Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 5 years old, he has been on and off with deep cough for about 3 weeks,he burp after coughing and has yellow jelly looking comes up with his cough, he is taking antibiotic for a week and allergy medicine but im still worried about him its taking long time for him to feel better ### REPLY: Child having cough for 3 weeks is a serious problem, and he is having yellow colored sputum which suggests bacterial infection. If you reside in a High Tubercular endemic region, get a chest X-ray and manitou test done.Also, it's time to step up to higher antibiotics like augmenting or Cephalexin. Consider giving him a good bronchodilator like Stalin and an antihistamines like levocetrizine. If the child has persistent fever also, I suggest you consult a pediatrician for severe Lower respiratory tract infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19 year old son had a bilateral lung transplant 4 years ago. He is overcoming a serious lung infection now with serious problems that no one can figure out. His symptoms are high carbon dioxide levels especially when he is on the Cpap machine. He has had a severe migraine headache for 2 weeks. he has hypercamnia. He also had very high blood pressure and heartrate. He needs to regain strength in order to have another transplant which is impossible to do with his hypercapnia. His other symptoms include ventilator with tracheostomy, high blood pressure, high heart rate. He was diagnosed with severe sleep apnea about a year ago. what explanation could there be or cause. could this be related to his adrenal gland? just ideas what to check or or how to treat would be appreciated. ### REPLY: Thanks for your question on . I can understand your sons situation and problem. Possibility of type 2 respiratory failure due to lung infection is more. Hypercarbia is feature of type 2 respiratory failure. And it is common in respiratory infections. He is lung transplant patient, so possibility of uncommon lung infection like fungal, parasitic, multi .  So he needs bronchoscopy and BAD (bronchoalveolar lavage) analysis for the diagnosis of infections. Also get done sensitivity report of BAD for guiding effective antibiotic therapy. He also needs high respiratory rate, increased expiratory time and low tide volume ventilatory strategy. So better to consult pulmonologist and discuss all these. Hope I have solved your query. 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: 7 years ago I crushed my left ankle. It required surge and 7 screws to more or less repair it. the nerve damage has caused my left toes to be stiff and raised or humped up. Is has not been an issue until recently. The big toe is not bent so much but has become sore on both sides of the nail. But not what I would describe an in grown. But seems to me to be caused by the toe not flexing and causing excessive pressure on the deep down sides of the nail. In trying to read about the what might be the cause I discoverd the Paronychia issue . wondering If that could be the problem. Thanks for your consideration. Roger Brown 74 year old , 190 lb. male ### REPLY: Hello, Thanks for writing to us, I have studied your case with diligence. Yes this can be arthritis. You may need MRI /x-ray of ankle and foot and spine. Shoe/footwear should be with soft sole. You can use silicon pad insoles. Start plantar exercises consulting physiotherapist also Physiotherapy like Testate calcium supplement with it D. Parochial can be treated with medicine. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grand daughter is 4 yrs old. Today she said her tooth was loose. It s the upper front tooth and there is a purplish discoloration on the gum directly above the tooth. She s not in any pain. I m assuming it s because the tooth is loose. No trauma to the area to cause this . Is it normal? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your granddaughter have symptoms of purple discoloration on gum which can be a bruise caused by some injury to the gums and toothbrush bristles, or it can be due to some hard food like chips that can cause injury to the gums and rupture of small blood vessels can cause blood accumulation below the soft tissues leading to formations of red to purple bruises. Need not worry much if it is painless as it will resolve on its own and in case if it spreads or there is pain in the area you should consult a dentist to get ruled out for infection in the gums or teeth. Maintain complete oral hygiene by brushing and flossing. Avoid intake of sticky substances. Hope your concern has been resolved. Get Well Soon. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: m trying for pregnancy ,my doctor suggested me for taking folvite tablets and i also have 6 cm cyst n so for this prescribed me to take duphartus. ### REPLY: Welcome to  Polite is vitamin tablet for preventing Spinal and Neural tube defects in the baby. The cyst can cause problems in pregnancy because of size, twisting and other complications. If you experience any abdominal pain you should consult your Doctor. It is best to remove troublesome ovarian cysts in 2nd Trimester. Phaeton is hormone given by some Doctors to prevent miscarriage. Follow your Doctors orders, go for regular checkups, get ultrasound as advised. Have a safe and beautiful pregnancy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother, 82 yrs, is sufferring from dementia, severe oteoporosis. She is taking Fluoxetine in morning and Laxotanil at night. Now she is falling frequently, numbness and tingling in fingers. Is she heading towards paralysis? what do you prescribe for her? ### REPLY: Sory to hear about your mother since she has dementia you need to take more care, she needs a caretaker the whole day longer increased frequency of falls are signs of aging, need to make your home and surrounding easy for her to walk I.e. avoiding furniture and stuff on her way, a walking aid can help her in this also balance and gait training by a physio can help her.again due to aging factor you need to keep a track on her blood pressure and heart rate(doing regular full body checkups)hope you find this helpful ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 29yo white male. Ht 6 ft, Wt 205. I am currently a senior nursing student. I have been taking Vyvanse 50mg for 7-8 months to treat symptoms of ADD, specifically inattentiveness. The medication works wonderfully as I have never been able to focus as well as I do now while on medication. However, in the past couple of months I have noticed myself getting frequently lightheaded, especially when moving from a sitting to standing position too quickly. I drink plenty of fluids throughout the day and stay pretty well hydrated. Also, I am very active with running and playing soccer, and I have noticed myself feeling out of breath more often than in the past, usually after a short sprint, and often accompanied with the same lightheaded feeling I get when I stand too quickly. My heart rate is good, usually about 60-70 at rest. And my BP is usually in the 110/70 range. Any ideas on what might be causing the shortness of breath and lightheaded? ### REPLY: Thanks for asking your query completely understand your problem Common side effects of Vyvanse include anorexia, breathlessness, anxiety, decreased appetite, diarrhea, dizziness, insomnia, nausea, abdominal pain, increased heart rate, constipation, and jittery feeling. You can consult your treating physician to decrease the dose of Vyvanse. Rest all seems to be alright thanks/regards feel free to ask more queries may god bless you with 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: Sabitha Fazal: My last period was June 6th, and came to know the pregnancy on 11th July of Positive. Would like to know that what would be the baby s week? Moreover, I was effected with Chicken Pox on the same day. is there any adverse effect to the baby s growth or should I think of any alternative? Please advice Thanks & Regards ### REPLY: Hi there,The pregnancy is always counted in weeks from the day of first day of the last menstrual period, even if the baby was actually formed after ovulation that usually occurs 14 days after the first day of the period. This is to make it easier to date the pregnancy. So the only date you need to remember is the first date of the last period. Chicken pox this early in pregnancy should have no effect on the baby. It is more of a concern if chicken pox is acquired after the 12th week when it may cause deafness, cataracts. And if acquired after 28 weeks almost 10% of the mothers develop chicken pneumonia which can lead to hospitalization and can adversely affect the pregnancy. So you need not worry if you have had and recovered from chicken pox, because once you get the virus, your body develops immunity to it. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir / MadamI am  71 year old  and giving  below the  latest report   of  ULTRASONOGRAME   ( ULTRA  SOUND   )REPORT OF ULTRASONOGRAME  ::Right  Kidney  :  measures about 8.2 cm ( bipolar ) Left Kidney : measures about  8.6  ( bipolar ) BOTH KIDNEYS  SHOW  increased  cortical echo with  maintained  corticomedullary  differentiation .There is  no  evidences of  calculi or calyceal  dilatation A few cortical cysts are noted  at lower polar region of the  right  KIDNEY .Larger one measuring  about 10.4  x  8.2  mm .Exophytic cortical cyst of  17 x 14 mm  is noted  at mid polar  region of left KIDNEY PROSTATE : is mildly enlarged  measuring  about  4.8  x 3.1  x 3.6   cm ( Volume  29 cc )  and                               shows normal  parenchymal   echopattern Seminal  Vesicles appear normal . Urinary Bladder  is well filed and regular in out line . No obvious intraluminal pathology is  noted Pre Voidal  volume of  Urine is about  580 cvc Post voidal  rersidue is about  352 ccIt will be highly appreciated if you kindly  check the above and  provide me with  your  valuable   comments with  advice of treatment  for curing  . ( N. B : I have problems of Hypertension  and taking  NITROGLYCERINE  TABLET OF 2.6  gm  (  one  tablet in the morning  and   half tablet  at afternoon ) And also I have ASTHMA and  taking everyday  following inhaler  :1-  SULBUTAMOL  4 time daily , , 2- Salmetrol with Fluticason  Twice daily and  3- Tritropium   at  night  )Looking  forward  for your  co-operation  and early reply  with  valuable   comments and advices for  curing the above diseases With kindest regards .With regardsTazul Islam  ,Dhaka , BangladeshEmail :  YYYY@YYYY ### REPLY: Hi, Thanks for writing in. Coming to your specific queries,1. Right Kidney : measures about 8.2 cm (bipolar) Left Kidney : measures about 8.6 (bipolar) BOTH KIDNEYS SHOW increased cortical echo with maintained corticomedullary differentiation. There are no evidences of calculi or cancel dilatation A few cortical cysts are noted at lower polar region of the right KIDNEY. Larger one measuring about 10.4 x 8.2 mm. Exophytic cortical cyst of 17 x 14 mm is noted at mid polar region of left KIDNEYBoth kidneys are normal. There is mild increased cortical echo, this means the kidneys are appearing lighter gray shade than normal. You may get a serum creatinine test done and check with results if your kidney function is normal. Cysts in kidneys of size mentioned in report can be accepted as normal at 71 years of age.2. PROSTATE : is mildly enlarged measuring about 4.8 x 3.1 x 3.6 cm (Volume 29 cc) and shows normal parenchymal echo pattern Seminal Vesicles appear normal. Urinary Bladder is well filed and regular in out line. No obvious intraluminal pathology is noted Pre Vidal volume of Urine is about 580 CVC Post Vidal residue is about 352 cc. The prostate gland is enlarged and happens in most people at your age. Still if you are having problems in passing urine with urine retention, please consult a urologist for medications. Please inform your doctors of other medicines that you are on. 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 have high normal blood pressure.  My pressure in my lh arm was 135/74 and in my rh arm 153/85 yesterday morning.  By noon I had shortness of breath and my lungs were tight I wheezed inhaling and exhaling.  Do I have asthma or a heart related issue? ### REPLY: Thanks for your question on . I can understand your concern. Wheezing during inhalation and exhalation is commonly seen with asthma. Hypertension can not cause wheezing. So possibility of asthma related wheezing is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). 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: Dear doctor, I am here with one question.. I am taking Productive M tablet, my blood sugar level has increases since then. Why this happens? Could it be the adverse effect/affects of the medication? How could I control my blood sugar level in this situation? ### REPLY: Welcome to ! I am researching the ingredients as we speak since the make-up of Productive M is designed to treat male infertility it is likely that the hormonal effects produced by the medication may very well be interfering with blood sugar control. As a dietitian when I do an assessment I try to look at supplements, medication and how they may affect disease states. With Productive M, testosterone is production is stimulated which is known from several studies to lower blood sugar significantly. If you were my patient, I would advise you to follow your therapeutic guidelines for blood sugar control 1. Carboy .  Avoid sugar and high glycemic carboy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, About two weeks ago i made the stupid mistake of punching a wooden door out of anger. Within afew minutes my hand around my little finger swelled up. I wanted to avoid seeing a doctor until the swelling went down. I iced it and took ibuprofen for about 2 days which helped a lot. The swelling went down considerably within 2 days but my hand is pretty bruised. I can move my little finger with no pain and still use my hand pretty much as normal. I went to the doctors and did the range of motion tests and apparently its not broken and she didn t seem too concerned for it. There is a lump above the knuckle of my pinky and i cant tell if its bone or maybe just swelling to the joint (it doesn t hurt much when pressure is applied to it either). I m hoping it s nothing serious or long lasting. Any ideas? ### REPLY: Hi, thank you for providing the brief history of you.a thorough musculoskeletal assessment is advised along with x-ray. As any injury needs and x-ray to possibly rule out the fracture on a safer side. Also, since the lump is persisting you should take and x-ray. If fracture is not present than it's good news. Just with simple physical therapy like ultrasound therapy the lump will be reduced. As Therapeutic ultrasound therapy is designed to help activate the cellular mechanism and lose the tissue as well. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 49 years old and have started having bad mood swings. i have always been happy go lucky, laughing never stressing. now i am ready to bite anyones head off for no reason and find myself getting depressed for no reason. then the next day or two i am fine. then after a couple of days i am back to biting heads off. lucky ia can usually bite my lip and walk off before i hurt anyone feeling. but i was never like this before. any idea. ### REPLY: Hello, Thanks for choosing  for posting your query. From the description that you have stated it appears that you are suffering from a mood disorder like cyclothymic or dysthymia. Sometimes it can also be a personality disorder. For the problems such as these, you need to consult a psychiatrist who can evaluate you in detail and discuss with you the treatment options - both psychotherapy and pharmacotherapy. Hope I am able to solve your concerns. 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: sir my name is ahmed height 5.11 inches wt 91kg due to masturbation my sperm become thin and less i have taken semen analysis test it showing 28million sperm there and motility also less.my penis also become small i have knees pain.and lower back pain.i have taken vitamin d test showing less plz advice some medicines ### REPLY: Hi, dairy have gone through your question. I can understand your concern.First masturbation has no relation with penis size, sperm count or motility. So no need to worry about masturbation. Your sperm count is at low normal range, but your sperm motility is low. If you want to conceive then you need high motility. Check for any infection and if needed to take antibiotics for infection. You can go for semen wash to increase motility. Artificial insemination is the other option to conceive. For knee and back pain you need some investigations like X-ray or MRI. Consult your doctor and take treatment accordingly for that. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I forgot to ask the doctor. but I am just starting birthcontrol for the first time in my life (Minesse) and i started it the day I woke up and had my period, so it has been 4 days now. the package said after 7 days I will be protected. Is this reliable? So if after 7 days I have sex and he doesn t pull out, is there need to worry? thanks ### REPLY: Hi, thank you for asking . You probably did not get it right. These pills are supposed to be taken everyday beginning from the first day of menses without interruption. But if you were on a different birth control method (e.g. Norplant, or injectable forms) or you just put to birth, it would be advisable to take the pills in association with another method of birth control (like condom, spermicides, etc.) within the first 7 days. In regard to your own case, you just have to be taking your pills on a daily basis. You do not need to worry about the first 7 days. I hope that answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you. 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: Hi, I have been feeling forgetful recently. I don t know whether it s something I should be worried about or not. I m a teacher so I have a hectic work life but today for instance, I left my laminator on and forgot to turn it off. I forgot that I was on first aid duty too! I forgot twice about a meeting I was supposed to have with other staff members yesterday. I also feel like I ve forgotten conversations I ve had from years back when others can remember them well. Is this something I should be concerned about and what do you think could be the cause? ### REPLY: Degree understand your concerns went through your details. Hectic schedule is stress and due to stress and over burden, the brain signal could become cluttered and body also gives negative signals to the brain. The main requirement of your body and mind is REST for the time being. Memory problems due to busy life and stress and anxiety are normal and there is nothing to worry about. Take a week break to regain your lost wits. 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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 1 yr and 1 month old, weight : 10.5 kg . He started to have dry skin with red color hives likes rashes over cheeks, extremities, front torso and thighs, with eczematous state of ankle and dorsum of wrist. He had not recevied breast feeeding as he didn t took at all and since birth till now on formula milk with timed induction of weaning food. certain food we observed exacerbate these rashes esp eggs, wheat, milk ( both cow/ and goat ). He is now on hypoallergic fomrula but condition is devastating for parents. kindly give advise alongwith rationale counsilling. ### 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: Hello. I suffer from a heat rash that appears over my parts of my body like my neck, chest and if really bad my shoulders and arms when I am nervous, happy, worrying, angry etc etc. I only started getting it about 2 years ago. So basically quite a lot. Its just red and blotchy, not bumpy atall. I always feel very warm when this happens and its really affecting me in my daily life. Im not an unsociable person, I have lots of friends, go out and do things all the time but yet this happens me in any type of situation. It happens my mummy sometimes too for no reason but not to any extent of mine. Im wondering is there anything I can take that will help me with this problem?? ### REPLY: Hello, Thanks for the query, Heat rash (militia) occurs due to closure of sweat pores. Treatment with topical antibiotic powders will be beneficial. Please wear open clothes which allow circulation of air. Please meet a dermatologist if it persists. Let me know if you have any other doubts. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ . Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc I m using radiant k c & flutivate from past one year I m unable to discontinue this medicines. I had hyper pigmentation problem. If I discontinue this medicines after 3 or 4 days small pimples will appear on complete face kind of irritation & dark circle will become more. since i m getting married i m afraid whether this will affect my future kids can I continue with the same medicine during pregnancy ### REPLY: Hi doc i m using radiant k c & cultivate from past one year i m unable to discontinue these medicines.I had hyperpigmentation problem.if I discontinue these medicines after 3 or 4 days small pimples will appear on complete face kind of irritation & dark circle will become more.since i m getting married i m afraid whether this will affect my future kids can I continue with the same medicine during pregnancy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 18 and I am practisingg bed humping like since childhood & now I want to try mastubrating by hand like others and I am not able to do it, any help ? I am not a virgin but I pre-ejacuate while sexx but never ejacuate. I guess its because of bed humping, any help? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation in any form cannot be unhealthy. People across the world indulge in masturbation practice with different methods and means. Use different equipments to masturbate. There is no evidence that shows that bed humping can cause erectile dysfunction or sexual problems or pre ejaculation. As long as you are healthy in other day-to-day activities, sex cannot give you sleepless nights. All the symptoms you are mentioning could only be in your imagination. Anxiety and apprehension about sexual extremes can cause you sleepless nights. Ignore the thoughts. Forget the reason. You are healthy. You cannot have any sexual problems. I am sure. For sexological and psychological counseling and other psychotherapy treatments visit http://psychocure.webs.com/Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have rheumatid arthritis, but I also believe I may have fibromyalgia or polymyalgia because I am so tired and fatigued.  It[ like when I do something my muschles hurt and it makes me feel so wiped out.  so I take gabapentin alll dayh long for energy and pain.  and i think it helps my arthritis pain too;  I couldnt go without.  what do you think.  Is a lot of gabapentin hard on my liver. ### REPLY: Hi and welcome to . Thank you for your query. Gabapentin has negative effect on liver but the degree of it depends on from man to man. You should do frequent check up of liver enzymes and liver ultrasounds. Depending on these results you can accommodate gabapentin dosage. There AR also some other anti-inflammatory medicines which has less effect on liver function. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was on depo for 3 years and never had a period. I stopped taking it about 2 1/2 months ago. I had unprotected sex for a week after stopping depo. Two 1/2 months later, I had red blood only when I wiped and it lasted for two nights. Can I be pregnant? ### REPLY: Hello dear, I understand your concern. In my opinion it might be the due to hormonal imbalance created by demo. Anyways the pregnancy should be ruled out by doing a urine pregnancy test. I suggest you to consider doing the test. If the test is negative then the spotting might be due to hormonal imbalance.Don't worry. The irregular spotting, bleeding , absence of periods are the side effects of demo. Even after stopping the demo it will take some time for the hormones to come to normal level. 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 Doctor ; My wife is a 38 years old lady.She is using tablet Olepra 2.5 mg ( Olanzapine ) for the last about three years being psycho patient ( Illusion ). There are certain negative side effects of this medicine like gaining weight and stoppage / irregularity in menses (periods).Can you please advice regarding solution of said side effects. Is there any other latest medicine for this disease having no such negative side effects. ### REPLY: Hello and welcome to . Thanks for your query. Weight gain and irregular periods could be side effects of Olanzapine. If these side effects are causing significant problems, then other anti-psychotic medication can be considered. There are other medication which do not have these particular side effects, but this treatment decision has to be taken after carefully weighing the benefits and risks due to the medication. So, please discuss further options with her psychiatrist. Regular exercise and diet control are also important to be followed, especially when on anti-psychotic medication. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi have broken blood vessels on the back of my hand. They appear as small red dots. My hand was purple at first but that cleared up leaving my hand darker than the other one. Went to dermatologist , he had blood work done but no answer from him yet. ### REPLY: Hi, Based on the information that you have given I would say that the first test we would look at is your platelet count. One of the causes for such red spots is a low platelet count. If your platelet count is OK the other possibility is a fragile or weakened blood vessel. Weakened blood vessels may show up as spots or discoloration etc. Medically this condition is called vasculitis. The possibility of autoimmune disease should also be ruled out. Tests such as ANA are used for this along with clinical findings. Certain medications may also produce such symptoms. Sometimes there is no cause. Please post your complete blood count, ESR, peripheral smear, LFT, ANA lab test reports here for further assistance in providing more information regarding your condition. 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: My baby (1yr) is suffering from what seems to be a Vomitting Bug with a temperature, he has just tried to be sick again but there is nothing left in him to come up, however, his nose has started to bleed too - could this just be down to the wretching? ### REPLY: Hi, Welcome to . Can understand your concerns. Fever, vomiting followed by nose bleed is suggestive of food poisoning. Other causes could be upper respiratory tract infection. I suggest you to get the child examined by a pediatrician so that we may not miss important finding. If the child is feeling so sick then an admission may be required. I hope this will help you. Wishing your child good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Jennifer. My insurance was recently cut that is why I am here. I have a pituitary adenoma, a heart condition, I m anemic, and may have acute arthritis. Today I woke up with extreme pain in my left nipple, my breast lactate because of the tumor but I know its not a clogged duct. It kind of feels like my nipple is being stretched out. It s just my nipple not the entire areola. It s only happening on the left one a well. Breast cancer runs on both sides of my family. And my first cousin on my mothers side just had a lump removed and she s only 24. I m 21 years old and want to know what I should do? Right now I have a warm comprise on it and it did reduce the swelling and pain some but not much. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Breast cancer is very rare at your age.  Your symptoms are not of breast cancer. So first no need to worry. Just be relaxed. You're swelling and pain in breast may be due to pituitary tumor.  Bromocriptin is very helpful .  It is prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 23 year old female, i feel like a have a fever, but am not sick, also my head on the top feels tight, like a vice grip(has subsided some in last day or so)We recentley had a death in the family, which has been very upsetting for me. I wonder is this could be anxiety or something else. ### REPLY: **Thanks for contacting with your health concern1. A panic attack [of anxiety] is usually associated with tremors, palpitation, sweating, feeling of shortness of breath, sense of choking and gastrointestinal problems, so in your case [23 years], which means young patient the symptom wise approach is:i. Because the choice of medicine will vary from doctor to doctor, and from locality to locality, so initially remain under single supervision and let your body know about the effects of the .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 work in a rehab facility. One of my patients, man 66, o/weight, presented on his right infraspinatus. a quarter-size hard swelling bump. I attempted squeezing it, but the result was negative. After I massaged the area, I squeezed again. A sort of light brown, very smelly, fat came out. After about two weeks, the area is almost flat. ### REPLY: Hi, As with the history it appears this should be just a boil which usually comes up to some people due to excessive body heat. Nothing to worry about it.  If it has gone flat and no other reaction than I don't think anything is major to worry about. As medicine is all about being going with clinical symptoms and since nothing present now then it should be ignored. Hope I have answered your query. Let me know if I can assist you further. 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 cervical spyondilosis for last three years C4 TO C7.Now I am filling light headness , forgetfulness ,I can not understand where I am,Eyes are very drouziness, I am always in thinking not to go outside because I may loss Please give me some suggestion to recover the same.Can it be cured?Is it a Phycological problem? ### REPLY: Hi welcome to  forum. Cervical spondylosis may not be the reason for all things you are suffering now. Here your age is missing to come to a conclusion.  If you are above 60, it could be geriatric dementia, or some focal change.  If otherwise it could be some mood changes, so you are to be treated and corrected. So I advise you to consult a psychiatrist, who can handle you smoothly, and cure the problem. So don't worry.  Besides I advise you some nonmedical procedures to follow as yoga, meditation, hearing music, and reading books, which will .  Wishing you a healthy and happy life, and thanks for calling. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey i was snowboarding today and i landed pretty hard on my back it did not hurt to bad as i kept ridding for another 2 hours. but now that I m home I m having a very hard time swallowing , breathing or eating anything. even drinking water hurts. the pain feels very minimal in my back, as my neck and throat hurt much more ### REPLY: Hello, Thanks for writing to us. It seems to be soft tissue injury or muscles strain. To get relief from the pain and for quick healing:1. Do hot fomentation at the site.2. Apply local anti-inflammatory gel 2-3 times a day.3. Take anti-inflammatory . 4. Do not try to do exercise that involve painful muscles. I do hope that you have found something helpful, and I will be glad to answer any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My name is William laguer, I m 22 years old. I woke up thi morning perfectly fine, when I bent over to pick my pant up I got the weirdest feeling coming from my heart like it started beating slow but really hard and I felt it at my throat, I ve been experimenting and also found out that if I stand up to quick I have the same feeling, if I raise my hands up and put them down quick I have the same feeling. I m worried with what s going on in there and want to know what it could be. ### REPLY: Hello! Welcome on ChatDoctor1I read carefully your question and understand your concern. Your symptoms may be related to orthostatic intolerance or just anxiety. What are your actual blood pressure values? I recommend consulting with your doctor for a careful physical exam and some tests: - a resting ECG-Head up Tilt test to exclude possible orthostatic intolerance- chest X-ray study - blood lab tests (complete blood count, blood electrolytes). If all the above tests result normal, you should consider anxiety as the main cause of your symptomatology. 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 am a 15 year old boy and I have a problem with my testicles.. yesterday as I was sitting with my friends I felt my right testicle was hurting, it was not serious, so I was not worried when I got home I searched some sites and they said it could be that I have cancer and stuff, the pain does not really hurt that much, but it worries me, anyways I can t talk to my dad because it will be really awkward to go to a doctor and he would have to see my you know.. anyways help please ### REPLY: Good Day, and thank you for being with  !you may have a varicocele. This is abnormal dilation of the veins in the testis which may cause pain.  This can be detected by physical examination and testicular ultrasound with Doppler. I would suggest seeing a doctor to have it checked because it might cause infertility.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sed rate went from 22 to 48 in July I was diagnosised with polymyalgia.im 73 very healthy .on no drugs only vitamins. I have no more muscle pain but I get nervous from the prednisone? Would like to get off prednisone .go natural ways .thank you m,m.mlyn ### REPLY: Hello, Welcome to , Prednisolone can not be stopped suddenly, otherwise it can cause with .  You can taper off its doses and get off with help of your doctors' guidance. If tapering of dose is not possible, or it increases your problem then take help of homeopathic treatment. With homeopatChatDoctoredicine you can taper off prednisolone safely and after that even homeopatChatDoctoredicines also can stop. Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. So consult to good classical homeopath nearby you or contact us. Have a better health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 52 and he has variable high blood pressure. Every time doctors tried to give him blood pressure medication his blood pressure dropped down too low. The last doctor said to try yoga and meditation.... His blood pressure is sometimes normal 123/83 or sometimes high as 168/105 ....Dont know what to do to regulate it...Any suggestions? ### REPLY: Hello. Thank you for your question and welcome to . I carefully read your query. Now, the age of 52 years old is an age which is accompanied by a higher risk of hypertension (high blood pressure) diagnosis. However, this is not a rule or something that happens always. You should know that there are a lot of blood pressure fluctuations throughout a day, that can be caused by a lot of reason, such as stress, physical stress, diurnal and nocturnal changes in various hormonal levels etc. My recommendation, at this point, would be for him to be put on a 24/48-hour blood pressure monitor, to decide whether the diagnosis of hypertension is there or not. Also, even if it is there, there are a lot of .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 typhoid.doctor gave me two antibiotics (cefixime and levoofloxacin) and a paracetamol tablet.It has been ten days taking all these medicines fever is not geting correct.Two years ago Ihad typhoid fever which was repeated eight times a year.from then now I have got ill from this.Please suggest me some remedy so that I could get rid of this.thankyou! ### REPLY: Hello, Welcome o , As you are having fever for last 20 days it may be a fever of unknown origin (DUO) which should be thoroughly evaluated to find out the causes for the fever. As she is having for last one month all the relevant investigations should be done to rule out the cause of fever. As your doctor has prescribed paracetamol to reduce the fever, this .  The source of infection should be found out by the investigations. To confirm it has typhoid after having fever for last 20 days you should undergo stool and urine culture to confirm it. There are many conditions which can lead to fever of more than one month which should be evaluated thoroughly. Medications also must be taken for complete course and in typhoid it is often given for 14 days. You may take adequate amounts of water and fresh fruit juices. As typhoid leaves you very weak, taking rest for a while is advised. Typhoid recovery is not the same in every person who gets it. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 54 years old and haven t had a menstral period in years since I went on meds for RA.. Today I feel a little lighted headed and a bit nauseated and right in the top of my stomach it seems every now and then like something is moving a little.. I checked my sugars and blood pressure and it was ok.. What could it be? ### REPLY: Welcome, Dizziness, nausea lightheadedness, or balance problems are dangerous. Common causes include medications, such as Humor (golimumab), Enbrel (evanescent)Aspirin or other NSAIDs, and low red blood cell counts (anemia). Ringing in the ears (tinnitus) is a frequent side effect of aspirin and NSAIDs. The doctor must be notified should any of these symptoms be noticed. You can take Comparison, P I (pantoprazole), ant acids, enzymes,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 am asking this for my dad who was recently told that his bladder cancer has returned. As a result, his right kidney is failing and he is anemic. We are having difficulty trying to figure out the right foods to feed him...he is so weak. QUESTION : Is ENSURE OK to give him, or is this too much protein? ### REPLY: Hello and welcome to . As a Urologist, let me assure that, kindly follow your doctors' advice. Only in people with kidney failure, is 40gm proteins diet/ day advised. Ensure gives additional protein supplement, but the nutritionist will advise you as per your doctors' advice. Bladder cancer recurrence with one side kidney failure, can be treated, by several approaches. Surgical or medical, will depend on his general condition. If you want an expert opinion, you can send a copy of the reports, to me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have a baby boy he is 45 days old n i think he has a constipation.and he is only a breastfeeding baby and he poop 4 to5 times a day but last 45 days he has not poop and cry when i used a glycerin suppositories then he poop and then nothing so its normal that baby is now changing or its constipation ### REPLY: Dear parent, your concern is right. A beast fed infant is usually not constipated in initial months. As the time passes, 1-2 months, intestinal motility decreases to a great extent, than it was as newborn. Which is normal. That's why milk stays longer in intestine and more time is there for water and nutrients absorption. Milk has very small amounts of solids, so at times it may take 2-5 days to form a sufficient mass to defecate. As long as he is not passing hard motions, you need not worry, he may pass a lot of gases which is due to high protein diet of milk. Apply small amount of Vaseline daily at anal opening so that passage of motion is smooth. You need to take balanced diet, as nutrients are provided through milk. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 will like to find out the following information about ICSI .I am a man of 40 yrs of age with a condition of obstructive azospermia. testicular biopsy shows evidence of spermatogenesis with immature spermaticlnow i want to know cost of icsi and ivfhow long i will have to stay over in india,what is the effect of immature spermatic i.e can it cause genetic disorder or congenital malformation ### REPLY: Hello, Cost of CSI is around 1.2- 1.4 lac INR. Usually staying for 2-3 weeks is sufficient. Immature spermatids can be because of genetic diseases, and we need to look for genetic testing before CSI.  Even if any genetic defects are found, there are ways by which we can bypass them. Please see this video for details- https://www.youtube.com/watch?v=kCwLSgRe2dY&t=3s Hope I have answered your queries. 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, may I answer your health queries right now ?  Please type your query here...My husband had myasthenia gravis 8 yrs back,but he got cured after thymectomy.I am not able to concieve after 4 yrs of marriage.Is this disease linked with low sperm count? ### REPLY: Hi, Low sperm count is not an obstacle for conception as long as there are some viable sperms, it may delay but not prevent pregnancy. Myasthenia gratis has specific effect on sperm count, consider to avoid specific maneuvers that may reflexively delay pregnancy like nipple stimulation before or during sex, as it increases prolactin level and may inhibit ovulation. 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 am having  extreme bone  pain in my legs ,especially my thigh bones . it  is  not  muscle  pain  or joint pain, ive  had  that  and  this  is  more  painful than  anything  ive  ever  experienced . have   had  gastric  bypass 6 yrs  ago and  lost  over 200 lbs so  its  not  weight .( still need  to lose  75 more  but  not  the  cause  of   the  pain ). is  there  a  dr  or a  test  that  i need to  help determine  what  is  wrong . i do  get severe muscle  pain  sometimes  because  i forget  to  eat  enough calcium . we are  traveling  in  an  rv   for  2  months  in tucson az and  would  be  willing  to see someone  here . im 57 female have blue shield ppo insurance . i can hardly get  out  of  a  chair  to stand it  is  so  painful . please  help me . ### REPLY: X-rays of femur (thigh-bone) should be done and also of lower back. This may reveal if any osteoporosis is there, a common cause post menopausal. See an orthopedic surgeon.Also, a T score on bone scan (DEXA) for bone mineralization condition...since calcium helps you, it points to osteoporosis. Cause of it may be estrogen with . Vitamin D3 levels, serum calcium, mangnesium may give additional clues. Treatment could be both hormonal reloxifene (vista) and these supplements of calcium, vitamin D3 and bisphosphonates like Osama plus D once a week ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got bitten by a mosquito on friday night, next morning I had flu like symptoms and a fever. My body hurt terribly and I had a severe headache for a while. Took medicine. I was surprised as I do not have any cold or congestion. This morning I felt progressively worse. I feel really fatigue.Other symptoms:Dizziness, nausea, headache, fatigue. ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Mosquito borne infections are quite common particularly in this season. Your symptoms could be related to dengue or chikungunya or any other mosquito borne infection. I suggest you consult your GP and get your self evaluated for this. You would require simple blood tests like CBC with peripheral smear for MP, dengue NS1 Antigen testing and other tests depending upon the prevalence of other disease in your area.In the meanwhile .  If necessary take paracetamol to reduce your headache. You may try cold bandages and head massage to reduce your headache as home remedies. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, may I answer your health queries right now ?  Please type your query here...ive had  lump in my rigth breast for about 6 months it was a pee now its gone bigger i did go to the doctor on monday he examened me and said he was very concerned about it ive also lost 2and half stone in weight im going to breast clinic on wendsday ### REPLY: Hello, If you are my patient, I would examine first, and ask for an ultrasound breast done with the axillary region (for lymph nodal enlargement). It will characterize the lesion, and adjacent structure involvement, FNAC if necessary (fine needle aspiration cytology). So as scheduled see your doctor, and get the needful investigations and treatment done. 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 got my wisdom teeth out a little less than a month ago. The holes that were left have been healing for a couple weeks now. Just the other day I notice a red bump in one of the holes. I thought it was a tomato stuck in it but it wasnt movin so I left it alone. Today I poked it a little with the tiny squirt tool my doctor gave me and it bled ### REPLY: Dear friend. Thanks for sharing your concern. The bump that you have seen is due to the accumulation of pus there. The correct treatment for that is . Do not worry if it bleeds. The bleeding should stop after 5 to 7 minutes maximum. If not, definitely that should worry you.Further, please get in touch with your doctor and start antibiotic and analgesics. This will help in faster recovery. Hope it helps. Thanks. 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, what can high white blood cell count, high blood pressure and high red cell distribution mean? My albion gap and chloride is a little elevated too. My levels are just a little elevated and my blood pressure is 142/100. I am really dizzy, light headed, really bad headache and pain on my right side?? ### REPLY: Hi, Feeling dizzy, light-headed and headache is related to increased blood pressure you are experiencing. I suggest consulting with your cardiologist and to run cardiac tests to get properly treated. High white blood cell count are indicative for a possible infection in your body. I'd suggest consulting with your physician to find out the source of the infection and get it treated properly. A slight elevation in anion gap and chloride you are reporting could be related to damages of the kidney (most probably due to infection). Therefore, I suggest getting properly treated if any kidney/urinary tract infection/problem is concluded. You are also reporting to have high red cell distribution, which means that your red blood cells have a great size variation. Studies have concluded that the higher the red cells' distribution, the higher the risks for cardiovascular events and atherosclerotic plaques. You can discuss this further with your cardiologist to get the ways of improving your lab results. All the best! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a lump on the back of my neck.  i have had it for around 2 years and its got bigger as time has moved on. i have seen a doctor numerous times over the 2 years and i have been told its probably a cyst and that it would need surgically removed. i am a british person living in america, so its hard for me to get better advice as i cant afford to pay to see a doctor. i am very concerned. the lump is not painful to touch, but it does feel uncomfortable most of the time and this brings on dull headaches. the lump moves if i touch it. its underneath my hair, so it is hidden, but i am worried it will keep getting bigger and bigger. i have had sensitive skin since i was a child and mild acne, so i am wondering if it has something to do with that. occasionally, small blemishes will appear around the lump which are so small, i can scrape away with my finger nails.  this makes me think it is acne related, rather than a cyst. ### REPLY: Welcome to  .1. History given by you suggest me it's a lipoma (lump with fat content) in the first place, followed by cyst. 2. Since it's hard on touch, pain less, slow growing - more towards lipomatous lesion.3. If its causing discomfort and dull headache - excision is treatment of choice.4. Before that an ultrasound - which helps in assessing the nature of the lesion, its source and extension. Then FNAC - fine needle aspiration cytology to confirm the fat content.5. Folowed by treatment - excision depending on discomfort, otherwise asymptomatic lumps will be just monitored. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a big ball on one of my legs almost 6 months ago, it was a ball red and very hot that became a bruce, it took my ankle and didnt went away untill like 5 weeks... 3 months after it went away i got the same thing over my oher legbut it was like 2 under my knee same thing a ball red hot took over all my leg froe the knee and down, now it looks like another one its coming the doctors dont know what it is... what is it its really painfull ### REPLY: Hello! Welcome to Ask a Doctor service! Regarding your concern, I would explain that your symptoms could be related to vasculitis or local inflammation. For this reason, it is important performing some tests in order to investigate for the possible causes: - a bump ultrasound in order to examine this tissue- inflammation tests (complete blood count, PCR, ESR)- biopsy may be needed. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi our patient is 56 years old, she was diagnosed of hepatits b a few years back, since she is adopted, she has no way of checking where she got it. she is now experiencing pain in the left side of abdomen , fever, colds, cough (and difficulty in breathing ) lab test shows and sgpt result of 142 and platelet count of 90? should we bring her to the hospital? ### REPLY: Based on those lab tests and the way she is feeling she needs to go to the hospital for further evaluation. If she has history of hepatitis b, untreated sue is at high risk for developing cirrhosis of the liver which I suspect she may have based on her low platelet count. She may also have developed a liver tumor and may have water in the lungs and abdomen giving her shortness of breath. So have her seen by a specialist as soon as possible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 getting a numb chin for about 6 weeks now. Sometimes the numbness stretches down the front of my neck and sometimes I get it going up my cheeks. Sometimes it s across the front of my chest. It s like a moving sense of pressure and sometimes it s painful. I get palpitations and the GP is checking me out to see if it might be heart-related. I ve had a couple of borderline ECGs and a borderline exercise stress test. i m currently wearing a 24 hour monitor and I have an echocardiogram scheduled for Monday. The discomfort is really bad today though - chin, bottom lip, across my chest, just a feeling of tightness and pressure. I don t know whether it s stress or if I should get myself checked out immediately. ### REPLY: Hello, I passed carefully through your question and would explain that your symptoms do not seem to be related to the heart.  Is the chest pain triggered by deep breathing or body movements? This would be indicative of local musculoskeletal pain, probably inflammation.  In such a case, there is nothing to worry about! Anyway, a coronary Anglo CT scan or a coronary angiogram would definitely help exclude coronary artery disease, considering your borderline previous cardiac tests.  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: Ive been dealing with a body odor issue for about 2 or 3 years now, and because of it I have secluded myself to my home. I dont work or anything. I dont know what I smell like, but due to the reactions of the people around me, I know that its not good.I shower and put on deodorant everyday, but im afraid it doesnt work.I wonder what could be the cause of this, and how I can fix it. Its ruining my life and I dont know what to do. ### REPLY: Hi, Welcome to , Causes can be skin infection (bacterial or fungal) lead to replicate themselves and create bad odor,sometimes genetic or bad hygiene. Most excess sweating is due to excess sweat glands or their hyper-stimulation. Here are some tips to stop this sweating or its odors.1) If you have eczema or dermatitis or allergy then first take proper antibiotics or antifungal as per your dermatologist opinion.2) Always take balanced diet and .  3) Avoid tight-fitting clothes rather wear loose clothes.4) Wear cotton material clothes and avoid synthetic silk.5) Bath with antibacterial soap like detail,savlon6) Always clean groins or armpits, twice or thrice with brush during bathing.7) Use antiperspirants and deodorants together like aluminum chloral ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 what looks like large, 2-3 millimeters across, pimples on near my scrotum and penis shaft, in my pubic hair. I visted a doctor last January when this came up and he said it wasn t hsv and gave me an antibiotic and some kind of skin cream, used it but didn t finish as the 3 bumps I had then were gone. Now I have a few more in a different area. There is no pain, itching are other sensation around them or before they show up, and when I popped one clear fluid came out, but filled up and came back the next day. There are no other symptoms and I feel normal, just concerned. ### REPLY: Thanks for asking in  forum In short: I think those are not fur uncle but sebaceous cysts. Explanation: If it is not itching/hurting then it is not fur uncle/boils. I think those are sebaceous cysts which are harmless unless you meddle with it. So, please do not rupture and leave it like that, if it is visible and causing cosmetic problem you may visit dermatologist for its removal.  Hope this will help you. Please do let me know if it 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 have pain in my right side near the the rib cage....w/in the last two weeks I have been taking supplements that increase testosterone (GNC protein powder and amino powder as well as High T) would this be a cause?  what other side effects could I face? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Yes more protein powder and amino acid can cause such a problem. Because of increase load of protein you are facing indigestion. I advise you to lower down the protein to extend which is digestive to you. Most powders are associated with an .  If it's with your supplement your muscle mass will increase with it. But simultaneously other side effects like your face becomes coarse, change in voice, fluid retention all increases. I advise not to take the protein supplements they are total waste. You can increase your bulk with good protein diet like meat, milk, soybean etc. I will be happy to answer your further concern on 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: (Testicular Cancer Problem) Background Male Asian(Chinese and Cambodian)-American age 19~20 Problem: I just recently self examined myself for testicular cancer, but I can not currently tell exactly what I am feeling. Both my left and right testicles have no problems as in: no bumps on them, and no other weird feeling;however there is a distinct difference of the epididymis(i think ) between the left and right one. My left testicle seems to be covered/overlapped(closer towards the body side) by a rather large amount of material(the material is squishy and the amount is approximately the same volume as the testicle). My right testicle does not have such large material, but I do feel it having the epididymis. I also do not have/feel any of the symptoms from testicular cancer. Question: Should I immediately see my doctor? or Should I ask my doctor whenever I see him/her again? ### REPLY: You probably have what is called a varicocele. This is nothing but a dilation of the veins of the testicle. This is not cancerous and does not lead to cancer. Lie down on the bed and hold your left testicle slightly raised. After a while, the swelling will disappear. This is diagnostic for varicocele. It is not urgent but when you meet your doctor, get an ultrasound of the scrotal area and of the whole abdomen done. Sometimes, varicocele is due to a kidney tumor which one must rule out. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , my dad has been suffering through epilepsy for about 38 years now , the doctor has asked him to take depakin chrono 500mg , and due to the tablets , its under control ,but the problem is , he has trouble in catching up things , its like his brain functions very slow , and he has a problem in listening too ,is this a side effect of the tablet , is there no cure for such a symptom ?..pls help ### REPLY: Hello dear, I understand your concerns. Dopamine throne(sodium valproate) can cause behavioral and mood changes, but not hearing deficit. 500 mg per day is very low dose of sodium valproate and likely not associated with side effects(even when it is taken for years). Please take your father to a neurologist so that he can examine to find the exact cause of these symptoms and treat them. I hope it 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 am 28 male and have been on Micardis 80mg. for best part of a year now my asthma has started worsening again so have started Seretide 250/50 twice daily but am finding my micardis is no longer effective and my bp is up to 141/83 should I be overley concerned? is this bp level ok to leave thouggh winter as my asthma was cronic and very difficualt to controll last winter. ### REPLY: Hi, Welcome to , You are Hypertensive and having Bronchial asthma it is common to have worsening of asthma in winter. Please do not worry about your BP as 140/83 is not alarmingly high it could be reaction to stress of acute attack of asthma, please take care of your inhalation therapy like Sere tide which good . Please take less salt and monitor your blood pressure in case it is persistently high you should visit your Physician to adjust the dose of BP medicine. Please take care about asthma. 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: thank you. a week ago this monday I fell forward and the front left chest area hit a vaccum clean and fell over with me as I landed on it. The next day I began to have pain in that area. And now the pain is intolerable. Ir hurts to breath, cough, sneeze and so on. There is no bruising. But the pain is horrible. What could I have done? ### REPLY: Thanks for your question on . You are having blunt chest trauma.  And this can lead to following complications. 1. Rib fractures2. Pneumothorax3. Pulmonary contusions4. Muscular injury. And in all of the above pain on breathing and sneezing, coughing present. So get done chest x-ray to rule out all these. If chest x-ray is normal than it is mostly muscular pain. Try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Wear chest belt to avoid mobilization of affected area. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How do i know if i should get more help for my back I believe it s sciatica pain sharp pains running down both sides of my legs sometimes the tips of my toes are a bit numb all tingly. Taking anti inflammatories painkillers and cold packs at the moment. Im at the end of day 3 in bed. Only getting up if i have to. ### REPLY: Hello, It may be due to nerve compression at the lumbar spine.  For further assessment, you may require MRI back and nerve conduction studies after consultation. For pain, you can take tablet acetaminophen and multivitamin tablets.  You may require tablet Pregabalin after consultation. Do regular physical therapy. Avoid forward bending.  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 recently started vaping as an alternative to cigarettes and have noticed that my lungs/throat feels congested/heavy a lot. Especially when I get out of bed in the morning. I also have a lot of clear mucus that I spit up. What is the cause of this and is there anything I can do to change this condition? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You are using e-cigarette. Throat and mouth inflammation and cough are the known adverse effects of e-cigarette. Long term safety of e-cigarette is not known. Moreover, there is risk of nicotine addiction. So better to avoid e-cigarette and go for medication for smoking cessation. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, just want to ask about hormonal imbalance. I am 20yrs old and have a severe acne . I had been treating them for 7yrs now by using antiacne creams, facial washes, etc and none of them worked. So i think hormonal imbalance is the reason why i am experiencing this kind of disease. How can i cure them? Do i have to see an OBgyn here in my place? ### REPLY: Hi, Severe acne could be due to hormonal derangement. In such cases, usually there are complaints of coarse hair growth, irregular menses, oily coarse skin, Dan . To diagnose the same, you might need to undergo few tests and a pelvic ultrasonography. So consult a gynecologist or dermatologist for the same as acne treatment depends upon severity and cause of the lesion. To treat the same, you might require a course of oral and topical anti acne  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 circumcised at the age of 4year. i have noticed hard lumps under the skin from one year ,i was getting no trouble from this but now from 15 days at one point of lump its paining little bit......please reply whats the problem and whats the cure for the samee ### REPLY: HelloThanks for query. Based on the fact that you have posted the hard lump that you have on the shaft of penis since one year is Sebaceous Cyst. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally it fades away without treatment however it needs to be treated if increase in size or get infected. Consult qualified General Surgeon for clinical evaluation and further treatment. If needed it may need to get excised in Toto (Completely along with the sac) .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last week I was kicked right above my shinguard while playing in a soccer game. I immediately had swelling the size of a golf ball and bruising. The swelling has gone down slightly within the week but now the pain has come back with a vengeance over night. Is this normal? ### REPLY: Hello, You are right. The pain is due to the injury you had playing soccer as there are very much skin and fascia covering over the shin region the injury must have not healed. As you mentioned the swelling came down with a weak, but the tissue healing is a little slow. This is common and need not worry as this is normal.  You can do quick icing and that should take care of the pain. Slowly start doing the ankle toe movements and static qua .  In my clinical practice, most sport injury cases have these common complaints and this is normal. Hope I have answered your query. Let me know if I can assist you further. 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: Hi Dr Sahib Last week i had severe cough I had continued Megamantin for 5 days besides Zerodol, Zyncet n recovered as well Meanwhile attended 3 family marriage functions till Sunday, no probs Day b4 yesterday in d evening i had half of Cream Roll which looked stale, next morning yesterday i had some upset stomach with occasional pain irritation in d belly part only In d afternoon yesterday l developed fever also 100+ All fever symptoms viz body ache, heavy head n not d least sour mouth may be due 2 muccus falling sometimes deep in throat which i spit there n then Appetite is not upto d level, no shivering Doctor has advised Norflox TZ besides Crocin in case of fever Pl advice Thanx n Regards ### REPLY: Short answer : all these symptoms are due to infection (probably viral, bacterial or typhoid) and the problem in the stomach is due to your bad food habits.needed father investigation before proper treatment detailed answer: if I were your treating physician with sore throat, fever and body ache for more than 5 days I will advise you take X-ray chest, he complete blood count ESR, tidal smear for malarial parasite and filariasis. Meanwhile for your stomach pain take syrup Socratic and throat pain start Caroline antibiotics hope this explains ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: tight chest pains when breating in deep and fast heart beat. dizziness and shooting pain through shoulder blade and neck and back. slight tightning of throat at times and at times can only take short breaths. 25 yr old, female, very busy work life not much time to exercise and eating habits arent always the best but do drink alot of water. ### REPLY: Thanks for your question on . In my opinion you are having anxiety and tension induced symptoms but better to rule out cardiac and pulmonary causes first. So please get done ECG to rule out cardiac cause. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out pulmonary causes. If both are normal than get done CBC and S.TSH to rule out anemia and thyroid problems. As anemia and thyroid issues can cause similar symptoms. If these are also normal then chances of anxiety and stress related problems are more. So avoid stress and tension. Be relax and calm. ### END