Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 years ago I noticed I became quite sad , my mood deteriorated quickly, i was harming myself many times a day and writing suicide notes, things got out of hand and eventually my parents found out (We didn t talk much about it). Soon after things got okay for a little while then went back down again, August this year I got a job and I couldn t of been happier. Its been a month and now I feel worse than ever, I m constantly thinking negatively. I m so wrapped up in what everyone thinks. This job is with children and they re all so great, I wouldn t want this to get in the way. I m a very private person and I can t bring myself to talk to a doctor face to face ( I have tried, it didn t go well and I ended up telling the counsellor I was refereed to that everything was fine), I just want to understand what is happening with out having to go see a doctor :/ can you help me please!! ### REPLY: Degree understand your concerns went through your description. I suggest you not to worry too much. Behavior of people change according to their circumstances and most of the people come out of that situation with the help of other circumstances. Life experiences, advices from elders and support from family members also help. To happen so, the victim should try wholeheartedly. Try and try and try. Thinking about what negatively happened in the past is foolishness. Carrying it with them even more foolishness. We need to learn positive lessons from the past event and forget the event itself. We need to pledge our self that we will come out and lead a successful life. You need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this clears some of your doubts. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has been in hospital for 16 days. She is 83 and was taken in because her calcium levels were very high. She has an enlarged spleen . All cancer investigations have been negative but she is still on a drip to reduce her calcium levels. They are now talking about removing her spleen. What could the diagnosis be? ### REPLY: Thanks for the query. I think that you misunderstood something. Usually spleen disorder is not related to calcium levels and only rarely the spleen can because of high ca. More commonly spleen is removed to hematologic or malignant diseases, so they probably assume that there are some of these diseases. Spleen removal is not having some effect on calcium levels. She probably has enlarged spleen or hemolytic anemia so consult your doctors again about indications for surgeryWish you good health. Feel free to ask. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor I would like to know about my son. He is not eating properly only breast feeding. Also he is not walking himself now he is 14 months. Can i give him mutton soups etc., what are the major food i can give to him. Looking forward for your valuable reply. ### REPLY: Thank you for posting your question. The diet of a 14-month-old child should comprise everything that is included in a basic family meal, in short the baby should ideally eat whatever other family members are eating, as long as it's all homemade. He may be given all vegetables, fruits. You may boil and mash the vegetables and then add some salt to make it palatable. You may add rice, pulses. Furthermore, you may slowly introduce strong proteins like egg white or chicken/meat. The consistency should initially be kept curd like and gradually thickened. Alone breastfeeding would not be sufficient for the growing needs of your child at this age thus complementing it with other foods is very necessary at this point. You need to use the method of trial and error to know and understand what kind of foods suit your baby. Any more delay in establishing proper complementary diet would have adverse consequences on his nutritional status. If you need any more information, do write back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dentist just told me that I probably have pemphigus vulgaris.  He said he cannot find out for sure until I have another flare up of oral blisters and he does a biopsy.  He told me to do some research on it in the meantime.  Well, the research I did makes me want to jump off a window.  I am not sure how to deal with just waiting and not knowing. ### REPLY: Hi, Thanks for asking the query, I understand your concern, Memphis vulgarism is autoimmune intraepithelial disease which consists of blister formation on various parts of the skin and mucous membrane. Diagnosis of the condition is done upon laboratory diagnosis and immunofluorescence studies. I would suggest you to wait till the biopsy results come. Management of the disease is through corticosteroids or immunosuppressive . Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend and I had sexual intercourse and he ejaculated and got semen on his fingers. He wiped the semen off and it was dry and then fingered me. He also got a bit of semen near the top of my underwear near my bellybutton. I m just really concerned to be pregnant and if there is any possibility that I would be. I read that if I took 4 Minastrin 24 Fe pills and 4 more 12 hours later that could work as an emergency contraception. I already took the first 4. I just need a professional s opinion. ### REPLY: Hi, Thanks for the query. I have read & understood your concern.  Yes, there are rare chances of pregnancy with .  This is because of pre-cum that comes before ejaculation. The pre-cum is reported to have sufficient sperms to cause pregnancy.  High dose of combined contraceptive can act as an emergency contraceptive. You had already taken one dose, repeat it once more than planned.  Mostly it will prevent pregnancy & u will get periods within 3 days of last dose (with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes I have pain in my right leg, when I stand on it especially from sitting or laying down, it has a tingling feeling like it is trying to wake up. Also I feel some but very faint pain in my little toe and now the one beside it. They still have feeling but its different from the others. Thanks ### REPLY: Hi you can use moist heat use wet wash cloth and make sure it should not be too hot so that you can burn yourself and use diclofenac gel and cover the part after this perform this in morning and night before sleeping this will help you to reduce pain, and you can use carp band this will also help to reduce pain and do stretch this will also relieve pain you can take physiotherapy this will also reduce pain, and they will also tell you strengthening exercises .wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir my mother is schizophrenic patient but she is not accepting that, she had schizophrenic episode in 2012 that time we admitted her and she took medicines for next 2 years. But within these 2 year she dosent have medicines..and now she is repeating all those things that was in 2012. She abused every one even me my sister and also my papa. Some times She beat papa n says that I will kill you...she even try to strangled me. All psychiatrist saying that she should be admitted to hospital but she is not accepting any thing....what should we do..because of this we all are depressed. Sir I need help from you..please suggest me what we have to do... ### REPLY: Hi, I am afraid that the only possibility you have is to have her hospitalized against her will. Since she is being abusive and potentially dangerous to you and herself you have the right to request that, laws vary somewhat between states, but if patient represents a threat to herself or others it is invariably possible to have them admitted against the will. It would be for her own good, in order to initiate the medication, afterward, she should be easier to manage. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had flu about a week ago and since then have had a cough. It is starting to go and is not on my chest, mostly seems like I still have a lot of catarrh in my system. I am pretty much back to normal apart from cough. Would it be ok for me to go swimming as I feel like some exercise might help get things moving. ### REPLY: Hi, the question and the history are different. Still I will go along with your history. You mentioned you had flu and having cough. You should do deep breathing exercises and perform costal breathing exercises to make lungs stronger. I know its boring thing to do, but it does miracles as well. If you want to go for swimming you can go if you have a facility of warm pool. Avoid cold water for time being in the pool as it may give a chance to go closer to cold again. After a week or so you may go for swimming but for time being if you avoid it will be good. With the grace of God I wish you a speedy recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 32 y/o grandson has been dx. With sarcoidosis after suffering for some months with high fever, much pain, to the point of requiring a walker, shortness of breath. Finally figured it out and he is starting prednisone today. I m concerned about prognosis. ### REPLY: 1St of all acidosis diagnosis is based on what, that is important...whether it is only made from CT or biopsy also has been taken...if biopsied, then it is confirmatory.if it is acidosis, then prognosis depends on stage of the disease which is based on X-ray chest...if stage 4- then already disease has been progressed much, then there would not be much recovery...but in early stages prognosis is good with steroids & if not responding, then with other .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiMy brother is 28 years old living in patna. A week ago he told me about follwing symptoms:1. He thinks everyone is watching him2. Even if two strangers are tlking, he thinks they are tlking about him only and criticizing him3. He is vey sensitive to any scolding or harsh talks4. When ever he talks to someone apart from family members, he becomes very stressed. it is evident from his face.5. He has not much control on his mind. Some days he will be fine. other days he will be totally stressed out. cant study, cant do nay thing. I want to know what are these sysmptoms for. Is it lack of confidence, self esteem. And what are the cure for these things ### REPLY: Hi, Thanks for writing to . Here, you haven't mentioned the exact duration of symptoms. What you have described suggest that he has delusion of reference and may be delusion of persecution. These symptoms can be present in various kind of disorders per se, schizophrenia, schizoaffective disorder, schizophreniform disorder, major depressive disorder with psychotic features, bipolar mood disorder etc. So you should take him to psychiatrist as early as possible for treatment. He can be given antipsychotics for his symptoms, but long term treatment plan needs detailed history. Hope I have answered your query, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: YES LAST NIGHT I GOT A SHARP PAIN ON MY RIGHT SIDE AND THEN MY SIDE STARTED FEELING WARM IN THE INSIDE AND THEN PAIN WENT TO MY BACK AND MY THROAT STARTED FEELING LIKE IT WAS CLOSING AND ALSO THE MIDDLE OF MY STOMACH STARTED BURING AND MY BREAST AS WHILE WERE BROTHING ME ### REPLY: Hi thank you for trusting ChatDoctorI read your query and understand you concerning my opinion you should be checked further to determine if your symptoms are related to any viral infection, muscular or any stomach disorder (such as reflux)Anyway the way you described symptoms and don't think you have reason to be worried too much Further examination are needed Contact you doctor and simple test (auscultation, X-ray and blood laboratory test) can confirm the diagnosis Wish you good health and fast recoveryPlease feel free to ask for further information or outstay healthyRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just found out from an ultrasound that I have Complex cyst in left Ovary and I been to my family doctor twice and thy consulted for another ultrasound which will determine the treatments i will get but i have looked online and some people s suggestions were to get a gynecologist check and then they would consult for a treatment as soon as possible. ### REPLY: Hi, thanks for writing to . Well, If I were your family physician for this case of a complex ovarian cyst I would just advise you to go for a anesthetic check up as surgery is the only treatment for this and only a gynecologist / oncosurgeon can perform this. Therefore, you must consult any of the doctors I mentioned for best cure! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi am 27 years old. I have few health issues lately. This started last year after I miscarried in March,2009. Firstly, I continued releasing blood clots every month (March-June,2010) so I decided to see the Doc for the second time and was given oral medicine. Was sick again in late Aug, went to the hospital and was treat to Malaria. Didn t feel any better after two weeks so I went for further check up then was treated for Pelvic infection. Completed all my doze but am still worried about some of the symptoms that I ve noted have continued from Nov 2010 till Jan 2011. The symptoms are as follows: -severe headaches during period -During my period, I see alot of changes with the blood; cloths, slimmy red, sometimes brown or black in color -Swelling/bloated stomach -Fatigue -Constipation And just recently (throughout this month) I ve being having frequent dull lower stomach aches and occassional sharp uppper back pains. I have an appointment to see a Doc next week however in the mean time I hope any of you Doc s online could provide some advise immediately. ### REPLY: Hi, I understand your concern. Headaches are generally not caused due to pelvic infection. Based on your description, it appears that you could be experiencing headache due to hormonal variations, which might be affecting fluid distribution in the body. Such type of headache can be relieved by means of taking analgesic medications. Also, practicing meditation would help to improve blood supply to the brain and keep your mind stress-free and healthy. Kindly follow the instructions what your doctor advises and do the necessary follow-up. Hope the information provided would be helpful.  Let me know if I can assist 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 had an infusion of ferrlicet this afternoon around 2 pm est and I am diabetic should my blood sugar rise up after the infusion and it was 145 before they started it this AM. They gave me benedril for side effect problems and it is now 6.30 pm est and my blood sugar went up to 270. Is this normal? I cant reach my doctor ### REPLY: Hello, After going through your concern, I could tell you the chances of your increase sugar due to the infusion is very less than the infusion contain sucrose while in diabetes our body is not able to metabolized glucose rather than the sucrose, so it would not have cause increase in your blood sugar level. As far as your sugar level is concerned then definitely its more any eight-hour fasting sugar above 100 mg/DL is abnormal and any two-hour postprandial sugar above 140 mg/DL is abnormal. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a 4.5 cm ovarian cyst , i was married in nov 14th , but still i have not concieving , can i because of cyst , i had irregular periods , so dr. put me on birth control pills for 3 months and then on progyluton for 4 months , suggest me what should i do now , i want to be a mom ### REPLY: Hi I think you should go for an ultrasound again to see for the cyst and also the number of follicles in each ovary. Do the scan on second or third day of your periods.  If cyst has resolved and follicles number is more than 7 to 8, then you can try naturally for 6 months. Moreover, you can also track your follicles' growth by repeated ultrasound.  If ovulation is occurring then don't worry.  If not, then you may need some medicines like camphene for ovulation induction.  Ask your doctor regarding this.  Hope I have answered your question.  If you have any other query I will be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son getting severe gas prolblem-chest pain,his age 24.took treatment from dr.dubey and mmi but nothing is reporeted adversly.but he is badly suffering from gas-chest pai.drs.including dr.pargania/dr bagrecha,homeo said anxiety.plz advise for proper treatment with specialised dr.thanks ### REPLY: Hello, Most probably a gastritis and reflux disease. He should visit gastroenterologists for the same.  He should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Elevate head end or use pillows during sleep or rest.  He should get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week.  Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, My daughter suffers from daily headaches. They started at age about three years back. she is now 11 years old. what could be the cause. Most importantly, she has photosensitivity during these headaches. There have been no problems in her vision. Please suggest how would I go further. ### REPLY: Hello, Daily headaches are very disruptive! I'm sorry to hear this. Since she has been having headaches for 3 years, it is not likely to be because of a tumor because this would have gotten worse. The fact that she has photo-sensitivity would lead to the diagnosis of migraine. She should see a neurologist to try a daily preventive medication. There are several to choose from and try. 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: 36 year old female, 131 lbs., 5 5 expiereincing chest pressure, shortness of breath, lost nearly 15 lbs in past 8 weeks without trying, fatigued, pain in neck, shoulder, and back. all test have come back normal except an ANA test. been to the er twice and frustrated with how i m being treated! just need an answer ### REPLY: Hello thanks for posting at . Your symptoms like shortness of breath, loss of weight, chest pressure, fatigue can be symptoms of anemia. But since you have worked up, I guess hemoglobin levels would have been checked and found normal. Another possibility is chest infection. You have mentioned that tests are normal, but not which tests have been done. I want to know whether a chest x-ray and a CT of the chest has been done. If not please get a CT chest done. It will show if you have some infection patches in the lungs. If infection patches are present, samples from those areas can be taken by bronchoscopy for testing. Possibility of tuberculosis should also be considered here. Since your ANA is positive then the symptoms can be due to autoimmune disease also. But again it depends on the intensity of ANA, its final dilution and its pattern. Please share information about the full ANA report. ANA positivity can affect lungs, kidneys and other organs also. Please do a urine routine and creatinine (if not already done) to see if kidney functions are affected. Please revert with the above findings. Wishing you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes i am a healthy 30 year old woman ,yesterday i had this strange thing happen,i was driving down the road and  a sudden pressure came on my chest and my vision blurred out....i slammed on brakes and no sooner then i came to a stop every thing was normal again. ### REPLY: Thanks for your question on . I can understand your concern. Sudden chest pressure and blurred vision is indicative of some heart disease like high blood pressure, reduced cardiac pumping etc. So better to first rule out these cardiac diseases. So get done blood pressure monitoring, ECG, 2d echo. If all are normal than no need to worry about major heart related causes. Sometimes stress and anxiety can cause similar symptoms. So avoid stress and tension, if you have stressful life. Don't worry, you will be alright, but first rule out heart diseases. 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: Sir; my seminal analysis is as following: Liqueficatior complete:2 hours, volume: 8ml, PH:1.5, viscosity: viscous, colour: normal, sperm count: 70.4million/ml, total count: 105.6million, Pus cells and RBC: 0-1, bacteria: 0, Spermatocy e:0-1/HPF, Fructose:278, Morphology: Normal-35% Pathological: 65%, Motility: (after 30 min, 3Hrs and 6Hrs respectively): Motile-30%,25%,20% Sluggish-20%,20%,25% Immotile-50%,55%,50%. Activity after 3 Hrs: very active-15% moderate active-35% slow active-50%please sir is my analysis bad? can i be father or not??? ### REPLY: Hellothank you for trusting ChatDoctordear nothing to worry your semen analysis is normal. Below some values of semen analysisVolume: 2.0 ml or moreover Concentration: Over40 million totalSperm Concentration: Over 20 million/morphology: 30% or more normally formedVitality: 75% or more alive PH : 7.2-8.0White blood cells: Less than 1,000,000/mlImmunobead test (sperm with beads): Under 20MAR test (sperm with RBC's) Coagulate, Liquify, and Agglutinate: Motility: 50% or more with forward progression; more than 20 motile sperm/color: Gray/Translucent No Clumping, Sperm-to-Sperm, and Sperm-to-Round Cell. I think I answered to your question if you have more questions feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing some sporadic pain on the left side between the armpit and the breast but I feel it is inside (heart area), for 2 days now. I am on hypertension medication and my blood pressure was 124/81 yesterday morning. Apart from the usual high workload I am not under any other particular stress. I have experienced anxiety episodes (due to the high blood pressure) before but never pain like this. I do regular exercise (aerobic). I have also been taking some Gingko Green Tea capsules to assist in weight loss. Please advice on possible causes of this pain. ### REPLY: Hello, Even if you have single symptom and is suggestive of cardiac elements, then it needs to be ruled out for the cardiac disease like coronary insufficiency. I could say that it is not the cardiac symptoms, but it cannot be taken as granted or underestimated as you are hypertensive patient and have history of anxiety, so this could possibly cause the cardiac disease. I advise you to get done the EKG and stress test, just to clear the doubt of cardiac disease. 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: Hello, I have to be many doctors for this. I have pain below my right rib cage but it is not my gallbladder, also I have a stabbing and tingling feeling on both sides of my ribs, its always in different places and it stops when I push on my skin. Any ideas? ### REPLY: Thanks for your question on . I can understand your concern. Possibility of musculoskeletal pain is more in your case. Your symptoms are improving with pressure, so muscular pain is more likely. But better to get done ECG and Chest x-ray to rule out heart and lung related causes. If both the reports are normal then musculoskeletal cause is more likely. So take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright. But first rule out heart and lung related causes. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was resting for a stress fracture on my foot. I walked today after my foot being wrapped for 12 days. I feel pain in bottom of foot (ball) Did not ask dr. enough questions. He took x-ray. Can bottom (ball) be stress fracture? In the beginning foot was swollen. ### REPLY: Hello, If there is fracture in the foot then you need to walk with a weight-bearing cast. Just wrapping in compression bandage will not go to be useful. So meet with your doctor and asked about it. If there is any fracture then you should also take regular calcium and vitamin D3 to make your healing faster. I hope this answer will be useful for you. Let me know if there is any other follow-up questions. 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 severe pain in my left front groin radiating down my thigh to my knee. i did not have accident or any thing that could have caused it, i have to take 24,000 milligrams of naprox sodium to even be able to work, even at that amt the pain it still very bad? ### REPLY: Hi, thank you for providing the brief history of you. As per your symptoms it appears more of a lumbar disc degenerative disease. Due to which the disc is compressing the nerve roots and leading to radiating symptoms of pain and such. I will Advise to undergo a thorough clinical examination and MRI of the lumbar spine to understand the signs, symptoms and extent of nerve root compression. Treatment Physical therapy like therapeutic ultrasound therapy, TENS therapy and exercises has been help full to get maximum recovery in patients with similar symptoms in my clinical practice. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I do not know how and wat to do i strugel n lot with my helf have high blood presher and asma i do work for my sef is i do not work i do not get munny in ...i do i am singel and is 35 jears old 67 weeks ago i dit get this swoulin limph in my neck and after medicacion it is stil there i dit whent for blud test my lymfocyte blood count is 14 - 15 and some ather counts olso is not writ. what must i do what must my lymfocyte count be . thy dit remove cancer with my apendiks operation 9 jears back plees help ### REPLY: You need to get complete blood picture. If it is normal, biopsy from the node would give definite answer. Sometimes if the counts are abnormal, bone marrow would be required. But before all this good clinical examination is necessary. Simple viral infections and many non-cancerous conditions can also cause lymph nodal enlargements. Treatment of underlying condition will bring down the lymph nodes to normal ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 24 yr old Female nursing student, working in hospital 24 hr/wk ,  full time college student in nursing field.symptoms:-- intense abdominal cramping type pain intestinal area below navel, feeling of blood pressure drop, nausea, narrowing tunnel type vision, black out one minute or less.Head is tingly inside like little pins in brain.current ongoing problem:-- enlarged tonsils since early December, diagnosed as "mono" at clinic in January and again in March.2005 -- ATV accident head injury.  Had CAT scan at time.  right orbital eye socket repair at that time. ### REPLY: Hi! Good evening. I am  answering your query. If I were your doctor, I would advise you not to eat from outside specially spicy, fried and fast food, as intestinal infections could creep in from these, or the intestinal mucosa might become sensitized to any of the components of fast food causing your such symptoms as described by you. The enlarged tonsils might not be responsible for such symptoms, and the treatment of the tonsils could be had from an ENT specialist in your hospital. Also, the orbital socket repair might already have healed by now all these years. However, if I were your doctor, I would advise you for an ultrasound/CT scan of the abdomen, to rule out any late occurrence of any abdominal vascular injury effect now. Also, a routine stool test for ova and cyst and a urine routine/microscopic/culture and sensitivity test would be advisable. Further management would depend on the physical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have always suffered with panic artacks from the age of 14 i am now 21 but the past couple of nonths they have been teally bad i can breath just heart goes really fast feel sick and feel like i am floating and need to go asleep i have had the ambulance out a couple if times and calmed down but to feel like this everyday i dont think they are panic attacks it is taking over my lufe i have 2 children aswell i am worried there is something wrong when i feel luke this it feels like i am going to die its the worst feeling ever people just say get on with it but its scary tbe feeling can you tell me if there is something wrong i have hqd my bliid pressure done she said its perfect heqrt rate was 111 but that was with me panicing ### REPLY: Dear Sarah, from the description given by you, I think you are likely to be suffering from generalized anxiety and panic attacks. But before reaching a definite diagnosis, other medical conditions mimicking panic attacks(like hyperthyroidism, hypoglycemia, some cardiac problems and rare conditions like pheochromocytoma-a benign tumor of the . This can be easily done by a psychiatrist or a general physician with a medical examination and necessary investigations.  After doing this, you have to undergo evaluation by a psychiatrist for ascertaining the diagnosis and finding out other coexisting psychological problems. Most anxiety disorders are easily treated by medications, a form of non  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, I am 31 and have son 4.5 Yrs old.. I take ovral g to get my periods and conceived from IUI...I am still taking Ovralg. I want to have another baby...so again i have to go thru the same process or i can conceive naturally. plz advice. Email- YYYY@YYYY ### REPLY: Hi, I think you have to get yourself evaluated first.  Stop your oral g. Get your thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries done.  Also do a day 2 FSH, LH and AMH level. If everything is fine, you can try naturally also. If your follicles are less and AMH is low, you have to go for GUI or IVF. Hope I have answered your question.  If you have any other query I will be happy to help. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I am 15 years old. I have 2 molar teeth that are black. (The inside is black) I was wondering is this a bad sign? Will I lose the teeth if not examined by a Dentist? I am nervous because my diet is usually coke and pizza. If this is a bad sign then what way s can I help prevent it? Like which tooth paste shall I use or tooth brush... Thanks. Christopher. ### REPLY: Hi Christopher, as you said your diet is usually coke and pizza, and you have your molar teeth black, it may be due to caries. So I will suggest you please go to a dentist in your area and get the complete examination done. Because it canes destroy your tooth structure if not treated, and you will lose your teeth and may have pain etc., so please go to a dentist as soon as possible and follow all the given instructions. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My right shoulder on down the front and back and down the arm has been hurting for weeks. I ve started to stretch it out because it feels tight and that s helped, but now my arm pit feels full and tender - I m not sure if it s a muscle or something else. I had a hysterectomy 4 years ago and now I ve started menopause with severe hot flashes at times. ### REPLY: Hi, Thanks for your query. Although it isn't possible to diagnose your condition without an examination and a few tests, your history is suggestive of Adhesive capsulitis(Frozen shoulder) or Calcific tendonitis. These conditions are easily managed by regular physiotherapy (Range of motion exercises, stretching and strengthening exercises). Over-the-counter pain relievers, such as aspirin and ibuprofen (Advil, Motrin), can help reduce pain and inflammation associated with this condition. I would suggest getting this evaluated by an orthopedic nearby for an accurate diagnosis and appropriate management. Your doctor after diagnosing the condition might refer to you a physical therapist. A physical therapist can teach you stretching exercises to help maintain as much mobility in your shoulder as possible do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had sex with my new uncut boyfriend and he had a sore on his foreskin, after 1-2 weeks whiles the sore was still present, we had another unprotected sex and that gave him a serious illness, he was vomiting and could not take any solid food for about 1 week and got this spot on his palms and underfeet. He went for a check and got VDRL test done and was told he had STD. I had not disease, so we concluded our antibodies did not match, probably, I had some bacterials that does not harm me but does harm him. So we quit the relationship and I love him so much. Is it possible that our anti bodies does not match or the sore on his fore skin got infected and led to STD. Plus am pregnant now, and if it possible that it is our antibodies that is not matching, will this have any effect on the baby? Please help me before I lost him completely. He does not want to meet or see me because he felt if he should treat this STD and we had sex afterward, the STD will re-occur. Please educate me on this. It an emmergency ### REPLY: Hello I share your concern, I will try to help you out in the best possible way. Looking at your description this could be STI or infection or inflammation may be due to trauma during rough sex or allergic reaction. I would like further information to help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the jumpstart from this blood sugar fasting and post radial and Blood for CBC and liver function test are also advisable. Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply antiseptic or antibacterial ointment like mupirocin ointment externally on bumps. Use condom during sex Hope this answers your question please feel free to ask for more clarificationThanks and regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 11 yr. old daughter had a mild headache this morning that developed into severe pain by noon. She complained of her vision went blurry, feeling dizzy, and nauseous. She complained that even the talking of kids at school were too loud and hurt her head. She continues to feel tired with now a mild headache. This has happened to her in the past, but her doctor did not seem to think anything of it. No tests have been run. How concerned should I be? ### REPLY: Hi.... I understand your concern by what you cope I feel that your kid might be having two possibilities.1. Migraine headache2. Intracranial tumor or neoplasm Right now no investigations are required. I suggest that you get her blood pressure checked once and if this is normal no need to do any imaging or scanning. This seems to be a migraine problem only. Whenever there are symptoms like this use of painkillers should be ok. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have gotten 7 teeth removed 4 of them were my wisdom teeth which had to be cut out. On September the 9th. They put me on steroids and antibiotics. I went in for my one week appointment I complained of pain and diarrhea, I was told it was from the antibiotics. I still have diarrhea,headaches,nausea,upset stomach,and pain. ### REPLY: Hi, Thanks for asking the query, I would like to tell you that pain, swelling, nausea, dizziness, fever are common side effects after wisdom tooth extraction you don't worry about the symptoms as they will subside after sometimes. Abdominal discomfort is due to antibiotics and analgesics prescribed to you, visit to the concerned Dentist and get the prescription changed, also take an antacid along with the medications. Also take lukewarm saline and antiseptic mouthwash rinses for early recovery. Hope you find this as 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: Hi, may I answer your health queries right now ? Please type your query here...My 8 year old son is c/o nausea w/vomitting, dizziness while laying down and has run a temp around 102 for a couple of days. He is not eating much but is taking in fluids. He has no underlying health issues. He does not c/o neck pain or stiffness. We are treating temp with ibuprofen and acetomenophin. Any idea what may be causing this and does it sound emergent? ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son 9 years old had a fever for the last 1 month with joint pain his esr test is 90 . We did all the tests from bone marrow ......all are negative. Now the fever gone no pain in joint but still the esr 90.  Is it about time to be lowered. Or we need to give him medicine. ### REPLY: Hi, ESR is elevated in inflammatory conditions. Was your son suffering from any rheumatic fever. The ESR will come down, now that the inflammation is controlled. Was any antibody workup done. If more details are provided, I would be able to help you more. You need not give any medicine to reduce ESR. Once the cause is identified and treated, it reduces on its own. Take care. Hope this helps. Any further queries, do not hesitate to ask 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: I am 29 years guy with 85 Kg weight & 180 cms height.  I had a sound health.  But since a month or so I am feel really drained out.  Feel very weak and sleepy after a few hours of work.  I am also suffering in sex life with very short erection periods & very difficult in ejaculation.  I really feel fatigued and stressed out.   I have a healthy life & healthy vegetarian diet.  Kindly suggest any medicine/tests. ### REPLY: Hi, I have gone through your question and understand your concerns about fatigue and sexual dysfunction. Stress does affect the sexual activity. It is good to listen healthy lifestyle and diet from your side. When patients with similar symptoms approach me, I suggest them Tab Mirtazapine with Clonazepam. I also suggest tablet KU TUB 30 before sex. These are prescription medicines to be taken under medical supervision and may be harmful otherwise. Go for treatment with a psychiatrist nearby you. Wish you good health. You will surely improve. 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: 5 days ago a tiny lump appeared on my leg. I assumed it was just a prainful little pimple so I popped it and went about my day. The next day I woke up to a red, raised, and irritated lump about as big as my palm. The following day, I woke up to the same thing except the redness was about the size of my hand and I could barely walk. I went to the doctor on the third day and he couldnt figure out what it was. He wasnt even able to drain it because the center was so hard. I went home and took my antibiotic, rested it, put heat on it, and elevated it and it felt great. Now Im on my third day with the antibiotic and the swelling under the skin is spreading and theres now a bruise in the middle of the swelling. It also popped open and had very little puss come out. ### REPLY: Hi ! Good morning. I am  answering your query. From your history it seems that you have got a boil with surrounding cellulitis over the area. If I were your doctor, I would advise you first for a blood sugar estimation to rule out any chances of Diabetes mellitus and treat it if positive to control the infection. If the swelling is increasing inspire of the antibiotic, and little amount of pus has shown itself up, there could be a deep-seated abscess which would need .  Therefore, I would refer you to the ER of the nearest hospital or to a general surgeon, who would do what is necessary possibly under some kind of anesthesia. This would relieve your problem and the antibiotic would be able to act better on it after  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: every now and then when i wipe my but i get blood.scary very scary. ive had pains since i was 16 in the same spots in my stomach im now 26 when i look at my anal region it seems to match the pictures i look at called anal fissuresam i guna die?I really wont go to doctor Like for sure i wont! I passed blood in my direah a year ago went to hospitol they made me wait i had no paitence so i left bottom line is it goes away and comes back from time to time im poor i eat shity food what will get rid of it i think im dying ### REPLY: Hi ! You have not mentioned your bowel habits. Are you constipated ? In that case you might have developed a chronic fissure in ANO which might give rise to symptoms described by you. These conditions are not serious and can be cured with change in dietary habits like more of roughage and liquids orally. However, you should get yourself fully investigated to exclude any other working conditions for your symptoms. You should visit a gastroenterologist also for a possible endoscopy evaluation of your colon. 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 was just release from the hospital for chest pain on my right side. It s a burning. stabbing type of pain that went down my right arm. I went to ER they keep me overnight run all types of heart test whicChatDoctore back negative. Then they sent me home but I still dull right chest pain. What could be wrong? ### REPLY: Thanks for your question on . I can understand your concern.First no need to worry about heart or lung related chest pain because you're all reports are normal. Sometimes musculoskeletal pain can be the cause. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. Apply warm water pad on affected areas. Take painkiller and muscle relaxant .  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: Dear Dr. My husband had renal transplant 13 years ago. Albumine trace is seen 2 years back so could you let me know why it is seen and what could be the measures to prevent it? We have in consultation with the Dr. This the Dr. told us only 2 months back and had given medicine but still the trace is seen. We use allopathy Dr. Thank you ### REPLY: HiT hanks for the query. Congratulations to your husband on completing 13 years post transplant. Presence of albumin in urine indicates early damage to the kidneys. It becomes more common as the transplant gets older than is your husbands case. If the creatinine is stable, at this point we can give some medications to try and reduce the albumin, but it may not disappear completely. Control of BP and diabetes will also help. Follow up with your nephrologist regularly. Hope this helps Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had hemorrhagic dengue fever in November. Some symptoms included swollen hands and feet, itching as well. Although I feel in fine health now, I continue to have tingling in my fingers, and my hands swell in hotter weather. I have also noticed a loss of balance in recent months in yoga classes I take. Is this anything to be concerned about? I am a 63 year old retired active female, eat healthy foods, don t drink (much), don t smoke, and have a positive outlook on life. ### REPLY: With such presentations in my clinic, I would first rule out serious conditions if related to brain by doing CT plain, because there is a chance of clots damaging that particular nerves causing loss of balance or tingling and numbness of particular sites you are having. Once I am sure this is not life-threatening I would think of just post dengue phase where all the patients will be having just due to nerve weakness, will give plenty of HY .  If it is not relieved I would refer to a euro physician for further management. Please let me know if you have further questions before meeting your primary care Doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, yesterday I noticed that over the bridge of my nose it was moving even into my right cheek I saw a doctor this afternoon who asked me to keep an eye on it and if it didnt settle to come back in a few days and I would be sent for blood tests, can anyone help? ### REPLY: Hi. Thanks for your query. The lump you have described can be a collection of fluid under the skin, a condition called angio-neurotic edema. The treatment is antihistamines and steroids. You may get such swellings at other parts of the body; why do they appear is not known. Those appearing in the mouth, tongue can be dangerous; can cause problem with respiration, and you may need an urgent injection of a .  Ideally once the diagnosis of the angioneurotic edema is confirmed you should carry a note and an emergency small kit containing injection of antihistamine, steroid and a ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have recently had my two lower wisdom teeth surgically extracted (four days ago), the pain from the wounds seems to have gone but i am now experiencing pretty severe pain in my jaw on the right side - i still cannot open my mouth more than a fraction and i have pain in my ear and down my neck. is this normal? should i be concerned yet? what worries me is going back to the dentist and them wrenching my jaw open to have a look, i just couldnt face it right now! ### REPLY: Hello, Thanks for consulting , Read your query, as you have severe pain in jaw after wisdom tooth removal this pain can be due to traumatic extraction or due to painful temporomandibular disorder or dislocation of TMJ joint. Don't be worried so much I will suggest you to consult your dentist and go for examination of temporomandibular joint and extraction socket, in meantime do warm saline rinses gently, avoid opening excessive mouth opening, take soft diet, for pain you can take medicine like flexion MR or MySpace forte, follow post-operative instructions. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have this nagging pain in my back on the left side near my shoulder blade. The pain is not there all the time, it comes and goes. It feels like someone is poking me in the back. I can take my thumb on my left hand and put it on the spot where the pain is. This has been happening for about a month now. ### REPLY: Hello, I have studied your case. It can be due to muscle spasm of the shoulder girdle muscles. Sometimes it can also be due to Trapeziums. So I would recommend you to follow these instructions.1. Hot water fomentation.2. Volini gel local application.3. Avoid weight lifting from that shoulder.4.Sometimes you might need steroid injection in the tender spot.  I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 been told I have low potassium and have been given pills for it... I passed out for a few seconds and hit my head and it required stitches.... I have vertigo a few months ago and am not sure if it was a "drop attack" or just the low potassium.... could they be related??? can diet changes help?? ### REPLY: Low potassium levels can cause severe and bad ventricular tachycardia like ectopy, pulseless VT, ventricular fibrillation. This can cause decrease blood supply to the heart and even to the brain. If left untreated can cause sudden cardiac death too. Vertigo may be because of ventricular arrhythmia. You seek cardiologist opinion and correct hypokalemia with diet rich in potassium. Citrous fruits, coconut water all contains good potassium. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 received a yellow fever shot 11 days ago and have had sever back pain ever since. Went to a doc. 4 days ago and she prescribed 600mg. Ibuprofen every 8 hrs. also 350 mg of carisoprodol every 8 hrs. I can hardly endure the pain in between each dose. I am using a heat pad almost 24/7 witChatDoctorplete bed rest. Used ice pack for the 1st 3 days for the swelling that I had on chest and back please tell me what else I can do to get away from this pain. Doc did ekg and checked lungs which botChatDoctore out clear so believe it is some kin d of musle or nerve pain. Anything else I can do? What am I doing wrong that the pain stays so intense? ### REPLY: Hi become to ChatDoctorI have gone through your query regarding severe back pain after taking yellow fever vaccination. I can understand your concern. Dear, the symptoms you have described may be side effects of the yellow fever vaccination. Up to one in every three people experience mild side effects after having the yellow fever vaccine, such as: a headache , a mild fever muscle pain, joint pain, body aches; or pain, tenderness, swelling, or a lump soreness at the injection site. Reactions at the injection site usually occur one to five days after being vaccinated. The other side effects may last for up to two weeks. Heat pad I suggest you to carry on regime till two weeks. After that side effects may go by itself. Over medication can make things bad to worse. Your pain also can be due to imbalance of (Vāyu ATV gas, a side effect of vaccine in your body, which is responsible for your pains and inflammation. Proper regular physical activity, walk, meditation, grandam - deep breathing, Yoga - back bending exercises to relieve your back pain, to boost your blood circulation and detox your system under guidance of trained guide and balanced diet, including, all essential nutrients as fiber, vitamins, minrals and antioxidants Ginger, Garlic, AMLA, Aloe vera, nuts, Turmeric powder a spoon in a cup of hot milk at bedtime, Coconut water, all in natural form and intake of a lot of flood, help, eradicate Vāyu ATV (gas) alley pains and inflammation and give resistance from diseases. It is advisable to consult your doctor before following any regime Hope this helps solves your query. Take care, All the best.Don't hesitate to get back if you have any further query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have hydrosalphinx in my right tube after losing a baby at 21and half weeks due to incompentent cervix!! The doctor has put me on antibiotics have been on them for a week now and still getting pain on my right side!! My hormones are all over the place and cannot take this any more can you tell me if the antibiotics should help or am I wasting my time and should just ask to have a laproscopy done thanks lisa ### REPLY: Hi, Well, often people are hospitalized and given IV antibiotics. Mostly the tube isn't going to be salvageable, and the tube is going to have to be surgically removed. BUT, I'm not there and do not know the physical and labs. An ultrasound would show a significant pile of infection most of the time if it were there and that would mean surgery was required. CT with contrast is another way to look or of course laparoscopy which could also do surgery to fix things at the same time. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister has ovarian cancer which has spread to her liver. She is in the care of a nursing home. what do you suggest to recommend to her dietian for foods to eat. I have read that sugar is the main fuel source for cancer. she is a fan of spaghetti, pancakes, etc... ### REPLY: Hello and thank you for submitting your question. I am sorry to hear about the health of your sister. It is true that sugar/glucose is the main source of fuel for cells, malignant or benign. Unfortunately, in the case of malignancies, the cells' growth is more influenced by other factors (mutations in growth genes, response to chemical signals). In your sisters case, she would very likely benefit the most from a consultation with a medical professional (nutritionist or physician) who can assess & balance her needs for carboy .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, this is Rachi mother of 10 month old baby girl. She is suffering from redness in her left eye since a week. We consulted her child specialist he adviced to give Ceplox eye drop to her every hour each within a day. still she is not ok. Can you please give your valuable opinion? ### REPLY: Hi, welcome to this forum. Can understand your concern.- Redness in eye in a 10-month-old child is most probably due to conjunctivitis. Conjunctivitis can be viral, bacterial, allergic in type.- In viral conjunctivitis, there is bilateral conjunctival injection and there is clear discharge from the eyes. There can be symptoms of fever and cold.- In bacterial conjunctivitis there is purulent discharge from the eye, it can be unilateral or bilateral and fever can be present.- In case of allergic conjunctivitis, there is history of exposure to dust, or an allergen in environment. There is sneezing, itchy nose and throat. The treatment basically depends on the examination of eye by a doctor. Without examination correct treatment is very difficult to advise. In my opinion, you should get the child re-examined by an ophthalmologist so that proper diagnosis can be made, and proper treatment can be started. I hope this will help you. Wishing your child good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI Doctor                             I HAVE REALLY BAD LOWER BACK PAIN. WHEN I WAS A 12YEARS MY COUSIN RAN OVER MY BACK WITH AN POWER WHEEL. I AM IN NEED OF SOME PAIN MEDS FOR MY LOWER BACK. CAN A DOCTOR HELP ME AND PRESCRIPE ME SOME PAIN MEDS ? PLEASE HELP ME. MY NAME IS LUIZ CARLOS I AM 30 YEARS OLD . I AM 57 AND 170 POUNDS. ### REPLY: Hello, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to muscle and bone weakness and vitamin and trace element deficiencies specially vitamin D and vitamin B 12. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband blood pressure went from  140 over 75 to 168 over 75.  It has been like this for about a wk. He also has shortness of breath .  He is being monitored and has been on bp meds for several yrs.  This  jump in bp occurred while on IV vancomycin and oral cipro.  He was taken off the antibiotics 4 days ago because creatin levels were too high.  Shouldnt his bp return to his normal by now?  What is causing the shortness of breath? ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to give you my opinion about this. When we treat a hypertensive patient our goal is to keep the blood pressure below 140/90 mmHg. If it exceeds this mean values than we should intervene to correct the therapy. The most important thing is to ménage the problems or the reasons that might have cause this blood pressure altering. As you mention, your husband has been on antibiotics, so he might have an active infection. Sometimes this infection alter the hole metabolism and blood pressure. But the most important thing is to evaluate the renal function. Hypertension is strongly related with alteration of renal function. So the most important thing is to ménage the renal function and to correct the blood pressure medication according to renal function. You must know that there are some antihypertensive . Normally if renal function is improved this is better in controlling blood pressure values, so thinks should be improved. But even though, we can ménage thinks with adding or correcting blood pressure medicines. Excessive blood values might be the cause of shortness of breath. If I was your treating doctor I will ask for a fool blood analyze to check the renal creatinine, a cardiac echo to check heart function and a holder blood pressure monitoring to evaluate values through day and night. Only after these examinations we can better judge how to correct the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctorthis is denial from USA  i am 27 years of age i have sperm ejaculation problem since age of 14 i was doing Masterbation and on age of 23 to now i am suffering from sexual problem, in 15 second my sperm came out when i do sex with my partner or do masterbation i need cure of it , is there any way to be normal again ? ### REPLY: Hi denial thanks for writing to ChatDoctorafter going through problem rather query, it looks you are blaming masturbation as the cause of your problem. Let me make it very clear, dear denial its absolutely normal healthy habit to masturbate. Check for blood sugar level. Now, coming to your problem, my advice would be-do pelvic floor exercises like contract your anal sphincter as many times a day as possible for few seconds while watching t.v. or sitting in office. Have healthy nutritious diet and while doing sex don't be in a hurry. Take care and enjoy sex life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Started with initial ringing in ears and was prescribed serc tablets which stopped the ringing but began having mild headaches, nothing overly painful more annoying then anything. Also notice my right temple seems more swollen then usual.. It s been going for about 3 weeks now and started having pins and needles when waking up in my right hand over the last 2 days. Haven t had any other unusual characteristics. Thoughts? ### REPLY: Hello! Welcome on  ! The swollen right temple, coupled with headaches, can raise suspicions on temporal arthritis. The pins and needles in your right hand can be related to a pinched nerve, but they are not related to the right temple. Coming to this point, I would recommend consulting with a neurologist for a careful physical check up and some tests: - a brain MRI study-complete blood count, PCR, and sedimentation rate for inflammation- a cervical spine X-ray study to exclude chronic degeneration of the vertebral column, which can cause nerve compression (mimicking the pins and needles in the right arm). Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am Salil Shinde age 13, from Maharashtra Kolhapur. i suffer from asthma since childhood. I use Asthalin inhaler in rota cap. whenever its rainy or winter season i get affected by the climate. is it going to be life long? if so can you suggest a company name of inhaler machine that i can keep it in my house? ### REPLY: Hello Sail, Thank you for asking at . I went through your history and would like to make following suggestions to you:1. Asthma is a disease with long-duration, but it is not possible to make prediction whether it will be life-long, particularly at your age. There are worse periods and disease-free periods, which are not predictable and depend on many factors like environment, diet, physiological changes, habits, etc. It is always good to understand the disease, stay positive and seek expert opinions from different specialties so that you can manage yourself in the best possible way.2. The inhaler you are using (Stalin rota caps) is used for rescue management. Whenever you have symptoms of wheezing or breathing difficulty, I would suggest you to use it on as-and-when-needed basis.3. If you are not comfortable with the inhaler device, there are many inhaler devices available such as metered dose inhaler, metered dose inhaler with spacer, .  In my opinion, metered dose inhalers are the best and easy to use. Using them with spacer provides maximum  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 73 years old, 4 feet 11 inches tall, 112 weights. I had 3 surgeries. Histerectomy, appendectomy, gold bllader removed. I have severe pain  and spasm in my lower abdominal area. My Dr. told me I have a sticky bowel. Is there any solution to my pain? ### REPLY: Hi. Thanks for your query and an elucidated history. The sticky bowel means there is intestinal obstruction causing the pain. In such a situation I advise my patient firsts to undergo a diagnostic procedure called Enterocolitis. In this a small nasogastric tube is passed into the small bowel and barium is given. Multiple X-rays are taken. These X-rays will give us few ideas :: Whether the obstruction is mild, moderate or severe. . The site of obstruction. And also gives the idea whether the surgery is needed and whether it will help you to become asymptomatic. Treatment:::First keep yourself only on liquid diet for about one week. If needed you can be admitted and given the intravenous fluids. BY doing this the bowel/ intestines are given rest and the swelling of the structured area is reduced. If this helps you may remain on liquid diet and be alright. IF there is no benefit, you need to undergo surgery to remove the obstruction. And you will be fine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: the other night, i happen to listen to my 4 year old child heart while he was asleep. he was sick at the time, His heart beat was irregular, slow and seem to stop at time. I whent and ask my husband to listen to his heart too and he did and feel is pulse aslo. he heard the same missing beat and irregular heart beat as I had. It was quite enought to give us a scare so we bought it to the emergency hospital. but by the time we got there, our son is fully awake and his heart beat was fast and normal. but we are still worry. so we got him at the clinic today to see a pediatricians and he told me that his heart his fine and not too worry. what could be the cause of this? also it brought back to my memorry that my son did told me in two occasion in the past (his words)- maman, last night, I stop breathing... It woke me up and then I just told my brain to breath again.... is there are not an explanation to this? should we worry more and demande for more test? ### REPLY: Hello, From my side, your baby is healthy, nothing to worry. First, during sleep heart rate settled at its minimal, also appears to be irregular as heart rate changes with respiration. So, with each breath heart beat appears slow and then fast. Still if you suspect that your child has some heart problem, and then get an ECG, 2d ECHO study, even a minor thing will be caught. 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 bent down to pick up my daughter and had immediate pain in low back, hot sensation up back, sick to stomach, loss of vision for about 10 minutes, bad headache, legs weak, and tingling in face, top of head, back of head.  I did this a week ago and still experience tingling in head and face.  My iron was 9.1 and blood test came back normal. ### REPLY: Hello, I have studied your case. There is possibility of transient ischemic episode leading to pain in your back and loss of vision temporary.  You may need clinical examination to confirm neurological weakness, BP and other vital parameters. Another probability is due to compression of this nerve root there is pain in your back. You may require MRI brain and spine. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, you can consult physiotherapist for help. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having severe stomach pains in the upper left abdomen area under the lower ribs soon after eating late afternoon/evening. I notice this more often after eating spicy/more acidic foods, but does not feel like heartburn/acid reflux. These are sharper pains and sometimes radiate to the lower, middle part of the stomach after a period of time. Sometimes these pains are accompanied with a nauseous feeling as well. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have severe abdominal pain with acid reflux. Well there can be many reasons for symptoms you mention in query like acid reflux (as you also mention) , heart burn and IBS. I would suggest you eat light and non-spicy, take antacid after every meal, take light walk after every meal, take small and frequent meal, elevated your head while lying down and eat at least one hour before going to bed. If condition doesn't get well then consult gastroenterologist for proper examination. Doctor may order ultrasound, stool test or physical examination. Doctor may prescribe omeprazole or sanitizing along with laxative and ornidazole. 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: Knee pain Ive been having knee pain for about a week now and ive did research nd I think its runners knee but I dnt know but the pain only comes when my knee is bent to long if I kedp it straight it feels fine but hurts alot when I climb steps or walk on uneven surfaces ### REPLY: Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a runner knee. I suggest to:-Rest your knee.-Ice your knee to ease pain and swelling.-Wrap your knee. -Elevate your leg on a pillow when you sit or lie down.-Take NSAIDs, if needed, like ibuprofen or naproxen. -Do stretch and strengthening exercises, especially for your qua . Ope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering with low backpain during past 3 years.. after I gave birth to child it got worsen and some times cannot even stand right with pain..I am a s/w engineer who sits in chair daily for 8 hours continuously...I consulted spin specialist and he suggested to do exersize, but when i start doing excersizes getting more pain..and now getting sciatic pain also in right leg and also from past 6 months getting left side upper back pain also ### REPLY: Hi, From history it seems that due to lack of daily physical exercise and increasing weight during pregnancy might give this problem. Not having habit of regular exercises and sitting in chairs for longer time gives stiffness of back muscles produces strain on back muscles. Go for regular exercises like running, walking, swimming daily for 30-35 minutes a for 5 days in a week. Reduce weight if you gained the weight. Take milk and high protein diet. Ok and 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, i have been suffering from typhoid fever since last week.i also had a blood test where i found that my ESR is very high and almost touching 40mm mark.is it a worrying sign? or is it controllable? my fever is also fluctuating a lot.sometimes i have normal temperature around 98 degrees for a whole day and next day it again peaks around 100 till 101 degrees.i am also being absent from my work from last week coz of of fatigue and weakness.my company rules are not really lenient for absentees.i am also taking medicine but i want some speedy recovery.sir hoping for some advice from ur side.i ll be really grateful for your act of kindness. ### REPLY: Hello and welcome to , Continuous low grade fever with raised ESR is suggestive of chronic disease e.g. tuberculosis. Tuberculosis is usually associated with low grade fever, night sweats, weakness, decreased appetite, tiredness, and fatigue. The symptoms mentioned by you can be due to typhoid, however, typhoid does not usually cause an elevated ESR level. I suggest you to consult your primary healthcare provider for clinical examination and relevant investigations. A Manitou test and X-ray chest should be done initially. Management will be decided once the result of the investigations is received. Thanks and take care .  ### END