Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering of bad aching back bones and thighs since I lifted and moved some decks  about 20 days ago . Despite taking pain killers, the pain is still there and does not leave my aching body . Should I visit a doctor , or will it hopefully get better if I wait some more days . Thanks ### REPLY: HI, thanks for using  It is likely that the pain may be related to spasm of the muscles. Muscle relaxants combined with anti-inflammatory painkillers would result help to decrease the pain and spasms. Examples of anti-inflammatory painkillers are ibuprofen, Catalan, naproxen, Voltaren, aspirin. You may need a prescription for the muscle relaxant. Examples are baclofen, Valium, methocarbamol, methadone. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom is experiencing red pin dots on her feet. Occasionally they swell too. This started about 2 months after she had received anesthesia in both feet. Not sure if a factor or not. Do you know what this could be? She has seen a dermatologist, an internist and a vascular surgeon and has gotten no help. Thank you ### REPLY: Welcome to  I have gone through your query and understand your concern. Your mom is likely to be having heart disease or kidney disease as you are having swelling of feet. She should get her heart and kidney function test. As she has neuropathy also, so she should get her investigated for thyroid function test, blood sugar for diabetes, vitamin D and vitamin B12 test to see neuropathy. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a 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: Dr,I have these cysts on my scrotum for the past 6-7 years which i, initially ignored but they keep on spreading and becoming larger. Now, I would like to get it treated as soon as possible. Dr, can you suggest the best treatment for the cysts ? I would like to have them treated in Guwahati if the facilities are available..Is there any self-treatment method for the same???Thank you in anticipation...Regards... ### REPLY: Usually the cysts on the scrotal skin are a kind of sebaceous cyst which may be single or sometimes multiple over the scrotal skin and tend to increase in size, not painful until infected and are limited to the skin. Treatment is excision. You can visit any General Surgeon and show the case, and he will help you in siting out the problem. No self treatment. If some part of it remains behind, it may cause recurrence and that's why a qualified Surgeon is required for the management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my son is 6 month old. When he was 5.5 months, I started giving him cerelac wheat (stage 1). I noticed redness around his mouth after feeding him so I discontinued wheat and tried rice. That did not cause any redness around the mouth. Did he has wheat allergy? Is he in a danger of developing Coeliac disease? ### REPLY: Hi, welcome to . In celiac disease, the child has gluten sensitivity at intestinal region that is at small intestine. I think it's just a coincidence that you have given wheat to child and his mouth near lips became red. I have not seen a single case of celiac disease with this type of history although I have seen many. Furthermore, I think that your child doesn't have celiac disease. If you want to be 100 percent surer than I suggest you to do TTG levels in child, it will clear all your doubts. I hope this has helped you. Take care. Regards - .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have some hearts problems, i fell like my heart stops for a second or 2, i am 20 now and i have felt this since i was 12 or 13 years old.it happens most when i am in anxiety for smth, but also happens when i am relaxing or doing nothing.i am scared about it, i think that when it stops it won t beat again.please what can i do? ### REPLY: Hi, The symptoms you are having looks like VPCS, which is an extra beat originating from places other than the normal conducting system of the heart.  These can be abnormal or normal depending on the condition of the heart. I'll advise you to get an ECG and 2D echo did to rule out whether it is related to heart or it is just because of anxiety, which can also cause such type of arrhythmia (called as Sinus arrhythmia). Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is 54 years old and seems to be in good health passing all her test they have given her. but her bladder seems to be swollen. they thought it was just a bladder infection. and she seemed to get better. she is getting a vag ultra sound soon. wonder what it is. ### REPLY: Hello, Welcome to . I appreciate your concern for your mothers' health. If her bladder is distended, it means that either there is some lesion interfering with the free flow of urine from her urinary bladder or there can be some problem with the contraction of the bladder wall muscles. This can occur with an urethritis if she had a recent infection or with strictures from old infections. There can be some thickening of the urinary bladder wall from a urinary infection, or it can be due to other lesions, benign or otherwise. A transvaginal ultrasound examination with post micturition volume will help to come to a proper diagnosis. Wish her a quick recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have mentioned my report, let me know my health status. Period of sexual abstinen: 3 days Liquefaction time : 30mts Colour : Greywhite Volume : 2.0 ml 2 - 5 ml Viscosity : Normal Reaction pH : 8.0 7.5 - 8.5 MICROSCOPIC CHARACTERISTICS Sperm concentration : 36 millions/ml 40 - 140 Millions/ml MOTILITY Rapid Progressive : 09% Moderately progresstive: 21% Sluggishly progressive : 20% Non Motile : 50% Agglutination : Nill MORPHOLOGY : Normal Fructose (Qualitative) : Present. ### REPLY: Hi Moran, Thanks for writing in. Your sperm count and the actively motile sperm count is also reduced. This can lead to problems in having a child. This can be due to several cause like varicocele etc. Treating the varicocele may help improve the sperm count. If no cause can be identified, there is no treatment as such. If you wish to have a baby, a test called the sperm survival test is done. If there are >3 million motile sperms/ml after this, then there is no problem. The best way forward if you are trying to have a child is intrauterine insemination. Please see an infertility specialist if you are trying to have a child. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in one of my testicles  which the doctors examined like 3years ago and said it is normal just a minor surgery procedure to unblock the arteries and on the other testicles recently i examined them the other testicle  has  i some sort of roughness like small rashes i can feel them what might wrong ### REPLY: HelloLooking at your description it seems to be a treatable condition and I will definitely help you in the best possible way if you can upload a photographs see patients with similar complaints in my clinic and after physical examination I would advise then for battery of tests like blood for hemoglobin, CBC, Liver function test, blood sugar and serological tests for STDs if suspected or a color Doppler of testis In my opinion you should wash bit properly with antiseptic solution and keep it clean and moisten manipulate or try to rupture it Hope this answers your question please feel free to ask for follow up I will be happy to help you Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here... Hi, Is it possible people to suffer from Marke disease, and if yes is the vaccine the treatment? My mother is with rare tumor - neuroendocrine, but has something additional she use to work as a vet assistant ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Mareks disease is an infectious disease of poultry caused by a herpesvirus, which attacks nerve and causes paralysis or initiates widespread tumor formation. It is not contagious disease and human is not affected by that. So don't worry it does not infect the human. Vaccination is not required for that. Hope I have answered your question. If you have any doubts then feel free to ask me. 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: My 2 year old son is having allergic reactions to milk and milk products and sometimes to dust. once he had a reaction to MMR vaccination also.he shows repeated cough and wheezing. How can I treat/prevent/predict/manage the situation effectively. Is epi pen necessary. We have managed it using steroids and nebulisation and found him normal within 1hr ### REPLY: Hi, By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you: 1. How many days per month does your kid cough or feel breathless? 2. How many nights per month does your kids sleep get disturbed due to above symptoms? 3. Does your kid feel breathless when running around or playing with other kids? 4. Are the symptoms when there are seasonal changes? 5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? 6. Is the cough always associated with fever? Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Doctor...iam 56yrs old..5ft 7inches and abt 90kg...I fel from a stair case..abt three steps away from the ground and had a sprained ankle...i was given some pain relievin drugs like feldene... Ibuprofen..kotase but after three days i noticed swelling on the ankle area and my toes...what else can i take...as am havin pains amd the leg is heavy(iam diabetic) ### REPLY: Hello, Mild compression, Limb elevation, toe movements and ice/cold packs would be of much help in early stages of injury. After 3 to 5 days contrast bath with warm and cold packs would provide more benefits. Avoid full weight-bearing. Even after 7 days of above therapy if no relief, an X-ray would be advisable. The medicine described above is enough for pain relief. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a female aged 52 I have been experiencing some really bad abdominal pressure in my tummy I take a gastric tablet twice a day and still have to take Rennies because I have attacks during the day where I find it very hard to breathe because of the pain ### REPLY: Hi, It seems that there might be having some gastrointestinal infection giving rise pain, pressure and gastric upset. Take antispasmodic medicine like Metal spa sot Cyclops for pain. Continue with medicine you are taking. Go for one course of Ofloxacilin, tinidazole combination medicine for 3 days. Avoid fried and junk food. To be on safe side go for EKG to rule out any cardiac ailment. Ok and bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with degenerative disc disease in my neck varying from c2-3 to c6-7 . Recently I was clipped by a vehicle in my right elbow and despite cortisone shot , physiotherapy , it is taking quite a while to heal . Could the problems with my neck be a contributing factor in why my recovery s taking so long? ### REPLY: HiT hanks for posting your query.  Cortisone shots will just help relieve from the pain of degenerative disc disease and not cure the disease.  Actually cause needs to be found and treated. I advise you to post the reports of your scan so that I shall go through and advise you what else needs to be done.  Your delay in elbow problem is not related to your neck problem. I think further scanning of your elbow needs to be done. Any clarification feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since I was in high school( grade 10) l I have this small cyst in my collar bone, I keep asking my doctor what it was and she keeps telling me it is just a fat over my skin. Over the years it moves closer and closer to the center of my throat and I am not sure if this is normal and I still keep asking my doctor and she stills gives me the same answer. Last week Thursday this cyst had grown more bigger and i feel weak and light headed for the past month. Am I okay? ### REPLY: Hi, DEAR,Good Evening, Thanks for the query. I studied it in details and understood your health concerns regarding it. Lump caused under skin of your collar bone-diagnosed by your doctor as-Lipoma? But its growing large over a few days. Sudden increase in size in last few days-increases its concern -as it could be Hodgkin Lymphoma by its location and by the week / light-headed feeling you have-which are systemic symptoms of the lump. I would advise FNAC Biopsy and confirm the type of lymphoma or if not -then USG would confirm type of Cyst-mostly -Sebaceous? Hope this would help you to plan the treatment with your doctor. Wellcome for any further query in this regard. Wishing you good health. Good Night. . N. From INDIA. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 thyroid lobectomy almost 5 weeks ago as my ultrasound showed suspicious for papillary cancer.  i am still awaiting results.  Is this normal to be waiting this long.  I dont have my follow up appointment for another 2 weeks and the waiting is driving me crazy.  Could my gp give me the results once they are sent to her, which as yet she has not received either. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have suspicions of papillary carcinoma of thyroid. Your thyroid lobectomy has been sent for histopathological examination.  Histopathological examination take 5 to 7 days for confirmatory diagnosis.  So you should consult your pathologist and ask for the report. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on the back of my neck on the right side, that seems to have got bigger since I went to the chiropractor two weeks ago.  He cracked my neck and since then I have been having more neck pain and wake up in the middle of the night with numb hands.  What to do now? ### REPLY: Hi, Dear,1-it appears that the lump in neck on right side, went painful, 2 was after it was cracked from the chiropractor, Adv-to do NOW-is as follows-2-I would advise you to consult a surgeon immediately -as the cracking has complicated the lump, mostly by the infecting germs, which hence needs to be treated properly.3-Nothing to worry, if you attend to surgical expertise in your area. Thnks-HOpe I replied your query to the point.Anymore query-is welcomed to receive your problem. Thnks. Wellcome. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I have a nine year old daughter. She has been complaining about feeling sick for some time. Come home from school today very upset as teacher has told her she has toilet problems. She has to go out of class a lot during the day. We werent aware of this. She says she has too wee a lot and its hard to go to poo and there is blood when she does. She has been out of sorts for a while and had diarrhoea. This has now stopped. She was very upset about going back to school and we put it down to to this but now I realise it could all be tied in ### REPLY: Hi welcome to , I understand your query and concern. Your symptoms are suggestive of Acute gastroenteritis. I advise giving him Syrup.Orin o, tab.domestic for 5 days. Avoid spicy foods. Give ORS sachets, buttermilk,coconut water regularly. Maintain adequate hygiene. Consult your pediatrician for expert management. Hope I have answered your query at the moment, Post your further queries if any, Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter aged about 17yrs.old suffering from urologycal problems ,whenever attempted to stop urin some urgent reason after some time she facing too much pain in lower abdomen n irritation at tha track as well as urin point. what will your suggesion ? ### REPLY: Hi ! Good evening. I am  answering your query. If I were your doctor, I would advise your daughter to avoid trying to hold urine for a long time frequently. This causes distension of the bladder resulting in pain. I would also advise her to get her urine routine/microscopic/culture and sensitivity test done to rule out a UTI (urinary tract infection), and treat it if it comes out to be positive. In case of persistence of symptoms, I would not hesitate to refer her to a gynecologist for a check-up. Till then, she should take some anti-inflammatory . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir, as i had unsafe sexual interaction with my fiance last month, that is-the next day of my last months periods, but til this date,i dint get my periods,it is crossed near 38days....so i am in nervous that i may b got into pregnancy...wat shal i do sir,plz giv me some natural medicine to clear my problm ### REPLY: Hello,First, as you have mentioned that u had sex just after(next day) of your last periods. There is comparatively very less chance to get pregnant if u had sex on that day. But You also have mentioned that after 38 days u didn't get your periods. It is better to check for pregnancy by pregnancy tests very well available in chemist shops. If test is negative u need not be panic much, just wait for a couple of days to have your periods. Still if u do not have your periods, consult nearby gynecologist. If test is positive, consult gynecologist immediately. Do not ever try to get aborted by your self at home. Though many . Hope I have solved your 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: How worried should I be about the possibility of getting pregnant at age 48 from one night of unprotected sex with my husband - one week after the first day of my last menstrual cycle?  Had my son at age 44 -conceived naturally after 4 years of unprotected sex. ### REPLY: Hi, How are you doing ? From worldwide studies & my personal experience I feel you need not be worried at all. 45 yrs is age of the eldest mother in world. But miracles do occur. But in your case another factor going against chances of pregnancy is the day of periods. Ovulation occurs around Day13-15 of the period. Day 1 being firs day of bleeding. Life of egg is only 24 hrs & life of sperm is only 3 days. So there is no chance a sperm would have survived from Day7 till Day 13. All these facts put together Pregnancy chances is nearly Zero Hope I have clarified your overall 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: yes, i had a huge blunt object fall on my shoulder a year and a half ago, that seemed bruised @ first then resulted over time atrophy of shoulder muscle, and like a burning syactica type feeling down my arm into a few fingers, i am now have troble using my was once my stong side, to do anything. i had 3 scaline shots aqua therepy, the pain and spasms are terrible and constanti had a emg and nerve conductive studies 3 times , shows rt EU right superoir trunk brachial plexus injury, no evidence of cervical radiculopothy. it had to be from the huge blunt object i never had any problems before ever...i can t find anything on this type injury so i can get it fixed agian... ### REPLY: Hello, I have studied your case. I will advise you clinical examination and accordingly investigation like MRI cervical spine or shoulder will help. Brachial plexus injury can be treated surgically if no relief with medication. For these symptoms neurotrophic medication like pregabalin can be added consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level as low levels can cause increased muscle and nerve damage. 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: can I use mupirocin ointment for ingrown hair infection or should I use nystatin and triamcinolone acetonide cream USP I did not know that I had to pay... I do not have the money or a credit card to pay I thought this was a public service .. stupid me ### REPLY: Mupirocin is better choice for any kind of bacterial infection rather than others. Though it is a bit costly but the results with it are very good. So My opinion is to go with it rather than using anything else. Nystatin is antifungal & triamcinolone is steroid which won't be beneficial in bacterial infection. What is important here is the degree of infection you are having if it is quit big wound then you have to start oral antibiotics too. The decision of starting oral antibiotics & anti-inflammatory agents can only be taken after having look at the infection site. But I will definitely suggest mupirocin which will be beneficial. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dr I hav severe dark lines around my lips what is the reason for it..is it possible to remove it completely with laser treatment...i don t smoke ..its like as if I drew with a black pen around my lip ### REPLY: Hi.dear user., Thanks for choosing ., Dark lines around the lips ., usually due to., Smoking, Hormonal, genetic and climacteric conditions., So evaluate it., Without smoking also get this problem., Medically...best is.,1) Cap. Vit E 400 mg daily for 2 months.,2) Apply moisturizing cream on affected part will give compete remission., but it will take time.,3) Yes, LASER....treatment gives tremendous results., Here it can erase with Gold Standard....EX- MAX Q Switched Nd: YAG Laser., from FIONA...will give such a result...but expensive... So consult good trained Dermatologist ...than ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Necrotic meningioma in Lt. Posterior fossa removed June 2010 following gamma knife in Jan. 2010. Dec. MRI shows possible recurrance in same area, waiting 2 months to determine if finding is recurrent tumor or scar. Now having pain in several teeth lower right - so sore cannot chew on that side. Up to date on dental work, teeth are fine. Could teeth pain be caused by brain tumor? ### REPLY: Hello, This change in symptoms should be reported to your physician. Particular nerve pathways can cause pain elsewhere with increased pressure or tumor growth. Make sure you consult your dentist and have a present evaluation to rule out an infected tooth. Your dentist will compare X-rays and test for an abscess. Another very likely cause is grinding your teeth. Very stressful situations such as "waiting" for a medical condition diagnosis can result in this habit. Your dentist can evaluation your mouth for this and recommend a night guard if needed. You may notice jaw stiffness especially in the morning with a grinding habit at night. If you are aware of grinding or clenching your teeth together, try to purchase an over the counter pharmacy brand night guard. They bulky, but may offer relief and help isolate the cause. I hope this information is helpful and that your diagnosis goes well. I am glad to assist further. Thank you for your inquiry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear dr. i am raghvendra singh 33yrs. i had got my sperm test done. it showed 30million. and the dr prescribed the following meditions- carnitor-500 and addyzoa capsule and fertyl m tablet . my wife is also 33yrs. her reports are normal. we r trying to get baby , but there is no sucess. we r married for 3 yrs. i am in army and stay maximum far from my wife. but meet maximum time when there is fertile time ,that is after her periods 7th day to 20days. kindly guide. ### REPLY: Hi thanks for your question. You have mentioned only one parameter of your semi analysis that is sperm count. What about other parameter like morphology and mortality. The other two parameters are also important. Your sperm count is normal. The . I would suggest you to remain under regular treatment of a gynecologist, who will be able to evaluate both of you for infertility. Hope this answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I was in a car accident a year and half ago, hit from behind. Since then have had bloated stomach and back pain on and off. I have had many tests done but no one seems to be able to find out what is wrong. Recently I have had bad bloating again and pain on right side of my back that goes from top to middle of my back, dizzyness and am pale. ### REPLY: Hi, Welcome to . After going through your query I think you are suffering from chronic backache. Along with this you also have anxiety component causing bloating and dizziness. Treatment of back pain is exercises and analgesics (diclofenac). For anxiety component alprazolam 0.25 mg at bedtime is useful. You can consult your doctor about this. Sometimes vitamin D deficiency is the cause so get her vitamin D checked. If it is low then vitamin D supplementation (weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk and milk product, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I feel a slight pain in my upper and lower abs... At sometimes it feels like knots are moving all around in my stomach. If I lay flat on my back and look at my abs within seconds you will see a growth appear, it will disappear , and than reappear in another place this happens in all four quads of the abs.... I only have pain on the left side ### REPLY: Hi, Dear,Welcome to . Based on the facts of your query, You seem to suffer from-IBS with Spastic Colon. Thin built of yours could be making the spastic contractions of the colon and intestines, visible all over abdomen. Possibility of TB /Croons disease with adhesive partial obstruction needs to be ruled out by USG/CT abdomen and Standing X-ray Abdomen. Second Opinion from Surgeon would differentiate it by clinical and physical diagnosis. Hope that this reply would help you to plan treatment with your doctor soon. Good Day!!  . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 80 years old .. He had heart attack in Jan 2007 and has been taking cardiac medicines since then..He has hallociantion problem and at times talks irrelevant. He sees some people which are imaginary. But now a days he he even scared to go to Toilet and feels that some people will attack him. From last couple of weeks time, he even does not dring water given by any one in house and tells that there is poison in it...He at times gets up from sleep and tells my mom that XYZ is dead (XYZ is a living person)...I dont know how to treat him further. I would be grateful, if you could advice me on his case. We consulted psychaitrist but he did not take his medicines as those medicines would make him more sleepy..Pl let me know waht we need to do and also any good doctor in Awaiting for your reply. ### REPLY: Hi.well, if he has delusions and talks irrelevant, he should consult a psychiatrist.moreover, a brain-imaging should be done fresh.there may be dementia.a possibility of Lewy Body dementia where visual hallucination is common.for the other psychological symptoms, there are atypical anti-psychotic available, although excess sedation is a complaint and you have to monitor closely.so consult and help him to feel better.thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I took the morning after pill last month and had my period (it was early) and I took it again this month. Will it still work? I actually didnt have sex on both ocassions but his penis (and cum) was in contact with my vagina although he didnt enter me. ### REPLY: Hayes the morning after pill works whenever taken. It does work when taken in consecutive months. Even the cum contains sperms. Therefore, you have done the right thing by taking morning after pill to avoid pregnancy. If you have regular cycles of 26-30days then the first week and the last ten days of your cycle are safe period. Having sex during those days does not make you pregnant. I wrote this as I felt this information is useful for you. I have an advice for you. If you wish to avoid pregnancy it is better for you to discuss with your doctor and use birth control pills or have copper intrauterine devise fitted. They are more effective than morning after pill in preventing pregnancy. The morning after pill if used within 24 hours of unprotected sex is 95% effective. Since there is a small chance of failure of the method, if your period is delayed for more than a week consult your doctor. I hope I have answered to your satisfaction. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 , iam vidya. iam 12th week of pregnant now. during 8th week i have done sonography. in that report doctor told that ur babys heart beat started and everything is ok. but my 11th week visit doctor conducted a doppler test and told that ur babys heartbeat is not started yet and it will be found after 3 months in some people. is doppler test is always correct?iam confused ### REPLY: His have gone through your complaints and sonogram finding. Usually heart beat will be seen by 7 was. As you are saying heartbeat is seen at 8 was in sonogram it indicates viability is there. Heart beat is not seen at 11 was in Doppler, don't be anxious. Sometimes it will be negative in Doppler. If you are having complaints like spotting & abdominal pain go for sonogram as it is the best time to assess nuclei translucency. Thank youRegardsVasundhara ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Several days ago I turned my right ankle when I stepped in a hole.  It rolled to the outside.  Some pain but not really bad.    No swelling, no discoloration.      I have had a sprained ankle and it is not like that.    It does not hurt at all when I  am sitting or laying down.    When I walk more than 15-20 steps it hurts.   The first few steps dont hurt but the last 2 or three are really bad.   What is this? ### REPLY: Hello, Thanks for writing to us, I have studied your case with diligence. As per your history and injury pattern there can be tear in ankle ligament leading to pain and swelling. Instability may increase due to laxity of ligament. I will advise repeating MRI ankle for soft tissue involvement. Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. 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: Hi I have a black infection in my pubic area that covers the little part of my inner thigh and scrotum , it does not itch but produces black residue each day after cleaning , they are black too and if i try to remove all of this black thing then my skin underneath looks very pink and hurts when touched ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should examine yourself under STD clinic. It is likely that this is Sexually Transmitted Infection (STD). There are variety of STD, exact STDs can only be known once you are examined. Please maintain local hygiene and cleanliness. It will equally help you in treatment. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Lowblood ptessureMy blood ptessure sometimes gets in the 70sover30s.  I vomiting, feel weak, and stress seems correlated.  Today afyer doing ysrd work I felt sick.  Several hours later my blood pressure was 101/91.  What does a narrow pulse pressure mean? ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that your systolic blood pressure values are really low. I would recommend consulting with your attending physician and performing further tests to investigate for the possible cause of low blood pressure and low pulse pressure: - a cardiac ultrasound and resting ECG to examine your heart function and structure and exclude possible heart failure which could lead to this symptomatology- a chest X-ray study-some blood lab tests (complete blood count for anemia, thyroid hormone levels, cortisol and aldosterone plasma levels, blood electrolytes, kidney and liver function tests). Meanwhile, I recommend taking plenty of fluids to remain well HY .  Caffeine would also be useful. I would also advise you to avoid straining physical activity and staying in hot places. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a bone spur on my left heel. I was dx many years ago but just recently started having major pain with it. I am unable to take NSAIDs due to a stomach condition. I work on my feet all day and now the pain is to the point it will not subside. I have taken pain medication, put lidocaine cream and ice for 20 mins with no relief. Would a muscle relaxer help? I have them for my back. ### REPLY: Hi, You should get physically examined by a PCP and get an X-ray done to evaluate the cause of pain(fracture, nerve pinch, sprain or muscle strain). Yes, muscle relaxants are effective, you can take Carisoprodol(SOMA), Diazepam or Methocarbamol(Robin). You can use pain sprays that relieve pain like Voting, they are also effective. Do not massage and keep your feet at rest for a couple of days.  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: Yes, my son just started a new job at a nursery and came home with wet pants yesterday. When he took his pants off he had big red welts all over his legs and feet. His feet and ankles are swollen and stiff. Thanks in advance for any suggestions as to what it could be and what to do. He hasn t felt well for the few days prior. ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. 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: Hi, I am a 72 yr. old WF who has stage 3 kidney disease due to the chemo drugs I was given for lung cancer 4 yrs. ago. EFR 34, BUN 22, Creatinine 1.6, RBC 3.92, HDL CHO 37, LDL 85, TRI 317, A1C 6.8, Glucose160 non-fasting. - On Simvastatin 20mg, Amlodipine 5mg, Metoprolol 75mg, and Calcitroil .25mcg. PTH intact 89.6. Other blood work is fairly normal. BP 138/72, W-135, H 5 -4 I drink 2 glasses of wine/day. I am fairly active and am careful about my diet. My question is ,I am concerned about the side effects of Simvastatin; I do not have any heart issues. My Ferritin is very high-651. My kidney specialist is not sure why. Would you know why? ### REPLY: Thnaks for query. First cause is due to local consumption. Australian studies have shown a link between alcohol consumption and elevated SF, with beer more so than spirits or wine causing increases in ferritin secretion by the liver.18 Chronic daily consumption of two or more standard . 19 Repeat SF testing after a period of alcohol abstinence can clarify the contribution of a patients' alcohol intake on their elevated SF ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: so i had sex with my girlfriend and when i came it hurt. when i went to go use the bathroom i noticed there was a small amount of blood coming out of my penis. and anytime i urninated for the next couple of days it hurt. this has happened now twice but about a month or two apart. ### REPLY: Hi .... Your provisional diagnosis : Urinary tract infection... Here first get your urine routine microscopic examination as having blood in urine and burning while urination.... If pus cells and RBC present along with bacteria than UTI evaluated to look for cause ...Then investigation needed with USG to rule out stone, kidney affection, cystitis like bladder infection .... Suitable full course antibiotic given like Definite for 7 to 10 days. ... If needed tribe culture done to reach up to exact diagnosis ... Take care Advise : physician consultation ... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 really can not explain what is happening internally with me.  I just feel that something is going on.  I do have some dental issues and I have been taking an antibotic for the infection. however, I get this taste or sensitive smell?  I really dont know how to explain. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, you have smell in your mouth as you are taking medication don't worry, you consult dentist and go for oral examination and oral prophylaxis. As you are taking medication also sometime it happens due to taking antibiotics there is decapitation of papillae.  Do warm saline gargle two - three times a day Do chlorhexidine mouthwash twice daily Use tongue cleaner to clean your tongue. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been prescribed with zeptol cr 200 twice a day by a psychiatrist an year back which he is consuming daily. Can you tell me , what can be the disease like.. sometimes he says he has extreme stress, sometimes says he has fragile ego, sometimes says he has personality B type .. i never get to confirm exactly what problem does he have. Since 3 months he has also left home behaving extremly aggressive most of the time.I want to know .. what could be the probable purpose of his treatment. ### REPLY: Hi and thanks for questions. Zeptol is mainly a mood stabilizer with antiepileptic. Your husband have any mood symptoms like aggression, high talk, talkativeness, excessive expenditure, or cluster b symptoms in which feeling loneliness, black and white phenomenon, small aggressive episode, in all these symptoms we prescribed septal. In starting due to .  If it persists for long time than consult a psychiatrist.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: Its possible I could have gotten pregnant on January 8th and today I noticed my breast and nipples are sore. I woke up this morning with horrible pains like a pressure type pain as if I had to use the bathroom real bad down there around my bladder and my butt. Could that be a early pregnancy sign? ### REPLY: Soreness in the breast and nipple can be due to multiple causes like, Inflammation in breast tissue, breast cancer, hormonal imbalance, pregnancy, fibrocysctic breast changes, cervical radiculopathy, inflammation of the cartilage connecting breastbone and the ribs, inflammation of the superficial breast veins due to clot, any injury to breast. In your explanation you have doubt can it be due to pregnancy?. I suggest doing a pregnancy home test and check if its positive yes it can be due to pregnancy. But if its negative then I suggest meeting your gone doctor for proper check up and treatment. Now next is about your pressure pain in morning, it could be because of stomach upset or gastritis also. I suggest to check with doctor on this too if pregnancy test is negative. I suggest following above steps and do some changes in lifestyle like have good healthy different fruits and vegetables, do regular exercise and take proper sleep for better 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: I have been on microgynon since 16 im know 21, and the thought of children is in the back of my mind. Will having been on the pill so long have affected my fertility. Im scared i might not be able to have children. Is there any test you can take to test your fertility?Thank you Lucy ### REPLY: Hi there, Welcome to , Oral contraceptive pills have effects which are definitely reversible, and they will not affect your fertility in the long run. So, do not worry, you have not done anything wrong by taking oral contraceptive pills. To check fertility or the capacity of the ovaries to form eggs you could do blood test for hormonal evaluation. The hormone to be checked would be FSH. You should take folic acid while trying to conceive and if you do not conceive after a year of trying then get completely evaluated (both you and your partner) for subfertility. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been suffering from acne since my 7th grade... i had been using many anti acne products. i almost used so many products , have taken oral medicines too but there is no use . can you please tell me can i use propysalic nf6 for acne ### REPLY: Hi...dear marisasritha., Thanks for choosing ., Propysalic nf6... It is Dexamethasone(Steroid)., and Salicylic acid 6% ...it is keratolytic and anti-inflammatory.... Starting it will give very good-looking skin., after with . .it produces pa pules with redness of skin.(Stand acne)So it is very dangerous in the face area.ok., good anti acne products available.,1) use 1% Clindamycin daily 2 times.,2) Tab. Isotretinoin 20 mg daily for 2 months., ok...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: There is a small lump a size of a small marble on my babys under the chin in the lower part just before the throat i think.. i just notice yesterday that its kinda red then its has a dot of some kinda white on the top..  and she sometimes poke it..  shes turnin 2yrs old this november.. When she was a month old baby back then she got a problem like that in the same area tshe was been confined a couple of weeks to get examine they said that its like neck mass so they run a few more test like biopsy etc. and the result was it has a abscess come from sort of boil. They drain the abscess then after that we finally got home.. but the lump was there it never gone.. the years went by but its ok.. now its kinda red and itchy i think.. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Your baby may have enlarged submandibular lymph node.  It can be due to reactive hyperplasia, tuberculosis or acute abscess formation.  It may be siledenitis of submandibular salivary gland.  He should take a course of antibiotics.  If it doesn't respond to treatment then biopsy diagnosis is advisable. 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: I have a bony bump on the back of my skull , it is approximately 15 or so degrees north east of my Occipetal protuberence (sp?) if my OP was Mexico city this strange lump would by located around New York. It doesn t hurt, no head aches, no noticeable symptoms, in pretty tiptop health (eg, BP , Cholesterol , healthy weight, non-smoker.) Never really thought much about it but an officer pulled me over and was sure I was on something due to certain cues. Maybe just to get me to divulge information a guilty man may have, I don t know. I had a professor once that came to class obviously drunk or loaded, and it ended up being a brain tumor of sorts. ### REPLY: Hi thanks for your question have bony swelling on the back of your skull, near your occipital protuberance. It is symptomless. Most probably, this bony bump is bony exocytosis from occipital bone and there is nothing to worry. Confirmation of diagnosis of exocytosis can be done by X-Ray Skull. If X-ray doesn't confirm the diagnosis, CT scan skull will confirm the diagnosis Hope this answer your question ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lifting something and it didn t budge and my spine popped mutliple places. now the middle of my back on right side is sore. I have full movement from head to toe and right to left is sore but not in the spine. did I pull a muscle and the popping sound is that normal. ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, the main fear is such activity is of muscular pull and prolapse disc, muscular pain is localized and on movement, while disc pain is radiating to the leg or may be localized to the back only, the first thing you need to do is 1 take analgesics like ibuprofen 400 mg three times a day for 3 days.2 take rest and see if your symptoms improve, if they do, we are on the right track, and if they do not than we need to get investigated for the problem. I hope that answers your query. If you want any more clarification, contact me back. Thanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a small problem where I feel as though a liquid is moving through my penis. I try and squeeze it out but there is nothing. Every once in a while there is a really small amount of clear liquid thats sticky like pre ejaculate if I open the tip. One year ago I was tested for studs by urine, blood, and visually by a urologist (all negative)and after taking cipro for ten days it seemed to be fine. However the same feeling is back. Im 31 an was told I had prostatitis at 26 could this be my problem? Im currently on day 7 of 20 day course of levafloxicin and it has yet to do anything. ### REPLY: Degree understand your concerns went through your details. I think you are being obsessive and worrying too much. The liquid you are talking about is of course semen, and it is natural that body expels some of its stored semen through the penis before and after urine or through seepage. That is normal and there is nothing to worry. Your feeling of water movement through the penis shaft is supposed to be an obsession related feeling. Prostrate could not be involved. You may talk to a physician if you are overly worried. But after getting his positive opinion, you should pledge never to worry again about this. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. 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: Ive had shoulder pain with range of motion problems for the last month.....the left shoulder is slowly feeling better but now my right shoulder has the same pain and cant raise arm very high without pain as of last night.  At same time my right calve has Pain thats moved into my knee cap today and very painful to walk on it.  Our weather is cold and rainy today and Ive had similar issues prior but usually go away in a day or so but never involving my upper arms.....taking ibuprofen and sems to help.   Any ideas, arthritis, tendinitis, blood clot?  Age is 50 yr old female and I am obese but normally function normally.....just curious what your thoughts are...thanks ### REPLY: Hi I am . .  In my opinion you have a kind of nerve injury that may be due to a frozen shoulder or cervical herniation, in addition to your environmental conditions arthritis to joints are more affected in cold weather. I suggest hot showers followed by hot massages with topical muscle relaxants, B12 supplements, avoid heavy lifting and vigorous movements and some physiotherapy maybe helpful if not ask your physician for proper evaluation of any underlying cause. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor i am woried about my fiance,,,,... he had malaria 2 yrs back and after that he was suppused to take iron tablets but he didnt take them but he was regular wid multivitamin and vitamin a and e medicines for  few months...... but after a few months he started getting feverish sudden times....... around 2 to 3 tymes a month.....now since past 1 month he is complaining a bit feverish feeling with weakness every night .... 15 dayz ago he had a sudden eye problem in which his 1 eye got red n was itching n then was burning a bit.....the next day it finished in one eye and transferred to the other.......now its quite ok.... but the feverish and the weakness complaint is still there,,,,......... the night b4 yesterday...he got tonsils... i am getting worrid the general blood tests are normal.....what is happening? ### REPLY: Thank you for your question, I appreciate your concern. I would like you to answer a few questions, after which I can come to a more conclusion.1. How many days does the fever last each time?2. Associated symptoms like cough or shivering or abdominal pain, body pain3. Any loss of weight in the past few months 4. Anyone in his house or workers had TB ? 5. any contact with animals far, I would say from his symptoms that frequent fevers with weakness could Indicate infectious mononucleosis or tuberculosis, brucellosis is also a possibility. If his malaria was not treated properly 2 years back, few malarial parasites could be released now and then causing fever. Please do get back to me with more information and I will clarify further doubts. Hope you find this. Useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 63 year old male, I developed pain on the right side of my back 3 days ago now it has spread to my right arm and a bit in my neck all on the right side. Does not hurt to breath, its kind of like a toothache pain a little throbing but constant it keeps waking me from sleep at night ### REPLY: Hello, I am .  I have read your query. I think considering your age and the pattern of pain which you have mentioned, you are having Degenerative Spondylosis of spine. You must obtain radiographs of your spine and consult an orthopedic surgeon. As for the pain, you can take a painkiller and muscle relaxant for 4-5 days, along with a topical gel for local application. The proper treatment for your spine can be only started after a proper workup. If you have any further query, feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is very sick, coughing and so fatigued. He has had his symptoms for over 10 days. He is on his last pill from a ZPack that he was prescribed (5 day course). His coughing is more productive, but he is still coughing A LOT. He is also so fatigued he can barely walk, the fatigue seems to be getting worse. He is still coughing a lot, it has become more productive, but it is non stop at night. Shouldn t he be feeling better by now?I m trying to talk him into going back to urgent care, but he is being stubborn. What else would he be given to treat his illness if he does go back? Thank you. ### REPLY: Hello, Yes, he should have improved by this. Since, he is not improving, rather deteriorating, better to take him to hospital and get done chest x-ray to rule out pneumonia (lung infection). His all symptoms are suggestive of pneumonia. He will need higher antibiotic like levofloxacin or amoxicillin plus clavulanic acid. Mucolytic and expectorant .  So, it is better to take him to hospital and start appropriate treatment. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter is 12 years old and she has been complaining about a bump under her arm. I think that it s a lymph node or whatever it s called and I tried to pop it but she said that it hurt her really bad and now she has a few other bumps in the same are as well....is this normal? If so what can I do to help? ### REPLY: Hi...this is not normal. This could be a lymph node getting secondarily infected, and she might require antibiotic therapy after evaluation. Sometimes it can become an abscess with pus formation too. I suggest you get in touch with her pediatrician regarding this. Secondly she needs to be evaluated for the cause of this lymphadenopathy. It could be an infection elsewhere in the chest which is causing this too. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im am a girl and 11 i have a big white lump om my gum it is not puss or anything it is hard as a tooth!!!!! there is a lil white clear bump on my up right molar plez help me is it mouth canser?is it serios?do i need surgery? im paniced  abd scared plez awnser this ### REPLY: With your query, as you mentioned it is a hard lump or swelling could be a bone overgrowth or exocytoses can't be abscess because abscess will be soft in consistency and if you have erupted tooth it could be a cyst? Nothing serious I don't know what bothers you to consider it as cancer unless you have hidden some history. Hope you don't have any adverse habits like smoking, betel nut chewing or tobacco chewing. Anyway I suggest you to visit a nearby dental oral surgeon for diagnosis and good treatment. Hope thus helps 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 Abhishek, 22 years old and i am having little black spots on all over my face. I consult with Dermatologist regarding this and he recommend for Mela Glow (skin brightening and lightning cream)  and i am using it past 1 month and i can see the good effect on face. But i want to know what will be the side effect of this if i use it for long period..... ### REPLY: Hello, Thanx for writing at , Melaglow is a steroid cream...it should not be used more than 2-3 months...as it can make your skin more sensitive towards sunlight and can cause acne, rash,and infection.... You have to use proper sunscreen cream regular for 3 times...then only you can protect your skin from harmful UV rays of sunlight...Don't stop mellow suddenly but stop it gradually and consult with Dermatologist.... Hope this will help... 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: what are the chances of myself getting abdominal cancer if my mother and grandmother died of cancer in the abdomen. They were both 65. I am 5 ft. 123lbs.I exercise3-4 times a week. Dietary wise,I eat much healthier than either of them. I fortunately quit smoking after about 13 years on and off. I smoked anywhere from 3 cigarettes to 10 on averqage. ### REPLY: Hi, Thanks for writing in. Abdominal cancer is a non-specific entity or diagnosis. It is important to know the exact cancer or group of cancer that have occurred in your family members. Since you have changes over to adapting a healthy lifestyle including food habits and exercises as described, your general health condition appears to be good. Also, you have quit smoking and that is a positive development in reducing the chance of throat and lung cancer. Cancers can happen due to particular activation of cancer genes, some cancers might start after infection of viruses like HPV virus causing carcinoma cervix and hepatitis B causing liver cancer. There are patients who also get cancer due to exposure to harmful substances in the environment. In your case, it will help to know the exact type of cancer your mother and grandmother had and then get tested for the gene marker of that cancer. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, im poor there is no way im getting to a doctor it doesnt exist for me exept to a walk in free clinic type of thing, wich i have no ride and its far so its a verry hard thing to do for me.my question is i found a small .. pinsize bump? lump? on my right testical, i freeked out..... so I prayed to god .. many times to heal me. (since, its probably my best bet). i called around did research, i found some answers that it may be cancer becouse i felt no pain. 2 weeks later.. (now), its vanished. i cant find it, locate it and belive me ive been fealing...do i need to still worry  that im a die ? ### REPLY: Welcome to . 1. Probably an infective cyst or a lump, it can be hair follicular infection.2. If there was lump and disappeared after some time probably cystic structure.3. Other but its generalized enlargement - HY . 4. If still you feel anything - somehow you have to get an ultrasound scrotum done that will help in assessing the lesions, its nature and where they are from - sub cutaneous or testicular, and where all it is spread.5.Don't worry you have not mentioned anything corresponding to cancer. Good luck. Hope I have answered your query.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: Hello, doctor. I am a 23 year old Black male. I am 5 6 tall and weigh 135 pounds. A problem I ve had for a while is a sickly/ unpleasant facial appearance. My facial skin appears dry and rough. It doesn t look smooth and supple like that of other people my age. A few years ago, I was told by a doctor that I was borderline iron-deficient anemic. So, could that be a cause? To improve my appearance, I ve starting eating carrots because they re rich in Vitamin A, which I read is good for skin. I ve also starting taking iron supplements and Centrum Chewables. Will any of these actions I ve started to take help with my skin? ### REPLY: Hi, Thanks for writing in. It is true that iron deficiency anemia can make you look unhealthy, but it should not typically be leading to the complaints that you have. This is particularly so as you have only borderline iron deficiency. Further, to get the skin you want, I would suggest thee following:a. Have a healthy and balanced diet. Typically, your diet should have 50-55% carboy .  You should also be  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father has a long history of copd . Over the last 6 months he has become increasingly breathless , fatigued and there is a notable weightloss. He had an xray which showed a shadow on his lung . The GP has arrannged an urgent CT scan and told my father that the outcome could be nasty ,,,, or a deep seeded infection. He has no symptoms of a fever etc but is complianing of pain in his chest particuarlry when swallowing food, Could the shadow be cancer? ### REPLY: Hi and welcome to . Unfortunately yes, it can be. It is usually diagnosed by detecting such shadows on X-ray. But also pneumonia or localized emphysema, bronchiectasie and other smoking related disease can be. CT, bronchoscopy and biopsy can give exact diagnosis. You must be ready for everything but hope for the best. Also, if it is cancer it is necessary to see is it operable and which way of treatment is the best for him. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister is experiencing some symptoms that may be meningitis. She has a rash along the back of her head, painful headaches, overall weakness and low appetite. she has a referral for a lumbar puncture, but is not sure to go. Could these symptoms also be shingles? ### REPLY: Hello, Thank you for your contact to . I understand your concern and will give a resolution over it. If I am your doctor I advise you that Shingles or Herpes simplex infection spreads over dermatomes or nerve distribution. It has burning pain and vesicles at the distribution of infected nerves. So as per your query it is unlikely to be shingles. I will be happy to answer any of your concern, kindly contact me for further informationChatDoctorInfectious Disease Specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diabeties from last 12 years, my father was also having diabeties, I am 47yr old My weight is 59 kg.From last 18 months my Sgpt level increase by 90 to 122 and now it is 102.I have done all Hepitisis virus test all are normal. How and What I have to do to reduce the SGPT level. ### REPLY: Hi thanks for asking question. Let me know you.... Do you have high cholesterol?? Is USG suggesting fatty liver?? Alcohol history??? Mostly your enzyme elevation might be from fatty liver like condition. If you are overweight lose weight. Take low fat diet. Fruits more. Regular exercise. Refined food avoided. Alcohol not taken if habit of it... Junk food, cheese, butter taken very much less.... If still no benefit then search for other cause of enzymes elevation done like myositis, heart problem, celiac disease. These are followed first .... If still enzyme elevation liver biopsy needed for searching unusual causes. Take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a kind of small hole next to my back left tooth that feels like a sore it s like the skin split or the gum split . I put my finger on it as I look at it in the mirror and it kind of feels like I m touching the base of my lower wisdom tooth that never grew in fully . will this thing heal by itself? will skin or gum grow in soon to fill up this small oval shaped hole? YYYY@YYYY ### REPLY: Hello & welcomes you said that wisdom tooth never grew fully means that this tooth of yours is impacted & problem you are suffering here is peritonitis. This is gingival flap inflammation usually covers partially impacted teeth. Permanent cure for such type of problems is extraction of wisdom tooth, so I will advise you to visit your dentist as soon as possible. Rest maintain proper oral hygiene, start up with one antibiotic course including amoxicillin, metro, & painkiller ibuprofen along with Betadine rinses. 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: I am trying to get pregnant, my periods are almost regular, scanning and fh lh and thyroid tests are all normal, even then am not able to make it, started off with sysfol 5mg tablets, one per day as advised by one of the doctor. In how many cycles i can expect? how this tab help in conceiving? I had an abortion 2.5 years ago since we were not ready for parenting at that early stage of married life. Kindly help ### REPLY: Hi there, I have understood your concern. First do not panic. Please try to understand that Folic acid tablet as such is nit to help you to get pregnant.  I usually suggest to my patients who are planning to get pregnant, to start with Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before planning to get pregnant.  This helps to prevent many problems during pregnancy and delivery. You can follow the same. Secondly, if you are willing to get pregnant, then please get following 3 things checked. 1) Husbands semen analysis, after the abstinence of 3 to 4 days. This helps to know about quality and quantity of sperms. 2) Post menstrual HSG - hysterosalpingography, within the first ten days of the cycle. This helps to know about the patency of the fallopian tubes. 3) Follicle Study from day 10 to 20 of the cycle to know about the exact day of egg formation. Unprotected sex act or GUI on the day of egg formation will help you to get pre. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had severe swine flu last year plus bronchititus and sever asthma ER 4X and 7 days in intensive care. Was + foro swine flu. Had massive prednisone for 3 months because of breathing and cngestion problems.  I got the flu shot. Bu tnow I think I am starting the flu. Very very achy, 102 temp, so tired i can haedly get up. I just took Tamilflu, and am allergic to anything with aspirin, motrin or nsaids. What can I do so I dont go into what I had last year.  It truly nearly killed me with the comlications.  Will i get it worse if I had it last year? What can I do? I am a bit afraid. ### REPLY: Hello, The treatment of the same depends upon the severity of the symptoms with clinical assessment of the same via signs and co-relation with the supportive data of the laboratory and x-ray or others. Primary suggestions at present-Take a balanced nutritious diet to combat the infection phase.- Continue Tami flu at present.- Get once evaluated clinically with your doctor.- Inhalation of vapors of boiled water with added tincture Benson or Karol capsules helps a lot.- Avoid exposure to dusty environments.- Prefer semi-reclining position when resting.- Avoid smoking, alcohol in any form. 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: One of my toes (next to the pinky toe) has recently turned a Burt orange color. The redness is only on the tip, where I do not walk. I thought it was just dirt so I hoped in the shower and didn t think about it again. Two days later (today) I looked and there are black/brown dots underneath the skin and the burnt orange color is more noticeable. I am not diabetic. ### REPLY: Hello, I have studied your case. Vascular claudication can lead to black /brown dot which is common in smokers. Another possibility could be lumbar canal stenosis leading to burning sensation and pain in your leg. I will advise you to do MRI spine and color Doppler leg and foot. For these symptoms analgesic and neurotrophic medication can be started. I will advise checking your it B12 and it D3 level. 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: Hi, my boyfriend is suffering from depression, I am worried about him but he s sleeping at the moment. I talked with him about finding an on line specialist to talk to him about what bothers him and see if he can figured out what s going on and why he has depression. Is it possible for you to email him? He told me three days ago he would do this and he s avoided it since. ### REPLY: HiT hanks for using  In his case, he needs help of a psychiatrist. He needs proper mental evaluation, that would help to figure out the reason of depression. He also needs antidepressant that would help to control his negative thoughts. There are number of online specialist, but you can not get medication without prescription. So, better to consult a psychiatrist nearby your location. 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: Good morning sir, I m suffering from skin allergy, running nose, eching, red eyes from last four years.I have taken treatment from many local doctors.I have to take one tab citirazine every day. Now the condition is going worse.Please advice me for permanent treatment......... ### REPLY: Hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Knee is sore when touched, pain is in the middle below the knee cap. I experience a severe sharp pain when i bend my knee while standing up. I first experienced it this morning when i got out of bed. It does not hurt when i walk straight legged or when sitting down. ### REPLY: Hi I am .  Anyway for now you may start icing it for the first 48 hrs, topical gel, Advil tab twice per day after meals, acetaminophen tab three times per day is helpful, elevating the leg and the avoidance of vigorous actions and trypsins or diclofenac is effective with the swelling and will free the joint mobility.  Hope the above information helps you, Thanks for writing into . Any further clarifications feel free to ask. ### END