Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m really scared!! i m 16, and since yesterday i noticed that when i swallow the right side of neck neck hurts. Its that part of my neck just below my right ear.. i m worried about it, because i feel it might be cancerous, because its just there on the right side and not the left. And that lump-like thing hurts when i press it... Is it normal?? ### REPLY: Hi, Welcome to , Forget about cancer ! It seems that you are having Acute tonsillitis on your right side giving you problem. Due to infection on tonsil, lymph node behind and back of your right ear is enlarged and becomes tender. Go for antibiotic and anti-inflammatory medicines after consulting your doctor. Do warm water or Listerine gargles. Avoid fried, junk food and cold . Ok and bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Concerned about recent problem with remembering dates, doctors appointmets, months & days (trouble retaining information I used to store and retain easily, forgetting familiar names (family & friend) - just turned 84, still active physically but feeling unsure when driving & making previously normal decisions.  Former business owner, working artist, writer - but now worried that usual, everyday decision making is becoming "uncomfortable" - is it beginning alzheimers or just "normal old-age"? email addr:YYYY@YYYY ### REPLY: Hello, Forgetfulness or amnesia is a fairly common condition at age over 75. It normally occurs due to atrophy or reduction in size of the brain and decrease in neurotransmitter known as Acetylcholine. However, a patient of Dementia presents with 1)Cognitive decline (Inability to perform thinking, reasoning, remembering). 2) Amnesia or forgetfulness + Any 2 out of the 4- Inability to perform a given motor task (e.g.- failure to tie shoelaces) / Inability to recognize the sensation of a familiar object (e.g. smell, touch, taste etc.) / Inability to talk / Failure in Planning, organizing and Sequencing. However, Alzheimer's Disease is not the only cause of Dementia though it is the Most Common cause. My suggestion would be to get yourself checked by your nearest Psychiatrist for opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 58 yr old husband came down with back and hip ache and chills five days ago. His lower back and shoulder blade area hurt terribly bad for three days. He went to our daughter who is a physical therapist and got quite a bit of relief from her. But, awoke with a horrible headache this morning and still no energy. Do you think this is just the flu or something more serious? ### REPLY: Hi, welcome to , after going through your query my opinion is that your husband may be suffering from dengue or simply viral flu. For diagnosis of the condition get the following test done i.e. CBC, ESR, CRP, Dengue test, malaria optimal test. You said that there is no energy I can't get the words but if there is weakness in limbs and decreased muscle power than please visit physician as there may be chances of subarachnoid hemorrhage. Hope your query get solved. Welcome for further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 4 and just noticed last week she has a small pea size lump above her left upper front teeth on the gum line. She didnt complain its hurting. Today her dentist did a X-Ray and recommend the teeth being extracted. That tooth did have cavity before and had fillings done. Before we go with the extraction treatment, just wonder if any doctor/dentist here would recommend another treatment, such as discharge whats inside the lump and treat with antibiotics, and save the tooth? Many thanks! ### REPLY: HelloEarly loss of primary teeth can cause a number of undesirable consequences of loss of arch length, insufficient space for erupting permanent tooth. Pulpectomy of primary teeth is considered as a reasonable treatment approach to ensure either normal shedding or a long-term survival. If the root resorption is not very much then I think in your case tooth can be saved through lumpectomy procedure. After the successful completion of lumpectomy the lump also will go away saving the tooth. Hope this answer 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: HI I am 16 years old boy my height is 511 and weight 240 and I have no medical history. I have a lump under my left nipple and when I got out of the shower it started to bleed. I am wondering if the cause of the bleeding is that lump? I do exercise often by walk and sort. So can you please tell me what is happening! Thank you ### REPLY: Hi, thanks for writing to  and sharing your recent health concerns! Well, this is gynecomastia only and nothing to worry about this; just relax! Gynecomastia is very common at your age, and it is described as partial feminine character/development of male breast tissues under hormonal influences especially in over-weight males. Sometimes it may contain small cysts within it and that may bleed when injured/crushed/squeezed... I would further suggest you to go for an FNAC /biopsy and ultrasound of the lump for confirmation and to relieve your concerns, and you must see a surgeon for a proper direct and close clinical examination also! Hope this answers your question. If you have additional questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I periodically get deep pain in the bones of my feet, knee, or hips along with severe skin sensitivity. There is nothing on my skin but it feels like a severe sunburn. Sometimes I only have skin pain. It only happens in one place at a time. It lasts for a day or two. Sometimes the pain in the side of the knee or toes feels stiff or tight and causes me to limp. It s worse if I have been inactive then try to walk or get up from sitting. I have genital herpes. Could this be related somehow? ### REPLY: Hello! Thank you for asking on ! Your symptoms could be related to different possible causes like peripheral neuropathy or chronic inflammation. For this reason, I would recommend consulting with your GP and performing some tests: - a nerve conduction study to exclude polineuropathy- complete blood count, PCR, ESR for inflammation. Further tests may be needed to establish the right diagnosis and treatment options. Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a grandson who is very delayed. He is 5 years old and doesn t talk, walk or communicate, he also has very low muscle tone. I have a suspicion that he has cerebral palsy, but no official diagnosis. Over the past few months now he has been going through a stage where he is extremely tired, he just lays and sleeps , he will eat if fed. this will last for about a week, during this time he has no bowel movements. when he comes out of this period he has mega bowel movements and then goes into a hyper stage for a couple weeks where he doesnt sleep much and never sits still. Very weird. I know there are many more questions but have you heard of anything like this? ### REPLY: You need to get your grandson IQ, screen for metabolic disorders, chromosomal abnormalities etc. delayed milestones and decreased muscle tone can present in mental retardation also. In any brain damage patient be it cerebral palsy or mental retardation, there is high chances of having other psychiatric illness. His symptoms are suggestive of either bipolar disorder or ADHD. I would advise you to consult doctor get him thoroughly investigated and diagnosed and treated accordingly ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir/madam, i have a veyy high blood pressure from last 15 years, my age is 38, i was not taking any medicine,and i got used to the blood presure, further investigation says its anxiety, does anxiety causes blood presure to increase,and my creatinine levels shows 1.7,that bothers me a lot, but no matter how much i try my presure is not coming down from 180, all this check ups and test where done by general family doctor, and local pathology ,actually i want to consult you concerning this.  YYYY@YYYY mob - 0000 kindly suggestthanks ### REPLY: Hi. I had gone through your query. I understand your concern. Anxiety can result of increase sympathetic outflow from brain. Neurotransmitters like nor epinephrine and a . So it may also elevate blood pressure. But control of anxiety can also improve in blood pressure. Anxiolytic like Mizoram along with anti-hypersensitive medicine can help. Regular exercise and meditations can help. Daily work schedule with stress-free activity can be beneficial. Still if you have query then feel free to ask. Get well soon. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thanks. 2010 I was told by my son s pediatrician that the muscles in his legs were breaking down ...enzymes? He couldn t shake a flu like occurrence that started Feb of that year and he was complaining of weakness through March. I can t recall the diagnosis. Any direction is appreciated. I can call the doc s office in the am and obtain the data if I have not provided enough data. Thanks again ### REPLY: What I can collect from your post is that your child is suffered from weakness and recently having prolonged fever. He might be suffering from Myositis or other congenital disease associated with weakness. I can't help you without the investigation workup that already you have done. Kindly post it to me. In many of the cases there are definite treatments which should be started as early as possible to get the best results. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have terrible leg cramps at night, I have tried many suggested remedies....vinegar and honey, magnesium tables, TENS machine, topical ointments...the muscles in the right leg are in painful knots;the left leg has developed light tics. The bicep muscle in my left arm has a knot that is painless. I have been in physical therepy twice a week for several weeks with little improvement. The pain lessons as the day goes on. The nighttime is miserable. What d o you think is going on????? ### REPLY: Hello, As mentioned you have tried everything for the cramps, let me mention in this way, that the cramps are due to the cellular level physiological abnormalities in the sodium channels and due to the disruption of the same the cramps aren't stopping and none of the therapies is working for longer.  As you been trying to work with a physiotherapist for less duration, I will advise you to take the exercise seriously and workout with a graded plan.  All the methods you tried are for symptomatic relief, but for long-run results, you have to put your efforts. Some cases seen by me in my experience of 12 years have responded for a longer duration of exercise in a graded manner.  You don't need to be with a physiotherapist all the time. Just learn the exercise for some weeks and follow the same at home and again do physiotherapy for some weeks and again follow. Your self-involvement in this therapy of cramps will help the whole process to become stronger and long-lasting. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am taking sodium valporate for migraine and in the past week have stared taking echinacea for a cold. Since starting the echinacea I have been suffering with heartburn, I don t know if it is a coincidence but is there a contra-indication I don t know about? ### REPLY: Hi, Yes, it may cause heartburn. Echinacea is an alternative medicine (herb) commonly used for the symptomatic relief of common cold and respiratory tract infections. Its common side effects include nausea, heartburn, vomiting, altered taste, stomach pain and diarrhea. You should not take it if you have stomach acidity issues like gastritis or reflux disease. 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: Hello. I got a kind of a lump on my knee cap and inside i can move something on my knee it feels like a little ball. It don t hurt as much but when i press down i just get a little pain nothing much. So can u help me what is this? Pain is nothing really just a little tiny pain. ### REPLY: Hi! Thanks for writing to us sharing your problem of a lump on the knee! As per your description, the lump is on the knee cap, mobile, painless but slightly tender...therefore, as per my experience of needle biopsies, I can suggest few possibilities as below:1. Bursa or ganglion like degenerative cystic lesion 40% possibility2. Benign stromal or soft tissue tumor like lipoma, neurofibroma or hematoma 20% possibility3. Synovial effusion, herniation or patellar dislocation 20% possibility4. Neoplastic tumors like fibrous, histiocytoma, synovial sarcoma etc. 20% possibility, it should be examined and investigated properly before a radical excision by an orthopedic or general surgeon; please see one surgeon at your area for the detailed examination and needle biopsy if necessary! 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: my husband has hardware in  his back and ankle and has developed an infection.  he is on 2 months of infusion therapy.  if this does not clear up the infection the wound care doctors want him to have the hardware removed in both places.  after the back surgery my husband developed blood clots and almost died - now what can doctors do to keep the risk of blood clots at a minimum if he has to have the hardware removed? ### REPLY: Dear patient If there is infection with hardware in situ the best way is to remove hardware. Because hardware may be the reason for persistent of infection. Bacteria form biofilm on hardware that is not penetrate by antibiotics. Some amount of hematoma is formed after surgery due to blood loss and oozing. Ways to avoid hematoma are 1. Use of .  Meticulous closure of wound in layers without leaving any dead space. 3. Pressure bandage of wound post surgery. 4. Injection trade twice a day for initial few days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, whom is 20 months old, has been scratching her head, behind her ears, neck and back causing red scratches and scabs thru out. I have not changed any of her soaps/ shampoos and she has not eaten any new foods. She does have a tootChatDoctoring in but she continues to wake thru out the night for the past week and it has not gone away. Thanks! ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am have intermittent, very intensely hot sensations across my abdomen.  They are painless.  I have had hot flashes before while on fertility medication - they feel similar to that, but are concentrated in my abdomen only and as I said before, are painless.  Could it be stress/anxiety related? ### REPLY: Hi. Thanks for an elucidated history and your query. You have rightly noticed such symptoms to be due to hormonal changes. The stress and anxiety too are directly related to the hormonal changes a woman gets from time to time. So please there is nothing much to worry about the hot sensation across the abdomen. Take a rest, change over to other situations like may be outing/ vacation or so and you would be fine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, so every now and then, I get these really minor pains on the left hand side of my chest. They dont last very long and are not associated with any other symptoms as well. Any idea what this pain could be a result of and if I need it to be checked? ### REPLY: Thanks for your question on . I can understand your concern. Left sided chest pain should always be checked for heart diseases. So better to consult doctor and get 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry heart diseases. Sometimes simple musculoskeletal pain can also cause similar symptoms. So take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright. But better to rule out heart diseases first. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pitutary tumor that causes increase in prolactin . The medicine I take is unbearable. I have been taing it for 8 years now, & i was wondering if natural medicine like essiac can help shrink the tumor. I have read numerous testimonials online & I don t know what to make of it. Also, I have not read anything concrete to disapprove it effectiveness. ### REPLY: Hall, Essay called as For Essence is a herbal tea promoted as a dietary supplement and not to show any proof of effectiveness.  There is no scientific evidence to show that essay can treat, prevent, or cure cancer or any other serious illness in humans.  Essay is a mixture of roots, bark and leaves that you boil to make a .  Some people believe that certain alternative therapies can boost your immune system and help fight your cancer. But repeated laboratory tests showed that there is no scientific evidence to prove this.  Many people become confused about Essay Tea after visiting various websites with conflicting information. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 who is 17 months has a few red bumps below her left elbow.  They are raised and dont have a head on them, just a red bump.  She also has one on her left wrist.  I noticed one the other day, now she has a couple more...is there anything i should be concerned about?  thanks ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. 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, this is going to be a long one but I have a lot of health concerns. I am a 15 year old female and for years I have suffered from chest pains, anxiety, seizures, dizzy spells, and insomnia. I have no idea whether any of it is related. The chest pains start rapidly at anytime of the day or night and could last for hours. Sometimes it it so painful it wakes me up. It mostly hurts from the middle of my chest to my left side. It hurts to breathe or move and feels deep in my chest. I have been to the doctors and they say it isn t my heart but it keeps getting worse. I have always been a worrier but my anxiety is really bad. I randomly feel like I m having panic attacks even when I m just sitting at home. I am an unofficially diagnosed epileptic and they say the stress caused my seizures. I was put on a few medications that had to keep being changed because of bad weight gain, allergic reactions and other problems. Most recently I was on Keppra. Before that was Epilum and Tegritol. The seizures have stopped now but sometimes I still feel like I m going to have one and I ve passed out a few times too. I get dizzy spells quite a bit. Sometimes when I m sitting or lying down it suddenly feels like I can t tell which way is up. Even though I know I m sitting up I feel like I m upside down or on my side. Other times when I stand up everything goes black and I get a bad pain in my head. I have to sit down to avoid falling over and after a couple of seconds it clears. I don t really know what insomnia is but I have always had trouble sleeping. Laying awake for hours and nightmares. I would feel so tired during the day and at night, even though I m still tired, I can t sleep. I m really concerned. I hate constant doctors visits, missing school, and feeling horrible all the time. This is ruining my life and I need some help. Thank you, Charlotte. ### 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. Divalproex sodium, carbamazepine, phenytoin sodium are good .  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: Hi My brother got stroke just a week ago, earlier we thought that it is kind of hysteria. We brought him to doctor. Doctor gives him some injections immediately and ask for CT SCAN and next day morning he give us optima and some other medicines. After CT Scan he sent us for MRI. In MRI report he asked us to be at Neurology center (PGIMER - Chandigarh). We found that he have a clot on the left side around broca center. In neurology center doctor stopped the Optima and given us Claphvaus , vitafol, satrix tablets. Could you please tell me that what was the reason of that stroke, and what are the special diets we need to keep in mind. One more thing yesterday I night, I got his BP test it was 140. Could you please tell me any other excercise and diets we can down his blood pressure. He is fatty. Thanks ### REPLY: Hi The causes of stroke are:1. Sudden rupture of a blood vessel in the brain due to raise in BP.2. Blood clots blocking the vessel and thus the blood supply to the brain. The treatment modality depends upon the nature of the problem and physiotherapy helps in regaining the strength of the muscles. Avoid foods with high calorie; encourage eating vegetables, oats, white meat (fish), etc. which are good to heart. Neurologist and a dietitian can help you in this regard. 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: First if all, let me start by telling you that I have two very pronounced dimples in my lower back. Anyway, about a month ago I noticed a quater sized bruise a little to the right side of my right dimple, it wasnt really painfull or anything that I noticed, it eventually went away, but over the past few weeks I have noticed a knot under the surface that has shown up in the same area, it only hurts a little if I hit it or lay on it, what could this be and any suggestions on ways to treat it or get it to go away? Oh, and I am a dancer, and I do roll on a hard surface over this area quite a bit, not sure if that makes any difference or not. However, the more I roll on it or anything, It swells quite a bit and gets really hot to the touch. ### REPLY: Hello, Welcome at . It will be my pleasure to help you. The dimples which are present at your lower back are just the normal landmark of our joint which is known as sacroiliac joint- http://www.youtube.com/watch?feature=player_detailpage&v=D6NTMgWCSaU This is present in normal person. The knot which is present nearby this looks to be an inflamed connective tissue & at this stage better termed as FIBROSIS. In your case this may be due to your dance & rolling habit. Most probably this had lead to injury at this area which had healed with fibrous tissue. You should not bother about this & should consult to an orthopedic doctor for this. Your doctor may give you a good anti-inflammatory analgesic & may use a local steroid injection to give you relief. Hope this will help you Wish you a happy & healthy life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Following a blood test this afternoon my arm became very sore and swollen. I do have tiny veins but the puncture and test went well. It was immediately afterwards while the tourniquet was on that the discomfort and swelling started. Several hours later it is still swollen and sore. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to the injection. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses at the injection site. The symptoms will relieve gradually. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a small lump behind my neck and it has been there since 4 years now,it has now started irritating me because when i drive a bike or any other activity which involves using my shoulders for a little long it starts hurting,can you please tell me what the remedy for this would be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node, cyst, soft tissue tumor like lipoma or neurofibroma or some skin adnexal tumor. You should go for fine needle aspiration cytology or biopsy.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed 3 months with Rickettsial disease.  I am slowly regaining my energy, but now my hair is coming out in sufficient quantities to cause concern.  I spent 10 days in intermediate ICU and was not aware of my surroundings for 4 or 5 days.  I am 69 yrs of age.  Would the hair loss be a result of my disease? ### REPLY: Hello. Thank you for writing to us. The reason for precipitous hair fall after a major illness/ stressful event is known as halogen effluvium. The hair loss that you now experience post-rickettsial illness is actually quite expected. Telogen effluvium usually starts 1-3 months after a stressful event. This stressful event can be a medical illness like e.g. dengue, malaria, jaundice etc. Or rickets disease as in your case. Telogen effluvium is due to sudden shift in hair growth cycle from Ana gen, which is the growth phase to Halogen, which is the resting phase. Once hair enters halogen in response to a stressful event, it is subsequently going to be shed over the next 1 -3 months. This phenomena of sudden increase in shedding is known as halogen effluvium. Recovery is spontaneous as the resting hair follicle re-enters managed Or growth phase and this may take another 3-6 months. There is no specific treatment for halogen effluvium except for counselling about the natural history and spontaneous recovery in 3-6 months. It is advisable to take a good healthy nutritious diet rich in proteins and other nutrients during the recovery phase. 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. Me and my boyfriend had unprotected sex the last day of my period. Since then ive expierenced back pain, naseua, and light cramping. My period is due in five days. I always know im about to get my period because my face starts to break out, but it has not. Im just wondering if to you it seem like pregnancy could be a possibility. Thank you. ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You had unprotected sex on the last day of the period. Since then, you have back pained, nausea, cramping. Your period is due in five days. Will it be pregnancy.  Last day of the period means after the period, or at the end of the period 29th day. If it is the last day of the bleeding pregnancy is possible. If it is 29th day it is impossible.  To clear your doubt you can have a urine pregnancy test with first urine and mid-stream urine.  I hope I have cleared your doubt.  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: Hi,Im 27 years old and my hubby is 30years.... we r trying to conceive from 4 years but not successed yet.... my husband is fine... i was diagonosed PCOS in 2011.. my gyn suggest me go through for laproscopy or drilling.. in april 2011 my laproscopy done.. and then doc gave me clomid CD2 to 6... and also metformin 500mg twice a day... but no results...then i changed my consultant last month....march 2013...he gave me Femara 2.5mg from day 2 to day 6th of my cycle.... and menogon injections from day 7..8..9..and 10th and advise to intercourse for 5 days regular... but still no result...now im asking should i continue this natural process or go through for IVF? as my age concern? plz give me answer im very worried and hopeless now... bcz my husband is seamen and he is on vactions now thats why im in bit hurry.Mrs Shah ### REPLY: Hello Mrs Shah, I can understand your worries and concern. Reading your history I understand that you have taken ovulation induction .  The next level would be to go for GUI that is intrauterine insemination, rather than directly jumping over t IVF. So I would advise you to go for GUI for at least 2 cycles before taking up IVF. But still you can consult your doctor and take a call on what you want to do next. Simple advice would be to be stress-free. Don't Worrall the best, 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 name is XXXX. I am 20 years old and have a honeycomb pattern all over my arms and upper thigh... They are like red blotches without the center. This has been happening more and more. They do not hurt or itch . They are not raised on my skin at all. It was just a small patch on my leg but the more this comes back the farther it spreads. I get dizzy and really tired whenever they appear. I cannot afford a doctor yet and am starting to worry. ### REPLY: Hi, After reading your history it appears that you urticaria or hives. This is common problem, and we see so many of cases in normal population. So do not worry about it. There are so many of the aggravating factor and in yourself including day to day factors of environment. You can take loratadine or levocetrizine or fexofenadine daily. You can apply calamine lotion over the affected area. Stay away from hot and humid climate and wear cotton clothes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 22 and have recently had chest pain on the right side of my sternum. The pain at first was quite mild and have experienced it before and it would come and go but today it got much worse. The pain was very sharp and localized to about 1 rib. The area around it was tender and upper body movement would sometimes relieve or increase the pain. The pain hasnt spread to any other areas and Ive found shallow breaths helped lower the pain. I havent had any injuries or incidents which could have caused any broken/cracked ribs. ### REPLY: The characteristics of the pain you describe are compatible with musculoskeletal pain. It is characterized by a localized pain that can be exacerbated by cough, respiratory movements of the chest wall, movements of the superior members and palpation of the painful point, which will present with tenderness and, eventually, with a muscle node. Musculoskeletal pain varies in intensity and duration. It can be mild or very intense with impairment of daily life activities. It can last a few hours even if untreated or last many days, weeks or months. A localized, long-lasting musculoskeletal pain that does not resolve after the use of traditional analgesics and anti-inflammatory .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am 28 and my name is khalid siddique i am having issue with my skin since i was 18 and till now i am having acne issue on my face and body i dont know how it will stop, i had alot of medicine and also went to many doctors but untill now i cont find any thing which can help me to get raid from this problem, now the pimples are not like before i am having few of them but i have many mark on my face and body and my skin color is getting black and black i dont know how can i make it stop and get into normal life please advice. ### REPLY: Hello, I understand that you have been dealing with problem of acne for a long time. Key is in maintenance, acne can be due to multiple causes and be of various type. If you do not have active pimples now but have marks opt for retinoid acid 0.025% at night, and do not forget to use a sunscreen in the daytime suitable for your skin type such as uncross aqua gel or an solar. As a procedure you can opt for chemical peels or monotherapy targeted to reducing skin pigmentation. Have vitamin C rich fruits and meet a cosmetologist who can explain you further about these procedures and assess your skin. Take 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: I have acute pain in my left side under my ribs which has now spread to my upper back and to my upper chest. I am 51, female, normal weight, don t smoke but in the last two years my blood pressure has become quite high. My readings this week are: 137/80, 232/100 and today 164/83 with a pulse of 107. Should I seek further medical help? I have only been given pain relief and an anti inflammatory....thank you. ### REPLY: Can I assume that the numb fingers are thumb, index and (thumb side) half of ring? If so it is likely that she has "carpal tunnel syn . It is not unconventional to treat this with a brace, especially if there are reasons to avoid surgery. An additional possible treatment is to inject the structures under the "deep transverse carpal ligament" (which is the constricting structure) with cortisone. If all else fails dividing that structure surgically is a common treatment. This can be done as a "day case" under regional (not general) anesthesia. Although the surgical wound should be kept  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 40 years old & Im on Atenolol for tachycardia. Because of fluid intake my doctor put me on Triamterene a year ago. I have been extremely tired, no energy at all. I feel at times that I could just sleep for days. The fatigue gets worse as the day goes on. I checked my BP yesterday and at 2:05pm it was 77/56, pulse 83 at 2:09 96/52, pulse 80 at 3:39pm 100/59, pulse 80 & at 4:45pm 92/52, pulse 65. This morning at 9:12am it was 97/55, pulse 83. Is it too low or am I just imagining things. ### REPLY: Thanks for your question on . I can understand your concern. Yes, your blood pressure is too low. You are not imaging things, you're all symptoms are due to hypotension. Atenolol is having dual effect. It controls pulse rate, it also causes reduction in blood pressure. So at present, better to stop Atenolol. Consult your doctor immediately for hypotension. Another possibility is hyponatremia (low sodium). Hyponatremia is common in patients with chronic diuretic use. You are taking triamtetene since 1 year. So this can cause hyponatremia and similar symptoms. So consult your doctor and discuss all these. 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: Sir, Kindly advise regarding below mentioned CT Scan report of 18 years son- Spltting of p.c. system seen on right with hyper dense area mid calys (1.2MM) & right lower ureter (4.1MM) Right renal concreation Right lower uretric calculus. Regards, Ashok Kumar Agrawal ### REPLY: Hi Sir, Welcome to , I understand your query and concern. Your sons CT scan report is suggestive of a renal stone located somewhere in the Right lower ureter. For this you need to get him Intravenous paleography for accurate assessment. I advise you to have Tab Tramadol and Tab. Pantop 40 mg, a course of antibiotic taken under medical prescription to control this pain. Further expert management depends on the outcome of the MVP result. If the size of stone is more than 5 cm then depending on the location of stone Extra corporeal lithography can be done.Meanwhile, you need to take soft and less spicy foods. . Fruits, fruit juices, vegetable salads, soups should be taken. Consult your urologist for expert management. Post your further queries if any. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I M 25 YEARS OLD FEMALE. I VE BEEN SUFFERING FROM SEVERE BACKPAIN , MY SPINAL CORD VIBRATES WHENEVER I SIT OR HEARS A SHARP NOISE. MY MRI SCAN SAYS: BULGING ANNULUS SEEN AT C-3-C4,C4-C5 AND C5-C6 LEVELS NARROWING THE SPINAL CANAL AND SLIGHTLY INDENTING THE THECAL SAC .BULGING ANNULUS SEEN AT L4-L5 AND L5-S1 LEVELS. PLS EXPLAIN MY CONDITION. I ALSO EXPERIENCE TREMORS WHILE USING A KEYBOARD AND ALSO WHEN WRITING, I M WORRIED. PLS HELP ME ### REPLY: Hi Between the vertebra are disc which act as shock absorbers. The discs are composed of an outer ring called an annulus fibrosis and an inner aspect called the nucleus. The annulus is not supposed to bulge out of its space and if it does or if the nucleus bulges out, it can potentially compress the nerves that may be in proximity of the vertebra and cause symptoms such as back pain, abnormal sensations, weakness. Narrowing of the spinal canal may occur if the discs are degenerating. Treatment varies but usually starts with bed rest for about a week, use of pain medications. After this time period physiotherapy is initiated. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a endoscopy and colonoscopy done a couple months ago and they found 4+ ulcers and a polyp they would normally find in a 50+ year old person... and a few weeks ago I started having bright red blood in my stool. I have also been bruising easily and been feeling a little dehydrated and I would like to know what is going on with me? ### REPLY: Hi, Thanks for using . Bright red blood on toilet paper after you've had a bowel movement may be a sign of colon polyps or colon cancer, rectal bleeding can indicate other conditions, such as hemorrhoids or minor tears (fissures) in your anus. Examination by a doctor helps in confirming condition. Biopsy from polyp is necessary to snow type of polyp. Removal of polyp can be done through colonoscopy using snare method. Bruising is common in aged people due to thinning of skin and weakened vessel. As you have blood in stool and bruising need to get examined by doctor. Possible causes are if you are any blood thinning medications, platelet disorders or clotting system abnormality. Consult your doctor for further management Hope this helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom is 78 alot of health issues she has diabete and heart failure she has been in the hospital for two months while there her kidneys shut down now she is having dialysis and she had been doing ok but friday she went in to caridac arrest they were going to dialysis laid her back and she had a hard time breathing she has a port in her neck and they are doing it through that how lng can they do dialysis on her ### REPLY: Tithe kidney failure in your mother could be due to diabetic kidney disease or due to heart failure due to poor blood supply to the kidney. If the kidney failure is not recoverable CKD stage 5, she may require dialysis life long. In fact, it is difficult to manage the patient with kidney failure and poor heart function. It is difficult to say from your question without actually seeing the patient how frequent or how long she requires dialysis. Your treating Physician or Nephrologist would be better judge. 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 husband was diagnosed with cancer in his tongue. We were told it is growing down into his tongue and he needs to have at least 1/3 of his tongue removed. What is the name for this cancer so I can learn more about it. We were told carcinoma but there must be more to it. Surgery scheduled for May 30th ### REPLY: Thanks for your question on . The most common cancer of tongue is squamous cell carcinoma. Type of cancer is determined by biopsy and histopathological report. So in his histopathological report type of cancer must be mentioned. So check it for the type of cancer. Tongue cancer has excellent prognosis if early surgery is done. In the treatment unblock resection (resection of whole mass with clear margins with involved lymph nodes) is done. And post-operative chemotherapy and radiotherapy is needed to prevent distal as well as local recurrence. So surgery 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 am suffering from hyperbillirubinaemia. After that my body is not worked properly. In the morning season total body pain specifically upper portion of both leg. Doctor advice me to take TAB UBICAR AND NEW BONA PLUS. I want to know that the above mentioned two (2) drugs are safe. ### REPLY: Hi, Yes, these medications are safe. Based on the history you seem to be suffering from painful nerve condition for which your doctor has prescribed these medications. Vicar which consists of two anti-oxidants coenzyme Q10 and levocarnitine effectively used to treat nutritional deficiencies. Newton plus contains calcium, L-methylfolate, methylcobalamin, pyridoxine and vitamin D3 and effectively used to treat deficiency states. They are considered to be safe. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i just suddenly broke out with a rash on my arms, feet , legs, chest , and back with small red bumps some have swelled up a little other remain flat. It happened after eating a sandwich and grapes from a restaurant which are things I always eat and am not allergic to and I also was sitting by a bamboo tree. Any idea what could have happened? ### REPLY: Hi dear, it is said that everything under the sun including the sun can cause allergic reaction. So it can be anything, which caused allergy. So it is difficult to say what caused allergy. For now u take antihistamine and apply aloft lotion. I would suggest u not to go near bamboo tree again as I think it's the pollen grains and dust from bamboo which harmed u. as you're used to the above said diet. Thank u ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi? i hand washed my clothes on Sunday and afterward my index finger was swollen like i it was squeezed by a door. later on Tuesday the area around the joint on my index finger turned black and itchy.. it still swollen and painful when i try to bend it. what could be the problem ### REPLY: Hello, As this is a skin reaction to the soap is one. Second, there will some skin tissue wear and tear due to friction and since it was squeezed by the door, so there will be a muscle injury. Just apply coconut oil and do gentle massage and use hot water fermentation for the finger muscles to relax. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having cold and phlem for the past 5 months. The phlem is green and thick. Of late, my nose gets blocked and I find it difficult to blw my nose coz the phlem is very thick. Also I get a head ache very frequently. I am also highly acidic and I suspect all these are connected. My general physician gave me medicines for the cold and the acidity. But I am not rid of either. Please advice. ### REPLY: Hi, I did review your concern. I believe your symptoms can be due to what we call as chronic sinusitis where there is infection of paranasal sinuses, and it causes sinus tenderness, headache and nose block with fled. I would advise you to take steam inhalations to open up your sinuses and also take antibiotics under medical supervision after getting investigated. A CT paranasal sinus is needed to confirm diagnosis as well as to rule out any cause of blockage. Forever, if the symptoms persist, you can then consult an ENT doctor who can surgically open the opening of the sinus so that it . I hope this helps. Wish you a very healthy and happy life ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mother of 8 year old girl.My daughter is getting fever in the range of 99.2-99.6 almost daily since last 2 weeks.Her urine routine report shows pus cells in range of 3-4/hpf & epithelial cells 2-3/hpf.Lymphocytes are 35 & haemoglobin 12.7.CRP-C quantity is <0.3.Pls. Indicate the cause of recurrent fever. ### REPLY: HelloSign your daughter is having low grade fever for 2 weeks and almost all reports are within normal range. The possibilities of such type of fever may be, these include:1 Typhoid fever, mostly low grade fever is usually due to typhoid fever. Diagnosis can be confirmed by Tidal test as well as serology test.2 Viral fever or sore throat are other common reason of such type of fever, particularly low grade. Diagnosis can be confirmed by physical examination .3 Tuberculosis, another possibility of such fever is tuberculosis. Diagnosis can be confirmed by blood for ES R (if very high i.e. >100 mm is suggestive of either tuberculosis or some chronic disease) X-ray chest.Sometimes long-standing fever present due to primary complex in child . However, there are so many other reasons of such fever, so consult another physician and get his opinion (2nd). Hope this will help 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: hi sir.i am 23yr old.i have a masturbation habit.i am doing masturbation since 14 age regularly.but i am not having smoking and drinking habit..i try to control this.i want to know how to stop it and what are the food i should eat for increasing my health. ### REPLY: Degree understand your concerns went through your details. In many people masturbation become a habit. The best method is to quit the habit now and sustain with will power. You can definitely quit masturbation in one go. Just stop it and swear will do it once or twice in a week. Engage yourself in exercise, games and other engaging activities during the whole day or whenever you feel the urge.  Just a week, your habit should change. Mind power building therapy, motivation therapy etc. should help you to do so. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 30 year old female. married 2 years ago. planning for child. went for master health checkup. to my distress heard from my doctor that i have liver hemangioma which is 4.8 X 5 cms on the segment 7 of my liver. I didnt have any symptoms except back pain(that is becoz of my weight, my doctor told me so). But i have acidity problem for more than 6 years. Before 2 years when i had ultrasound for stomach problem they found that i had pre-pyloric ulcer and i have taken medicines for the same. But at that time there was no hemangioma on my liver. I have family problems and so have much stress. my question is within 2 years how did i get this much big (5 cms)hemangioma ? Also will it grow if i am pregnant ? also is there any medicines (herbal or alopathy) to shrink the hemangioma ? ### REPLY: Generally liver hematoma are without any sign and symptoms, Having a liver hematoma doesn't mean you can't become pregnant. Women who have been diagnosed with liver hematoma face a risk of complications if they become pregnant. The female hormone estrogen, which increases during pregnancy, is believed to cause some liver hematomas to grow larger. A growing hematoma can cause signs and symptoms and may require treatment. And yes homoeopatChatDoctoredicnes can help you for this as well to reduce the steps levels which you are going through ....godless! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 high blood pressure and I was told that my potassium level was low so I bought some potassium gluconate pills today they are 595 mg and I am scared to take them after reading about the side effects. What should I do I have an appt. to see a cardioligist next monday? ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Low potassium can increase blood pressure, however, it is usually not the sole reason. You need to be on antihypertensives with consultation from your doctor.2. Taking potassium tablets is risky. Cardiovascular effects, particularly arrhythmia are dangerous. 3. You can concentrate on improving potassium by improving diet by including items like banana, green leafy vegetables, potatoes, fish, yogurt, mushrooms, etc. Improving potassium will reduce risk of high blood pressure, stroke and cardiovascular disease. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My P.A.. just told me that I have a Low White Blood Count  (3.6 -  the normal here is 4.1 - 10.9)  The clinic just put in a new computer system so he cant easily check past counts & feels this is probably due to a  respiratory problem I had a month or so ago, but I just checked my lab results from last year and found that it was a tiny bit low then too (4.0 ).  Ive been tired lately and am now wondering if I should ignore the low count or ask for other things to be checked to make sure theres nothing serious going on? ### REPLY: Hello, So far as your question is concerned, a bit of information about your health history and current status (including .  Keeping in view the information you provided, if you are not having other illnesses, especially infections, and you are not taking any long-term medication and are not having any serious health problem(s) due to low WBC count (frequent and severe infections), then you can just ignore it. But you may need to get the blood counts done regularly at least on 6 monthly basis so that if further decline occurs, it can be timely picked up and managed accordingly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having episodes where my heart feels like it stops...cutting off my breath for a second. i have to cough a few times to get any feeling back. right afterwards the beats are hard and very slow for maybe 5-6 beats then it goes back to normal. i have a history of afib. ### REPLY: Hi ! I had gone through your question and I understand your concern. I would say that these symptoms are caused from arrhythmia (heart rhythm disorders). Since you have a history of Atrial fibrillation this may cause your heart rhythm problem. When the symptoms come and after the heart goes back to normal, we call it Paroxysmal atrial fibrillation . If you have any chest pain call the hospital. I would advise asking for an appointment with your local doctor, He will monitor your heart rate, (do an ECG) check the condition OF the heart (if there is a main cause of your atrial fibrillation) , He may prescribe you Aspirin or other . Or  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 , 3 weeks ago ; i have alittle pain when touching near my left rib cage and below the breast area. The pain is now gone , but when i stretch my arm high ; theres pain for the 2nd week. Now , being the 3rd week ; not much pain. However , i could feel that theres this vein or muscle im not sure;  probably from beneath my left nipple attached to my left rib which seems to be stretched when i lift my arm ; and i could feel it. Theres no vein on the other side of my rib. When i tend to press and pull the vein ; theres pain. Can i know whats going on ? Thanks. ### REPLY: Thanks for your question on . I can understand your concern. Your symptoms are characteristic of muscular spasm and muscular pain. So apply warm water pad on affected. Take painkiller and muscle relaxant .  Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements. Don't worry, you will be alright with all these in 2 weeks. 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: Hi Doc,Am a Throat Cancer Patient since 2008. Since then i have undergone about half a dozen Radio-Iodine Therapies - High Dose.After a Year of Disease Free Session I had a relapse. My Current Doc is in Pune, India and would like to get 2-3 other Opinions. Please advise.Thank you Asang ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  Chances of relapse are always there in throat cancer.  So it's not due to any other causes. Its just due to tendency of recurrence.  If you have gone for surgery then incomplete removal of malignant tissue may be the causes of recurrence.  In radiotherapy also some residual tumor may be there, and it causes recurrence.  So just consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a weird crunching sound when I push the area where my ribs come together. I think its called the sternum or breastbone? It also hurts sometimes when taking deep breaths. Also, a few weeks I experienced some lower back pain and think that could be associated, but Im not sure. I just recently took and finished an antibiotic regement for a UTI, so I am not sure if that makes any difference. ### REPLY: Thanks for your question on . I can understand your concern. Sternum is attached with ribs by cartilaginous joint. It is not fixed and hard joint. It is somewhat mobile joint. This mobility is important in rib cage movements during respiration. On forceful movements, these cartilaginous joints can make noise. So you are mostly hearing this noise. No need to worry about this because this is normal. Better to avoid such forceful pressure because it can damage these joints. Since you recently had cold and pain on deep breathing, better to get done chest x-ray to rule out lung pathology. If chest x-ray is normal than no need to worry about this noise. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom is 83, has had ovarian cancer for 5 years - diagnosed at Stage 3C - in hospice now with large tumors at base of neck, many enlarged lymph nodes, very enlarged left breast - minimal pain, but great weakness and fatigue . She is still eating, though smaller portions - has some cognitive confusion. What can we expect?? No one is telling us much. ### REPLY: Hi, She was treated for stage III C ovarian cancer 5 years back. Now I want to have some information. Was the surgery done at the time of diagnosis adequate or not. Whether she was treated with chemotherapy or not if given the chemotherapy then for how many cycles and which .  Ovarian cancer can spread to neck. If it is found to be metastatic ovarian cancer then again chemotherapy can be tried if her medical condition suits. Better results can be expected. Consult with your oncologist. 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 recently was told i have an enlarged gallbladder wall after going in for yellowing skin and eyes. My doctor isn t concerned and wishes to take no further action. Last night i drank quite a bit of alcohol. Today i am experiencing sharp stabbing pain in my upper right abdomen and have been having bowels that are yellow oily liquid. Also my hands are swollen. But i don t have a fever . ### REPLY: Hello You had jaundice and enlarged gallbladder recently. That means that your liver is also affected. ALCOHOL is totally prohibited in your case. Alcohol consumption can affect the liver could also cause pain in the area of the bile tract, or in the liver itself. Abdominal pain is not easy to diagnose, especially for a lay person, so you should not simply assume that you have a gall bladder problem. Apart from the location of the pain, there are several factors that are taken into consideration when diagnosing abdominal pain. Alcohol can also cause fluid retention in your hands and feet, also known as peripheral or dependent edema leading to swelling. Since this pain seems to develop after consumption of alcohol, it could originate in the stomach itself. You may be suffering from stomach ulcers or gastritis (inflammation of the stomach lining), which is being aggravated by the alcohol consumption. It is important that you do not neglect this problem.  I hope this will help 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: II have been running fevers for over 2 months after a bout of pneumonia, I just had a central line removed after ten days of home antibiotcs and the line became infected,positive blood cultures for gram negative rods. I still have a productive cough and temp. along with positive cultures obviously antibiotics did not help, my concern is I am an organ donor and I do not want my heart damaged as my brother died from a similar issue after needing a heart transplant due to a similar issue.What should be my next step? ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. I advise you to consult pulmonologist and get done 1. CT THORAX2. Bronchoscopy and BAD analysis. We need to identify the causative organism and sensitive . CT gives excellent imaging of lung parenchymal and thus improvement or worsening of previous pneumonia bout can be diagnosed. BAD is very sensitive for identification of organism. So antibiotics can be guided. So consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: can I use sunscreen along with nadoxin cream...I am developing pigmentation patches which appear to be there because of exposure to sun..however I was told by my doctor not to use anything except nadoxin,..but can I use sunscreen to avoid patching if I am using nadoxin ### REPLY: Hello, Welcome to , I understand that you have pimples for which you are using mandolin gel and tanning and post inflammatory pigmentation. Yes you can use sunscreen all over the face after applying mandolin gel, but make sure that it is in a gel form. Sunscreen in cream and lotion base can cause new pimples. Sucrose gel, Sun cote gel, Photoban aqua gel etc. are some gel based sunscreens. Hope this helped, Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son was treated for TB and completed 9 months medicine prescribed by the doctor (don a full course)(age 13 years then). He is having veriable intensity cough for about one month. Treatment done from the same doctor. He suggested the alergic cough. upon getting xray done of chest pa findings are broncho-vascular markings are prominent. What is its meaning? pl. guide what should be the course of action now? ### REPLY: Thanks for your question on . I can understand your concern. Prominent bronchovascular markings on chest x-ray are commonly seen with bronchitis. Bronchitis is common after tuberculosis. It is because of inflammation of airways. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. He will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, his cough will subside with this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i just had a quick question. I have been diagnosed with PCOS, and have been given Dianne 35 birth control pills for this reason, and also to clear up my acne. I also plan on using it for contraceptive purposes just to be safe. My question is, since my periods are irregular (the last one i had was 3 months ago and still no sign of getting it soon), am i able to start the pill at any time or does it have to be on the first day of my next period (i just dont want to wait that long, as it could take months). Thanks! ### REPLY: Hi, I think what you can do is to take some progesterone for 7 days for your periods to come. When you will stop the progesterone periods will come within 1 to 2 weeks, then you can start Dianne from day 1 of your cycle.  Just don't forget to do a urine pregnancy test before taking progesterone. Also, I think you should do a thyroid profile and prolactin and an ultrasound for your follicles to rule out the cause of irregular periods. Dianne can be used for contraception. 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: am pregnant and been having constant lower abdominal pain and constatly vomiting/nausia, constant dizzyness..for the past 2 weeks should i be consern and worried. i vomited one morning and there was a small trace of blood too. i havent gotten money to go get checked so am worried. what might i have and can it be dangerous.... am 18, female, my medical history that involves with this is: i have h-palorie virus(stomach virus) and ive had irregular menstrual periods and bad craps during my menstrual period. thats all i know about my medical history ### REPLY: Hello, Nausea,vomiting and dizziness is commonly seen in the first trimester. You may even have some cramps, but you also need to be careful that you don't miscarry. You need to rest as much as possible, dont do heavy lifting. Any cramps increasing in intensity, you need to get an ultrasound asap. The H Pylori can cause some gastric irritation, and you may have some flecks of blood in your vomit. But you need to see a doctor immediately if this occurs again. Any bleeding see a doctor immediately. You should get a full ante natal check up done if you haven't already. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 root canal done last Thursday on the last upper left molar.  Within the hour, my left cheek swelled up and I had minor pain.  The swelling has gone down a bit but still sore and I noticed a small lump on left cheek...this has never happened to me (I had a previous root canal on another molar). Should I contact the endodontist that did the procedure or my dentist?  Could this be an infection?  I have no fever and only the discomfort of the root canal/cheek ### REPLY: Hello, Thanks for posting your query. The swollen cheek followed with root canal treatment may be due to-Improper instrumentation methods used. Breakage of files inserted. Periapical infection remaining under the tooth. Infected vital pulp remaining within the pulp canals. Take complete course of antibiotics. Warm saline gargle frequently may relieve swelling. Apply cold packs alternatively. Please do visit your endodontist and get further treatments and check-ups. I wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 56 yo male, that runs marathons and does yoga. I have pain in the back of my knee, it is sore and stiff after I sit a bit and move from sitting to walking. After I walk a bit the soreness deceases. The pain started as a weird feeling behind my knee cap after a yoga class. Then the next am I ran 3 miles and had to stop due to the pain. ### REPLY: Hi, Pain and stiffness in the knees can be due to developing arthritis (RA or OA). Pain and stiffness behind the knee are usually due to Bakers cyst. Bakers cyst can also cause swelling behind the knee and also stiffness and discomfort while flexing the knee. There are times when Bakes cyst goes away by itself but at times it needs to be treated.  Visit ER, get all tests for RA done and get diagnosed. RA or any injury to the knee commonly triggers Bakers cyst formation due to excess secretion of synovial fluid. Physical therapy, steroid injections or .  Get evaluated and treated at the earliest. In the meantime, for relief from pain, you can take NSAID (Naproxen.) 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 2 year old son was circumcised when 1 mth old and now he is 2 years old.i noticed a sort of cut while changing his diaper and went to the dr. the dr said the skin has reattatced itself and is now tearing and then he released the skin by tearing with hands which was extremely painful for child .he has been given an antibiotic cream but cries pitifully when i applied it once.i cannot bear his cries and pain and want to know when this will be over and is there some way or another medicine to reduce his pain and nightmare ### REPLY: Hi, thank you for choosing . Sorry that your son had to go through such pain, usually we do simple procedures in kids with local anesthetic. Right now you give any paracetamol or ibuprofen suspension to your child, dosage is according to his weight, it will reduce his pain and tenderness. You can use them for another two to three days till the inflammation comes down and as the pain comes down with the paracetamol he will let you apply the local antibiotic cream also, good luck and take care. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. 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 being treating typhiod fever for over four months now and i still don t feel ok. anytime i go for the widal test i get significant typhoid results. I have used amoxicilin and ciproflolaxin and still no changes. I hope someone here can help out. Thanks ### REPLY: Hi! I understand your problem, nothing to worry about it.First Tidal test is not the diagnostic test for typhoid. It is the blood culture which is more sensitive and specific.Despite taking Ciproflox and Amoxicillin (NOT EFFECTIVE) the fever is not controlled, that means the bacteria are resistant to these group of antibiotics. You may please start taking Tab Definite 200 mg twice daily at least for 10-14 days plus Paracetamol tablets 500 mg three times daily OK if there is no improvement you have to see your doctor for further evaluation. 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 infant baby boy is 3.5kgs and is 11weeks, 3months tomorw. last week appeard rashes on his face, went to hospital, and found out he had low platelet blood cells. They then checked his bone marrow and everything was fine. But after attempting about 26 times to find his vein they endd up puting him to sleep to get the vein through his neck, as that was successful, they then put the IVG (i think) drips through him, but jst before that, they had to do a blood tranfursion due to loss of blood from all the blood he lost from the Drs trying to find his Veins...he is now recoverin and the spots on his faces and his body are getting better, and also, were out from hospital now as his blood levels were iimproving, but will be going back to the lab to do blood checks..My questions is, because this is uncommon at his age, will it come again?and will there be any affect on his bone marrow in the future?or if this is treated, it could get his platelets back to normal and will never happen again? Just to let you know, I had him wen i was 39 weeks. His spots on his faces are improving though, but my main concern is, will this damage anything for him in the future, thank you ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possible ITP could be the cause secondary to viral infection. The viral infection led to production of antibodies, which caused low platelet count.2. The possibilities are low of recurrence in the future. After any viral infection, if there is associate increased bleeding, purpura or petechial, platelet count needs to be evaluated.3. No damage for anything in the future. As it is not chronic, not to worry. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dorian, My father was diagnosed with lung cancer stage 4 last week. Now we started Chemotheraphy, my oncologist saying radiotheraphy will not be useful rightnow. And one more question can i go for parellel treatment with sidha clinics like aswagandha (winter cherry) like that. please guide me in this ### REPLY: Hi, Thanks for writing in. Sorry to hear the progress of disease in your father. In my experience with patients of lung cancer stage 4 have a survival of 2 years might be expected. Cancer is a difficult condition to treat, and every tumor behaves differently. However, we must fight cancer till the end. As it is stage 4 therefore surgery is not a treatment. Chemotherapy and radiation can be given to control the disease and prevent it from spreading in to new areas. This treatment can add few months to a year and that is significant. Parallel treatment with Buddha medicines can be given as long they do not interfere with chemotherapy or cause any side effects which will slow his recovery. Most Buddha medications are made from herbal sources. Research has shown that aswagandha has potential against cancer-related fatigue, in addition to improving the quality of life. Praying for a quick recovery for your husband. ### END