Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: helo doc my son is 2 n half tr old n had boils in his forehead initially n nw dey r spreadin on his nose below eyes wch is causin irritatn n bleeding wen scratched. his doc hv told us dat he iz havin bact. infctn  frm streptoccocai n hc recomended us RINIFOL dry syrup CLAMP-KID FORTE N TEDIBAR BATHING SOAP....so v want ur opinion sir... wat wud u sugst.................. ### REPLY: Hi.  Boils over face have to be treated with antibiotics as there is a small change that they may spread into the brain.  Apart from oral antibiotics like Camp kid I also give TB act ointment over the boils twice daily for faster healing. Also, I feel detail soap is better until boils come down. Avoid scratching the boils as much as possible.  If they are not coming down in few days (at least they should not become more), pls visit your doctor again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had a recent MRI of the thoracic spine.  I am confused by the result.  I have been having constant pain pretty much from my central back to the neck.  The results are as follows: Mild degwerative disc narrowing and minimal posterior bony productive change multiple midthoracic levels causing very mild thecal sac flattening.Any assistance you can provide in explaining the inplications would be most appreciated.  MS ### REPLY: Disc is degenerative in between some vertebra, and secondary pressure changes have taken place due to posterior(backward0 protrusion of herniated disc at some levels there upon producing dent on covering (thecal membrane) over spinal cord. The implications may be gradual progressive degeneration of varying degree of neural and para spinal and intervertebral joints due to loss of shock bearing inter vertebral discs (which act as shock absorbers/cushion at undue pressures on vertebrae). This leads to back pain and in long term some mild bending of spine (kyphosis) may occur ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got a dull aching pain in my chest along with a nausious feeling in my throat. I feel spaced out and weak. I have been to A&E for an ecg and the results were fine, but my heart rate was a little fast and blood pressure was a little high. They put this down to the anxiety and panic of A&E. They did blood tests for thiroid funcion. I am still worried that this is a serious illness. Im a 24 year old smoking male. ### REPLY: Thanks for your question on . I can understand your situation and problem. Since you are smoker and having slightly elevated heart rate and blood pressure, better to get done 2d echo and stress test (trade mill test) to rule out heart diseases. If both these are normal than no need to worry about heart diseases. Smokers are known to have gastritis and acid reflux. Both of these cause nausea and central chest pain. So first quit smoking as soon as possible. It is the main cause for your symptoms. Then take proton pump inhibitors for gastritis. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a kidney stone in my right kidney still. they think I passed on had blood in urin. its been a little over a month since the pain started. I have server right flank pain. from the lower rib cage form the back to the front hurts. I cant eat hardly anything because I feel like im going to vomit. I cant get comfortable. it hurts to cough. been to the hospital 3 times. blood work comes back fine as of last night I still have the stone in right kidney. its getting hard to urinate now. drs cant tell me why im in so much pain. the have done a belly xray and a cat scan ### REPLY: Hello, Thanks for the query to . Forum. As diagnosis is already clear and all these symptoms mentioned pain in front side radiating to back, urine trouble and nausea, vomiting are due to renal stone. If the size of stone is more than 7 mm then get in laser treatment. If size is less than 7 mm then take a conservative treatment after consultation with a urologist. Urine examination is very important. One more point is to be noted that serum creatinine level along blood urea is an important tool in renal disease, so get in test regularly till stone is out. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have suffered from a stock twenty years ago while i was swiming then a blood came out after a year and now some people told me that i have a vibration . my head always move without feeling. i want to say something i am poor so i dont have enough money i ve heard a lot about your huminity services please help me ### REPLY: Hi, I am unable to understand the entire query due to some confusion choice of words, however, it sounds as if you may have some type of tremor of the head.  Furthermore, it may have been acquired following an electric shock you received while swimming.  You may also benefit from a neurological examination for a condition of either essential tremor or traumatically induced action tremor. 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 baby is 15 mnths old . He got rashes on his face ,stomach , back and very little on legs. It looks like red patches of acne it is very small in size with no puss. He got ear infection last week and got temp 103 degree. doc put him on antibiotics . What should i do? ### REPLY: Hi, Rash on face stomach and legs in a 15-month-old child can be due to measles, insect bite, Eczema. In measles, there is fever and the rash persist for one week. While an insect bite there is no fever and the rash is present on exposed parts of body. It will be better if you attach a picture of the skin lesion. Also there is a possibility of scabies. I think you should get the child examine by a doctor. So that we may not miss any important finding. Have a good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, my father is 65 years old and he is suffering from Diabetes from 15 years now he has problem in his both kidney and creatinine level was 7 and he is under haemodialysis twice a week, is there any treatment for kidney so my father can be free from haemodialysis, your suggestion will be great help for us.... ### REPLY: Your father should be diagnosed DM, DM NEPHROPATHY, CRFHE SHOULD BE ON MHD There is option of kidney transplant, but it doesn't look possible with age and other factors, u should continue dialysis as per advise of your nephrologist, by the time for his better health get investigated by ophthalmologist for funds investigation to rule out diabetic retinopathy, This patient are usually with high blood pressure too should be care with it too, it can even cause some other complication ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had orthoscopic knee surgery,two weeks ago.Healing is o.k.,but two small lumps appeared where incisions were made.I use cold compresses several times a day and occasionally have my knee area in a tensor bandage wrap.There is no redness around the incisions. ### REPLY: HI. Thanks for your query. The lumps are just a fibrosis and nothing to worry about. You can continue with the same treatment if you are taking some medicines like anti-inflammatory. OR take for one more weeks. Do not fiddle with it. Wait for 3 months. It will settle on its own. If they increase you can request the Doctor for steroid injection into the scar (I hope this may not be necessary as most of the scars settle well by this time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...for the last 2 years Ive had periodic episodes with swollen lip syndrome.Ive noticed they come always at night and last about 12 hours.I think Ive narrowed it down to crab, red wine or a grape derivitive. What is strange is that it occurs 12 to 18 hours after Ive consummed these items. No sure why. what can be done except total avoidance and is that all it is? ### REPLY: Hi, If you have swollen lips after consumption of red wine or grapes derivatives since 2 years then it clearly indicates your allergy or sensitivity. This allergy occurs after 12 to 18 hours then it is delayed type of hypersensitivity. You can try these beverages with the use of straw by avoiding direct contact with the lips, but I am not sure if It's going to work or not because of delayed hypersensitivity but still I would say you can try it once. The best way to cure allergy is definitely avoidance of allergen, but there are good medicines available in market like steroids or antihistamines to combat allergy. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had shingles for about two weeks, finished the prescribed medication, acquivor 5 times per day for 7 days.Now for the past week, I have had discomfort in the right groin area, soreness and some pain occassionally, thought it was just part of the shingles process.  I got hand mirror and took a good look today, and saw a swelling in crease between leg and  vaginal area.  Could shingles be causing this? ### REPLY: Hello, Welcome to , The history and symptoms are suggestive of fungal infection and it doesn't look like a viral infection like shingles. The groin is the most common site of fungal infection as this area is moist and favors the growth of the fungus. The symptoms of itching, pain and erythema are evident of fungal infection.  So I would suggest you to apply topical antifungal cream like Clotrimazole for 5-7 days. It will control the symptoms and make you comfortable. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell on my back skate boarding about 8 days ago and now there are bruises appearing on the front lower part of my stomach. My lower right back is tender and swollen. I am able to twist at the hip and bend forward to stretch it. the bruise it slowly getting bigger. Could this be internal bleeding? ### REPLY: Hello, Your symptoms are suggestive of an internal bleeding, probably due to the trauma. As you are feeling better and there is no fatigue, low blood pressure or dizziness, these changes could be due to the old blood and the bleeding seems to be stopped. Anyway, I would recommend consulting with your attending physician for a physical exam and an abdominal ultrasound. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My heart has been racing, then slowing greatly, and I have been dizzy, and have a shrill throbbing/pulsing, ringing in my ears. I am 48, f, and this has been going on for several months. I frequently have chest pain, but have recently, during a visit to ER for other causes, had heart testing, that "looked good." Can you tell me what might be the problem? This pulsing is in time to my heart rate. Thank you. ### REPLY: Hello! Thank you for asking on ! I carefully read your question and would explain that your symptoms don't seem to be cardiac related. I would like to know your blood pressure and heart rate values lately. You should know that a metabolic disorder like thyroid dysfunction or chronic anemia could be the cause of your symptomatology. A high blood pressure could also cause these symptoms. As the ringing in your ears is bilateral, I would exclude any possible intracranial cause (like possible vessel malformation etc.). So I would recommend you to closely monitor your blood pressure and heart rate and refer those values to your attending physician. It is important performing some tests :-complete blood count-thyroid hormone levels-blood electrolytes-PCR, sedimentation rate-kidney and liver function tests. You should discuss with your doctor on the above issues. Hope to have been helpful! Best wishes! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was tested with a blood creatine level of 1.9. my 24 hr urine test was normal. My kidney ultrasound showed no blocked. Have I sustained any permanent damage. How should I manage my diet. I am a cycling enthusiast and engage in intense exercise. ### REPLY: Thank you for your query. Creatine is found mainly in Muscles. Creatinine is a metabolic product of Creatine. Creatinine is removed from the body mainly by the Kidneys. For this reason, it has been used as an indirect marker for assessing renal function. Normally, an increase in creatinine above the normal range would indicate a reduction in the glomerular filtration rate (GFR) of the kidneys functional units. The GFR determines, how effective the kidney is removing metabolites and maintaining homeostasis. For, sedentary to moderately active individuals, the usual lab values provide a good reference.However, in athletes with more muscle mass compared to the non athletic people, there is more creatinine in the blood to start with and may not necessarily indicate a decline in renal function. Diet rich in animal protein, protein or creating supplements, certain medications can all increase the level of creatinine in the body (either directly or by reducing its excretion at the kidney level). Serial serum creatinine levels and monitoring of other renal parameters will help to determine if you have a reason to worry. Try to eat a well-balanced meal and get all your nutrition from natural products rather than concentrated forms. Hy . If you are on any medications, consult your doctor to see if it contributes to the elevated levels. Go for routine checks and monitor closely. If you have diabetes, hypertension or high cholesterol levels, risk of kidney damage is present. Early detection will help prevent progression. Hope this helps. Wish you good health and get back to us if you need further clarification ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i walked smack into a thick piece of glass (the corner), knocked me silly for a few minutes and turned red. the next day there was no redness, no mark. now, 3 or 4 days later, the spot reallyhurts and it feels like there is a cavert or hole, maybe an inveerted bump? ### REPLY: Dear patient. Not to worry.It's just a process of healing due to damage that happened internally due to injury. Because injury was hidden it didn't give redness that much. But after few days the healing slowly begins and will take up to two weeks for it to complete.Don't worry about hole or inverted bump. Caution here is that if you develop fever within few days now then you need to contact a doctor and get it checked.Otherwise, you will be fine. Hope I answered 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: About a week ago my lower back started hurting.  Im 39, female...never had any back issues.  Went to Dr. on Saturday they saw a kidney stone said this could be the pain...however, now I can barely stand, sit or bend...never had a kidney stone cause this kind of problem.  Any thoughts?  No fever.... ### REPLY: HelloThanks for query. You have pain in loin. This is mostly due to presence of stone impacted in ureter (Ureteric Colic). The pain is due to back pressure changes in kidney and ureter proximal to stone (HY . You need to consult qualified Urologist for clinical examination and get following basic test done to confirm the diagnosis.1)Urine Routine and Urine culture 2) Ultrasound Scanning of abdomen and pelvis. Further treatment will be decided by him based on results of these test and site of impaction and degree of HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 looking for an advice on radiotherapy for my mother who was operated for removal of uterus. Uterus was found to be malignated. Although, all other reports after the operation confirms negative meaning no malignancy in the body now, I would like to take a second opinion whether it is recomended to go for radiotherapy. ### REPLY: Thanks for your question on . I can understand your concern. Yes, radiotherapy is advisable after surgery for uterine malignancy. During surgery, spillage of malignant cells is unavoidable. Spillage is common due to handling of tumor mass. So tumor cells are likely to present at the site of operation. And hence local site recurrence is common after tumor surgery. To avoid this recurrence, radiotherapy is given post operative. Radiotherapy will kill the tumor cells at local site. And hence recurrence can be prevented. So it is always advisable to give post operative chemotherapy to prevent local site recurrence. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. 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 been married for 6 yrs for now. n i m not able to conceive. once i conceived in 2009 but the baby could not survive for more than 15 days in my womb.then i m still on infertility medication. now recently i started blotting so got my TSH tested it was 5.4. i m taking medicine for that.i m due for today for my mensus. now my doubt is it difficult to concieve at this stagemy abdomen has also bloated as if i m carrying. i get my peroids regularly. plz reply ### REPLY: Hi, I think you should go for GUI. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  GUI will be done the next day.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home.  You can try like that for 3 to 6 months.  If it doesn't work then you can go for IVF.  Discuss with your doctor regarding this.  Hope I have answered your question. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, My friend had her last period on the 24th of nov2011, and started taking Norithisterone 10mg from the 17th December till the 4th January 2012 to postphone her period, but even after stopping the drug her periods never started and a urine test showed that she is pregnant. she is worried if the drug will cause any abnormalities to the unborn baby. Please offer advice if she can carry on with her pregnancy or does she have to terminate the pregnancy. My friend is 30 yrs old, had her 1st ceaserean baby 7yrs ago. height is 5.4ft,otherwise healthy. n h ### REPLY: Hi, Norethisterone, if taken to delay periods and if you had unprotected sex during this course of time, the chances of becoming pregnant is very high. You mentioned positive pregnancy test too. However, norethisterone is contraindicated during pregnancy, as it might result in minor birth defects in fetus. It causes mild masculinization of the external genitalia of the female and hypomanias in the male fetus. It's better to consult your doctor once and do a USG for further assistance. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yesterday I had severe lower abdominal cramping. When these cramps happen I usually have to use the bathroom. However yesterday I could not. This is gonna sound funny, but it seemed like my butt wouldnt open up to go. Finally I took a suppository childrens at that because I couldnt think of anything else and just wanted to go and stop the pain. I finally did go a few time after about a 5 hr period. I am on my period. However I almost never have these cramps or if I do they are not severe like these were.  I am 39 yrs old and weigh 145 and 5 feet 9 inches ### REPLY: Hi. Thanks for your query. Undergone through your history carefully. This is suggestive of colitis, where you have census- meaning pain and feeling like going to the toilet. But nothing comes out except for some mucus in some cases. Due to the periods, there is congestion in the pelvic area, and this may add to the problem. I would advise you to take a course of an antibiotic active against intestine and symptomatic treatment like anti-spasmodic tablets. Take plenty of oral fluids. If necessary the oral rely . Wait and watch. If the problem becomes recurrent you may need a colonoscopy and other investigations like ultrasonography / blood / urine and stool tests. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother in law heart is only 25 percent working.He also has sugar problem.His doctor recommended him medicines.Is this disease should be cured with medicines or is there any serious issues with heart valves.Other doctor also recommend him for transplantion but this process is expensive so he cant afford. Pls reply me as soon as possible. ### REPLY: Hello, I have gone through the details and understand your concern. It is essential to control his blood glucose levels effectively with appropriate treatment. Since no blood glucose levels and HbA1c% are mentioned, it is difficult to give any specific instructions or guidelines. As patient has a cardiac problem, it is very necessary to control the blood glucose levels strictly, preferable by using Insulin injections and a newer .  As regards the heart condition, opinion of cardiologist has to be adhered too. 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, Recently when i take showers that are lukewarm n only for 15 mins, my heart started to palpitate so fast and my hands starts trembling. I had to get out of the bathroom and struggling to check my blood pressure which has risen to 200. Couldnt read fully as my hand was shaking. I had catapres to lower my bp and it did. The next day i took a shower again but this time not as warm as yesterday but this time it happened quicker than expected. I wasnt able to finish my shower. Was in the bathroom for only few mins. Heart started to palpitate again n hands trembling. Again i took catapres. Im 44 yrs old n had been taking amlodipine for my hypertension for a long time now. Everything s normal. But this time im worried that something s really wrong. Please help. Thanks kyona ### REPLY: Hi Welcome to . I understand your query and concern. Palpitations in your case can be a definite feature of heart rhythm disturbances. Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way. Few . I advise you to have a complete 24 hour holder ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cannot stop coughing. I ve been given antibiotic and mucinex dm that are not working completely (well, the mucinex) though there has been some relief. I have had a few isolated incidences of asthma in the past and this feels a bit like that. Also, the clinic I visited let me go with a blood pressure of 120 something over 90. I have never been over 90. the most 78. my left hand is swollen and there is some numbness in my left arm and hand. I am exhausted with coughing. Some relief comes with boiling water on the stove. I also have rheumatoid arthritis. ### REPLY: I think what you are doing is overreacting. Try & chill down a bit. Swelling in your hands may be due to acute inflammation on Rheumatoid arthritis-you should take HY . And about your BP, Normal BP is 120/80 and It's okay to have diastolic BP till or less than 90.also there are machines errors many times along with some personal errors while measuring like cough too loose etc. So don't worry about BP & get it checked once more it will definitely come below 90. Thanks to contact . Happy to answer your queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age 54, weight 195, type 2 diabetic, menopause , - How do you test for histamine intolerance? Allergic rhinitis my whole life, recently had nasal polyps, allergic to aspirin, ibprofen, sulfa drugs and mizicorium (an anastethic) Allergist finds very little: slight allergy to cats, goose feathers, tomatoes, dust mites. Loratadine and air conditioning helps. Also saline and a lower histamine diet. Any advice would be helpful. I believe the histamine problem is in my family for 4 generations. Thanks. ### REPLY: Hi, you seem to be allergic to many things also its severe.  I suggest you visit immunologist /allergy specialist, and you have to undergo a test called skin prick test.which will identify most of the allergens you are allergic to.once this is done then there is a treatment called immunotherapy. It is highly effective treatment. You have to take it for around 3-4yrs and your allergy will reduce by 80-90 percent. It is done for .  Histamine is a substance produced by the body itself once you come in contact with the allergen. Which causes symptomsimmunotherapy is currently best treatment and also very effective. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have known that my liver enzymes are elevated.Now i want to know that can it be normalize by some precaution or care or it can not be ever.I can not show my reports cause my doctor has those.But as she told me that my gtt and one more thing is elevated.she ask me to control my diet .Now i m thinking is this possible to normalize it. ### REPLY: Hello, Since you have not mentioned the type and value of any particular liver enzyme, I am going to tell you in general. The most common causes for high liver enzymes are consumption of alcohol, diabetes,triglycerides, obesity,consumption of a lot of painkillers etc. and various types of hepatitis. Your lifestyle change can normalize these levels in few months time. What to do... Quit alcohol. Reduce your calorie intake and reduce your weight. Avoid sweets and deep-fried foods. Avoid junk foods and colas. Consume fresh fruits and green vegetables. Do regular aerobic exercises. Take super B complex vitamin with 1000 mg of IT C. In next few months time, you should be all right. Consult a gastroenterologist if liver enzymes persist or get elevated, even after the lifestyle changes. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife was given susten 200 for 10 days after ovulation through an injection. After 14 days of ovulation, period happened but period was very light and short (2 days), usually it use to be for 3 days. Now, it is 18th day and I doubt that ovulation has happened. Will susten 200 affect subsequent ovulation. ### REPLY: Hi, Thanks for writing to . Ovulation has happened or not you can tell either by monitoring daily basal temperature or using ovulation kits or ultrasound scan. Some symptoms of ovulation are abdominal and pelvic pain, white discharge. Austen is progesterone, natural sex hormone which helps in maintaining early pregnancy and avoid abortion. So it is given after ovulation so that if conception occur it should be managed.  Austen doesn't effect subsequent ovulation. But after taking so many hormones you may get little variation in period length or ovulation timing.  Hope I have been helpful . 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 took Vicks Sinex capsuls, a fthree day supply in the carton, and had a most severe side effect which split my scalp open. Now I would like to know what remedies Vicks company reccomends? YYYY@YYYY J. B. Patterson 904 0000 St. Augustine Fl 32084 ### REPLY: Hello, Vicks sine contain phenylephrine-acetaminophen. Phenylephrine may cause palpitations, headache and raised blood pressure in hypertensive patients. Acetaminophen may cause gastritis and high doses liver toxicity. But side effects vary from individual to individual. Alcoholic and hypertensive patients most affected. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my lmp is in 29/12/10, on 2nd day i took siphene 150 mg tabs for 5 days then i took fsh injection folligen 150 for 3 days on 6th, 7th,and 8th day and took folliculay tv scan on 10th day that time endometrium 8.5mm , right ovay follicle- 2.1*1.3 left ovary - 3.2*2 POD- minimal fluid. so i took ChatDoctor ijection 10000 on same day but on 13th day i repet scan endometrim becomes 9.5mm RO- 3.2*2.5 , 2.1*1.3 LO- 2.7*1.7 , 2.5*1.4. POD- negative on 15th day i repeat scan ENDO-8.6mm RO- 3.4*3cm, 2.8*1.7 , LO- 2.9*2.2 , 2.1*2.1 doctor told me stop scan so am not going 2 scan . there is any chance for ovulation or any chance for become preganant ### REPLY: Hi, Welcome to  Forum It's very unlikely where an ovulation fails after  injection, even when the scan shows well-developed follicle in the right ovary also in the left. Well with the size of the follicles mentioned in the scan ovulation is much expected naturally and with  much more expectations can be made. I would advise you to get a TVS scan (Trans vaginal USG) , with an HD "(High definition variety)As the details in it are reliable, may be the sizes the previous scans mentioned are of cysts, or even misinterpreted. The endometrial thickness is good, and is not an issue here. Thanks for visiting  .com 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: recently told I had plaque thinning the arteries in my brain. can you give me good links that will tell me what this means, what caused it and how it can be fixed? I would like to know the good, bad and ugly.I have a multitude of medical conditions and would like to know if this is due to any of those conditions. thanks. ### REPLY: Hi, Thank you for posting your query. I think what you mean is atherosclerosis, where the arteries supplying blood to the brain get narrowed and may result in stroke due to ischemia (lack of blood flow). The treatment includes aspirin and stain use. The common risk factors for the same include high BP, sugar, cholesterol and smoking. Controlling these risk factors would stop the disease progression and prevent the strokes. 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: Im a white female apx 200lb.  For the past 3 days Ive had a hard time breathing; esp when laying down.  It feels like an elephant is sitting on my chest and my lower throat hurts;  I can see redness in my lower throat??  Ive never had symptoms like this before. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of either bronchitis or congestive heart failure is more. Both these can cause heaviness in chest with breathing difficulty. So better to consult doctor and get done 1. Clinical examination of respiratory system 2. Blood pressure monitoring 3. PUT (pulmonary function test) for bronchitis 4. 2d echo (for heart failure). You may need inhaled treatment if it is bronchitis. You may need diuretics and other cardiac supportive .  So don't wait at home, consult doctor, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a bump come up on my right breast an inch from my nipple. I squeezed it and white/clear stuff came out and it immediately grew 2 times its size.. Ive squeezed for days and Im still getting stuff out of it.. The last 3 days its hurt to touch it but blood is oozing out.. what should I do? ### REPLY: Welcome to . 1. The way you have described the lesion it suggests as breast abscess - infective lump with collection of pus within.2. In this case what you need is get an ultrasound scan done to evaluate the nature of the lump, its extensions weather It's complicated or not.3. In case of complication - a small incision and . 4. As a remedy never press, scratch or disturb the lesion - in that way you will delay the healing process.5. Sugget you to see your GP, get examined, treated accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 47yeae old mom of four children. My whole right arm gets num evey single night for thd past month. I workout every day and i eat somewhat healthy. Im 138lbs and try not to eat junkfood. I hope you can help me because ita going to the point were i am up to 4 hours. Please help ### REPLY: Hi, thanks for providing a brief history of you. Since you mentioned your right arm pains a lot. The nature of the pain. Is to be accounted here. If it is a radiating pain in the arm than it could be a spasm of the muscles of the neck. You need to first relax the neck muscles and then do some static neck exercises. I hope you know it if not a guided physical therapist always helps. Post that some push ups and some strengthening for triceps muscle. I am sure you will be helped. Suppose in case after doing this hot fermentation for the neck region and some exercises which I mentioned doesn't help then please consult an or tho and take an x-ray or an MRI of neck region. You will be assessed in detail. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fungal infection according to my research it is Tinea cruris in the inside of my thigh and on my scrotum. Sometime I do get pimples around my infected area. It has been present for over 10 years now. I have been taking terbin and sebifin ointment from time to time when the infection worsens. How do i get rid of this fungal infection permanently? ### REPLY: Hi thanks for asking question in . Whenever you are infected with fungi apply local antifungal ointment over it that you have mentioned. After treating infection preventive care has to be taken. Here is few suggestions. Wear clean cloths and undergarments. Wash cloths in warm water if feasible. Make affected area clean with taking proper bath and keep that area . Moisture aggravate fungal infection. Warm water bath helpful. Especially salt added war water helpful for bathing. Take healthy nutritional diet with more fruits and vegetables. Garlic, coconut oil, onion like Food found to be helpful. Olive leaf paste made by water can be applied over affected area, found useful in few studies. If severe fungal infection oral antifungal tablet can be taken. My suggestion will surely help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ive been to two different pain management doctors for 3 herniated disks in my lower back...and have been threw the shots in the spine on three different occasions, with no success. I have been on all types of medication for this as well with the only success being Percocet to help with relief and management of the pain. I am not in a position to have surgery and take the time off work after it..but they refuse to help me manage my pain that way and keep saying surgery is the next step. what can I do if anything ### REPLY: Hi, Thank you for posting your query. I have gone through your symptoms, and treatment received so far. Is there any specific reason for refusing the surgery? As per the treatment algorithms, once medications and epidural injections fail, surgery is the most preferred option. So, I would request you to reconsider your decision and opt for surgery. This would ensure a pain-free life. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name Whitney Im 16 years old my heart has been hurting for awhile I have back pain and my lungs hurt I coughed up blood once Im scared I never told any of this to my doctor but I want to know whats wrong with me do I have heart disease or am I gonna have a heart attack or do I have cancer whats wrong with me please help ### REPLY: Thanks for your question on . I can understand your concern. First be relaxed and calm. At your age, cancer and heart disease are very, very less likely. You are having hemoptysis (blood in sputum). Common causes for this is lung infection (pneumonia) and bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. You may need antibiotics, painkiller and anti-inflammatory .  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a back injury about 10 days ago that resulted in a pulled muscle on left lower back. Muscle spasms occurred with any rapid movement, getting in and out of car or trying to take stairs. I went to physician got steriods, muscle relaxer and pain meds. Only took pain meds about 2 1/2 days but continued the anti inflammatory meds for about 6 days. Currently having to take a couple ibuprofen maybe twice a day due to being uncomfortable while working. Now that the rough pain is gone, I am still experiencing pain(not intense but very noticable) when I go have a bowel movement that gets worse when pushing. I am 42, to medical problems to speak of and female. Is this something I should be worried about and possibly seek an order for an MRI? ### REPLY: Yes you can definitely go for an MRI if back pain is persistent to isolate the cause. For treatment, you can take some painkiller like attract or biozobid-plus only when your back pain is worse enough or disturbing your routine work. Apart from this you can take some calcium supplements like shall or toscal-gem once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on a plain surface as it is very helpful in case of back pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Day before yesterday I accidentally stepped on an exposed two inch rusted nail that went through the sole of my shoe into my foot. The hole bled for a little bit and then I went to the hospital and took a tetnus shot. My foot is recovering and there is a swollen lump on my arm where the tetnus shot was given. Is a swelling normal in case of a tetnus shot? Any further suggestions for my foot? Am I still having any harmful or dangerous infections? Thank you. ### REPLY: Hi. Thanks for your query and an elucidated history. The swelling in a spot of tetanus shot can cause a swelling because of few reasons. Local reaction of the contents of the injections as this is a toxic / local inside bleeding (this is a blind procedure) / infection ... So the best way to have a good antibiotic cover along with anti-inflammatory medicines which will help for the injection site as well as the site of nail injury. If you want immediate immunity against tetanus, it is given by an Injection called ATS (anti-tetanus serum). The present dose works as a booster only, and is good if you are already immunized in the past. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing tingling and pin and needle feeling in my hands and arms. Thought I noticed it in my legs the other day? I am female, 47, overwieght (205pnds) ,5feet 8 inches. I drive a lot for my job, I do have horrible posture. I have liposis so there is a lump in the middle of my shoulderblades. I am eating healthy and trying to exercise more. Shaking and flexing my hand seems to help this numb feeling subside. I do not take any medication. My first thought was I was having a heart attack or stroke, but I am hoping it is carpal tunnel or a pinched nerve. ### REPLY: Hi and thanks for the query, this requires a careful evaluation of specific aspects of the past medical history and a complete physical examination. The causes are numerous, and could range from simple vitamin deficiencies to complex ones like problems with nerves or nerve compression. A proper consultation with a neurologist for an examination, and appropriate laboratory and neurological investigations would be most welcome. Kind regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 35 and had Varicose Vein Surgery IN Both Legs But IN THE Right I Had A Lazer Inserted From My Inside Ankle Up To My Crotch Area About 4 Years ago. My right leg is always in pain and cannot go a day with out my compression socks on and is slightly bigger now then the left leg (just from the knee up)most of the pain is inside part of my leg. I just had ultra sound done on both my legs and they said everything is normal and to wear compression socks nothing else they can do. I feel too young to have this kind of constant pain in my leg. I m not over weight and exercise regularly when my leg feels o.k. Could it be something else causing the pain? ### REPLY: Hi, as you mentioned you have pain in your lets I will make a small understanding here. What happens is, when the muscle is weak the metabolism is faster and the fatigue in the muscles occur faster. Which leads to the lactic acid production and later a pain. Performing regular exercises and progressing from mild to moderate to severe levels is needed. Also a need of endurance training is needed to improve the cellular mechanism. Since the pain is not lowering down and constant it is, I would like to know the nature of the pain, if it is like burning, numbness, radiating, etc. then you should take the MRI of lumbar spine as the nerve may be getting trapped in the spinal column. For this you can improve the strength in your core muscles by performing core stability exercises and spine Strengthening exercises. Also strengthening the hip muscles is of importance as the stronger the muscles is the better the venous return. Exercise is a slow a steady process which will consume a lot of time for getting progress. You may need to even improve your cardiovascular response to exercise as it will even help to maintain the hemodynamics of the blood and help you perform well. Including cardiorespiratory training is good for lungs and to improve the oxygen levels in the blood for detoxification. You can discuss the same with your vascular surgeon with the grace of God I wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I been dizzy/off balance now for 2.5years, but I figure its from PTSD & GAD since im extremely beyond stressed out. Im guessing I have high cortisol in my body due to stress. Ive had changes ever since 2010 from a car accident as well. I also  had a depressing breakup where im still thinking of this person and its already been 2.5-3yrs since ive seen him/we been apart so yes ive had a broken heart now for 2.5years. I also have a kidney stone which isnt out yet. Im a mess. ### REPLY: Hello. Kidney stone is not now the most important. The most important of all is PTSD and Gad that causes dizziness, stress..... You have to receive right treatment for PTSD and Gad. Besides treatment with . Do not be discouraged, with the combination of both treatments you will feel better. I treat my patients with Paroxetine 20-30 mg per day+Diazepam 0.5 mg twice a day when PTSD and Gad is the diagnosis. Please consult your local doctor for a prescription. I wish you good health.(In case the answer would have been useful please indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, A few months ago a underwent LEEP to remove precancerous cells from the cervix, and since then I often have a dark brown discharge after sex.I have also been trying unsuccessfully to get pregnant in the last 8 months.Is there a link between the bleeding, the procedure and the potential infertility? Thanks ### REPLY: Hi welcome to . I have gone through your question. As far as keep procedure and infertility is concerned is doe snot have any relations between them. Your dark brown discharge after sex could be due to procedure or underlying pathology. For that you should consult gynecologist. As far as infertility is concern I would suggest that you should evaluate ovulation profile, thyroid profile and SG histosalpingography. Hope I have answered your query. Would be happy to help 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 generally healthy nineteen year old female with no history or health problems or allergies.  About fifteen months ago, I travelled to Sierra Leone in northwest Africa where I spent about seventeen days.  I faithfully took my malaria pills and was extremely careful about my drinking water and what I ate.  Several months after my return, I began having problems with dairy products (yogurt, milk, ice cream, etc) when I consumed more than maybe a third or half a cup within a twenty four hour period.  I suffer from stomach pains and some times diarrhea (neither of which is ever debilitating) after the consumption of such an amount of diary products.  Several relatives are lactose intolerant and my father has a diary allergy.  Should I be concerned about a correlation between my travel and this development (I had no problems like this before)?  Or is it more likely that this is simply me developing a lactose intolerance or diary allergy and that the timing was simply coincidential? ### REPLY: It seems simply coincidence of timings. However, if some stomach infection has been contracted, that's temporarily troubling and will go. I am happy that you took extra care of eating, water etc. during your stay. So no worries. To my own patients, I suggest taking the following to correct the issues of dairy allergy:1. BAEL (or BILL) pulp powder + .  In the morning and afternoon 1 tsp with buttermilk or yogurt. Mix well and eat it. At night may gulp 1 tsp with warm water. No side effects. If some irritation in gastric region occurs, simply reduce ratio of ginger powder or say, increase other two in the combo.2. UTAHAN vat 2 BD with warm water. Start taking these for a week or so. May take for longer durations. No interaction. Even your relatives having lactose intolerance may have it too.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3 years and 8 months. She had severe allergic reactions and was hospitalized as well. She was given IV fluids Inj Pan 20 mg IV OD. She has now showed up the same symptoms after 20 days, and is been advised to give Syp Omnacortil Forte 4 ml twice ( morning and night).....is this right? ### REPLY: Hello, Welcome to , As your daughter is having allergic reactions for which your pediatrician has prescribed the medicines to control the symptoms. The allergic reactions are mainly due to release of histamine from the mast cell which will produce all these symptoms. As she is getting these allergic reactions frequently she should be thoroughly evaluated to detect the allergens causing these symptoms. Syp Omnacortil Forte, 4 ml twice daily is a steroid which helps to control the symptoms and improve the condition. The definitive treatment is identifying the allergen causing these symptoms and try to avoid them. 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 , my father is suffering from diabetise and BP also his both the kidneys are failed and working only 10% i just wann know that whether its right to transplant kidney at the age og 50+ ....i dont have any idea even knowledge about kidney transplantation...can you please suggest me what should i do? whether to transplant or the way dialysis ? ### REPLY: Hai this is bring 27 old.blood gr b+ i am not joking. I am serially sale my kidney. I am phasing of so many financial problems. So please anybody wanted my kidney please call me immediately. I am red to now. I am already checking my kidney function testing report. It is good condition. See my reports.: srinukidney@yahoo.in pass; 9866649604 r mail me sri_mobile@yahoo.com please help me SRI call me 9866649604 please call me ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is zari and my niece was diagnosed with pancreatitis yesterday. She is 3 years old. Her Lipase levels over the last three days and been 350, then 450, and now 700. The doctors in my town are telling us that she is fine but we have a hard time believing that as her lipase levels rise. Could you please tell me what needs to be done? ### REPLY: Hi, It is not right to judge the problem to be pancreatitis with just lipase levels. You should get a CT scan done for the child. I would also like to know why was she seen by a doctor in the first place. If she has abdominal pain she needs immediate hospitalization. Acute pancreatitis is an emergency and should be promptly treated for better quality of life for the child. The outcomes are good if the pancreatitis is treated early with a known cause.  All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have debilitating health problems that just seem to be getting worse and worse. I have 6 diffrent specialist that I see and they just come up with one medical problem after another. I am 38 and been and off and on smoker for 10 years. I was recently told I have emphysema. I have had medical and health problems my whole life and I asked to finally be tested for Alpha-1 because my sister tested positive but we have different fathers. I am a M1M1 and my antitrypsin is 161. But when looking at all symptoms I have all but 1. My question is with my health history should I be looking for something else to be the cause of can this still be a possibility ### REPLY: Thanks for your question on . Being a smoker emphysema can occur at any age. And smoking make you more vulnerable to get emphysema at this antitrypsin level. So if you have chest x-ray and PFT (Pulmonary Function Test) suggestive of emphysema than you are suffering from it only. No need to search for the cause. Better to start treatment. 1. Smoking cessation should be the almost priority.2. Inhaled bronchodilators.3. Pulmonary rehabilitation with chest physiotherapy and deep breathing exercise. 4. Pulmonary vaccination with pneumococcal and h.influenza vaccines. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having pain in my stomach, mostly from the bottom of my rib cage down to the belly button, on both sides. It feels as though my stomach is bruised on the inside and someone keeps pressing on the bruise. I am almost four months post-partum (3rd child) and this is the first time Im feeling like this. I have been working out for almost two months now, and got a back massage on Friday for the first time. I started feeling like this the next day (Saturday), and this is now the third day with pain. I have been going to the bathroom regularly and dont feel nauseous at all, I just have this pain in my stomach that feels worse when I walk and lay on either of my sides. Any idea what this could be ? Thank you ### REPLY: Hi. Thanks for your query. You have a very specific history of pain in the upper abdomen which increases on walking or laying on side, without any nausea or bathroom related problems. This in fact can be a sore peritoneum due to inflamed intestine or lymph nodes in the said area or colitis of the transverse colon. Get a course of an antibiotic and anti-inflammatory medicines for 5 days, see the results; take strict bed rest and be on liquid diet. If there is no response please follow this:Consult a Surgical Gastroenterologist., get a clinical examination done and the investigations as suggested by Him libertine tests of the blood, urine and stool, Ultrasonography and CT scan if needed of the abdomen. Colonoscopy if warranted.-This will give the proper diagnosis which is the most important part of any treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For my high blood pressure, I am taking medicines for the last 15 years; Im 66 year old. About a few months back I changed the medicine for this from 5 mg Lisinopril daily morning (being used for about 10 years; for fear of that being the probable cause for reduction in libido and erectile disfunction suffered during this period) to Telsar 40 (mg) every night. Yesterday night I missed taking this tablet, yet today morning when I got my blood pressure checked it was found tobe 120/90.Can I somehow think of doing away taking medicine and how I can improve my libido and penile erection? ### REPLY: Hi, At your age it is not unusual to find a reduction in libido and strength of erection, and it is not likely to be only due to BP medication. You can try getting your Serum (Total) Testosterone levels estimated at around 8 am, and if that is on the lower side, supplementation with Injection or Transdermal testosterone could boost your libido, and if your erections are still not good enough, you can try tablets like Calls which should be helpful in the majority of patients. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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.the result of my chest xray says: SUSPICIOUS HAZINESS IS NOTED IN THE LEFT APEX. THE HEART IS NOT ENLARGED. GREAT VESSELS ARE NOT UNUSUAL. DIAPHRAGM AND COSTOPHRENIC SULCI ARE INTACT. NO OTHER REMARKABLE FINDINGS.IMPRESSION: DEFERRED SUGGEST APICOLORDOTIC VIEW. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Normal chest x-ray is taken in Posteroanterior (PA) view. In this view upper part of both lungs are not clearly visualized due to overlapping from 1st, 2nd ribs and clavicle. So if any lesion is present in upper part of lung, this will not be clearly seen and hence proper reporting can not be done. So to overcome this problem, apicolordotic view is ordered. In this, x-ray is taken in such a way that, spices (upper part of lung) are clearly visualized with overlapping with bony structures. So lesions of upper part of lung cam be seen clearly, and hence proper reporting can be done. So get done apicolordotic view. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Magdo. About 3 years ago I broke a tooth and the only the root stayed...no matter how much I brushed the remains of the tooth got cavities and is rotting I now have a massive infection and my cheek is swollen. I went to the E.R and they gave me an anti im flammotory drug and anti biotics the only problem is they told me to go see a dentist immediatly. Couldnt qualify for medical and I cant afford dental insurance. Is there any place I can go to get my tooth pulled? ### REPLY: Dear friend. Thanks for sharing your concern. I can very well understand our present condition but I would suggest you to visit your dentist, for tooth extraction. A broken tooth root sometime becomes very difficult to get extracted.  It requires professional skill as well as proper instrumentation.  it's nice that you have started antibiotic and analgesics, do antiseptic rinsing too to keep mouth infection free. Complete your antibiotic course and then go for extraction. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, My name is Arjun. I am moved to bangalore 8 months back. I started having cold regularly in these 8 months. Now for the the past 10 days I am having severe cold and it is not going away. I am taking tablets like cold flu and cold act. Also having benadryl. Can you plz suggest me some doctor whom I can visit for this problem. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have severe cold which could be due to upper respiratory track infection specially viral infection, and it could be sinusitis. It is due to impaired immunity of body and increased susceptibility of getting infected. Need not worry. I would suggest you to do warm saline gargles and Betadine gargles alternatively, avoid eating spicy and heavy food and consult ENT specialist for proper examination. Doctor may order throat swab test, vial culture test and blood test. Doctor may prescribe anti-viral along with anti-inflammatory Levocetrizine. Doctor may also refer you to gastroenterologist if he/she find problem to be related with acid reflux. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello!Doc my mother aged 72 was diagonised with Parkinsons in the first week of Jan 2013 and since then has been on the drug Syndopa plus.But have been observing that though her muscular movements have improved only slightly there have been adverse side effects like constant constipation ,a feeling of fullness even on having the lightest of the meals,hallucinations,dreaming with wide open eyes . Should the medication be stopped in consultation with our family physician.Your valuable guidance will be helpful in thgis regards ### REPLY: Hi, Thank you for posting your query. Syn dopa plus is a good medication for treating Parkinson's disease (PD). However, several side effects are also noted. Hallucinations, postural giddiness, nausea and decreased appetite are common. There are several options at this stage- 1. The dose of syn dopa plus may be reduced, 2. The timing of taking syn dopa plus may be changed, 3. Syn dopa plus may be stopped and replaced with other .  I would suggest you discuss these issues with your neurologist for the proper guidance. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my so is aged 16 years of age and has just noticed a lump inside his right bum cheek. It is painless and he doesn t know its there unless you apply pressure. It doesn t cause him any problems, but it moves around if you apply pressure. What could this be? He also suffers with acne. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have lump inside the bum cheek which could be hematoma formation which might get fibrosis and cyst formation due to dental infection. You should take proper course of antibiotic. Apply hot fermentation. You should take Motrin 1 tablet with food as well. It can be possible that lump will go away only with medicine without surgery. If condition persist even after completing antibiotic course then again visit dentist or oral surgeon for proper evaluation. Maintain proper oral hygiene. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, IN 2013 I went on a trip India, I visited this amusement park called Imagica....I wen on a ride called Dinosaur and while I was inside the place in the ride , there was this machine dinosaur seem to be operated by human in it , I am not sure .. but I was sitting to the side and the irons teeth hit my pelvic bone hard, it did not hurt so much then but now and end of 2013 I am experiencing pain on my left pelvic bone as where the iron moving Dino hit me .. I am worried because every extra bending and exercise it is hurting me ... and I don t want it to affect my reproductive system.. also lately before I go sleep , I would pee like 3-5 times before I actually fall asleep also when I finish drink some water or hot or cold drink I have the urge to go pee.... Can you please aasit or help me with more information on this matter please . Thank you ### REPLY: Hi, its been my pleasure to assist you regarding your issue. I feel you need to strengthen your hip muscles by performing exercises and your core muscles for your urinary incontinence. For hip strengthening exercises, you need to focus onto you gluteal region. For that lie down on your back and try lifting your thigh with knee as straight. Then followed by this you can make your thigh sideways. Hold both positions one by one for a count of 15-20 and repeat for 10-15 times based on your capacity. Then for core strengthening you need to focus on your abs muscles and get a good strength. Do vertical scissors, horizontal scissors, knee to chest and bilateral straight leg raise, do a rhythmic movement of legs and repeat for 15-20 times. I wish you a speedy recovery. 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: Good morning, I am a 53 year old female. I had a left total knee replacement 11/15/2013. I woke up with a left numb foot . Totally numb on bottom and I cannot curl toes forward. Rehab on knee great--meaning the knee has 110% extension and is painful but not more than the ordinary pain from rehab. The problem is the foot! Excruciating pain like I am walking on a frozen piece of jagged stone with a tight band-like sensation around ankle. I had an EMG on 12/27/2014. It was concluded that yes indeed I have a neuropayhy on bottom of foot. The physician that performed the EMG indicated the condition was temporary.Meanwhile,pain is not getting any better and has progressed to both legs and hands---my hands are tingly as if falling asleep--is it normal for a neuropathy in foot to spread out to other areas? And also , HOW does the EMG show condition being temporary OR permanent..I am really really frustrated going in for a TKR and coming out with a much more painful condition.. ### REPLY: Dear patient foot numbness and decreased movements after total knee replacement surgery most probably is due to injury to common prone all nerve at head of fibula. If this had happened after tar surgery it cannot spread to other limbs. BUT if you are diabetic Mellitus patient long term complication can be peripheral neuropathy. Complete EMG NCV study of left lower limb is required to confirm diagnosis. Nerve injury is of three types and EMG NCV can differentiate between them.  Type 3 injury also known as axonotmesis has poor prognosis and usually permeant. Hence EMG NCV can be used as prognostic factor. If there are 4 years post surgery with no recovery there are little chances of improvement. You need to consult plastic surgeon and ask for muscle transfer procedure to gain movements. 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 am Neichuvoto Kiso from Dimapur, Nagaland ; India and am 41 years old. I have an inflamation type/numbness on the right side of my chest just below the ribs, this sometimes led to back pain. I have visited the doctor recently and he advised for endoscopy which was done and found that there is an ulcer in my stomach (entry part) for this he has prescribed medicine (Pylokit and Rekool) for 1 and half month. Can I know what is my actual sickness and what should be the best medicine for its treatment. It has already been 5 days but still that feeling of inflamation/numbness is there. Or is it that i go for further treatment. If so which hospital/doctor will be the best as per my place or Neighbouring states. Kindly advice. ### REPLY: Thanks for your question on . I can understand your concern. Stomach ulcer can not cause right sided chest pain and numbness. By your history and description, possibility of Costco . So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: respected sir, i am a student 24 years old. i am addicted to nasturbation. it affects my character. i have wierd sexual fantasises about girls who study with me. it affects my relationships with them. i am too sensitive. low self esteem. too possesssive about my friends. not able to face stress. cant remember what i study. my email id is  YYYY@YYYY . iam on the verge of suicide. please help me ### REPLY: His understand your concern.at this age sexual fantasy is common and this suggest you have normal hormonal balance. You can have masturbation and this fantasy. Masturbation is normal physiological function of our body It is one of the method to satisfy sexual pleasure and our fantasy in absences of partner both sex and masturbation has same and has same end result to get satisfactions no need to worryMasturbation doesn't lead to any problem in your married life but constant thinking and feeling of guilt of masturbation will effects don't think much. You have to accept that this is normal then you have confidence and high self-esteem. Remove your guilt feeling and enjoy. Be confident. Stress is the result of constant thinking and guilt which can arise from fantasy. So accept this fact, and it is occurred with everyone. Throw it from your mind. 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 my name is Christina I am 27 years old I have had two c sections the first one ruptured and took a while to heal. Then when my son was 1 I was pregnant with my daughter and my incesion was still fresh from the last c section... I have lots of scar tissue! I have been going to to the gym this week and have experienced SEVERE pain and went to the doctor they are sending me to a pain specialist to put shots in it but isnt that just a bandaid solution to my problem ??? Oh my weight is 130 I am 56 ### REPLY: Hi Christina, I am sorry for the situation you are in. The pain you are experiencing at your scar site might be related to possible tear of scar tissues while exercising at gym. I advise consulting with your pain doctor first and re-evaluate the condition of your scar before going to gym again. The idea is to avoid putting pressure to the scar tissue (work overload) until it is completely healed. Take over the counter painkiller and apply analgesic cream locally if no inflammation. All the best! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir,   When ever I am getting a little tempting by seeing any  porn or a beautiful lady I was getting sperm released without any masturbating. Even some times during normal working time also I was getting sperm out. Is this any problem kindly please suggest me some medicines to cure this problem. ### REPLY: Hi, Usually, in orgasm, there's pre-cum which will be released, and it does not contain much sperm, it is the common phenomenon. Other possibilities like medications, such as antidepressants, mood stabilizers, and some hormone treatments may also cause semen leakage. Avoid watching porn, .  If symptoms not improved please consult your physician, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am archana. i am 28. i am working as an assistant professor in india. I have a relationship with a married man for more than 8 years. He is taking control of my all activities and finance but i am not even given a right to question him on any of his activities. he neither marries me nor leave me. My family is unaware of all this. Some time i feel like quitting the relationship but he dont want to break it. All this years i anyhow balanced it to survive, but its depressing me - he start to torture me i dont know what to do? ### REPLY: His understand your concern. It is adjustment issue rather than depression. Stress arises from relationship.1st to be very frank that you are deeply involve in this in spite of you know that he is married, and further legal relationship is very difficult. You have to do mutual communication and leave him as early as possible because there is no future of this relationship. It will affect your future and your life. From today, you will start discussing with him and if you require then take help of your friends. Only you have to do this.There are no medicines help to break these medicines only help to reduce your stress. This kind of stress can be treated with anxiolytic like Mizoram. So take help of common friends and family members and come out from this. Start your new life and concentrate over carrier and life. If needed then go for relationship counseling to psychiatrist. Best luck for it. Still have a query then feel free to ask. Thank you. Happy to 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: im 57years i old ive done concrete all my life the begening of auguest after work i laid down i was so tired i could not get up didnt hardley eat i lost 30 pound in 3 weaks now its december nothing much has changed . went to emergensy they told me i had type 2 diabetes they gave me metformin 1 time in the morning. my nombers are about 480 and up i dont no wat to do. ### REPLY: Welcome to . Your blood sugar is 480 mg(normal less than 126 fasting & less than 200 2 hour after food). It is very high. You have not mentioned is it fasting or after food, power of tablet Metformin. Investigations required are.1-blood for HBA1c,lipid profile, thyroid profile, Hologram, K F T, L F T.2- urinalysis & for microalbumin3-Blood Pressure & E C G .4-Eyes for funds examination. Take more salad, fruits(except sweet fruits). Avod smoking, alcohol,colas, coffee,fruit juices. Junk food. Consult endocrinologist, dietitian.follow instructions of your doctor very care fully. Thanks for 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: i had two wisdom teeth extracted yesterday, im am currently in a little pain, i just had some nausea ,without vomiting and my whole body started sweating extremely, then i had a weird feeling of being stabbed with thousands of pins, now i seem o.k , just wondering if this is normal? ### REPLY: Hello, Your symptoms could be related to a normal physiological reaction to the pain. Anyway, I would recommend you to measure your blood pressure values and body temperature. An infection cannot be excluded. If these symptoms persist, I would recommend performing a complete blood count, PCR for inflammation. In such case antibiotics may be needed. 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: 39 Years of age, 59 in height and 200 lbs and I have high blood pressure and my daily readings usually are around 140/89 Pulse 72, but now I am 4 weeks pregnant and my readings are around 117/80 pulse 68. And I am experiencing lightheadedness. Is this normal? ### REPLY: Hello, Blood pressure looks fine. For light headdress, you should get hemoglobin levels done. Have regular food.  You should have a healthy lifestyle like avoiding excessive fatty, oily food. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week as there are chances that pregnancy will increase the BP. If BP is persistently more than 140/90 MMH, then you should be on medicines for it.  Regular exercises like brisk walking at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. Get your lipid profile and sugars tested once. ### END