Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,Hello Patient  is  with  h/o fever from 11 days,constant between99to101,initially given ciplox500-2days ,no response ceftum500-6days no response-tlc/dlc,typhi widal-u/c normal,switchto ceffixeme from one day-no running nose/red eyes.what you  suggest? should start antiviral/ again tlc/dlc/ x-ray chest today done ### REPLY: Thanks for posting your query to . Please send me complete blood count report and x-ray report as it will help in deciding further management plan. If patient is having cough for more than 2 was go for sputum gram stain and Zn stain examination. Also send blood for culture and sensitivity .go for rapid blood test for malaria. As yr patient has taken multiple antibiotic and injudicious us of antibiotic increases chance of . Review me with all report. Wish you best 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 cousin, who is 37 years old, had a baby by C-section on 4/23/14. She had some high blood pressure 2 days after delivery, and was put on BP medicine for 2 weeks. Now she is at home and says both her feet are really swollen. They were slightly swollen when she left the hospital, but she says they are much worse today. She said she feels fine, has a good appetite, and no shortness of breath. She is breastfeeding. Do you have any idea why her feet are so swollen? ### REPLY: Hi I am . . In my opinion I think she may have a kind of vascular insufficiency due to low venous return. This could be due to standing for a long time, sitting, bending knees, bad sleeping postures.  She may use ant inflammatory tabs, elevate her feet above a pillow while relaxation, wear compression stockings, hot massages with topical gels, 1 daily aspirin pill after breakfast will be helpful for most of the cases. If swelling increases or persists I suggest Doppler U/S to rule any vascular injury and visit her physician for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may IDear Doctor, I have been asked to go in for a complete bood count with GBP which showed ESR Wintrobe as 36mm/1st hour. The Dr says that I am suffering from Allergic Bronchitis. I have taken lot of antibiotics but am still coughing. I have been a patient of Tuberculosis also and has taken the treatment for its eradication. I am afraid can it be lung cancer ### REPLY: Hello. Somme of symptoms are coughing, especially if it persists or becomes intensified in the chest, shoulder, or back unrelated to pain from coughing change in color or volume of sputumShortness of breathChanges in the voice or being horsecars sounds with each breath (strider)Recurrent lung problems, such as bronchitis or pneumoniaCoughing up phlegm or mucus, especially if it is tinged with bloodCoughing up blood ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 23 month old daughter gets sick about once a week, vomiting and high fever. We take her to the doctor, they check ears, flu, strep and even pnemonia, always negative. The say must be a virus. Usually goes away in about a day, but then happens again the very next week. She is not in daycare. She stays home with father and 4 year old sister. Why might she be gettin sick so often? Do I need to take her to the doctor every time? ### REPLY: Hi...by what you say I feel that your son is having recurrent viral illness. I will explain to you how a viral illness behaves so that you can be more confident. 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. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. KIDS GOING TO CZECH ARE MORE PRONE TO THIS SORT OF RECURRENT VIRAL ILLNESS. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 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. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 30 yr.s old woman. Me and my husband are trying for a baby for last 10 months. But No positive result. My period is irregular. My cycle is 45 days. Had undergone follicular study twice for last two months. As my follicle not used to rupture automatically, I had taken injection for rupturing. And after ovulation we had intercourse also. But still this time my period came after 10 days taking the injection. Please suggest me. ### REPLY: Hi there,We need to know the cause of your ovulation. Have you been identified as having PCs, thyroid problems or prolactin excess? Have you been checked for the same in the past? The husbands' semen analysis also needs to be done. The patency of your fallopian tubes needs to be checked by the dye test. Only after all factors for infertility are evaluated we can have targeted treatment. For the an ovulation you need to confirm with hormones levels to rule out PCs. Do get evaluated thoroughly by a gynecologist and then begin treatment. Also consider folic acid once a day as long as you are trying for a baby. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a feeling in my chest like my heart is sinking or slowing to the point of a slight loss of breath. It happens every day now and sometimes as much as 5-7 times in a minute. This is beginning to scare me. It feels like my heart is interrupted when beating and stops abruptly then beats hard when restarting or something. I have Tachycardia and take Toprol XL for that (Metotoprolol XR); I never have had a great heart rate even in the past (5-6) years since taking Toprol, it is usually about 100 bpm by late evening while resting supine on the couch. I also take Lisinopril HCTZ for high blood pressure. That is working great for the past 5 years together. I have a great BP with these meds. I also have Multiple Schlerosis (Relapsing and Remitting). I have lesions in my Brain stem, Thorasic and Lower Lumbar; the wors in the Thorasic and Brain Stem area. ### REPLY: Hello, I passed carefully through your question and would explain that your symptoms could be related to a possible cardiac arrhythmia.  For this reason, I recommend performing an ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia and some blood lab tests (complete blood count for anemia, thyroid hormone levels for possible thyroid gland dysfunction, blood electrolytes for possible imbalance).  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 husband was told he has a high PSA for the second time. The first test several months ago was 5, but this time it is 4.72  Hes in very good health, excellent body weight, exercises regularly and eat good.  My question is.  Hes a self employed graphic designer and sits A LOT at his desk.  To the point he complains about his tail bone hurting.  He doesnt have much meat back there he says....My question is.Can sitting for long periods of time irritate the prostate and cause his levels to be high.  He has NO systems and his office exam was fine. He is 54 years old. ### REPLY: Hello, There have been several studies showing any manipulation like a digital rectal examination could elevate a serum PSA because it would squeeze on the prostate however the increase is very minimal around 0.5 that could last for 3 days after the rectal examination. With your husband case theoretically, it would, or it may increase the PSA because of his prolong sitting.  Whether it would cost the increase in the abnormal levels It's really hard to say. I suggest your husband gets a free PSA and a total PSA ratio and that will determine if you need a biopsy or not. Multiparametric MRI of the prostate can also be an option prior to deciding whether you need a biopsy or not. In the end, only a properly done prostate biopsy would say if your husband is currently harboring prostate cancer or not. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi thereI am about to go for frozen embryo transfer sometime next week (depending upon when I ovulate) and have just been exposed to chicken pox - my niece has just developed spots today, my nephew has crusted spots.  I had chicken pox when I was a child, so does this mean I am immune, and if so, is it safe to go ahead next week?  Thanks, Carolyn age 34 ### REPLY: Hello, Welcome to , Chicken pox is a highly communicable 1-2 days before the appearance of rash and 4-5 days thereafter. After which virus tends to die out and looses the capacity to transmit disease to normal individuals. The scabbing usually begins 4-7 days after the rash and completed by 30 days. During the scabbing period you are child will be sterile and will not transmit disease to others. The disease will cause deny .  Your child should  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 results from my blood test came back and somebody called me from the doctors office and said my hemoglobin test was high at a 6.5 and that I need to control it with diet and exersize. But she didnt say that the doctor wanted to see me again. What does that mean? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should start taking diet rich in iron. Your hemoglobin us low, taking iron can improve the hemoglobin. So doctors meaning is that if you eat Diet rich in iron you will be improved soon. In addition to diet I also suggest you to take iron, folic acid and vitamin B 12 tablets. Keep continuing on this medication as this takes some time to improve your hemoglobin. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been advised to take Bisoprolol 2.5 mg & cardace 2.5 mg together. I had chest pain one month back but ECG & TMT test have no anamoly. Echo doppler reported Hypokinesia of apical septum but angiography do not says any blockade. I am dibetic and having high TG & Cholestrol too with hypertension since 1995. What should be the line of treatment? ### REPLY: Hi There After reading the medical details provided by you, I would like to suggest that as the other tests are normal, but your ECHOCARDIOGRAPHY is showing apical septum hypokinesis as this portion is a distal part of Left Ventricle cavity, so it becomes prone for clot formation there due to hypokinesis. I would like to start you on baby Aspirin tablet to prevent clot formation and later on a possible stroke. Its advisable that you should consult your cardiologist personally and discuss this. Rest other meds you should continue as advised and also adapt healthy lifestyle habits. I wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 52 yr. old female with fibromyalgia and several spinal injuries (ongoing).  A few days ago I noticed severe soreness along my upper, left rib cage area - close to my left breast.  This morning I looked in the mirror to see if there was any swelling and there are several wormy shaped bruises in the 10 inch area.  The soreness is worse and I wonder what in the world it could be.  I have had several cortizone injections in my back (accompanied by fluoroscope) and wonder if the radiation could be having some serious side effects.  I also have a fatty liver and misplaced pancreas.  I have lost 20 pounds in the past 4 months which is totally unexplained and unexpected.  My GP doesnt think anything is ever wrong, but I have wonderful gastro and cardio docs.  (I have two failing heart valves). HELP! ### REPLY: Hi, Swelling, soreness and wormed shaped bruises can be because of allergy to any particular .  It can be mild allergy or can be hives or urticaria with angioedema. Allergic hives and angioedema form, when in response to histamine blood plasma leaks out of small blood vessels in the skin. Histamine is a chemical released from specialized cells along the skins blood vessels. Allergic reactions, chemicals in certain foods, insect stings, sunlight exposure, or medications can all cause histamine release. It's often impossible to find out exactly why hives have formed. You have to find out the cause by yourself. Antihistamines medicines like Levocetrizine can be taken along with low doses of Methyl Prednisolone for 4 to 5 days, allergic test should also be done. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took MDMA about 4 hours ago , only little bit , knowing this week I took about 2g of it ( Monday 1G ) Thursday (1G) only took a bit tonight about 4h ago but my heart is beating very fast ( I also have a diagnostic of anxiety ) is it me working myself up ? ### REPLY: Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Sinus tachycardia that can be due to stress and anxiety. I advise you to get an ECG,2 D Echo, lipid profile, chest x-ray, CBC to rule out any cardiac pathology. Tachycardia is when heart beats > 100/min (Normal range being 60-100). So your heart rate is in the higher note. It should be evaluated and treated immediately or else it will lead to Arrhythmias of heart. . Depending on your blood workup you need to use lipid lowering  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiJust want to check.  My 10 month old baby is teething and struggles to fall asleep at night and I want to know if its ok to give her Ponstan at night.  I only gove her 3ml before bedtime and during the day I use Prodol.Dont want her to become too dependant on it but it seems to be the only thing that helps her fall asleep. ### REPLY: Hi, I have gone through your query and can understand your concern. As per your complaint it seems that discomfort during teething is commonly seen with toddlers but giving medication to relieve pain is not acceptable until there is severe pain or fever. I would suggest you that in case if there is need of pain reliever you should prefer ProDOS that contains Acetaminophen and is safe. Phonemic acid present in Constant is commonly given if the toddlers does not get relief with Acetaminophen alone. You can consult a Periodontist and get evaluated in case of continuous severe pain. You can also do cool compresses over the gums to reduce inflammation and pain. Feed him with plenty of cool fluids and soft bland diet. Hope this helps. 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 stomach hurts, right below my rib cage. its been hurting on and off for 5 days now. its not a gasy, bloaty pain, but it is a sharp pain. and it feels like someone is squeezing my stomach really really hard. the pain comes and goes, but when it does hurt, it hurts REALLY BAD...and i dont have a fever, nor have i thrown up, so I dont know whats wrong. ### REPLY: Hi. Since you do not have any symptoms related to GI tract, I can always think of a local problem like costo-chon .  Or stained muscle at this spot. Start an anti-inflammatory medicines like Ibuprofen in a proper dose as per your Doctors prescription. Wait and see for 5 days. If there is no relief consult Your Doctor to get as clinical check-up and get investigated as per his advice based on your history and his clinical findings. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Just found out that I have a precancerous contidition and the dr wants to do a d&c before my hysterectomy? I have been dealing with painful bleeding for pretty much 2 years non stop. Why can t I just go ahead with the hysterectomy and end my suffering? ### REPLY: Hi, Thanks for writing in. Cell multiplications take place continuously in us from birth until we die. This occurs in a programmed and regular way. At times the DNA in the cell gets changes due to many factors in a single cell, and it changes its features and subsequent multiplication of the abnormal cells causes a mass of abnormal tissue which is called a cancer. During transition for normal to abnormal, the cell goes through a transition period when it is neither completely normal nor fully abnormal. These cells retain features of both normal and abnormal cells. These are called precancerous cells. It is believed that you have these transition cells in your uterus and this might be causing your painful bleeding; the smear shows the presence of these cells. To be doubly sure about your condition, your doctor wants to do a D and C and then proceed with a hysterectomy. If hysterectomy is not done then the precancerous cells might transform into cancer cells and cause more discomfort and might become difficult to treat but confirmation I required before that. It is best to go by step wise method than go straight for hysterectomy. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi good afternoon..yesterday i went to the clinic my pressure was 160/100 then they gave me a mipidipin to lower my bp after 20 mins they took again it is lower than the first 140/90... then the 3rd time it was 100/70....now i go back there to monitor my bp the results is 120/100...is this serious? ### REPLY: Hello there and welcome, First let me tell you not to be concerned with your Blood Pressure as it's a variable thing and the more you'll worry and get into this monitoring and reading kind of stuff, the more your Blood pressure will shoot up as its called as bodies stress response. My advice for you would be to relax, calm down and let the medical practitioner handle this. Any way even if the blood pressure ranges to be in the higher side(once again I'm telling you not to go into readings as the readingsll only mislead you since High/Low BP is a variable factor which differs from each and every individual), it's always better to get checked by a physician and act accordingly. Once again thank you for using , 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: hi there, I feel like I have slight flu like symptoms with a chest cough an headache coming along with a runny nose. I went to the bathroom to cough and noticed a small spec of blood whilst coughing from my mouth and also from my ear? why did this happen what could it be? ### REPLY: HI, thanks for using  Cough, runny nose, headache are symptoms associated with viral upper respiratory tract infection (common cold). The cold can sometimes be associated with an infection of the ear as well. Infections involving the respiratory tract can cause bleeding due to inflammation of the respiratory tract and this is the reason that you would have seen the blood on coughing. In terms of the blood in the ear, this is most commonly related to trauma or infection. You can monitor for recurrence. There are over the counter medications that would be able to help you with the cough symptoms. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have testes problem its happen one night I am sleeping and when I walk up i see some water in my trouser then I feel pain as well slowely slowely pain is final now my testes is loose and hang and when my body is could its go up and normal plz help me ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have noticed watery fluid in trouser after getting up from sleep and pain in testicles. This could be most likely to be due to night emission (Ejaculation during sleep). The pain in testicles is due to congestion of testicles during erection and ejaculation and normally goes away within few hours. There is nothing to be worried about it. As regards testicles being pulled up in cold atmosphere, it is common and natural process for testicles being pulled up to maintain the temperature balance for normal functions of testicles. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor,i m mrs.smriti malani... i am 32 weeks pregnant.. since d last week i hv extreme rashes on my body.intially it started wit rashes appearing on my abdomen only,i consulted my gynac n she suggested to have either cetrizine or avil. i took cetrizine for 1 day but dint help me a bit,den i took avil for 2 days but it dint help me as well.. after 3 days,the rashes extended 2 my buttocks,thighs,hands etc... i jus feel like itching all the time... my gynac says she doesnt want to gv any other medicine dan the ones prescribed above cuz i m pregnant... i consulted a dermatologist yest n she told me dat i m suffering from PUPPP... i had read about this on the internet n i myself feel that its PUPPP... she told me that my condition of the rashes has become so acute that drugs like allegra,avil,cetrizine wil not make much of a difference... she suggested me to take OMNACORTIL 40 mg for 3 days n then tapering it to 20 mg for 3 dAYS.... i am very confused as to take OMNACORTIL cuz its a steroid n it may harm my baby but i m so much in distress that it is impossible for me to bear this itching... tried calamine lotion 4 local usage as wel,but doesnt help much.... plssss advise doctor.... should i take OMNACORTIL???? will it harm my baby??? n will my condition improvise a bit after taking this steroid... drugs lik cetrizine,avil,allerga have not even made a 10% IMPROVEMENT IN my condition,instead it has increased more.... plssss help doctor.... should i take OMNACORTIL???? please reply... i m really very distressed because of these rashes.. ### REPLY: Hello there, sorry to hear you are through such distress. But PUPPY is a self limiting condition, meaning it's not harmful And will resolve by itself in four to seven weeks time. However, as your doctor rightly said Allegra, evil and other .  It's fine to use local application of high potency steroids to get some relief. They are safer than oral steroids and when used for short periods of time will not cause much harm to the baby. Meanwhile, you can keep applying emollients that can hold moisture and help a bit. You may need repeated applications. Wet soaks give symptomatic relief. Use loose cotton garments to keep yourself comfortable. Hope this helps a bit. 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: HiI get some pain in heart some type...1 year ago I went to cardiologist and he said no problem...but now again I am getting little pain in heart side..my stomoch is also not good so one docter said becasue of stomach problem your heart is paining ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that your symptoms could be related to gastroesophageal reflux or gastritis. I would recommend taking an antacid or omeprazole. If the pain persists, I would recommend consulting with your doctor for a physical exam and further tests: - a chest X-ray study- a resting ECG - a cardiac stress test-complete blood count, PCR, ESR for inflammation. Hope to have been helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 5 years , she is having breathing difficulty nd night time snoring and coughing as well as mouth breathing . due to this she has undergone adenoid surgery. and again the dr are advising to do adenoid surgey.can u give idea on this case ### REPLY: Hi I am . . If your child has be operated for adenoids then probable cause could be chronic allergic sinusitis or rhinitis which needs treatment with steroid nasal sprays. This can also reduce the size of adenoids. If she is having an active infection defer steroid for2 weeks and treat the infection with a 10 days course of antibiotic if the secretions are purulent. Thank you for using   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am male 18 yrs old i use to masturbate once in a weak .this time for a change i masturbate with a cucumber by making hole at the centre .after i masturbate i noticed that there are several scratches in my penis head head.its so painful when i pore water on it.can any one help me.say some natural medicine to cure it.... ### REPLY: Hi, Thanks for writing in. Looks like there has been small mucosal injury to your glans penis (head of penis). There is nothing to worry as it is due to friction between the inside of cucumber and the head of penis which has made scratches (physical injury). If left alone the mucosal injury in your penis head will repair by itself in 2 - 3 days. If it is bleeding, please consult a doctor and apply Newsprint ointment. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom was diagnosed with bacterial pneumonia back in late december. After a round of antibiotics, she felt much better but the xray still showed pneumonia. A round of stronger antibiotics were then given to her. She went back for a follow up xray last week and the xray now shows the pneumonia is in both lungs. The strange thing is...she has NO symptoms. No coughing, no fever, nothing. Could it possibly be viral? or fluid? or cancer???? Btw she has never smoked in her life. ### REPLY: Thanks for your question on . I can understand your concern. Radiological resolution takes 2-3 weeks in pneumonia. So it is possible that patient of pneumonia is improved symptomatically but still show pneumonia on chest x-ray. So in my opinion, you should wait for 2 weeks more. Get done repeat chest x-ray after 2 weeks. If chest x-ray is showing pneumonia then go for CT thorax and bronchoscopy to rule out lung cancer, Tuberculosis, Fungal pneumonia. If xun4 ray is improving then no need to worry. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is surviving with 1 lung for past twenty years, and now the infected lung has accumulated mucus(due to cold). Because of this she has breathing problems. She is underweight and very weak to be operated. Now she is in critical condition. She requires additional oxygen than required for her survival. If she gets coughs her condition becomes worse. Please do suggest me, what i have to do. I live in chennai. ### REPLY: Hello rearward welcome to .come have evaluated your query in details .* The condition can be under symptomatic control to some extent, now do not expect cure for her.* Primary guidelines for better outcome and less painful future life-Maintain her HY . - Supportive measures as cough preparations, bronchodilators, antibiotics as per the advice of pulmonologist.- Prefer to keep her in semi reclining position till possible.- Avoid her exposure to weather with dust, pollen. Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. 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: Ive had a Chalazion for about three weeks. It resulted after a sty formed on my left eye. Its not very large (smaller than a pea) and I just started adding heat to it. Im starting a new job On Monday, and being that I cant take off right away Im hoping it can be treated without surgery. Are there any home remedies that could help me? ### REPLY: Hello & thanks for your Q on ChatDoctorI recommend applying a warm compress to the cyst up to four times a day until the swelling reduces and finally disappears. Hold the warm compress on the affected area for 10 to 15 minutes at a time to soften the blockage and speed up the .  Always wash your hands well before applying the compress and use a fresh clean cloth. Never heat the water for a compress in a microwave as it can become too hot and burn the delicate skin of the eyelids. Instead of tap water, you could use normal saline solution. (salt water). Other home remedies for eye cysts abuse of guava leaves as a compress. Warm these leaves and place them in a clean  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Atrophy: mild atrophy of the cerebellumh ventricle, Extra axial spaces:  there is a prominence of extra-axial spaces along the skull base.  this includes the preponline cistern, fourth ventricle, spaces around the cerebellum extending into the Meckels cave bilaterally.  there is a prominence of CSF flow suggested within the the sella turcica.This is likely a chronic finding.  No papilledema identified in the orbits                                                              Ventricles: mild enlargement within the ventricles.  no obstructing lesions identifiedWhat does this report mean?  thank you ### REPLY: HelloThanks for writing to ChatDoctorYour report suggests that There is mild enlargement of ventricles with mild atrophic changes. There is no obstructing lesions which may cause ventricle enlargement. There is also prominence of extra axial spaces along the skull base, and it includes prominent reporting cistern, fourth ventricle and spaces around cerebellum extending into Nickels cave bilaterally. Above finding are chronic in nature and there is no papilloma. 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: Please suggest a full daily diet for a female patient 72 years age with diabetes and kidney problem. Latest cholestrol level is 357. Creatinin 4.5, ratio of proteins:creatinin 26.72. Proteins should be reduced but please suggest a diet which is also tasty so that it is easy for her to follow and varied if possible. ### REPLY: Hi, Thanks for writing in. As cholesterol is 357, food must be cooked with less oil. If possible please use olive oil for cooking. Salt must be given in little quantities with no extra salt serving. With a creatinine of 4.5, a lower protein diet to minimize waste products in the blood might help. As her body processes protein from foods, it creates waste products that the kidneys must filter from your blood. To reduce the amount of work her kidneys must do, eating less protein might be good. You can cook vegetables like cabbage, garlic, cauliflower, garlic, onion, spinach and pumpkin. Give small servings and since she also has diabetes please give her a diet with balanced carboy .  Bread can be substituted for rice. Fruits like apple, watermelon, pomegranate, pineapple can be given. Though added sugar must be avoided. Egg white and fish are rich sources of protein and can be given in small amounts. Please check blood sugar and creatinine levels regularly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there my jaw on the left hand side has been locked for a few days and causing a lot of pain in my ear and I cant open my mouth too wide without experiencing pain. It makes my neck hurt and gives me headaches. My joint on my left hand knee hurts Aswell what do I do? What is it ### REPLY: Hello, thank you for consulting with . The type of symptoms you are mentioning it looks that you are having problem in your Temporomandibular joint (joint of the jaw) because it is responsible for opening and closing of mouth and even situated in front of the ear. To get relief from the pain you have to start with some medications1- start with some muscle relaxant twice daily for 1 weeks2-a diclofenac ointment application over the joint means in front of the ear.3- avoid hard food and wide opening of outsmart with all these but once consult with a dentist for examination of the joint. Hope it 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 Im been getting stomach pains mostly in the lower part of my stomach. Its been happening for 7 years since I was 14. I get dizzy and week. My skin can be sore to touch, normally my legs. I feel sick but rarely am and Im constantly tired.Ive had 3 smears that have all came back borderline changes but keep getting told to go back in 6 months. From March 3rd Ive had my period every 2 weeks. Im not pregnant, dont have a problem with my bowels (IBS), not anemic and dont have endimetriosis.My doctors just send me away saying See what happens next month Im scared theyre missing something important but dont know what to ask them to test for. Can anyone please help? ### REPLY: Hi. Thanks for your query and an elucidated history. All the detailed history you have provided is suggestive that you may have a problem in the spinal cord. Sine you must have been done with almost all tests of abdomen, I would suggest you the following. If not done yet ::Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. In addition, get an MRI done f the whole spine: This may show why you have sensitive skin along with pain and also have a second opinion of a Neurologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 constantly bite my lower lip when eating. Its very painful and I would like to knnow why this is happening. One thing I would like to mention that it strted happening after I had three back teeth pulled and two upper front teeth cracked. Could my teeth shifted thus causing this to happen? ### REPLY: Hello thanks for consulting at . You can blow air with mouth closed.so that your lip and cheek gets away from the sharp teeth surfaces.if empty extracted space is there, teeth tends to move into those spaces resulting shift in occlusion.please have a consult with an oral physician for a check-up and treatment. For empty spaces you can get teeth restored removable or fixed crowns, or you could also go for implants. You need teeth for chewing food also, thereby it will improve your general health also,Hope it helps,take care, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have a blinding tooth ache and now my r/side of my face under eye is swelling up should i be very worried i dont have cash for dentist but swelling seems to be worsening obviously im am worried ,, i can bear it at moment just ,, is it a life threatening thing,, with the puss or poisonous swelling wat should i do plz help thanks ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have eye swelling caused by severe tooth pain there is no need to panic, it is due to facial space infection. I would suggest you to :-- Give cold compresses to the site of swelling for 48 hours and after 48 hours start giving warm compresses.- Do not eat hard and hot foot for 48 hours and eat from other side.- Do warm saline rinses after 48 hours.- Take ibuprofen (if not allergic) or acetaminophen for pain and swelling. If swelling doesn't subside in 2-3 days then visit dentist again. Doctor may order X-ray to see main cause. Doctor may prescribe the course of antibiotics and root canal therapy. Hope your concern has been resolved. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my mother n law is suffering from severe phobia where i can consult in guntur!! what will be the treatments!! she is suspecting everyone unnecessarly and thinking something and dreaming which is not happened!! she is fighting with everyone and gets angry all time..for 2days she will be in anger and moody and after that for 2 days she will be happy!! dont know what to do!! pls suggest on this!! ### REPLY: His understand your concern. Need proper evaluation. She has mood features like mood swings and irritability. Anger spell with mood swim may be due to depression or other psychological stress. Proper diagnosis only can be made by consulting psychiatrist and evaluation of her thought processes. It can be treated with medicine like combination of anti-depressant and anxiolytic. I hope I have answered your question. Still if you have a query then feel free to ask. Thank you. 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: Good evening,please I have been having acute pains on my left palm for almost two weeks now.The pain is now spreading from my palm to my middle finger,now I can t grab or clutch something without feelig an increase in pains.Initilly thought it was a sprain becoz it felt felt stiff and there is swelling along the lines where the pain is concentrated.Please help me,what do I do and what is causing me this discomfort?Thank you so much ### REPLY: Hello, Welcome to the magical world of health care, I went through your query, and you could have synovitis of hand tendons or nerve compression, in both the cases sometimes surgery becomes must, so please do not waste your time and see a Hand Surgeon early hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 8 yrs old and he is having wheezing for past 3 yrs.For past 3 yrs his wheezing has increased only. When ever he gets cold ,he gets cough and starts wheezing . It worsens in winter. Please suggest some medications and exercises for wheezing so that he is not attacked by wheezing when he gets cold. ### REPLY: Hi, Thank you for asking question on . Cold acts as a trigger for wheezing.Montelukast a retrieve antagonist daily at bedtime prevents attacks. Ebastine an antiallergic medication reduces nasal allergy and prevents attacks. Beta agonist like albuterol inhalation will abort an attack. Steroids reduce inflammation and controls severe asthma. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there i have recently started hearing a voice in my head that tells me to do things either to myself or to others and if i do not comply bad things will happen wich makes me scared to venture outside this happens all the time and i dont know what to do i have considered killing myself a few times please help thank you. ### REPLY: Hello sterkythanks for questioners of all ask yourself whether the voices you are hearing in your head is your own voice or its coming from outside?then whether others are able to hear this voice? Or they are not understanding your problem? If these voices are vague sounds or well-formed voice?are you able to control these voices by closing your ears?are you able to sleep properly?usually hallucinations are one of important symptom in some psychotic disorders which resembles symptomatology you are describing. And they are usually distressing to affecting individual, and usually ask to do derogatory things. Second possibility in such situation is in obsessive compulsive spectrum, person is compelled to do a particular thing otherwise some bad will happen. Its more or less similar to magical thinking. Dear friend in both of the situation you should consult a good psychiatrist. And don't worry treatment is possible in both cases. Try to interact with family members and discuss with them regarding the problem. Thanks and hope you are satisfied. Take care kindly rate ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had jaundice 10 days back. Billirubin was 4.7.After taking rest and medicines i am feeling quite OK and the urine has become clear. At the same time the yellowish patch on my tongue has also gone. today I have also joined the duty. Though I have not yet tested the blood which I will do after another 2 days.Now when I can have sex. i am 53 yrs of age. ### REPLY: Dear friend, greeting ... You had jaundice due to what reason ?  Hepatitis a /b/c ??? Pls check the serology report . But was ever it is if u have a single partner I suppose if is hepatitis A . You don't have any restrictions for having sex... Better get vaccinated for hep b you also vaccinate your partner . Better use condoms for a month wash your have s properly... Do contact us for more questions 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: hi sir since a month Ive been facing the respiration problem, The doctors say that its lungs infection.Im loosing the weight also.let me tell u the symptoms of my decease.    1.sound while breathing    2.fever once atleast in 3 days    3.I sweat a lot after taking the tab/capsules    One more thing sir I used to consume alchohal daily(  180 ml per day) before this happened.plz tell me what to do. ### REPLY: Thanks for your question on . I can understand your concern. You are having persistent symptoms despite taking . This suggests that your lung infection is not controlled. And alcoholics are more prone for resistant lung infection. Best treatment of lung infection is identification of causative organism. So get done bronchoscopy and BAD (bronchoalveolar lavage) culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: .My daughter is 7weeks pregnant and just had a sebaceous cysts removed from the back of her leg. They admitted her to the hospital and in an iv. Is this normal or does sound like there is another problem? ### REPLY: Hideout take tension.sebaceous cysts are very common swellings. These are cutaneous swellings. Normally the dead skin will fall off when we bath or wash. Here the dead skin will be accumulated in cutaneous area at hair follicle region. So we will usually see green / black puncture with swelling underneath.It's important to remove the cyst completely without leaving cyst wall. High rate of recurrence is expected. As far ad pregnancy is concerned nothing to worry.it doesn't have any effect on pregnancy. Thank youth best regardsVasundhara ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a lump like thing in my throat and I am quite sure that I do because its been like 2-4 months since I last felt this. Anyway, this morning when I woke up I cleared my throat and for the first time I spit out blood . I am not sure if it really is blood but it is red. My throat does not hurt its just the irritating lump inside. I tried to clear my throat again and then my spit is back to the way it was. Is this serious? a throat cancer? does it have something to do with my lungs? because I smoke a lot when I drink alcohol but when I don t, I only smoke for up to 2 or 3 sticks a day. ### REPLY: Dear Sir, Sorry to hear about your problems. The symptoms you are describing along with your history of smoking and alcohol consumption does raise a suspicion of cancer. It is best that you get yourself evaluated by a doctor without any delay. They would order an X-ray of the chest and a CT scan which would make things clear.Also, a clinical examination by an ENT doctor to rule out anything in the back of your throat. Hope everything turns out to be 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: My maushi is suffered from acute brain attack,she is an Diabetic patient .Right now she got discharged but no proper response.she is 70 years old. Please suggest me what needs to be done now. ### REPLY: Hello users per your history, your relative had met with acute brain attack, other name of which is Stroke. There are various cause of stroke in an old aged people, like it might be due to hemorrhagic stroke which is seen in high BP patients, and also it might be due to ischemic reasons, due to some blood clots, which might have dislodged in her brain vessels. You are hereby advised first to meet a nearby General Medicine Specialist to have her treatment plan as per his findings on blood and CT Scan reports. Hope my advice helped you regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY DAUGHTER HAS ALL THE SYMPTOMS OF BREAST CANCER BUT DOES T HAVE ANY HEALTH INSURANCE AND IT DOWN TO ONE DAY A WEEK AT HER PRESENT JOB. SO SHE NEEDS SOMETHING REALLY CHEAP OR FREE. WE LIVE IN ALABAMA. SHE REALLY NEEDS TO BE CHECKED OUT. CAN YOU HELP HER? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.First she should go for fine needle aspiration cytology or biopsy to confirm the diagnosis. Treatment depends on stage of cancer. She should go for mammography also. If it is cancer then she should take chemotherapy. Then she should go for surgery. Modified radical mastectomy with lymph node dissection is the treatment of choice for surgery. She should also go for her ER, PR and Herne status. If these receptors are positive then receptor antagonist therapy is helpful. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The area we live in has much mold & mildew on a ll the homes. I have a few spots (rash type) that no matter what i put on it I cant get rid of it. Have tried Triamcinolone acetonide cream, Nystatin, Betamethasone Dipropionate cream & several over counter creams, clotrimazol & such. Nothing works.I can go out of town a couple or 3 days & it clears up. has t? o have something to do with mold or mildew. Any suggestions at all much appreciated. Thanks.....Jack 73 years of age. ### REPLY: Hello, I also think it's an ant or some bugs bite. Other possibility is developing allergy to clothing material. Did you wear a new underwear today made up of synthetic materials? Some synthetic materials in clothing are allergic to skin. So always try to use cotton underwear.  You can have antihistamine like loratadine and see whether itching and swelling subsides. Allergy or bugs bite both has to subside. Hope this helps. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been getting a sharp stabbing pain like someone stabbed me in the tail bone and it shoots up my spine and through my stomach then pain and feel like I need to go to the toilet, pain was tht bad I had to lay on the floor of the toilet as I felt like I was going to pass out and be sick lasted a while woke me from my sleep. ### REPLY: Hi, Thank you for posting your query. The description of pain seems to be a neuralgic pain, which could be due to a pinched nerve in the lower back region. The diagnosis can be confirmed by doing MRI scan of the limbo-sacral spine. Initial treatment consists of using medications such as pregabalin or gabapentin capsules. You should consult a neurologist for management. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hivhi about june 18 I had sex with a prostitute and on november 12 I did and HIV test it came back negative.  now like 2 weeks after the test I got swollen glands a mild fever a pinch nerve . I went to a doctor in mexico and he said it was a gland infection and he gave me cipro.so im really worry can you help me out.. ### REPLY: Hello had sex on June 18th, while tested for HIV on Nov 12th. Antibodies to HIV begin to appear within 2 weeks of infection and the period of time between initial infection and the development of detectable antibodies is rarely more than 3 MONTHS (here I want to tell you that your test in that sense is accurate, and you are HIV free). You are having swollen glands, fever and pinching of nerve, but the reason of these symptoms may be. Lymphadinitis due to any chronic infection, get in blood for CBC and ESR. You didn't mention that site where, these lymph nodes are enlarged, so it is very difficult to say what is the reason of this enlargement. You can visit an ICT (integrated counselling and testing center) to get your self tested and get rid of tension otherwise you are HIV free. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,We are trying to have a baby since last 7-8 months but no success. Done Semen test and stats are as follows:Volume : 2.5 mlTotal Count: 25 Million/mlMobility:Active: 25Sluggish: 15Non Motile: 60Morphology:Normal: 60Anbormal: 40Doctor has prescribed me LYCOMEGA twice a day.Contents of LYCOMEGA are as follows.Each softgelatin capsule contains : Omega 3 Marine Triglycerides 500 mg Containing EPA 90 mg + DHA 60 mg, Ubidecarenone (Co Enzyme Q10) 10 mg, Lycopene 15 mg, Green Tea Extract eq. to Polyphenols 150 mg, Beta Carotene 10 mg, Calcium Ascorbate 50 mg, Refind Wheat Germ Oil 25 mg, Zinc 27.45 mg, Selenium 70 mcgCan healthy sperm count can be increased? Please suggest. ### REPLY: Hi, I have gone through your query. Your semen analysis report is towards lower side with in normal range. This is causing difficulty in conceiving. Usually in these cases, antioxidant is prescribed such a Omega. This helps in decreasing abnormal sperm count which can be due to various environmental factors and habits. I suggest you to continue with Omega. Carnitine has also showed promising effects in improving sperm quality, that's why I recommend Tab carnivore to my patients. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 7 teeth removed that were abcessed below gumline and one was fused to the bone. Today, 3 days later, I noticed he missed a piece of my tooth and now my severely infected gums have swollen over it and my face is more swollen now than originally and the pain is unbareable yet the dentist swears he never misses any part of tooth and wont prescribe antibiotics or pain meds but more importantly doesnt think I need to be seen again for another week ### REPLY: Dear friend. Thanks for sharing your concern. Swelling and pain are indicative of infection.it is required to start a course of antibiotic for faster recovery.Also, antiseptic mouth rinsing is suggested. Also, you can do warm saline rinses too. If you are not satisfied with your present dentist please go for second opinion and also ask for a day to see if any other root pieces are left in place, as they can further aggravate the condition. Presently maintenance of hygiene by following above measures is a must and simultaneously starting a course of antibiotic is also necessary. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My granddaughter was diagnosed with lupus-sjogren s disease two days ago. She is only 26 years old. What can we expect as far as any treatment, meds, possible cure, prospects of having children, etc.?? I want to be informed as a grandparent so I can afford the best possible outcome possible. Lupus-sjogren s disease doesn t define her, she is a competent adult who happens to have this disease!! ### REPLY: Hi, This is an autoimmune disease, and it attacks the bodies cells and tissues. It targets tear glands and glands that make the saliva, triggering swallowing difficulty. It damages other organs (thyroid, liver, joints, nerves, etc.) later, get her treated well.  She should be encouraged and well-supported both emotionally and psychologically to cope up with the symptoms (discomfort, .  Generally, these patients experience a decreased quality of life. You can take care of the quality of life and not let it get compromised (psychosocial life).  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 ive been ttc for to months now, just have started my montly cyle but havent. Over the last week ive had dizzy spells feeling sick but havent ive got cold like symptoms but no cold lower backache but no stomach ache like what i get with monthly cycle. ive done hpt about 3 to 4 days ago but all came back negative. If i have concived when would be the best time to take a hpt and get a positive?Thanks. ### REPLY: Hi & Welcome. You can do most home pregnancy tests 3 to 4 days before your missed period but if you test too early, you are more likely to get a false negative, where the test says you are not pregnant, but you really are. Doing the test at least a week after a missed period will give you the most accurate result. Results may also be more accurate if you do the test first thing in the morning, when your urine is more concentrated. Hope this answers 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: Hi , I am indranil sinha , I will be very much grateful to you kindly let me have some information on my concern . my question is if one man usually obstruct his urination intentionally for a long time [it could be said habitually !] then the PC muscle gets hampered or gets looser so that it may hamper in PC muscle function for controlling sperm ejaculation earlier ! kindly let me know for this Thanks indranil sinha ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have been trying to hold on passing urine an intentionally and worried about that it may damage your muscles in penis and weaken ejaculation. By holding on passing urine you are inhibiting contraction of the bladder muscle, and it does not act on muscles of the penis (Bulbospongiosus and Ischiocavernosus muscles) which are involved in process of Ejaculation. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey,My name is Ann. I bled for one day then it stopped. After two days,i had my periods. i have been bleeding for 6 days now. its unlikely because i usually bleed for five days only. The flow is light but dark in color . I took emergency contraceptives last month. Could this be the one that is causing the change in my cycle. Please help ### REPLY: Hello misunderstand your concerned emergency contraception cause excess bleeding and change in menstrual cycle. Emergency contraception contain high progesterone level that produce hormonal imbalance lead to disruption of menstrual cycle. Bleeding for one day due to progesterone with . And it also causes prolongation and excessive bleeding due to high progesterone. So do not worry, it is common after ECP.If you do not stop consult the gynecologist get examined and take trenexaemic acid to stop the bleeding. So be calm, it is just side effects of emergency contraceptive pills. Hope this may help you Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Chemo for 6 yrs. and radiation ( not sure how long on the radiation). Numerous test in past 6yrs. Family member is now having what I believe are symptoms that are related to the CNS: Lack thought process, falling; these sytoms are severe. She was initially dx. with colon cancer in 2008. Your input is appreciated. Thank You. Initially, she had a section of the colon removed. ### REPLY: Hi, Thanks for writing in. It is possible that the patient might have developed CNS manifestations due to the cancer itself or as consequence of chemotherapy or radiation therapy. Colon cancer is a challenging condition and more than half of patients might develop metastasis to liver and other organs even after treatment. Please get a brain scan done and rule out any process in the brain that might be causing her symptoms. Her blood count is also important to know if the chemotherapy has caused her anemia and that is why she is fainting and having stroke like symptoms. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been working out for about 4-5 weeks and i ve started to notice a lump right under my right rib cage. It s about 2-2 1/2 inches wide, I have a the lump on right under my left rib cage as well but its much smaller, could this be a hernia or just muscle? ### REPLY: Hello! Thank you for the query. Hernia in this location is very rare, unless you have had surgery in this area. Most commonly such lumps are lipomas. It's a benign lesion, which do not turn into a cancer. It is also possible that you have started noticing some muscles in this area. If you are very concerned, soft tissues' ultrasound should diagnose the problem. Lipoma can be removed due to cosmetic reasons. 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 apparently developed an allergy to something that has gradually been getting worse over the past several weeks. Symptoms are all over itchiness with a few small red individual bumps where clothes seem the tightest. I have washed all my clothes several times in baking soda and vinegar only, eliminated all soaps and lotions and it has not helped at all. I can t lean back against a chair or seat or my back goes itchy crazy. I gave tried wearing different types of fabric but that doesnt seem to matter either. Hydrocortisone cream provides some relief but not a lot. I have not changed my diet or had anything new that I can pinpoint. No new meds except Mobic, which I eliminated 2 days ago, but really need it for a torn rotator cuff. I am at my wits end and don t know how to figure out what is wrong. ### REPLY: Hi, welcome to  forum.  It appears to be the allergic reaction, to something which you come across, like, lenin, woolen, color of the clothes, foods, pollen of the flowers, cosmetics, soap, pets. With this you might not be allergic previously, but has developed allergy recently.  Try to avoid one thing which you use daily, and make a note of the allergy. And like that find the things you are allergic.  I usually prescribe to my patient with such symptoms levocitrizine, montelukast, and triamcinolone injection.  Wishing for a quick and complete 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 this severe pain in my lower back, difficult to walk, cannot bend, sit and I already have a compression fracture that ocurred in 2005 of my L1 and L2. Pain is tremendous. Started with firt severe pain in neck where I couldnt move now its in the lower back and the neck is fine. ### REPLY: Dear patient first I want to know the treatment that has been given for compression fracture of L1L2. Was it treated with rest only or operation was done? If it was treated with rest only compression may have led to deformity in dorsolumbar junction with altered mechanical axis and pain. If surgery was done then implant related cause such as infection, breakage may have happened. I would like to advise X-ray of dorsolumbar spine anteroposterior and lateral views to assess condition of vertebra. Meanwhile, start tab diclofenac sodium 50 mg twice a day for pain relief. Strict bed rest for few days will be helpful. You need to consult spine surgeon with report. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,Just curious, I have an acidic, slightly onion-like odor to my breath when I wake in the morning for the past week or so.  I quit coffee and switched to green tea recently.  Ive also switched to an exclusively whole grain diet, no dairy and high protein.  Could those changes be factors? ### REPLY: Thanks for your query, I have gone through your query. The bad breath could be because of the deposits over the teeth causing gum infection. Particularly as soon as you get up, because during nighttime the salivary flow will be less and the cleansing activity will be negligible. The other cause can be because of the pus discharge secondary to gum or tooth infection or any respiratory tract infection like sinusitis or gastrointestinal disorders. Consult an oral physician and get yourself examined to rule out these conditions. If it is gum infection get the teeth cleaned once and maintain oral hygiene after that. You can use mouth wash. If it is tooth infection get the tooth restored. If it is respiratory tract infection consult a pulmonologist and gastroenterologist if it is a gastrointestinal disorder. I hope my answer will help you, 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 grandfather just went through some sort of attack. Heavy breathing, swollen face, the left arm had constricted movement. Hes complained of a tightness in his chest the last few days. the ambulance just took him to the hospital. Can you tell me whats going on? ### REPLY: Hello thanks foe posting here. The symptoms you have mentioned may present in a variety of conditions. But going by your description it is likely that he may have had a heart attack leading to heart failure and fluid overload in the body. that's why the breathlessness, swelling over face, chest tightness etc. He will require a cardiac evaluation by EKG, 2 D ECHO, chest x-ray and some blood tests and then treatment with blood thinners, anticoagulants and diuretics to remove excess water. Another common cause can also be kidney related leading to similar symptoms. So kidney functions should also be evaluated. Wishing him a good recovery thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Greetings, I have a question- I recently had a vasectomy reversal done (bilateral VV) after 8.5 years. I received the post op notes and it stated: semen was yellow and opaque, no granuloma formation, and no whole sperm on either side. The urologist did say he was able to clear the blockages on each side and went forward with a VV. Was a VV the proper procedure instead of a VE? Also, any concern about sperm returning to the ejaculate? Thank you, EW ### REPLY: Hi. Good question. Urologist knows better on-table what should best be done n the hope to give you the best results. VE is done for congenital blockages and VS for vasectomies, so He has done the right thing. Yes the sperms will return to to ejaculate. You must have discuss the success ratio with your Urologist or either way. The sperm maturity is a long process and has a long route which your Urologist must have told you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 5 months pregnant this friday and since last wk i ve noticed tiny mole like things about double a pin head size appearing on my nipples im starting to worry as this pregnancy has made me very paranoid. I,ve never had these before i had 1 on my neck but it came off when i scratched myself are these common in pregnancy? ### REPLY: Hallow Mummy, What you have noticed are known as Montgomery's tubercles. They appear during pregnancy. In fact, they are one of the diagnostic signs of pregnancy. During pregnancy some milk is being produced which gets stored in the sacs present under the areola. They stand out as Montgomery's tubercles. If you press on these tubercles, some raw milk (colostrum) will be squeezed out of the nipples. So do not be under stress. These Montgomery's tubercles are normal features of pregnancy. Hope you are relaxed now.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, one of my molars on the left side of my mouth has a big hole in it. My gum is exposed and I only eat on the right side because of my situation with the left. I am very afraid of the denist because of past experiences; what will they do when I do decide to go? Will they give me gas to put me to sleep?Thank you,Kind Regards ### REPLY: Hello, A direct clinical as well as radiological examination of the decayed tooth has to be done to plan the treatment. If the decay is grossly affected, tooth has to be extracted. Orelse root canal treatment or pulp capping has to be done. All these procedures are undergone after administration of local anesthetic solution. No need to be panic. Take complete course of antibiotics-analgesics. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc is it possible for me to experience pain in pectoral,neck and shoulder muscle right side?I did light but many reps exercise for shoulder then i took a cold bath.the pain seems to be like cramps on my shoulder and neck.pain persists for 2 weeks already and already taking meds for pain ### REPLY: Hello, Pain due to spasm of muscle generally go away within 10-12 days. If after 2 weeks pain is still severe then with pain medicines you should also do rest and avoid straining your shoulders. At this time, taking a muscle relaxant will be more helpful. Doing warm fomentation with water bag give you better results. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife trucut biopsy right breast lump report says histological features of infiltrating duct carcinoma , Grade -2, modified BR score :6(2*2*2), there is a marked desmoplasia and mild lymphocytic... The breast lump got trucut biopsy and report cance the oncologist has suggested few test like ER,PR,CErbb2 and ki67 and bone scan test ,after that he will start cemotherapy to kill cancer cells ,... is the line of treatement ok or have to get 2nd opinion. ### REPLY: Hi, it depends on the size of the lump, glands and breast skin status. In early stages, usually we ask for upfront surgery then chemotherapy. In locally advance cases, chemotherapy 4 cycles followed by surgery then 4 cycles of chemo of different type can be advised. In locally advanced cases, patient must undergo USG abdomen, bone scan and at least X-ray chest. ER PR will decide future hormonal treatment. Keep me posted. 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: Sir i m facing some difficulty while inserting my penis into my wife s vagina, what actually happens is that, when i get my erect penis closer to the opening of the vagina, than immediately after the fore play with the fingers when i start rubbing my penis along with the opening of the vagina instead of getting inserted it just gets slipped off the vaginal opening due to which i start worrying that how to rectify this thing. ### REPLY: Hello there I have read through your question and understand your concern. I don't think you have any serious condition. If you are getting a normal erection and able to hold it for some time there is nothing to worry about. I think you just need to get your partners help while insertion. Ask her to guide you, or she can herself do the insertion. With time and practice I am sure you will be able to overcome this problem. I f you are still facing problems you can consult a sexologist. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 42 yr old husband had a tooth pulled 2-18 under anesthesia (gas). Since then he has had 2 instances of feeling foggy headed and fatigue in his legs that lasted a couple hours. Then again today he experienced it again, I took his blood pressure 178/96. He has had no history of high blood pressure, takes no medications.I ended up taking him to the emergeny room. His bp was 211/102. EKG normal, blood normal, chest xray normal. Sent him home. BP still high 182/102. We have an apt with doc tomorrow.I read that ephedrine in anesthesia can cause high BP to escalate. could this have caused this? Is it temporary? ### REPLY: Thanks for your query, I have gone through your query, you are right local anesthesia with a . . The increase in BP could be because of tension or stress... it might have not diagnosed previously, and now you might have noticed...consult a general physician and keep him under observation, and later you can start with antihypertensives if the BP doesn't comedown. I hope my answer will help you 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: Hey about 2 weeks ago I noticed my tailbone was feeling a little bit sore but it is only wen I bend slightly backwards and sometimes wen I bend forwards that I can feel it I just thought it may have been something I done but it still hasnt gotten any better I am a bit worried something might be wrong ### REPLY: Hello. As per your info, this condition which you have is called coccydynia which simply means painful tail bone. This condition can become chronic if proper medication and precautions are not taken. Firstly you should always use padding around that area while sitting down. Avoid any form of injury or trauma to the area by continuous irritation of that area. Avoid sitting down in one position of too long. Consult with your physician who can prescribe you anti-inflammatory .  The form on treatment depends on the status and severity of the underlying damage to the bone based on MRI report.  Hope this helps. Regards. ### END