Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im having constant horrible pain in my lower jaw tooth ear and jaw. Dentist took X-rays says its not my tooth even though I had part of a filling come out recently and he put in a temp filling. I went to my dr she said Im beginning to get a near infection but this pain has to be a tooth issue. I have been on antibiotics for 4 days and had a steroid shot. The pain is still the same. What should I do? ### REPLY: Thanks for your query, I have gone through your query. The pain in the jaw, tooth and ear can be because of two reasons. The first reason can be a tooth infection, since you are telling about a fractured filling, this might cause radiating pain to the jaw and ear. The other possible cause can be disc displacement in the temporomandibular joint (TMJ disorder). This can cause pain in the jaws and the ear. The last possibility is, there can be both TMJ disorder and tooth infection. Consult an oral physician and get it evaluated, you need to take radiographs like OPG and TMJ views. If it is tooth infection, get the tooth treated with RCT with a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). If it is TMJ disorder, You can take anti-inflammatory .  You can also take muscle relaxants like chlorzoxazone. You can give hot fomentation over the joints. Do not eat hard things, do not open your mouth too wide. Take soft diet. 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: My brother is suffering from Dengu fever for past 2 weeks. He was in hospital for 2 days and now he is discharged but still he has mild fever and heavy sweating. They are saying that he needs to take rest and take paracetomol is there anything else. how dangerous  is this dengu fever? ### REPLY: Hi, I had gone through your query and understand your concern. They discharged your brother with proper advice. Please follow their advice. Dengue is dangerous only when platelet count is very low producing bleeding manifestation. Immediately consult a doctor if any of the following manifestations appear:> bleeding from the nose or gums> frequent vomiting> vomiting with blood> black stools> excessive thirst (. If you have any additional questions or follow-up query, please feel easy to write us. Wish your brother 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: For 7-8 months Ive had ulcers come on my tongue off and on as soon as they would go away some more would come on in another area on my tongue. It got to where some time it was very hard to eat or swallow. It also affected my ear by hurting. Then I noticed blisters (one or two small) would appear at a time. Im going to a ENT doctor now to see what is causing this problem. He has ruled out cancer. It seems like I cant get rid of these or be told what I need to do to treat it or what can be done to make it all go away and stay away. Can you help me? ### REPLY: Hi. Thanks for the query. If the ulcers come and go that means if the ulcers appear, but they resolve completely over the time then it is not cancerous because cancerous ulcers does not heal and are persistent. So my suggestion is to consult an Oral Surgeon and get examined and the first thing that should be done is Biopsy if ulcers are considered cancerous. Further treatment can be decided accordingly. For now, you can apply a steroid oral paste over it and along with it gargle with 1:1 solution of Ben . . Do warm saline gargles. Take vitamin B complex supplements. Hope this helps. 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 had an infection below my left back molar for a long time.  Had a root canal in July and pain is back once again.  Dentist put me on Amoxicillin and sent me back to Endodontist.  Amoxicillin wasnt working so endo changed it to Clyndomyicin four times a day.  That was Tuesday and now its Sunday.  No relief. Infection feels like its getting worse.   Yesterday I woke up with a circular sore on my inner thigh.  Its red, itchy, bumpy and is white on the inside of the circle.  What could this be? ### REPLY: Hello, Welcome Thanks for consulting  I have gone through your query, as you have said that you have infection in molar tooth, don't worry you should go for proper Root canal treatment and do warm saline gargle and the consult your dentist for medications As you have sore in your thigh you can put Betadine powder on it and take one Tablet Co-trimoxazole twice daily for 3 days and consult physician for that, Hope this will help you.  Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night, I was having dinner with my friends and when I stood up I felt like the whole roomWas spinning. I automatically lost my balance, like I couldnt feel my legs, then when I sat down there was a loud ringing in my ear. I felt like throwing up. But tried to fight it. My friends told me that I looked pale.  My face was stone cold when I got out of it. The episode lasted about 2-3 mins. When I got a bit stable I felt like I could not catch my breath. I went to sleep. Woke up still feeling like I cant breath. My heart rate is 108 and I am 36 years old. ### REPLY: Hello Thanks for posting at . Going by your symptoms it looks like you had a syncopal attack followed by breathlessness. The cause of the syncopal attack and the breathlessness should be evaluated.First a cardiac cause must be ruled out. Please do AA ECG and 2 d echo. If any rhythm disturbances are seen on 2 d echo a Holder monitoring which records your ECG for 24 hours while you go about your daily activities should be done. Heart rhythm disturbances can lead to such symptoms and such disturbances can be diagnosed on Holder monitoring. Next step is the carotid arteries which supply blood to the brain. If this blood supply is decreased you may feel dizzy and lose consciousness. For this, please do a carotid artery Doppler which will show if there are any critical carotid artery blockages. Next to be evaluated is the ear. Internal ear issues can cause dizziness and vertigo. Please consult with your ENT specialist. Next, is the cervical spine issues which can also cause similar symptoms. Please do a cervical spine x-ray. Please do the above-mentioned tests and revert. Wishing you good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter(12 days old) have heart murmur. We will go for 2d echocardiography for heart murmur. What are the chance of going for heart surgery? and is it possible that the murmur cause any other significant diseases? She also has Rubella in significant caution. ### REPLY: Hi... as you say that she has got congenital rubella syn . Whether it will require surgery or not can be decided only after seeing the extent of the structural heart defect and also the pulmonary pressures. I suggest that you go ahead with the Echocardiography and the cardiologist will explain you when and what type of surgery will be required and also if surgery is required or not. 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.. hope you can give me some advice. My mother is in her final stage of neurendocarinoma cancer of the liver. SHE HAS TYPE 2 diabetes and has frequently been hospitalized for hypercalcemia. what can I do for my mom to give her physical strength as she is bringing up everything we ( myself and the drs) try to give her, including water. Her tumor has grown to 75 percent of herliver, but I still hold hope. is there? ### REPLY: Thanks for your question on . Neuroendocrine tumors are very notorious in their course. They tend to have frequent fluctuations. And in terminal stages only palliative care can be given. Surgery is contraindicated. Give her nutrition support in the form of multivitamins, iron, blood transfusion etc. If pain is there than you can give transdermal patch of centrally acting painkiller. It is very effective in terminal cancer pain. You can also .  Debunking surgeries may give symptomatic relief but oncosurgeons consultation is must. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a pain on the right upper abdomen with fizzing..I have no gallbladder or append. I have had a colonoscopy that was neg except for  polyp near the illiocum? I wake up in the morning with a very uncomfortable feeling on the side. The pain will at times radiate around the back . I see a chirpractor also who thinks it is IBS as well. I have had these sx. for the past 9 months or so. I have a hx of IBS.Thanks ### REPLY: Hi ! Good evening. I am  answering your query. Although it requires a clinical examination of your abdomen, from your history it seems that possibly the pain could be due to a calculus in the common bile duct or there could be some kind of pancreatic inflammation. IBS would be the last diagnosis I would consider for this kind of pain. If I were your doctor, after a physical examination of your abdomen I would advise you for an ultrasound of whole abdomen with special attention to the biliary tract and the pancreas. In addition, I would also get done a few of the blood tests like a CBC, a serum amylase and lipase, an LFT and KFT to aid in the diagnosis and management. Till then, I would advise you for an anti-spasmodic and a proton pump inhibitor . 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: About a month ago, I made out with and was fingered by a guy who LATER told me he had herpes.  He also told me he was starting to have an outbreak the night we were together.  What are the chances I have contracted it?  I have gone for a test and am waiting on the results.  Meanwhile, I am very worried.. ### REPLY: Hi, Thanks for posting in . Herpes is a contagious viral disorder. Herpes simplex viruses spread from person to person through close contact. Herpes Simplex Virus - 2 (HSV-2) causes primarily congenital infections. You may wait for the results. If your immunity is good, you may not develop any lesions. In case you get fever and painful lesions, then you need to take treatment immediately. Antipyretic and Analgesics like Ibuprofen and paracetamol will help to reduce pain and fever. You can use topical anti-viral creams or oral intake of anti-viral .  Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed a nickel sized bruise on my left forearm about 3 weeks ago. It was only slightly discolored when I noticed it and there also seems to be a small knot under the skin. It hasn t gone away completely and the coloring seems to change. A few days after I noticed it the blue/green tint was gone but it still felt like a normal bruise. The next week the blue/green tint was back and then a few days later it was gone but felt the same. Now the color is bac again. I plan on making an appointment to have it checked, but wanted to make sure I didn t need to do something immediately. Thanks! ### REPLY: Hi, Thanks for your query. Unexplained bruising once in while is understandable but if occurs frequently should be investigated thoroughly since it can indicate an underlying medical condition or ailment. It has been observed that bruises are often observed more on women than men. Women often complain of bruising on legs, thighs, buttocks and upper arms. Thinner people are more prone to bruising as they lack the fat cushion that helps prevent injury. It may also be due to deficiency of vitamin C, vitamin B12, folic acid and vitamin K. Many times taking medications like aspirin, ibuprofen, non-steroidal anti-inflammatory .  Topical and systemic corticosteroids cause skin thinning, making one prone to bruises. Many a time bruising can be caused due to liver ailments, kidney diseases and blood disorder. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I have a question. Last week I had unprotected intercourse with my boyfriend, but just at the beginning, he didn t finish... It was 3 days after my menstruation stopped. It wasn t the first time we did that, but he told me to do a pregnancy test. Do you think I should be stressed about it? ### REPLY: HI, Thanks for the query.  I understand your concern.  You had sex about 8th to 9th day of your menstrual cycle.which is not likely to be in fertile days in normal 30 days menstrual cycle.  So there is less possibility of pregnancy with the sex you are referring to- & you need not stress (unless you have a very short/ regular cycle of 22 to 24 days. ) In case of short cycle, considering possibility of pre-ejaculate deposited in vagina . You have to exclude pregnancy by urine pregnancy test by HPT after 8 days delay in expected date of coming period.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had my canine crowns redone twice now. After the first placement I noticed that I had alot of sensitivity around the gumline They were redone and a week later the sensitivity is still there in the exact same spot. New impressions were taken and new crowns were made so why is this happening and is the lab just not making them right or iis it my dentist s error?What needs to be done now? ### REPLY: Hi Amy, Sensitivity of teeth after crown preparation is a common occurrence but as you have mentioned that even after the placement of the new crowns (assuming that the margins are proper) it persists and is severe then the only option you have is a root canal. If there is an exposed area around the teeth not covered by the crown causing sensitivity and its not severe then placing a desensitizing agent may help. Pls consult your dentist on that. 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: Have had pain in lower abdomen for few weeks that comes & goes. Wasnt sure if it was muscle spasm or related to ovaries or something female. That pain has subsided some but now I have uncomfortable pressure on my bladder. Feels like I cannot empty my bladder and the flow of urine is much slower than normal. Just took an AZOurinary tract home test. Results of test strips indicate negative for Nitrate & positive (dark purple) for Leukocytes. Please advise? ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You had Pain lower abdomen since few weeks. Pain subsided but there is discomfort On the bladder, and urination. Urine strip test shows leukocytes.  It suggests urinary tract infection, or a stone in the urinary tract.  I advise you to consult a urologist for diagnosis and treatment. You may need to have M.R.I.besides other routine tests for confirmation.  Don't worry you will be fine with minimal treatment.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: this is ravi chandra from hyderabad, i have black scars and pigmentation on my face. Doctor said it is sebo melonosis and suggested skin shine cream (cadila product) and antioxidant tablet (LYROSE). But i see no change in my face as well as i am working in field conditions so exposed to sun from 9 am to 5pm. So kindly suggest any other cream, tablets or skincare treatment needed. ### REPLY: Hi, I can understand your concern for black scars and pigmentation on face. If I were your dermatologist then I would have suggested you to wait and watch policy. Child . The most important part is to use a sunscreen regularly in open environment and on exposure to sun. Take a proper guidance and follow up with a good dermatologist so that all the problem can be dealt best for future time. Protect yourself from direct sunlight. 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 son is 4 year a old and frequently suffers from cough and cold.Recently he has been prescribed with LEVOLIN INHALER(4 puffs every 6hrs when there is cough / wheezing. AND BUDECORT 100 INHALER(2 PUFS TWICE DAILY for 2 weeks).hOW FAR IS THE USE OF SUCH INHALERS SAFE FOR A child OF this age..WHAT ARE THE SIDE EFFECTS OF SUCH INHALERS? Does it contains steroids.. Are there any other option of treatment without the usage of steroids.. ### REPLY: THESE ARE STEROID INHALERS BUDISONIDE IS STEROID WHICH CONTAINS MICROGRAM DOSAGESTHESE ARE ONLY PREVENT ORS ACTUALLY THESE ARE ALLERGIES YOU HAVE TO FIND THE CAUSE SO THE PROBLEM DO NOT RECUR MY EXPERIENCE ON TREATED PATIENTS CAN CURE YOUR CHILDNORMALLY CHILD NEEDS MOTHER MILK TILL 2 YRS AND AFTER 2 YR HE DENOTE NEED MILKWEED WE ADD MILK AND DIARY CHILD STARTS GETTING ALLERGIC AND ASTHMA BUT IF YOU COMPLETELY WITH .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dad is 97 yrs old. His haemoglobin content is around 8 since the last 3/4 months. have been giving iron syrup(Dexoorange_) and also  leafy vegetables  twice a week. It sort of improved become from 7.8 to 8.3. Cannt give more iron supplements as he tends to constipate. Advice please as to how to improve ? ### REPLY: Without knowing cause of anemia iron treatment may not work. First search cause. It may be due to iron deficiency or b12 deficiencies or may be did to renal disease or some other cause like internal bleeding etc. So roughly investigate all these.  For iron deficiency iron rich food like beggary and Green leafy vegetables, . Iron tablets syrup and injectable form also available.  Injectable iron will provide faster response. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc: Do you know much about Paso-Arthritis? I am 63, have had the disease since I was 21. Tried many natural (Dead Sea) and medical ( Methotrexate) before going on Otezla 2 and a half years ago. It was miraculous! I returned to Mountain Biking, Tennis and other sports. About 6 months ago lesions started RE-appearing. Then pain and stiffness. I need some relief other then Ibuprofen. I am scared to go on Biologics. Any suggestions? ### REPLY: Hi, Psoriasis arthritis affects Large joints. Joints disease worsens with skin lesions. Treatment is two-way:1. Treatment of skin lesions2. Treatment of joint disease.  Joint involvement usually decreases as skin lesions are controlled. Primary line of joint treatment is disease modifying agents Like Sulfasalazine and Methotrexate which you have taken. If they are not giving relief next line of treatment is biological agents. They are very effective to control disease visit to rheumatologist is recommended.  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 have a hard ball in my stomach that I can feel my heartbeat in. I can move this ball around a little, but it is normally near my belly button. It is uncomfortable to push on but, not painful. My periods have not been regular but, no other symptoms. I am 30, never smoked and not high BP. I have lost 30 pounds in the past few months and wonder if this is just something I can feel now that I am thinner or if it is Abdominal Aortic Aneurysm? I have used Phentermine for weight loss in the past, no other prescriptions or health issues. Thank you! ### REPLY: Hi. Thanks for your query. Gone through your history. You are feeling a hard ball-can move around-can feel heart beat in it- unconformable when pushed on and is near the belly button.IT is most probably NOT an aneurysm as you are suspecting, because you can move it around. (Aneurysm is fixed and can not be moved).IT is most probably a condition called a mesenteric cyst (mesentery is a membrane from which small intestines are supported and give supply of blood and return of the blood and lymph). The history you have provided is more near this diagnosis. I would advise undergoing an ultrasonography and color Doppler examination to confirm the diagnosis, see for the blood vessels. A CT scan may be needed to confirm the diagnosis and the nature and cause of this cyst. This can be cured by surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, 4 years ago I had perioral dermatitis. After many trips to the dermatologist and trying many different creams it went away. Now 4 years later, I have the same rash on my chin and on the side of my nose. I cannot get a derm appointment until almost 4 months from now so I decided to go to my primary care physician today. She prescribed me triamcinolone .25% cream.  I am scared to try this because it says it should not be used on the face. The doctor said I have perioral dermatitis and still prescribed this.  Should I use this on my face? ### REPLY: Hi thanks for writing here. Perioral dermatitis is a papulopustular infection occurring over chin. There are many aggravating factors for it. Topical steroid application is most important causing flare up of disease. Triamcinolne is also a steroid, and it is not indicated in treatment for personal dermatitis. So better avoid it. You can apply clindamycin gel along with oral doxycycline once daily at night. Avoid cosmetics over lips and chins. I hope this can solve your query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been constantly choughing for about a month now. At first i would cough up alot of phlem but it was less and less everyday, but i am still coughing and i have sort of a stuffy/runny nose but not really. But when i do blow my nose there are black streaks in the mucus. Other than that i feel fine, no weakness body aches sore throat or anything. Ive been taking dayquil but it hasnt gone away its WAY better than before, but NOT gone. Is there anything i can do to take care of this AT HOME? ### REPLY: Hi thanks for asking question. You had mostly flu like viral infection in past most probably. So you have cough that has not gone still now. Following is some remedy for you. Take antimissile cough serum containing dextromethorphan. Green tea is useful. . Eucalyptus cough lozenges helpful. Plantain leaf is useful home remedy to ease cough and sooth resp tract. OSHA root, ginger also useful. Onion having anti-inflammatory action so useful. Take green leaf vegetables. Avoid smoking and spicy food. Take fried food minimum. If still symptoms not relieving then chest x-ray done for further investigation. I hope my suggestion will surely help 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, For about the past week now whenever I urinate I have a sharp abdominal pain right as I m finishing. the pain is very weird to describe but it isn t like a burning or itching sensation, it s very sharp. And for a moment it feels like I have to urinate some more, I try but am finished. It doesn t occur until I am very close to finishing. I have been researching it and the only infection that I have identified the most with are kidney crystals, and also I have looked up on how they are formed and it does kind of seem to fit the puzzle because I do tend to have a hold on my bladder until break, lunch or I get home from work. ### REPLY: Hi there, This could be a case of urinary tract infection or renal stones. First thing is to get a urine routine and microscopy examination. It will say whether there is pus cells /crystals etc. Visit your doctor who might also ask you to get an ultrasound of the abdomen to look for any renal/bladder calculi. Meanwhile, .  Follow good perineal hygiene. Pass urine at regular intervals. Get well soon :) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I ve been experiencing a pain in my lower abdominal area. It started yesterday in the morning, at it has not gotten worst. As a matter of fact, it mostly feels better, but sometimes it does hurt again. The pain has not traveled to the right side of my lower abdominal area, and when I apply pressure on this area it does not hurt more. I have not experienced nausea , but I do feel like I have a little bit of a flue. ### REPLY: Hello! Thank you for the query. The most common reason of such pain is urinary tract infection. Frequent urinating and burning while urinating can appear. Some other possible reasons are diverticulitis (left lower abdominal area), ovarian cyst, uterine infection. It is advisable for you to have abdominal ultrasound, full blood work, urinalysis and transvaginal ultrasound. 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: I am a diabetic but i also had a stroke last april, the doctor gave me sildenafil teva 50mg as i have started to suffer from ED, when i got home i read the enclosed leaflet and it states that i shouldnt take it if i resently suffered a stroke. he has said i may use this once a weak but after reading the leaflet with the stroke comment i m asking if its safe. ### REPLY: Good Day, and thank you for being with  ! You may use sildenfil 6 months after your stroke. If you are still concerned about it, you may try penile vacuum devices and injections or urethral pellets which would have a lower systemic effect. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  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 take 10 mg cetirizine hydrochloride to help with a allergy. i dont know what it is i am allergic to and have had some tests done but no positive results . these pills help with gunky eyes and itch but lately the effects are getting less and less to the point now it does not seem to be working at all . i drink lactose free milk i only use soaps and detergents that are for allergy sensitive people . i have tried cutting out different foods but that has not helped .i dont have a credit card so guess i will have to visit my own doctor again ### REPLY: Hi, Thank you for your query. Just taking cetirizine for gunky eyes and itch does not mean that you are allergic. I would recommend that you consult a dermatologist who shall examine and guide you appropriately. It is good that you are using soaps meant for allergy sensitive people, but that may not be needed at all. I hope I have answered your query to your satisfaction. Wishing you all the best. Rajiv K Khandelwalhttp://goo.gl/SuCjl ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lower abdomen has been tender for around 2 maybe 3 weeks now. I haven t felt myself. I ve been feeling sick but not been sick, I get hot and cold flushes along with aches and pains. I have recently been waking up with a stuffy nose sometimes with blood, and the same at night. My period is due today and I went to the toilet before bed and noticed I have one blob of like brown jelly discharge. What could this be? ### REPLY: A kind of mild indigestion due to various reasons but tenderness is the term you have to understand. If you press or touch it, it would be paining. It could be infection in intestines, mesentery, uterine infection etc. It's better to be evaluated clinically for error less comments. Brown jelly is some kind of not so normal blood of m.c. With some simple herbal preparations such as SY Eve care or Ashokarishta Liquid for 4 weeks, it can be ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 currently deployed overseas as a civilian contractor. The pollution in the air is extreme. I got what would consider extremely ill my lungs burned my nose was runing constantly tong was numb i was hacking green and black phelgm. I was not wearing a mask. I have been here on and off for several years. When I go home I want to see and dr and see if I have caused any permanent damage to my lungs but am not sure what type of Dr. I should see or what to explain ### REPLY: Hello Whatever you will inhale (if polluted) that if not fresh air will intermingle with mucus (a long procedure due to phagocyte activities) and will come out in the form of phlegm. If polluted material is some allergen they will cause bronchoconstriction (if bacteria then infection and phlegm i.e. black or green or yellow depending on the type of allergen or bacteria). In your case you should consult a "PULMONOLOGIST" or chest specialist. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old daughters epiglottis is visible and has been since she was a baby, it hasn t caused too many problems until the past few nights where she has been literally choking and gagging on it when she s been in bed to the point where she can t breathe. I know this is due to being lay down, we have tried to prop her up as much as we can but 10 mins later she s scooched down the bed in her sleep and is back laying flat choking again. Any help appreciated ### REPLY: Hello and Welcome to Ask A Doctor service.  I have reviewed your query and here is my advice.  Has your daughter ever had choking and gagging episodes before?  Sometimes when the healthcare worker asks a healthy child to open his/her mouth the child will open the mouth so widely that the epiglottis is seen. These patients are not sick.  If she is up-to-date with her routine childhood immunizations, then she is protected against her epiglottis being infected because the most common bacterial cause of epiglottis is covered by the vaccines that she received when younger.  Infection of the epiglottis is life-threatening.  The child refuses to lie down, .  A possible cause of cough when laying down and no cough when upright is gastroesophageal reflux.  In which stomach contents come back up the esophagus into the throat causing the child to cough.  Hope I have answered your query. Let me know if I can assist you further.  Arnold EDD, MD, FLAP ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think my boyfriend ins passive aggressive. He came after me the first day of school. after our first date he never called back, then he stopped comig to school, then he d show up. sometimes he d say hi, other times he wouldn t look me in the eyer when he spoke. Then I invited him back to my apartment. He didn t make love to me he didn t kiss me, I saw his face, he made as effort not to get into it. I m really attractive so I knew something wasn t right. He admitted to me that he wanted to tear me to pieces when he first saw me because he wanted me so badly. It s been up and down. He wants me but he plays these strange sulky games. I m confused. Also he has had 2 dui s and a felony for breaking in to beat up his sister s boryfriend. He is highly intelligent, a student as the Uof I. But unable to connect emotionaly. He has grandious ideas about becoming a politician and says that is why our relationship must be a secret. I m 14 years older than him. I know something is wrong with him but I ve never come across this type of behavior. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  To know more about him is the only way to find what is troubling him. I rather say that as he is intelligent (in your opinion) he is playing safe. You have the capacity to understand him. As he is an aspiring politician, as he says, he wants to keep himself away from affairs, which might trouble his future. That is a good opinion. At least he is focused towards his future. Things like flirting and having sex is not his concerns. He is much more matured than that. Understand him and adore him. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I woke up two weeks ago with a very bad pain in the lower back right side. I went to the doctor and they took blood and urine sample. the urine sample had a little blood in it. the blood came back normal.  Took Blood pressure and it was 150 over 9o something. They said it was BPH. The prescribe pain pills for pain. Today I am having again on the right side lower back. Some times it radiates down to the groin area. Is this normal and when does this pain go away? To me it feels more like a kidney infection. ### REPLY: Hi Mr .your symptoms of lower back pain, blood in urine suggest that your suffering FRM renal calculi ...as the isn't fever as such DNT get worried of kidney infection and yest her is a chance that u may get infection if renal calculi is not attended in early stage...go consult urologist, get an USG abdomen don end x-ray pub.investigations reveal the location ND size of the stone if at all the scan is positive... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Rajat and 19 year old and i m suffering from stomach problems like too much gas creation and semi digested brown stool . when i visited to doctors, every time my blood report stated, increased SGPT and alkaline phosphate . now i m taking Sorbiline syrup(- Sorbitol Solution and TR1 Choline Citrate) 10_20 ml daily without prescription and it is causing me dizziness , sleepiness all time hungry and shitting 2-4 times and its yellow now. should i take it? ### 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. Only a raised SGPT doesn't convey much information. It depends on how much the SGPT is raised. I request you not to self prescribe. Get a USG abdomen done to rule out any hepatitis and mild SGPT elevation should not bother you. 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: im 27, im working as welder since i was on nightshift my heart beats really fast than the usual,, cause i feel it every morning after my work before go to bed and when i wake up.. what is the cause of this?? in my situation what is the best thing to do and what is the right foods to eat??? thanks.. ### REPLY: Hello, This can be an anxiety or cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: last Tuesday i hurt my lower back while doing squats. its been hurting but the pain is isolated in my lower back it hasn t spread it sometimes hurts when i bend over but usually it just is really tight in my lower back which prevents me from bending over very far. it also hurts when i get up after sitting but it is very miniscule. ### REPLY: Dear-thanks for using our system and hope will my medical advice will be helpful. You probably have a pinched muscle from the exercise Sometimes, specially when you do an exercise and don't stretch well, you can have this problem. It might take few days to improve, try to avoid heavy exercise, use a heating pad, rest and take anti-inflammatory as ibuprofen for 72 hrs. If it does not get better, you might need to see your doctor for an x-ray and further evaluation. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 almost 50 days late for my period. I keep taking pregnancy tests and they are negative. With this I have just been waiting. I have experienced some very light bleeding during the week I was supposed to get my period (second missed- 2-3 weeks ago) and now I am having cramping and light bleeding again. I also just found a small lump on the opening of my cervix. What could this be? ### REPLY: Hello... Thanks for choosing  for your query... Regarding your question about intermenstrual spotting, it can be because of so many reasons apart from pregnancy like some ovarian cyst, hormonal imbalance, cervical polyp, some infection, some serious reasons. I also want to know whether you have taken any emergency contraceptive pill like I pill, unwanted 72,can be a reason for your problem. It is highly recommended that you should meet nearby Gynecologist and get it checked internally. Regarding investigation, I would recommend doing ultra TSH, S. Prolactin, LH, FSH on day 2 of menses USG ABDOMEN AND PELVIS... I hope this helps... In case of any query feel free to ask... .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 10 years old. Two days ago she had gone on a school field trip toSea World. The morning after she returned she had complained of contraction like pain to her left lower side of her abdomen. She also complained of leg pain. I stretched her thinking that it may be muscle pain from the rollercoasters. She woke up the second day with the same severe pain with diarreah. she has not eaten at all on the third day. I dont know what this is. ### REPLY: Hello, Probably the most common reason that a child is experiencing muscle pains and diarrhea is that she has a viral illness.  There are many viruses that circulate in the community during the summer.  They can cause sickness with various symptoms: -headache-sore throat- cough-vomiting-diarrhea-muscle and joint pains-loss of appetite Even if your daughter does not want to eat, it is important that she stay wealthy .  If she does not keep 2-3 ounces of clear fluids down, then offer sips every 5 minutes until she stops vomiting.  Take her temperature to make sure she has no fever.  Acetaminophen as needed for fever and muscle pains.  If she is still not eating after 2 days, take her to her pediatrician. 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 5 yr old son has been unwell on and of for a few weeks now he only has slight temperature of 37.5 but feels hotter to touch he is very pale and lethargic and he is shivering saying he is cold he also is complaining of a bad head??? a few weeks ago he had a chest infection was put on antibiotics which he has had before and towards the end of the course he suddenly started being sick and complaining of sharp abdominal pain we took him doctors and he said he may have abdominal colic caused by the coughing and sent us home!!! I don t believe this . He was sick again when we got home then slept all night the following day he woke up feeling and looking better and went to school he was there 1 day and then was off for 2 days being sick again with bad belly . He then went back and has been back 1 wk and 3 days and is now being sick again with bad headache and leg cramps very pale he is not overly keen on the light but can sit in room with it on I am very worried about this as usually he is a healthy 5 yr old apart from asthma !!! Please help Oh also my husbands friend tht he worked with was taken to hospital just before all this started and died meningitis in 72 hrs my husband was checked but was given the all clear with a tablet but I think it a little coincidental!!thank u a very worried mummy ### REPLY: Hi welcome to  ... Your child having fever on and off along with abdominal pain sometime... Here if generalized viral infection there than chest and stomach both can be affected. Your child work up needed with.... -Auscultation -Blood pressure measurement -Chest x-ray if needed-CRP -Blood culture if needed -USG abdomen According to cause further treatment can be guided.... If no significant cause found than just maintain immunity with good food and fruits. Advise :Pediatrician consultation for examination. 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: when i woke up this afternoon, i work nights, my chest was hurting on the center left side...well I have been awake for about 4 hours now and the pain is still on and off hurting. When it is not a stabbing pain it is a low achey pain. I am 24 years old, I am a bit overweight,I am 5"9  and 240 pounds.  and I have suffered from anxiety.My heart rate is also very fast. I have suffered from high blood pressure but am not taking anything for it right now. This has happened before but it only lasted about an hour, this time is has persisted. Emotional stress seems to cause the pain to last longer it seems. what should i do? ### REPLY: There are two entities in cardiac sciences!) STABLE ANGINA - the pain relieves in 20 min on resting or taking nitroglycerines2) unstable angina in which the pain does not settle down on resting as your pain is dull in nature a sort of heaviness on left side of chest it can be angina your work hours are at night ...stress levels must be high a say you suffered from anxiety at an age of 24 you are hypertensive you have not mentioned your smoking habits though at an age of 24 cardiac cause is rare yet seeing your lifestyle we need to rule it out broadly speaking your problem can be because ofanxietygastritis(because gastritis and heart burn also cause pain in the area where you feel Igor cardiac cause would advise you to go forecglipid profile tread mill test (to rule out any lack of blood supply to heart during test)2 d echo cardiographycosult a psychiatrist, and he may suggest you some antianxiety pills in low dose called benzodiazepines ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 walked into a pothole over a week ago and my foot bent completely upward. Over the past week and a half I have had moderate pain on the heel and outside of my foot that becomes severe when I put pressure or wear tight shoes. It feels a little better with elevation and ice. It is pretty swollen, but not incredibly, and there is no bruising, so I have ruled out a break. Any idea what it could be? ### REPLY: Hi if you have ruled out fracture you must be having sprain. And remember foot and ankle injuries are very notorious even you don't have fracture there are chances of ligament injuries which causes severe pain and swelling and complete recovery is not possible in such cases. Mild pain remains in foot even after recovery. As your injury is fresh you need to give rest to your foot till the swelling and pain subsides. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a living donor kidney transplant in June 2012.  The donor has genital herpes.  Can this be transmitted through the transplanted kidney.  I have noticed a small painful sore on my penis and have outbreaks of small, oozing rash that too are painful and then scab over and heal on various areas of my midsection.  If this is possible I will mention it t o my nephrologist in my quarterly visit this coming week.  Thanks ### REPLY: Hi, Thanks for writing in to us. Despite great advances in organ transplantation in the last four decades, herpesvirus infections remain a major cause of morbidity and mortality for a majority of transplant recipients. Central to all herpesvirus infections is the viruses ability to establish latent, nonproductive infections which can be reactivated at later times in the hosts' life, resulting in recurrent infections and associated diseases. While improvements in immunosuppressive . 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: Hiya, the past few months I ve been having real problems with my breathing. It quite often feels like my lungs are being crushed and that my windpipe is being squeezed and it Is very uncomfortable. I also quite often get heart palpitations and can see my heart beat in my chest, often when I am lying down and wearing a loose top I can actually see my heart beats with the fabric and it is quite scary. What should I do?? ### REPLY: Hello! Thank you for asking on ! I read carefully your question and understand your concern. It is important performing a comprehensive differential diagnosis of different causes that may lead to this symptomatology:- a cardiac arrhythmia could lead to similar symptoms- a respiratory disorder - anxiety could mimic this clinical scenario. I recommend consulting with your GP for a careful physical exam and some tests: - a resting ECG- a chest X-ray study and respiratory function tests-blood lab work (complete blood count, thyroid hormone levels, blood electrolytes). An ambulatory 24-48 hours ECG monitoring may be needed to examine your cardiac rhythm trends during the day and exclude possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your troubles. Hope you will find this answer helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a tournament on sunday and everytime i kicked the lad on the head he blocked it with his forearm and it killed; and now it has swollen and is a bit bruised. The first aider checked it but didn t tell me whats wrong with it she just told me to exercise it. ### REPLY: Hello, It could be a minor contusion or sprain, the fracture is unlikely. As of now, you can use analgesics/anti-inflammatory combination like diclofenac/serratiopeptidase for symptomatic relief.  You can also apply ice-packs for symptomatic relief. If symptoms persist better to consult an orthopaedician and get evaluated. 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: Dear Dr.Sammuel,My brother went for his immigration interview and found out that he is positive for TB.He was asked to come back to Appollo after 2 mo.his cultures back with positive.Now next week he is going for his treatment to Appollo.Does he have to stay there for the treatment or he can come back home on treatment.It seems so expensive for him to stay in there for 6months.Please answer me in detailThank you ### REPLY: Thanks for your question on . I can understand your concern. No need for hospital admission in tuberculosis if patient is stable and not having life-threatening symptoms like hypotension, hemoptysis (blood in sputum) etc. Treatment course of tuberculosis is long. Minimum 6-8 months of treatment is required. And most of the time patient send home with 1 month of treatment. Patient has to come back after 1 month fir follow up. Total 6-8 months of treatment is required. So no need for hospital admission in tuberculosis if patient is clinically stable Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my wife used to complain about the noise of hoovering from next door,or like she used to think that next door guys is keeping eyes on her throughout the day and later on she starts forgetting things like cooking shopping like most of the social life she is under treatment now she dont complain about noises and the guys following but keep forgetting things to do in just a seconds..is she will be cured? ### REPLY: Hello, The symptoms of your wife are not related to anxiety or panic or depressive disorder. They are just part and parcel of her psychosis. She is recovering from her illness and the voices and auspiciousness have reduced, but the distraction or inability to concentrate is still there. Many patients when get free from their positive symptoms (like hearing voices etc.), develop negative symptoms-memory problems, lethargy, inability to work properly and lack of motivation for most things. This also gets better with time and treatment. Patient should be motivated for doing all kinds of household works, and encouraged by others. She should bot be nudged and insulted for her declined performance (negative comments only deteriorate them). Then gradually, with continuous efforts, she will definitely become better. Donot worry, most of the time there is no permanent memory loss. Wish you good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had UTI 3 weeks ago and was ordered to repeat urinalysis after my antibiotics. Bacteria and pus gone but now had RBC +1 in my urine which has increased to +3 after 2 weeks. My KUB ultrasound result is OK, no stones nor abnormal findings. What could be the cause? I have also undergone hysterectomy a year ago. so, could that be the cause? ### REPLY: Thank you for the query. I would like to know your age, whether you have any associated comorbidities like Diabetes Mellitus and also whether you are on an any Hormone replacement therapy (since you have undergone hysterectomy). Urinary Tract Infection (UTI) can arise due to a number of causes. Since you have undergone Hysterectomy, you are in a surgical post menopausal state. The vaginal area becomes .  Hormone replacement therapy may have some protective effect (provided you don't have other contraindications)Diabetes mellitus (increased blood sugar) may lead to frequent UTI. Hence, it is advisable to get your blood sugar (Fasting and post radial) checked, if you haven't got them tested yet.PUB USG may not always reveal stones, specially small ones (X-ray PUB may be more useful in this regard). I would also like to know whether the residual urinary volume (RUN) was done during your USG. Increased RUN may be a reason for recurrent UTI. I would advise you to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiA year and a half i contracted a virus overseas, was hospitilized and lost a heap of weight, returned home to see a naturopath due to a decrease in wellbeing, they informed me by gallbladder was stressed and inflamed, since then i have lost a large amount of muscle in the upper chest and middle back i look anorexic while still carrying fat around the buttocks and waist, i have experienced bloated abdonimals and pain, lower back pain, chronic digestive and bowel problems, constipation, dizziness, chronic fatigue, depression and poor memory. erectyile disfunction and size reduction. my body will not absorb the nutrients from food and water properly. . please help me find the cause/root of the problem since i have tried many methods with no result and continue to lose mass and put on pounds ### REPLY: HelloThanks for writing to ChatDoctorYou need proper clinical examination and investigations. Investigations include routine hologram, RBS,Lipid profile, LFT,FT, ultrasound of abdomen. Ultrasound of abdomen can exclude many conditions. Treatment can be started after clinical findings and investigation reports. Some of your problems like depression, small size and erectile dysfunction may be due to psychological causes, so consult psychiatrist also. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 19 yrs old. i play badminton regularly, few days back i felt fast heartbeat i sat down had water and after some time i felt better. bp was at that time was 101/69 pulse was 96 after 1 hour it was 114/80 pulse 88. the same was repeated after 3/4 days & bp was 117/76 after 1 hr 114/59 pulse 67. still i play badminton regularly. shall i go for some checkup like echo or tmt? ### REPLY: Hello, thanks for using . I have gone through your question. First let me give you basic physiological information of heart beats. Norma heartbeats vary between 60 and 100 per minute. With activity and exertion it increases and with rest and sleep it decreases. As long as it does not cross100 it is considered quite natural phenomenon. So my young friend just relax and continue playing Badminton, i see a champion of badminton in you... My best wishes .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 3 year breast cancer survivor. This past October, I started to have vague right hip pain, which has gotten worse. February of this year, I had a nuclear medicine whole body bone scan done. The results came back as degenerative changes in the left and right hip, but more prevalent in the right hip. It was recommended that I repeat the bone scan, which I did on June 3, 2014. The results came back showing that the same affects were happening not only in my hips and pelvis (right hip more prevalent) but also in both of my shoulders ( right shoulder more prevalent) and the front part of my skull had thickened also. I was told that my scan was fine and no changes had occurred and to repeat the scan in six months. I found this to be questionable, simply because there was an obvious change within the three months. Both scans were done to rule out metastatic disease. Radiotracer activity in the second scan was noted in places that did not show up on the first scan. I want to know; do I have anything to worry about and should I get a second opinion. My right hip bone and joint have been hurting constantly, mostly at night. My lumpectomy was on the right breast and I hurt there constantly also. Sometimes the pain is so bad, it feels like it is piercing through the back of my shoulder. Could I have early signs of bone cancer? ### REPLY: Your age please? The changes in your serial bone scans seem to be age related. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or other metabolic disorder. Any way it may be tried,--.  Looking Plus (Mankind) [Diclofenac 100 mg +Paracetamol 350 mg] 1 tab.  OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.--. Do mild exercises for All joints. --.(Take help of a physiotherapist or visit WWW. . Com). --. Use no pillow under the head. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again.  Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit the nearest hospital. I hope I have answered your question to your satisfaction. Kindly rate the answer. Wish you a quick recovery & good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have breathing problem since i was a child, now i am 24 years old and still face the the breathing problem.. I have problem breathing through mouth. I feel like I am out of breathe even if i am just sitting and not done any physical hard work. Plz help. ### REPLY: Hello, Breathing difficulty since childhood should be evaluated for asthma. So better to consult a pulmonologist, and get done a clinical examination of the respiratory system and pulmonary function test (PFT). PFT will not only diagnose asthma, but it will also tell you about the severity of the disease, and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, my mother has a skin pigmentation problem on her face (partially) especially on the forehead and near the ears. One doctor has advised her to use Momate S skin cream , which she was using since an year now...but when she uses it the spots go away but after that they again come back....now she is also experiencing the feeling of irritation and itching on her face at spots. Please advise ### REPLY: Hi, Thanks for writing to us. It would be very difficult to diagnose the underlying cause for such pigmentation without examining the lesion. Momate s contains a mid potent steroid mometasone with salicylic acid. Your mother has been using the cream for a long period of time. When used for long steroid can cause thinning of skin in the area. Salicylic acid can irritate the skin leading to burning, itching or stinging sensation over face. So she should stop mo mate s cream and may apply a mild moisturizer to soothe the area. I would advise that you meet your consulting dermatologist for further follow up and advise. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello., My 6 months old baby vomited 4 times in 2 hours. He is mostly on breastfeeding. Due to odd time I directly went to the pharmacist. The pharmacist has suggested emeset 2 MG 2 ml Is it ok. What should be the frequency. And any other suggestions? ### REPLY: Hi, I understand your concern. Vomiting is a sign of bowel infection or food poisoning. Should determine the cause first. If no new food introduced, then could be due to acute gastroenteritis. Emeset syrup will help with vomiting. Your baby might need iv fluids and medications, so better send to see a pediatrician. If vomiting had stopped, should give probiotics to stabilize intestinal flora and oral rely . Wish fast 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 42. 2 days ago I started experiencing a pain in my left side at my bra line and over the last 2 days it has hurt worse and the pain has spread to under my left breast and I have a warm sensation and tightness of my left breast and if I touch my side or under my breast it hurts to touch. I looked online for possible reasons it could be and I think I have decided that it is cyclistic breast pain. I am suppose to start my menstrual cycle in 3 days. Am I right on this or should I see a doctor and when should I see the doctor? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have warm sensation and tightness in the breast. Well there can be many reasons for symptoms you mention in query like reproductive hormones, changes that occur in the milk ducts or milk glands, fatty acid imbalance, medication use oral birth control pills, estrogen and progesterone hormone. I would suggest you to consult gynecologist for proper examination. Doctor will take history, order blood test and mammogram. Doctor may also refer you to endocrinologist for hormonal problem. For now apply warm compresses, take ibuprofen or acetaminophen for pain and wear lose cloths. 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: +.i shake my penis regular ### REPLY: Dear user, Thanks for writing to . I can understand your concern regarding safety/harmful effects of masturbation. Masturbation is a normal sexual activity. Masturbation is similar to sexual intercourse for penis. What penis does in vagina during sexual intercourse, same it does during masturbation in your folded palm! This is a natural activity and I would say a healthy activity and does not either affect or deter sexual performance. If you feel pleasure and sexual satisfaction after masturbation, no need to be worried about. No need to control. No need to feel guilt. 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: My baby is turning 7 months in 3 days. She has been having Cold (cough with phlegm, running nose) for about a week plus now. Had fever for about 2 days a day after her 6in1 vaccination. Her paeds gave her some medications (Ventolin to decrease cough, Rhiniramine for runny nose and Mucosolvan for sputum thinner) She is not getting any better and she has watery stool everyday since she started on the medications. Should I go back to her Paeds? Is it something that I should worry? ### REPLY: Hi...too many syrup formulations can cause diarrhea in such young kids due to the excess sugar in the syrups. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there, I m just asking to calm my nerves a little. I m on the contraceptive pill- and have been really good at taking it at the same time every day. I got my period a few weeks ago, and the day after my partner and I had sex. This was before I started taking my new packet of pills. He did not ejaculate inside me. I m just wanting something to calm me down a little as I m a very anxious person. ### REPLY: Welcome to  Calm Yourself down as break through bleeding is common sometimes and as you said it occurred after the next day of having sex, so you need not worry about it. To relieve your anxiety it's better to avoid medications and start with deep breath(take a deep inhale and then hold your breath and release slowly afterwards)repeat the process 2-3 times, and you will be disregards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am concerened about three lumps i have,they are 1.5 cm in size roughly,1 on my arm 1 on my bottom and 1 on my back,the 1 on my arm is more pinky with a brown spot in it and sometimes get twinges in the area around it on my arm,my doctor told me they are cold spots but im not sure can you help please i am 28 and 12 stone ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have multiple lumps.  It can be multiple lipomatous, neurofibromatosis or some other mass.  You should go for fine needle aspiration cytology or biopsy of one lump. It will give you exact diagnosis. Then you should take treatment according to diagnosis. 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: For surgery on a herniated disc at C5-C6, what is the customary number of days for recovery in the hospital after the surgery?  This is a regular surgery on the neck with a fusion. A platelet is being put in with 4 screws and the disc is being replaced with an artificial disk (polycarbonate). It is not keyhole surgery. ### REPLY: If surgery was done in a minimally invasive fashion then, the turnaround out of the hospital can be as quick as 1-2 days depending upon whether the patient experiences complications or not.  If this was an open procedure with fusion (sounds like it was) then hospitalization to discharge should probably be no more than several days assuming no complications...but not exceeding 5-7 I would say based on my patients who have undergone similar procedures. I guess when you say KEYHOLE you are referring the MINIMALLY INVASIVE type that I previously mentioned. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I found, through routine bloodwork, that I have very elevated liver function tests. Bilirubin, AST and ALT are all very high. Currently, I am waiting for an appointment with a liver specialist on Dec. 13. In the meantime, I am very worried that I can t get the levels down. From Nov. 10 to Nov 22, the bilirubin climbed from 3.2 to 5.9. I was also looking jaundiced. AST went from 79 to 265 and ALT from105 to 407. Alkaline Phosphate is also high. On Nov it was 211. On Nov. 22 it was 214. After 2 weeks of drinking lemon juice and apple cider and eating apples plus drinking more water, there has been a very slight lowering. My bilirubin on Dec. 1 is down to 5.2, but my primary doctor said it is still dangerously high. I do not want to go back to the GI doc in our neighborhood. I have had an ultrasound and an MRI/MRCP. The MRCP shows two large gallstones, but they are not blocking the bile duct. Is spite of this, the GI doc wants to to an ERCP and I refuse to have that done except by an expert in the field. Also, I don t think he can see anything with the scope that the MRCP didn t see. Are there any other foods I can eat to lower the levels further while I wait to see the specialist? I can t exercise as I have too little energy. I have constant nausea and itching and am tired all day. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can.GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor. I hope you can help me. I have a son he is 5 becoming 6 in October. When he was 2 years old he was getting truble with his tonssils, and therof he was very much on antibiotics, and when he was 4 years old I was letting his tossils get out, by the time that happens he toothes wat all damaged. Last year I was also going to the dentist to get his tooth out(all 20) because he had to go to school this year. And he also has n problem to go to the toilet but I did give him pegicol on a daily basis now he goes out every day. My problem is that a doctor at our camise told me to give my son on a daily basis 1 topaz, but im not sure if this is gonna help because I do understand that my sons body is very low that s why im giving him scotts emulcion. im really hellples and hope you can help, and his coughing most of the time. Tanx ### REPLY: Your sons secondary teeth will come in over the next years.  The dentist can confirm with an X-ray the presence and to some extent the conditions of the teeth.  Unless he had tetracycline, other antibiotics should not have caused damage.  Scott's emulsion, cod liver oil and vitamins with calcium, is a good source of some vitamins but should not be used excessively.  Follow the directions. I am not sure what you mean by Topaz.  If you are referring to a source of fluoride, that is a good thing if your water does not already contain fluoride.  If it helps, you could post in your original language to make your question clearer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been experiencing flu like symptons for over a week now. i have no energy and find any task draining. I am able to eat but am not really hungry. get chills, follewd by fever and sweating. Also get heade aches and stomach cramps like i need to go to bathroom but dont. ### REPLY: Hello, Welcome to , The history and symptoms suggests me that you are having some infection in the body. Common conditions which can have these symptoms are1. Urinary tract infection2. Viral fever3. Malaria4. PneumoniaThese are some of the conditions which can produce these symptoms. You require physical examination and lab investigation to confirm the diagnosis, and then we can decide further mode of treatment. For your symptoms I would suggest you to followers ParacetamolOral Antibiotics like BactoclavOral antihistaminesOral rely .  This medicine can help to control the symptoms, but you require complete evaluation for your symptoms. 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: on my way to work on the tube this morning i noticed difficulty breathing them felt sick and dizzyness, i then found it vey difficult to see properly, and was unbalanced and couldnt stand, after a while i felt absolutely fine again, what could have caused this? ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of transient ischemic attack (TIA) is more. It is momentary decrease in blood supply to some part of brain which is causing sudden onset dizziness, not able to stand, imbalance, breathlessness etc. So better to consult neurologist and get done clinical examination of Central nervous system (CNS), blood pressure monitoring and MRI brain to rule out major CNS pathology. Also get done serum lipid profile to rule out dyslipidemia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello My mother broke her humorous bone right at the ball n three weeks ago now the bone has moved she was in a brace they took it off said they hope gravity will move bone back down in place is this a normal procedure? or should I take her some where else ..she is 71 ### REPLY: Hello, I think your mother will be better off with surgery as in her age plaster treatment will not be able to unite bone, and it will be difficult to keep that plaster for three to four months with continuous movement, she will feel pain and discomfort. So with surgery she can be treated easily and faster. She will be fine with in one month. If you want further advise then please share her x-rays with me. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END