmental findings. You may need clinical evaluation. Cyst may cause symptoms if there is infection in cyst or rapid increase in size. As cyst is small in your case, I suggest for follow-up ultrasound only. Intervention is only required in complicated cases. Get well soon. Take Care .  ### END