Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 11 year old daughter. Complaining that she can not swallow food. Has had the issue before but seemed to go away. She keeps trying even items like ice cream, mac & cheese that she likes but says she can t swallow them. Tonight she is even scared to swallow her own saliva. Took her a couple years ago to doctor, etc. and they check her good and didn t seem to find anything. Now it flares up again but this time she is even scared to swallow liquids. ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. Swallowing difficulty is the inability to swallow foods or liquids with ease. People who have a hard time swallowing may choke on their food or liquid when trying to swallow. Medical name for swallowing difficulty is dysphagia. The following can also cause trouble swallowing: .  If that is the case, even anxiety and obsession can be a cause for this dysphagia. I suggest you to consult a physician once again. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive recently been having a period after sex and some clotting,I had a smear this year whicChatDoctore back clear but Ive changed my birth control pill this year to the mini pill which has never seemed to have settled just wondering if these two are linked. ### REPLY: The progestin-only pill is better than regular birth control pills if you are breast-feeding because the mini-pill will not change your milk production. The mini-pill may be safer for some women to use. This pill is safe for women who are older than 35. It is also safer for women who smoke, have high blood pressure, are overweight or have a history of blood clots. Regular birth control pills make some women feel sick to their stomach. The progestin-only pill might not cause this problem.EFFECTIVENESS:No contraceptive method is perfect, even when you use it the right way. Two or three of every 100 women who use the progestin-only pill the right way could still get pregnant. This risk of pregnancy is almost the same as the risk with regular birth control pills. Remember that both kinds of birth control pills are better at preventing pregnancy than condoms. SIDE EFFECTS :You might have a little bleeding between your periods for several months after you start taking the progestin-only pill. Common side effects of the mini-pill are weight gain (which usually goes away when you stop taking the pill), tender breasts, and bleeding between your periods. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 several pimples on my face that have hard waxy cores. Sometimes they squeeze out and other times I pull them out with tweezers. I wash my face regularly with a gentle cleanser. But they keep coming back. I had perfect skin until 7 years ago at age 35 I developed acne . Help what are they and how do I make it better ### REPLY: Hello Fairbanks for your query. Your words suggest you are having Acne vulgarism.Don't worry too much .... Do not squeeze or scratch the pimples. Keep your skin clean, Have healthy diet & lots of fluids. Avoid too many oily foods. Apply topical Clindamycin gel over the pimples for a month. You can use topical retinoid over the comedones [but be careful as sensitive persons develop burning sensation and redness after application].and if have you are having too much of nodulocystic acne you can use oral Isotretinoin for 4-6 months [but always under supervision of your dermatologist] Hope this helps you. Stay in touch with your dermatologist.  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 doctor my mther is 45 years soffering from asthma n copd from last 5 years...she right now has severe wheezing and fever...we have given her injection deriphylline2ml im , i want to knw can we administer it everytime she has an acute exacerberation??? ### REPLY: Hello, Well, it can overdose. It is generally recommended to be given no more than 4 times a day total dose of 300 mg per 24 hrs.; and 2 ml is on the large size of dosing.  Funny story: my mother had an overdose of it when she 1) started taking her recommended dose 2) took erythromycin which causes it to accumulate 3) stopped cigarettes which lower its metabolism when you stop 4) had the flu which lowers the metabolism of it but 5) won a casino jackpot and hyperventilated which triggered the seizure. So, a lot of factors can influence this .  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i treated a UTI about 3weeks ago. but currently, i feel so much pain in my lower abdomen and a burning sensation when passing out urine. could i be having kidney stones or maybe a reoccurance of the UTI? please advise on what to do because the current lab tests show that i have intact red blood cells and pus cell 2+. Thank you ### REPLY: Hello Dear and thanks for the query More probability is of Renal stone or infection of the kidney (Nephritis). Recurrent UTI occur in both the cases, and you need to be investigated for that. Get your sonography and urine culture done and accordingly treatment can be planned. Meanwhile take plenty of water, urinary alkalizer for burning maturation antibiotic can be selected after the culture report. But as we have to find out the cause for recurrent infection consult your urologist and get the above said investigations done. Hope this will help you. 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: My doctor did a colonoscopy and found a polyp and a red area. He removed the polyp and biopsied the red area and sent them off to labs. The results was precancerous. Does this mean that i may now have anal cancer or does this mean that i will be ok until my next visit in 3 years? Now 2 weeks after the procedure i am at another doctor that will be performing a sphincterotomy surgery for an anal fissure that he thinks is an anal fissure, hes not sure because the pain is so bad he could not look inside at my appointment. Im really worried about the possibility of this being anal cancer and also I am worried about the surgery Ive heard so many things about this surgery like incontinence and pain after surgery. Im only 30 years old any advice or opinions would be much appreciated. Thanks in advance. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have colonoscopy with polyp removal and biopsy results show pre cancerous lesion.  You don't have cancer so no need to worry. Just be relaxed. Your polyp is precancerous, so it can convert in to cancer, and it needs regular follow up. You may have anal fissures. You should go for surgery according to your doctors' advice.  Pain and incontinence may occur, but surgery is needed so go for it. 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: Dear Dr i am married for one year but recently i came to know that my husband is having hbs positive so i am worried about that after my marriage i was with him for 10 days but he did not have any sexual relation with me so i am back to kuwait now it is almost one year what to do. ### REPLY: Dear Friend. Welcome to . I am . I have read your query in detail. Furthermore, I understand your concern. Hepatitis B can be transmitted by Sexual Encounter with the infected person.Also, with contaminated blood. If you had no relationship with him till now, there are very fewer chances that you would have contracted Hepatitis B. Get Bag tested. If you are negative, then get Vaccinated for Hepatitis B. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom is 80 her blood pressure is changing from 137/ 88 now it 120/60 heART RATE 83.  HOW CAN WE REGUALTE  BLOOD PRESSURE . she is being treated for sinus and cold symptons prescibed by doc. san she do something locally to regulate blood pressure.. no pain bur vert dizzy . ### REPLY: Hello, I understand your concern. Hypertension is usually defined as BP greater than 150/ 80 in individuals aged over 60. The values you have mentioned seem below that range. The values fluctuate while taking it on digital recorder and manual recording by doctor. The right way would be to get her checked thrice by a competent medical doctor. Some over the counter cough remedies have compounds which may am affect the heart. The symptoms you mention include dizziness and vertigo. They may be due to different neurological causes too. The best way is to get an ECG done if possible.is she has hypertension or coronary artery disease it will be easily detected, and relevant medication can be started. The things you can do at home is decrease the amount of salt intake she takes and make some lifestyle changes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend was diagnosed with what his doctor called a rare form of strep found in the throat, vagina, and GI tract. He works from home and I am the only person he s been in contact with recently. I am prone to strep but have not been sick in quite some time. He recently preformed oral sex on me is it possible he contracted it that way. If so is there a treatment to prevent this happening again with out curbing our activities? Or is this going to be something I am going to have to worry about all the time. I ve never had this issue befor. ### REPLY: Hello, Is your husband is HIV negative ? How recently it has been tested? Test it in 3 months. If its negative you don't have to worry of him transmitting the disease to you. Test yours also after that. If he is negative for HIV and if he is your only sexual partner you don't have to worry of getting HIV from him. Provided he is not having multiple partners. There is no such thing as dormant HIV or HIV carriers. Either you are infected or noninflected. Hope this helps. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 22years old and my husband is 24years of age i got pregnant like two months ago but i miscarriaged,we have tried for another but it seems impossible,last month i took clomid but it never worked .right now am taking the medicine called for women tyrn to conceive.my quest is will this medicine work.joannereagan8@gmail .com ### REPLY: HI, JOANNEREAGAN, Well we are not worried with a single miscarriage, as it sometimes can occur. Right now you are very eager for conception with a failed cycle with closed. I can't exactly know what medicines you are taking right now. Well if you don't conceive with one or two cycles of ovarian stimulating .  It can tell you about the uterine cavity and the patency of the tubes after which you can go for closed and a follicular study. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am diabetic,sugar levels after taking gemer0.5 daily morning is 95 before food and 110 after food..recently started having shoulder pain and was advised to take lumia 60K for 4 weeks .one tab every week.also advised to take nurokind LC twice daily.kindly let me know the treatments are safe. ### REPLY: HI, You're fasting and post radial values are normal, however you must check your HAC (average blood sugar) to make sure good blood sugar control. Uncontrolled diabetes with HAC>8% and long duration of diabetes can cause various complications, likewise shoulder joint pain (polyarthritis), also vitamin D levels are low in diabetics. Neurokind LC is vitamin b12 tablets prescribed for nerve repair and function and vitamin D (Lucia 60k) for bone strength. Both are safe as prescribed by your doctor.However, physiotherapy (shoulder exercises) & regular followup and review of medicines is required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 14yr old son has frequent nosebleeds? He s been going to the gym after school he s getting bigger muscles & getting taller he also tired all the time should I be worried cancer runs on my side of family lost a father& brother to cancer, so Im very protective of my children &tend to worry to much. Any advice ? Should I be concerned? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of frequent nose bleeds. Well there can be many reasons for symptoms you mention in query like exposure to warm, .  You should avoid blowing nose hard. Avoid touching or pricking nose with any sharp object. Need not worry. I would suggest you to consult pediatrician/ ENT specialist for proper examination. Doctor may also order nasal endoscopy and CT scan. Doctor may prescribe antibiotics, decongestants and may recommend surgery in case of nasal polyp and other condition. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI HUSBAND HAS ESOPHEGEAL CANCER WITH METS COVERING QUITE ALOT OF HIS BODY HE HAS NOT EATEN IN ABOUT EIGHT WEEKS STILL DRINKING STILL MANAGING TO READ AND WATCH TV CONFUSED SOMETIME MOSTLY IN MORNING ON MORPHINE IM REALLY CONCERNED ABOUT A TUMOR HE HAS ON HIS FACE IT LOOKS AS IF IT IS ABOUT TO BURST IT HAS ITS OWN BLOOD SUPPLY WHAT CAN I DO IF THIS HAPPENS     AGNES ### REPLY: Hi, Thanks for writing in. It will help to take your husband to your doctor and have an assessment done of the tumor which you have mentioned is about to burst. A tumor usually will not burst but the skin might give way and this will cause infection which might spread to the rest of the body. Probably your husband is on morphine and that is the reason he is not aware of the pain from the tumor on the face. Please have him seen by a surgeon and then precautions might be taken to avoid complications like development of ulcer and bleeding wound. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir/madam,i am sravanthi 27years old we are trying to get pregnency from 3 years. i have take follicular study by trans abdomen ultrasound. following the report information.ulters measures 66*25*29mm.uterus is normal in size and echotexture.no focal lesion seen.myometrial and endometrial echoes are well seen and appear normalendometrial thicknness 6 mm.right ovary measures 25*16mm, left ovary measures 26*18mmboth ovaries are normal in size and echotexturethere is no evidence of free fluid seen in pelvisright ovary follicle - noleft ovary follice - noendometrium - 6mmfluid in POD - nilplease clarify is there any problem. following the reports of my husbandsemen analysis reportphysical examinationquantity  - 2.5mlcolour     - g. whitishviscosity - viscousreaction  - alkalineliquifation time   - 30 minmicroscopic examinationtotal sperm count  - 25 millions/ mlactive motile   - 30%sluggshly motile - 30%non motile - 40%morphology normal forms - 60%abnormal forms - 40 % others pus cells - 5-6 / h.p.fepithelial cells - 1-2/ h.p.fplease clarify the problem and give a replay what is the next procedures.please do the neeful.thankyouregards,sravanthi ### REPLY: Hello SravanthiThanks for your query. Your husbands' semen analysis is borderline normal. I would ask you to consult an Infertility Specialist and for your husband to consult an Pro an . Have your ovulation status documented via follicular monitoring and have complete hormonal profile done. Have patency of the fallopian tubes assessed through laparoscopy or HSG. With your husbands report, better results can be achieved through GUI (intrauterine insemination) if your tubes are open. 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: hello, my 10  year old son said his stomach hurt last night and this morning he made it threw school a 1/2 day he is burping and it smells like rotten eggs he also puked and it stuck like eggs also he is now running a 100 fever he said the milk at school was bad yesterday in school could that be what is doing it ? or do u think he needs to be seen ### REPLY: Probably your son has got a gastrointestinal infection which is demonstrated by the presence of fever and foul smelling burp along with vomiting. Most of such infections are self-correcting and recovery occurs in 3-5 days irrespective of the use of antibiotics. The mainstay of treatment would be to give oral rely .  Plenty of curd or yogurt needs to be given to increase the amount of good bacteria in the bowels. It would still worthwhile to visit a doctor and to get the child examined to rule out other possibilities and to treat accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently had a routine check in with my doctor and my renal function had deteriorated some eGFR54 and Creatinine of 141. My uric acid was 7.0. I have never experienced gout symtoms. My doctor put me on 100mg of Allopurinol to try to lower my uric acid and to try to reduce or slow down renal function loss. I am 59 and have had about 10 episdodes of kidney stones since age 17. All stones have passed naturally although I had lithotripsy in 1988 to try to break up a calcified area in the upper pole of one kidney. I have been on Allopurinol for 2 weeks and I am noticing some mild but noticeable tingling/pins and needles mostly in my hands/fingers and forearm but also a little bit in my legs and feet. The tingling is not major or particularly bothersome but it is noticeable. I do not seem to have any rash or swelling. Should I worry about the tingling or just monitor and see if it goes away or gets worse? ### REPLY: His may suggest to manage uric acid by diet management, avoiding, red wine, red meat, bakery products etc. Consult a diet chart recommended for gout patients. It could be that your uric acid is high due to poor kidney clearance and not gout itself.die tic restrictions of red meat etc. will take load off the kidneys. Take plenty of water orally, get serum sodium and potassium levels in serum tested for any overload due to salt. A simple diuretics like actor 20 mg daily may improve kidney clearance. After following this regime for a week get uric acid tested again, im sure it shall come down and allopurinol may then be given up after consulting treating physician. Tingling and numbness in poor kidney function is common. Take methycobalamin 1500 I u. And folic acid tabs additionally it will help. Reduce table salt in diet. If still uric acid remains high maybe allopurinol and another med. Colchicine for uric acid may have to give. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have been changed from Microgynon 30 to Loestrin 20, i was given the new pill during my 7day break and i was told that i could carry on taking my new pill after 7 days as normal ... Will I be protected against pregnancy straight away? On the leaflet it said I should have carried on taking my new pill without a break but doesnt say whether I need a second contraceptive if i did not do this ... any information would be great full ### REPLY: Hi, The instruction is meant for the continuation of the medication while you are on it after each cycle. Since you have started afresh, your doctor may have suggested the standard method. Either way, during the first couple of cycles of the pill, you would need additional protection as ovulation is not effectively inhibited sometimes. You can rely on the oral contraceptive pill alone later on, but please make sure you take the pill regularly at the same time every day. 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: Dr sir, My wife 40 yrs old is suffering from joint pain in knees and shoulders and occasional fever for the past 25 days. We consulted an MD general physician in our town villupuram. He prescribed medicines, suspecting Infectious arthritis. But nothing improvement in her situation, she find difficulty in walking and using hands, with severe pain in shoulders and knees, Please suggest your opinion. ### REPLY: Hello, At your age the most common cause of pain at the knee and shoulder are:- Inflammation of covering of joint i.e. synovitis-Loss of cartilage at knee leading to arthritis There are also various other reason for such pain. I shall advise you following to have relief:- Avoid frequent up or down on stairs.- Avoid cross leg positions.- Start doing some exercises like qua . - Take a mild analgesic off and on like acetaminophen for relief from pain. If this all does not resolve your problem then you may consult to your doctor and get yourself investigated including X-ray and blood investigation like CBC, blood sugar, thyroid functions, serum uric acid etc. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 43 yr old female, I exercise regularly, I don t smoke and I never have, I don t eat a lot of salt. I am about 15lbs overweight. I am not on any medications, but, my blood pressure has been ranging from 138-143 top number and 98-109 bottom number since yesterday. ( or maybe longer I havent been checking it) My only symptom is my face flushing. I have felt some numbness in my thumb on my left hand, but I dont think it s related? Everyone says my bottom number being so high is dangerous, and I should go to the ER, but I feel fine. Please advise. Thank you! ### REPLY: Hello, I can understand your concern. Even though your systolic blood pressure (upper number) is high too, it can be considered normal due to your age being 43 years. Your diastolic blood pressure (lower number) is surely high as your friends are pointing out, and it needs to be corrected. Normally it should be 80 mm Hg while your is about 100 mm Hg. The facial flushing and thumb numbness might be due to higher blood pressure, too. I advise you to visit your physician or cardiologist for physical examination and needful treatment to lower the blood pressure. I hope this information helps you. Thank you for choosing . Take care. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an eye doctor check out a non moveable pump above my left eye a while back he said it was nothing. At the time I begged to differ. Just in the last two days I feels like it git bigger. I have also noticed a small non movable cyst on m right rib what do you think? ### REPLY: Hi ! Good evening. I am  answering your query. Your doctor might be right in re-assuring you about the cyst around your left eye, which could be just a benign angular Desmond. In case these are multiple, like the ones on your right rib and might be at other places, the opinion goes towards multiple lipomas, again a benign lesion. The diagnosis could be made by clinical assessment along with some investigations if need be. So, I would suggest you to get these lumps assessed by a general surgeon for proper management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 72 years old male. About 3 years back I was treated for tuberculosis. Recently I was coughing a lot and tuberculosis elisa test was done and the report shows:Tuberculosis IgG Antibody: 280.12 U/ml  i.e. NegativeTuberculosis IgA Antibody: 248.32 U/ml  i.e. NegativeTuberculosis IgM Antibody: 2.28 S/Co i.e. PositiveThough Azithral 500 (1 tablet per day for 4 days) took care of my cough but I am worried about IgM being positive.What does it mean: Do I have tuberculosis or not? And if I have it what is the treatment? ### REPLY: Dear Sir, Hi & Welcome to . I can understand your concern for the given lab tests. The IGM Antibody level is suggestive of infection, but it may not be due to Tuberculosis in your case. This may be due to common respiratory tract infection for which you were prescribed the antibiotic Literal and you seem to have recovered from it. However, if you still suspect it to be due to tuberculosis then you are advised to undergo certain lab tests to confirm the TB infection like:1) Sputum for Acid Fast Bacilli staining (at least for 3 days) 2) Chest (X-Ray) 3) ESR examination. If these lab tests suggest tuberculous infection in that case you will have to take a course of anti TB medication for at least 6-9 months duration. Hope I could answer your query. Feedback is appreciated. With best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my grandfather is experiencing pain at the area of his male organ in between stomach ... i think its groin ... also there is constant pain in his crotch and numbness in his legs. He also having pain in his pelvic . What could be the cause of this and what kind of disease he might have. He frequently go to the bathroom but there is no discomfort when he urinate. No pain and no blood according to him. ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. There could be many reasons, the common causes being:1) Prostate infection2) CalculusBasically he needs to get a USG abdomen done along with a urine culture and sensitivity done. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I am 43 years old and drinks near about 200 ml brandy daily before dinner for the last 2 years. Now I had done LFT and the SGOT shows 81U/L and SGPT shows 92U/L and the rest are normal? Whether the alcaholism is the reason for the rise in SGOT and SGPT?. I had consumed 10 hours before blood checking. Please advice the possible reason for the high SGOT and SGPT. Thanking you, Kumar ### REPLY: Hello! Thank you for the query. Regular alcohol intake even in small dosages can lead to liver destruction and liver cirrhosis. Your liver test are only slightly elevated, so it can be due to alcohol use, medicines, spicy foods. As it takes from 30 days to 3 months for the liver cell to get regenerated I suggest you to avoid alcohol and have liver tests repeated in a month or so. Abdominal ultrasound should be also performed. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 year old daughter has had stomach pains that are making her roll on the floor moaning. THey are at her belly button and she has had it now for over 48 hrs. The problem is....she seemed fine for the last 8 hours and now it is back again. I was thinking it was a flu virus as she has been vomitting, no bowel movements though. She said she had one yesterday morning. Should I be going to emerg? ### REPLY: Hi... by what you say I feel that these are the possibilities in your kid - 1. Stomach flu, or it might be the starting stage of watery diarrhea which could most probably be viral in origin. If that is the case - then you need to give her oral rely . 2. If there has been any family history of kidney or gall stones this is also a possibility. Whatever it is, as she is rolling over in pain I suggest that you take her to the nearest Emergency Room and get her evaluated by physician or pediatrician. 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 kids are very skinny and one is prone to infection. How can i help his immunity fast and then help him to gain some fat. He has always been so skinny since he started school was fine up till 5-6 age. But has always caught strange infection. No docs r helping and am stressed out. Hes always ill. ### REPLY: there are no medicines to improve immunity. It is Innate and hereditary. Proper nutrition is the best way to keep the immunity going. Help your child with a lot of anti oxidant like fresh fruits and fruit juices. Also give a lot of fresh milk and other dairy products. Certain immunity boosters and provitamin preparations are available in the market which u can try(although not of much help).probiotics for proper digestion, good amount of proteins in form of meat and cereals, proper carb diet will help him go strong internally. Your child will acquire weight and height later on which we sometimes call as Catch up growth. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel lower abdoman pain in right side since last two year and two fibroid are found in my abdoman, the size of one is 16mm and the other is 14 mm. this pain  mostly starts after 14 days of mensuration and continues for a week . my age is 42 year, height 5.1 and weight is 69 kg ### REPLY: Hi! Good afternoon. I am  answering your query. The pain could be due to hemorrhage and edema in and around the fibroid in your uterus. If I were your doctor, I would advise you an anti-inflammatory . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 7 month old baby boy has had a cough for weeks. He has had bronchialitis twice, within a 5 month period and before that, at 10 days old, he had viral meningitis. He hasn t seemed to have had a couple of weeks, in his little life, when he has been 100%. I last went to the doctors and he was diagnosed with bronchialitis, with one of the symptoms being that he coughs frequently and is very sick. Sometimes more than once a day. He brings up a lot of mucous and whatever he has eaten, including breastmilk. Should I go back to see my doctor? Lucy ### REPLY: Hello Lucy! I can understand your concern. May I have a more detailed history? Is there family history of asthma or allergy?I would like you to get your children serum immunoglobulin levels checked because he had one life-threatening infection in 1st year of life and repeated episodes of infective illness. Though this time its viral and it will settle on its own but still I would recommend going for that. Give him saline nebulizations 6 hourly with 10 .  Take care of the heart rate, if it increases more than 150/min, stop nebulizations. Give him spy. Theophylline 2.5 ml Twice daily for 1 week and montelukast sachet 4 mg at night for 3 months. Give him some good anti histamines like levocetrizine for a week. You can also give a natural icy leaf extract containing spy. Twice daily for a week or try home remedies like a teaspoon of honey in a glass of Luke warm water given once daily. Hope it will help. Wishing your child good health :-) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m a 38 yr-old female with sarcoidosis. Yesterday I noticed a quarter sized lump in the crease of my left arm. Could this be something to worry about? Its non-tender, however my arm has been falling asleep alot and there is a little pain in my forearm, wrist and shoulder ### REPLY: HI, Welcome with your query to . Based on the facts of your query, after its review, In my opinion you seem to have Sarcoma lemonade in the armpit/crease, witChatDoctorpression symptoms lower down in that arm. You need to consult Physician and if conservative treatment with steroid does not regress the lower arm compression symptoms, then elective surgery to decompress armpit/crease by Excision of the Sarcoma Amenities lump in arm crease would resolve your pains in that arm. Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at . Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am Male and my blood group is O+ve. I intend to get married to a lady having blood group O-ve. Can there be some blood group incompatibility issues during child birth or after the 1st child? Can the new born(s) suffer from any kind of disease, including Thalassemia. Is there something like 1st child will be fine and the subsequent ones will have problems? What is RH/RF (not sure) factor? I heard some kind of injections are given to mother to resolve such blood group incompatibility issues with the fetus during pregnancy, what are the side effects on mother due to such injections? Is blood group/type checking of would be bride and groom necessary for any reason apart from possibility of having HIV virus? ### REPLY: Hello welcome to  sir, Incompatibility in the newborn fetus may cause HDNB(hemolytic disease of newborn)depending upon the severity of red cell breakdown.this is because of Rh antibodies developed in the mother(if mother is Rh -ve) because of either previous blood transfusion or birth to a baby who is Rh’ve.1. If the above said antibodies develop before the 1st childbirth(that means if blood transfusion done).,then 1st baby will affect.2. If the above said antibodies develop after the birth of 1st childbirth your 1st baby will be normal.and for second pregnancy these antibodies travel across placenta and make red cell to break in the baby. Rh means rhesus factor... Rh +ve means presence of Rh antigen in the blood.né negative means absent. Regarding your query.you are O+ve and your would be is O-ve. If she had prior blood transfusion that too receives +ve blood.then you need to take anti D injection.nowadays that +ve blood is not giving to -ve one in the fear of future problems. After the 1st pregnancy your wife had to receive anti D immunoglobulin to suppress her immune status because of babies blood.after taking of this anti D then further pregnancies would be normal.no problem will arise. Incompatibility doesn't cause thalassemia,it is an inborn genetic error in the red blood cells. There is no side effects to that injection. Before marriage checking for HIV status is mandatory,..other else not necessary and not required.hope you understand my answer and suggestion. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what is the incubation period for Zika virus and what are presenting symptoms? I recently returned from Central America and there were mosquitos in the area. I had been home 1 week before breaking out in a rash which started in hands and feet and has progressed over 48 hours to now cover most of my body. What are the symptoms and incubation period for Zika virus? ### REPLY: Hi. I have gone through your question and understand your concern. Zika virus is a new emerging mosquito borne disease. Its incubation period is not clear, likely to be few days. As it is spread by bite of Andes mosquito which is popularly known to spread dengue fever. Symptoms of Zika virus are similar to dengue, which include fever, skin rashes, conjunctivitis, muscle and joint pain, malaise, and headache. These symptoms are usually mild and last for 2-7 days. I would suggest you to get Complete Blood Count, complete bed rest and raise intake of fluids. If it gets worse and find any bleeding manifestations 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: How can I remove Sebaceous cyst from my penis, I have many small ones on my penis and some slightly larger ones and it looks hideous, it very important I get rid of them soon for me. Ive had them since I was 12, I am now 16 and they seem to be getting worse, as in more of them growing and every once in a while a larger one will appear which I must squeeze the puss out of. ### REPLY: HelloThanks for query. You have multiple sebaceous cysts over Penile Shaft. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. You need one of them which is bigger to get excised in Toto (Completely along with the sac)This is a simple surgery done under local anesthesia. Ensure to observe personal hygiene by washing genitals with warm water twice daily. . Do not attempt to puncture them and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can symptoms of heart problems and COPD be similar? I went to the ER with chest pain that was accompanied by high blood pressure (which I had never had before) and pain in my left arm and jaw. They kept me overnight and did a stress test in the morning. They say my heart looks fine and have me scheduled for a pulmonary function test next week. ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that sometimes pulmonary disorder may mimic this clinical situation, especially pulmonary embolism. Anyway, I agree with your doctor on recommending the performance of pulmonary function tests. A ventilation perfusion pulmonary Antioch scan and D-Dimmer levels may be needed. If the chest pain is triggered by body movements, you should consider musculoskeletal pain as a possible cause of the chest pain too. 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: Hi I m currently on the combined pill. But last month I was in hospital for 2 days with a kidney infection, during this time I had high temperature and was vomiting. I was on the pill and I finished the pack. After pack was over I had my period as normal. I am now back on the pill and have been for 2 days. I was wondering do I need to wait the 7 days before having sex or will I automatically be protected? ### REPLY: Hello misunderstand your concerns you took pill whole month and period is already came, and you also had started again new pack last for 2 days. You have not waited to sexual intercourse, and you are already protected. But you have to take remaining tablet on sane time every day for effective prevention of pregnancy. So no need to wait for 7 days, Enjoy your sex but do not forget to take your pill on same time every day. Hope this may help you Best regard .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a problem I need help with. I m not due for my period for another two weeks but two days ago I woke up very early and when I went to the bathroom and wiped it was a little pinkish so I didn t think it was my period. I went back to sleep and when I woke up there was nothing in my panties. I put a pad on just in case and later still no blood . Later on that night it turned to a brown color. It doesn t come on my pad but when I wipe its there. I have little cramps not like a period though. I need to know what this means please help. ### REPLY: Hi ! You have not mentioned your age and also if you are sexually active or not. The symptoms what you have described could be due to pelvic inflammatory disease. Also, you have to exclude pregnancy in case you are sexually active. It is not possible to confirm these without getting you examined by your gynecologist. If there is recurrence of your symptoms with any other new development, you should take appointment with her for a clinical examination and further needful. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a girl of 17yrs age.i am very thin.before i was in a normal weight but after malaria fever i became very thin.when i was studying 9thstd i got malaria.now my weight is 40.and i am suffering lot from cough.even i take little bit of ice i get cough easily.is there any problem?reply me ### REPLY: Hi, thanks for sharing your health concerns with !  If I were your treating Doctor for this case of recurrent infections, I would say you that malaria is related to infection/mosquitoes and there is very less to do with immunity as single infection by malarial parasites doesn't give life-long immunity; chest infections/common colds are also infective, but humoral immunity plays a great role here; might be you are deficient in some proteins/vitamins etc. therefore you need to go for routine blood tests and immunoglobulin measurement for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was talking tylenol for 4 days due to a small surgery i did a blood test on the last day of the treatment on the 16/07/2012 my ALT was 88.i retook it again on the 23/07/2012 the ALT was 72.my question is that i am pretty sure that it is due to the Tylenol but when should i retake the test  to have it normal ### REPLY: Hi thanks for contacting . Here you have mild liver enzymes' elevation. Usually after stopping . ... So repeat after month.... If It still elevated then USG with LFT profile done.... If needed viral marker study done ... If you have history of cardiac problem and muscular problems then it can be elevated .so it is ruled out....Finally, if no above causes present then rule out celiac disease like condition which is malabsorption syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 36/f/tx  went 2 the er mon.  with blisters on my left middle finger and red streaks down my arm.  I was told herpectic whitlow w/o blood test.  gave anti-viral and anti-bio meds and sent home.  Now cant barely move my hand or arm, red into my armpit and slight fever.  should I go back.... My reg. dr. wont do anything ### REPLY: Hi I did review your concern, It appears that you probably had herpetic whit low that has been complicated by superseded bacterial infection. I would recommend visiting nearest doctor or ER and getting the lesion evaluated for signs of purulent infection and starting antibiotics for bacterial infection in addition to antiviral treatment. I hope this help swish you all the Bethany you for choosing . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 toddler has developed a rash with little red bumps on clusters on her chest, thighs, nevk, legs and arms. the bumps mainly appear in the evening and fade in the morning. nothing has changed in her diet or enviroment . doc said flea bites but I dont think they would just appear in the evening. ### REPLY: Hello It appears to be urticaria (allergic) rashes. The reason for coming up in the evening and nighttime can be due to hypersensitivity to insect bite or to any particular chemical to which he gets exposed in the evening. Use of antiallergic like cetirizine helps in relieving the acute symptoms. Adding montelukast helps in controlling the repeated attack. So my suggestion is to give montelukast cetirizine combination and try to find out the causative agent so that it can be better avoided. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am almost four month pregnant with my first child and when i go to the toilet to ither urinate or have a poo i notice in the toilet a thickish white discharge which has only been happening the past week. I obviously have had discharge before but it seems to have increased when going to the toilet. What is it?? sould i be worried?? and can it harm the baby?? ### REPLY: Welcome to the  .com. I honor your consult here and being your expert healthcare provider I am assigned to help you further in this case. I have reviewed the details you have given. This is normal Physiology in pregnancy and nothing seems to be wrong. In pregnancy, it is normal to have discharge off and on. What happens is the mucous inside the vagina gets thicker a bit, and there are many more hormonal changes during pregnancy affecting the viscosity of the mucous secretions inside vagina. If there is no itching in or around the vagina; no smelly discharge; then it is ok. Otherwise, it may have been a bacterial or fungal infection and needs definite treatment. If you think it is bothering you a lot, kingly discuss it with your ORGAN for evaluation in person and diagnostic labs if needed. She will help you further in this regard. I am at your disposal for expert care. You may land again to  .com anytime you want. We are striving hard to make the forum better for you. Healthiest Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a knot in the back of my neck..right next to my spine on the right side. It has been there for a while now and i always assumed it was just a knot . it hasn t changed in size. but recently its causing headaches and hurts to tilt my head back. I can only feel the knot if i put my chin to my chest. Is this something i need to have looked at? ### REPLY: Hi, happy to help you on your health concern! In the present case of nape of neck swelling or lump, if I were your consulting physician, I would just say you, nothing to worry! As per your description, it is benign harmless lesion like skin tag or common papilloma or some neurofibroma! Take caution not to get injured there as this might invite infection. If you are still worried, please get an FNAC test for confirmation and revert to us. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best 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 a boy aged 19. My mothers age is 40. I have low immunity power. And to solve this problem my mother decided to breast feed me . Because we heard that breast milk has high immune power and my question is if it is ok to breast feed from my mother at this age ? ### REPLY: Hello, Where from you got this wrong information? For a mother to have breast milk, she should deliver a child. The breast milk will be available only up to a maximum of 3 years from the childbirth, or it will replete shortly after breastfeeding is stopped. At any cost, at this age, your mother will not have breast milk to improve your immunity, you should consult a doctor in person. 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 husband has pain in his prostrate or scrotum area painful and burning on the head of his penis and little slits that looks like little cuts which or painful after sex.he also has frequent urination at night and he is not circumsized and has diabetes. ### REPLY: Thanks for contacting ChatDoctorI am sorry to hear that your husband is having problems with painful penis. From your description it sounds like you husband has balantitis. This is a fungal infection of the foreskin and penis. This is frequent in men who are uncircumcised and are at greater risk with diabetes. The foreskin is a warm and moist place that allows for fungal infections. To help treat this I recommend patients start Tamil cream. This will help reduce the swelling and splitting of the skin. If that does not help then he may need an oral antifungal like rifleman. His other problem could be prostatitis. This again is a common condition in men and will need 2-4 weeks of oral antibiotics to help treat the infection. I recommend that he seek medical attention for the oral antibiotics and antifungal treatments Hope this answered your question. Please contact  again with your medical concerns and questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had a sinus lift/bone graft/implant six weeks ago, after suffering from frontal headaches and swollen cheek and a really bad taste in my mouth my GP put me on oral steriods for a week to reduce the inflammation. After six days of steroids the headache and swelling has just about gone but the bad taste in my mouth has remained especially after I have been lying down. My gum is now oozing pus from a small hole which had not healed from the stitches from the dental surgery. Can you advise.... ### REPLY: Thanks for your query, I have gone through your query. The pus discharge from the gums could be because of the infection at the grafted site. Do not take steroids. You need to take a course of antibiotics like amoxicillin and metronidazole combination. Steroids worsen the infection. Even the altered taste and bad breath is because of the pus discharge. Nothing to be panic, consult your dental surgeon and get it evaluated. Get the area irrigated with saline and Betadine. I hope my answer 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: I am a 37 year old female with slightly elevated liver enzymes . Hep negative. Doctor has diagnosed me with what he calls slight fatty liver . My father who is a doctor says that my liver enzymes are barely elevated. I am on a beta blocker because my pulse is always high and I take celexa . Recently I have noticed large bruises on my inner and outter thighs. Is this something related to an exisiting condition or maybe just a lack of proper nutrients? I am five foot 7, 138 lbs. I also have high tryglicerides, they were at 333 last time I had them checked a few months ago. ### REPLY: Hi and welcome to . The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated .  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. Bruises may be related with liver damage but only if this is severe, othe possible causes are some hematologic and clotting disorders, so you need to do certain blood tests to verify this. 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 69 yrs. old. Transthoracic Echocardiogram showed right ventricle is mildly dilated, Right ventricular systolic pressure is elevated at 30-40 mmHg. Impaired left ventricular grade I/IV or mild diastolic dysfunction. mild mitral regurgitation.trace pulmonic valvular insufficiency EJF=55-60%. ### REPLY: Hello, It may be age-related valvular degeneration due to atherosclerosis, or it may be due to pulmonary hypertension or hypothyroidism etc. You have to control blood pressure avoid smoking and alcohol intake. So regular exercise. Use anti hyperlipidemia .  If you have chest pain palpitations means consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. 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 good morning, Doc, my i ask how can i reduce my total bilirubin, 1st i get met my medical annd i got 1.89 tb then after they told me to take silymarine (legalon) 140mg and phospolhiphides multivitamins (essentiale) for 1 week and 3 x day, then after a week they try it again but instead to make it lower it make higher and make it 2.29, i dont know what happen i dont eat meat anything with oil i only eat fish, may i ask what should i take and what should i avoid to eat ill try to oatmeal and banana only for everyday to make it lower it is ok how about medicine should i take the silymarine lower mg instead of 140 mg  i just want to make it to 1.0 level,  thank you very much ### REPLY: Hello! Thank you for the query. Diet or submarine won't rather help with elevated bilirubin level. You should rather be well diagnosed to find out what is the reason of such elevated bilirubin. There are many reasons of bilirubin problem including gallstones in bile ducts, pancreas cancer (this can be the first symptom), liver issues (viral infection, cirrhosis, tumors), blood hemolysis. I suggest you to do not wait any longer with it. You should have blood work, liver tests (AST, ALT,GTP, AP), liver virus tests (Bag, Antioch), abdominal CT. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been suffering for the past 7 months with chronic dizziness, light headedness, headaches and occasional migraines, palpitations and chest pains. I have seen my GP who had referred me to a cardiologist, neurologist and ENT. My Dr first referred me to a cardiologist after she couldn t find the cause for my dizziness to have a 24hr holter monitor the results came back as a First Degree AV Block but no further action was taken regarding this. They later done an ECO, Stress ECO, Brain MRI, Brain CT and they all came back clear. My cardiologist wasn t satisfied so he referred me to another Cardiologist interstate in Queensland for a Transcranial Doppler. My results where positive Grade 5 so 2 weeks later they attempted a PFO Closure which was unsuccessful, they could not locate the hole. After surgery they told me it was the first time this had happened to them and they were unsure of why they couldn t find the hole or a reason for the test to be positive at a Grade 5 level and he told me to see a ENT. The ENT i seen done a hearing test, allergy test and another test where they squirt water in your ear. All results come back normal except they discovered a dust might allergy. They later done food allergies and blood tests to check for other virus the results came back with no food allergies but a positive to Epstein Barr Virus. The ENT told me and made me believe it was a rare viral infection from the middle east that could be fixed with vitamins and B12 injections. I went home done some research and discovered over 95% of the population has it, i went and seen my GP the next day to discuss my results which she had sent to her to discover i do not have a current infection and the ENT had lied. I had a slight B12 deficiency so my GP gave me the injections anyway and she also gave me a dose of steroids in case it was Vestibular Neuritis but unfortunately they didn t work. My GP has referred me back to another Cardiologist in Sydney this time my appointment is in 7 weeks. I am not confident any more about My current Dr situation, It seems like i am just going around in circles and i am getting no answers. I have just turned 21 i should be working and having fun but instead i have had to put my life on hold. I can no longer drive or work. Just Before i had gotten sick my Boyfriend and i had planned to move interstate to be closer to our families but we have had to postpone it until i can work again. Please help me i am begging you to please give me some suggestions to what it could be or ideas as to what to do next. I want to start living again and i can t afford to keep having the same tests done over and over again. I am exhausted. ### REPLY: Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Myocardial infarction leading to Right sided heart failure and pulmonary edema. I advise you to get an ECG,2D Echo of your heart, lipid profile, hsCRP. Troponin I and chest x-ray immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. . Avoid stress and anxiety. Avoid smoking and alcohol. I also Exercise daily for 30 min. Coronary angiogram with or without stenting will be the procedure of choice. Exercise regularly for 30 min. Stress management is mandatory in your case. Consult your cardiologist for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, 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: so i accidently knocked my hand against the wall a couple days ago. It broke some skin on my knuckle and i thought i might just bruise a bit. But it still hurts, especially when i flex my hand or clench my fist. It s not a bad pain, maybe a 4 on a 1-10 scale but i m wondering if i should worry ### REPLY: Hi, thank you for providing the brief description of your history. A thorough hand assessment is advised. As mentioned by you that few days back you have had injury of the knuckle, there might be a small hairline fracture possibility based on the force of the impact. Also, by taking an x-ray or a CT or an MRI we can understand better the status of the bone and soft tissues. With the help of the assessment of hand, we can come closer to the possible weakness of the hand and the functions. Usually, Medication, rest and physical therapy is advised. With the physical therapy the recovery is immense and the strength of the hand muscles will be regained. In my clinical practice patients with similar issues has recovered to 100% of their hand. As hand rehabilitation needs 100% of attention because of its complicated anatomical evolution. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 58yo male who experienced severe pain on the lower left side of my back for about 1/2 hour this morning. It went away but I have just been to the toilet and my urine came out a very dark brownish colour but cleared toward the end of passing urine. ### REPLY: Hi thanks for asking question in ... According to history you are having loin pain and blood in urine .... Here kidney infection has to be ruled out which seems most likely here. ... For that investigate with ....-USG abdomen -urine routine microscopic examination For pus cells and cast If infection detected treated with antibiotic and lots of fluid .... Fruit juice more ... Although chance less if growth detected in USG than biopsy needed to reveal its nature .... Consult nephrologists for this .... 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 mom had Low Iron, anemic, at an 8 I think.  Doctor put her on iron pill, it worked. Iron is good now.  She is off the iron pill.  She has a high calcium level but its only at 11.5,  it use to be a 10.  She is now having problems with sciatica or degenetive discs in her back.  The cat and MRI showed only that.  my question could she have multiple myeloma?  Seems to have all the symptoms.  She has suffered from all these symptoms for a few years.  It comes and goes?  her legs and she keeps saying her feet give way...she has fallen alot. ### REPLY: Hi, High calcium in an elderly anemic lady with long-standing backache, definitely one has to rule out multiple myeloma. So she has to undergo several investigations like serum and urine electrophoresis, skeletal survey etc.you have to contact your doctor for the same. The sciatica may also be due to bone disease causing nerve compression. So treatment of bone disease may also improve her condition. Hope I have answered your quire! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3 MONTHS I HAVE HAD CHEST PAIN SHARP STRAIT THROUGH MY LEFT SIDE ABOVE MY HEART, HAD A STRESS TEST AND HEART CHECKED AND NOW THE PAIN IS WORSE AND SHOOTING PAIN DOWN MY RIGHT ARM AND NUMB RIGHT FINGERS AND TOWES? DONT KNOW WHAT ELSE TO DO THANK YOU JESSIE WILSON ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Since your stress test and echo are normal, no need to worry about cardiac cause. Other likely causes for your symptoms are1. Anemia2. Thyroid related problems3. Vitamin b12 deficiency. So better to get done hemoglobin level, thyroid function test and vitamin b12 level. And if any of the above is deficient then start supplements accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 14 years old, and for the past two days i have had a dull aching pain in my right testicle. My left one use to be hanging lower than my right one, but now its the opposite. I dont feel any lumps. Its not hurting excruciatingly, or severely, I think I might have hurt it a little bit. Also, I dont think that its testicular torsion, otherwise it would hurt really bad right? I weigh 123 lb, and I have had an apendectomy, and 11 stitches in my right arm. ### REPLY: Hi, thank you for quarry, yeah no need to worry according to your symptoms it's not a torsion. Because in testicular torsion very severe pain, and it becomes worse when you lift the testes, the other possibility is orchids in which pain may be relieved by lifting the testes if such patient come to me, I will advise him testicular support like to wear a tight underwear, NSAIDS analgesic, cold or hot compression just to relieve pain. And antibiotics ceftriaxone iv or azithromycin oral. Hope the answer will help you, feel free to contact regarding your health issues. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been having back pain since 10 days and just know got an MRI the MRI says disc desiccation with an anular disc bulge and a left paracentral disc protrusion with an anular tear minimally displace the left S1 nerve root , create minimal bilateral neural foraminal narrowing and minimal central canal stenosis at L5-S1. I m a software engineer and I can barely walk, sit, stand for long periods of time without being in pain and I have trouble sleeping due to all the pain as well. Would surgery be the best thing to do and will/should I continue to do my job with all this pain? ### REPLY: Dear Ms You have pain because of annular tear in the cartilage and disc bulge compressing nerve. However, pain by itself may not be indication for surgery. I suggest you for the following: (a) Have a review by neurologist weather there is any neurological deficit or not (b) Your doctor may consider pain relieving medicines, rest and physiotherapy (e.g. short wave diathermy etc.) (c) If we fail and your symptoms are still severe, surgery may be considered. Protein ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from prostate cancer. Currently, he is taking Honvan. Today, he suddenly coughed in the morning and then vomited. His vomit contained fresh blood. I just want to know if it s related to prostate cancer or side-effects of Honvan tablet? ### REPLY: Hello.it is an kind of estrogen used for prostate cancer.it generally causes clotting of blood.not bleeding.it is better if you can get him properly evaluated by a Castro surgeon for the cause of bleed.there can be a lot of causes for upper gut bleed like esophageal varicesliver problems ulcer in stomach etc.approach a doctor as soon as possible because at times it can be life-threatening.if you have any more doubts immediately massage me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: in my left armpit,when i raise my arm..just a little below it..not really around my breast...but a little near it,theres a toy pellet gun type of bullet type of lump.. earlier this week, i was having mild pulse like pain in my left breast,sometimes in the right breast.. this would last for 1-3 minutes..then again maybe 6-8 hours,again same pain.. this morning, i was having discomfort in my left armpit itself.. a mild pain.. i noticed this lump few years ago,but back then, i havent expererienced this discomfort..just earlier this week.. what could this be? please help.. thank you ### REPLY: HI, Dear, Thanks for the query from you for your painful BB size admit lumps in both the armpits for 1 was time, which was existing for few yrs painlessly.1-I feel concerned that you are serious to know why the 2 armpit lumps are painful over last 1 wk or so?2-In my opinion this tender bilateral armpit lumps are the fibroadenomas and the pains since last 1 wk, is most probably a starting cyclical pain, which were not there for few yrs of these lumps.3-As such these armpit lumps are fibrotic -mastodon cancers as such, but need supervision for suspicious cancerous developments in these lumps in few cases.4-I would advise you not to worry as it's a cyclical change with the fibrotic change and needs follow up and is a benign tumor as such-due to hormonal imbalance during the cyclical changes.5-Hope this would solve your worry of the bilateral armpit painful lumps.6-Wellcome to  for any more query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 35 weeks pregnant and have just discovered I am deficient in vitamin B12. I am now worried that this could this affect my baby. 12 week and 20 week scan were normal and I am measuring normal for how many weeks pregnant I am. Could there be any side affects to my baby? ### REPLY: Hello, and I hope I can help you today. Vitamin B12 deficiency affects your red blood cells in your body, which can make you anemic. It can sometimes have other side effects you such as pain and tingling in the toes. Vitamin B12 deficiency during early pregnancy has been associated with increased risk of neural tube defects, but if all of your ultrasound scanning and prenatal testing was normal, there's no reason to be concerned about the baby. Treatment of your vitamin B12 deficiency may help to raise your blood count, which will put you less at risk if you lose a lot of blood with your delivery. I hope that I was able to adequately answer your question today, and that my advice was reassuring. Best wishes, and good luck with the rest of the pregnancy, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I accidentally cut the palm of my left hand 9 days ago with a knife (puncture wound) about an inch below my index finger, the cut is healing but I still feel some numbness, tingling and shooting pains on my index finger. Is there a possibility this can heal on its own? ### REPLY: Hello! Welcome on  ! You should know that your complaints are compatible with a peripheral nerve damage due to the local trauma (hand cut). For this reason, I recommend consulting with a neurologist and performing a nerve conduction study. Surgery to repair the nerve may be needed. But it should be done as soon as possible, in order to prevent further damage to the nerve. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 23 year old medical student . i am a hypertensive for 5 years i am taking amilodopine 5 mg + lorsartan potasium 25 mg to lower my blood preasure but my pulse remains above 90 and i am also suffering from anxiety and panic attacks ! so is 90 BMP normal heart rate for me and should i discontinue amilodopine and start taking 25 mg atenalol to control my anxiety and hypertension too ### REPLY: Hi, Beta blockers are particularly effective in hypertensive patients with tachycardia, which in your case may be due to anxiety (rule out hyperthyroidism causing pulse rate >90/min and anxiety states, by serum free T3, free T4 & TSH). Cardio selective beta blocker Metoprolol has a better profile. Adjunctive medication such as a beta blocker is often used in Anxiety disorders. In such case of anxiety disorders and hypertension, a beta blocker would be helpful to allay both the factors. Your target BP should be 130/80 mm Hg. Consult your doctor. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I discovered a small hard pointy bump on my right collar bone closest to my arm. I ve always had boney collar bones but this is new and noticeable. It wasn t tender at first but days later it is. I lift and run ritually and I m only a 25 year old male. I m also sick, random sneezes light sore throat, cold sores What should I do? ### REPLY: Welcome to . 1. There are two possibilities of chest pain - could be musculoskeletal pain in first place followed by the lung pathologies.2. To confirm if there is any bony abnormalities - chest x-ray will be investigation of choice.3. X-ray will be able to detect ant lung pathologies followed by collar bone / clavicle abnormalities as you suspect.4. Sore throat and cold are more of features of viral / bacterial infection of throat.5. Suggest to see your GP and get a chest x-ray done, that will help to diagnose and treat accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.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: I woke up a few nights ago and found a small lump about a pea size hard in character on the left side of my neck i feel slight pain in the back of my head and have been kind of worried since i found it. If it were something serious could it just appear out of the blue like that? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  You may have some cervical lymph node.  It may be due to some reactive changes or may be due to some other causes.  You should take antibiotics accordingly. If it doesn't respond to treatment then biopsy diagnosis is advised. 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: Hi my name is Sai. I have noticed on occasions that I am spitting red saliva. This has happened on three occasions and I am not sure if it is to do with bleeding gums or another cause. I have brushed my teeth regularly however dont seem to see any blood. Can you give me some advise on what it may be? ### REPLY: Hi! Welcome to . I read your query. Do you have any known illness? Or some throat infection? Most probably it could be bleeding from gums, which can be due to gum disease as well as some systemic disease. Do you notice plaque or calculus on your teeth? Get oral prophylaxis done. Dental check can confirm if you have gum bleeding or not. Brush twice daily. Use mouthwash with tannin acid. Take healthy diet, multivitamins and minerals. If bleeding persists, see a physician and get blood test done for clotting factors, He, chest X-ray, etc. At times throat irritation may cause blood on spitting. Hope the answer helps you. Thank you! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello. ive been with my boyfriend for about 4 yrs now. we dont live together but about 2 yrs ago i noticed his scrotum is often very high and hard. sometimes they are soft but its not often. why is this? could this be happening from too much sex or not enough? ### REPLY: Hello, The size of testicles, tightness of testicles, looseness of testicles, etc. varies from time to time and season to season and in different room temperature.  If you see in the morning, it may look hard and tight and in the evening, these may look shrunken and hanging. When the temperature .  These are quite normal and there is nothing to worry about those. Therefore, I suggest online sex counseling for you. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END