Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Help please What can be done for my sister, Kim. She was diagnosed with stage 4 liver failure . She is at Mease countryside Hospital in FL and I live in Arkansas. We were told she could bleed out anytime. what is that? I know she s in really bad shape but surely there s something that can be done please! She is a charity case down there b/c she lost her job & insurance, she was serverely depressed b/c of a chain of events in her and our lives. We didn t know how bad till recently. What can be done and can she be moved to Arkansas to live with me and I take care of her? Please help I can t lose my sissy Blessings, Naia from NW Ark PS I don t have any extra money to get my answer. sorry ### REPLY: Bleeding can be because of two main causes.1. Portal hypertension leading to varies (swelling of veins in the food pipe). Once these get injured bleeding occurs, for this endoscopy by gastroenterologist is needed to legate these vessels. This is common in liver Cirrhosis.2. Because of liver damage coagulation factors get diminished and patient bleeds. For this it. K is needed. Over all you have to visit a hepatologist to get the cause of liver failure treated. Once liver failure is under control there will be no chances of bleeding. If you can manage Hepatologists care at your place you can take your sister with 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: Dear sir, Im having dry skin along with redness and itching, and also my scales are often peeling off. I am undergoing treatment for this for the past one year, but there is no improvement in my skin. Whenever I am exposed to sun or heat my skin swells and becomes reddish, water ushes from it.later it becomes dry and my skin change into brown colour.burning sensation is also there.what treatment should i have to undergo?kindly send me a favourable reply ### REPLY: You haven't mentioned your age and what kind of treatment you are at present taking. The condition either seems to be atomic dermatitis or photodermatitis.it will be better you undergo for a skin biopsy, since it will help to make correct diagnosis. Till then, avoid harsh soaps, use Luke warm water, apply plenty of emollient after bath, try to use loose cotton clothes. Once you're with your biopsy done and correct diagnosis made your proper line of treatment will be started. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I had surgery on L5 L4 S1 and have been diagnosed with failed back spinal surgery.i can barely walk my posture is bent @ a 45 degree angle.I suffer from extreme spasitiy which is very painful.my pain consultant has requested a spinal block operation and said I would be in hospital for 3  weeks,can you explain the process and the recovery .thank you ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. You need to do a repeat MRI LS Spine The further treatment will be decided based on that Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I develop small small red patches on the skin of my legs and thighs, if i stand for a long time or work for a long time and it usually worsens at the end of the day. This condition is there after i had chikungunya two years back. it used to occur rarely before but nowadays it is occuring almost everyday. I am also breastfeeding , so i am just reluctant to take any medicines. please suggest. ### REPLY: Hello, I think the question is very nonspecific and requires more questioning to reach to a conclusion, but on Upping which I have picked up that its obvious while you work or stand for a long time directs me towards Gravitational Eczema. I would have also asked you about any swelling in the legs or any Curiosities. If you have such type of problem then you have to take certain measures along with some treatment. I would advise you not to stand for a long time, take regular walks and elevate your legs on a chair if sitting. Keep the legs well moisturized with white petroleum jelly or Vaseline. You can also apply potent to moderate topical steroids to relieve the situation. But what would be best is to see a dermatologist to have look and to proceed further as I cannot comment more without seeing it in a picture and with a brief history. Thanks very much and 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: Our son, 13 yrs of age, experienced right sided abdominal pain to the point of doubleing over for a couple of minutes. He said it was because he had to go poop. He pooped and felt better. An hour or two after that he experienced gross blood in his urine . It was bright red and looked as if was all blood and no urine. We took him for to urgent care . They took a urine sample. The next morning we went to the ER ( it was Saturday) A blood draw was done and a number of labs were performed. Most came back normal one they had not gotten back. We were to told to follow up with his pediatric physician. I feel nothing was answered. Do we need to worry about anemia , or sepsis? ### REPLY: Hi, Severe abdominal pain with blood in the urine points towards urinary tract problem. Perhaps this may be a case of renal stones. Passage of stones through the ureter can cause severe abdominal pain and the trauma results in bleeding. This condition usually settles with good HY .  I would be concerned if your son is persisting to have the pain and is still bleeding; test like ultrasound abdomen and program are entailed then.  Continue to HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: okay, so i could just be sitting on the couch, and all the sudden my heart will pound really hard just for a second, but it kind of knocks the wind out of me a little. its not painful, but my dad has a.phib and almost died from it, he actually had to get shocked while he was awake and conscious! i also heard its genetic. can you help me? ### REPLY: Thanks for your question on . I can understand your concern. Yes, atrial fibrillation (AF) can be hereditary. AF is actually defected in conduction system of heart. And this defect is genetic and hence can transmit in family members. Your current symptoms are also suggestive of AF. You are having strong family history of AF. So better to consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG) to rule out AF. You may need .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 alt and ast are slightly elevated. My hep b surface AB tests high along with all my other titers. Varicella, rubeolla, rubella. I wrk in health care and have had low back pain for about 8 months. I take 2 aleve and 2 tylenol every day and have about 3 glasses of wine a week. Otherwise I am super healthy.... My AST is 87 and my ALT is 68. I have had no exposures that I know of. Could my anti inflammatory and tylenol use contribute to these abnormal levels? ### REPLY: Hi. Thanks for posting query at . Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Also test for HCV Ab and lipid profile. Fatty Liver disease may also lead to elevated liver enzymesValue of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice :- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is passing green color stool since two days ,also the bulk of her stool increase as well she is also complaining f pain in umblical region ,no fever, i send sample for d/r what investigation i required now .no history of taking iron or green leafy vegetable.plz reply ### REPLY: Hi....you need not worry. This seems just like viral diarrhea. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 genital boil that will not heal. I finished a round of antibiotics a week ago and have been soaking in hot water 3x a day and putting bactriban on it after for about three weeks now. I can t really put a bandaid on it because of where it s located. It s not really big anymore, it s almost flat but the very small hole that the pus is coming out won t close. I don t feel very confident about going back to the doctor but I don t think treating it on my own is working either. This has been a 2 month ordeal total and I can t take it anymore. ### REPLY: You need to have this re-evaluated, perhaps by a different doctor. A boil should have cleared up by 2 months, so something else is going on, or more definitive treatment needs to be done. Sometimes this requires opening the boil and spotless it out. It sounds like the infection is still in there since pus is still coming out, and in fact if the hole did close up the pus would just accumulate and cause another boil. My guess is you need a minor surgical procedure at this point to be sure all the infection is cleared out. This can be done in the emergency room or urgent care. 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 husband had dry heves with chest pain. (he has a history of heart disease). After the dry heves, he was still having chest pain. He lays in floor as he can t get up and walk, he is weak. His drs. say his heart tests are good. His liver enzymes are up due to cholesterol meds he was on. I wish drs could find what is going on and if there are meds to relieve his condition. ### REPLY: Hi welcome to  ..... Here your detail work up needs to be done with..... -Auscultation -CRP -Blood pressure measurement -CBC -EKG-Chest x-ray -Echo only if needed Is allergic cause or cardiac cause present than it will reveal by above investigation... According to cause further specific treatment will be guided.... Avoid stress as it can lead pain sometime If no specific respiratory, cardiac causes present than it could be muscular pain. Take care Consult pulmonologist for examination ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am a 37yr old male thats been getting chest pains lately in the uppper center of my chest. I do deliveries for a trucking company so im jumping in and out of my truck and thats when i feel it the most. When i start working i feel very short winded and it hurts. ### REPLY: Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get an ECG and chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant .  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My liver enzymes are elevated very high and the specialists I m seeing don t know why. I ve been tested for hepatitis A B C and all are negative. I have severe abdominal pain the doctor gave me Hydrocodon-Acetaminophen 5-325 to take every 8 hours for pain. please help me. ### REPLY: HIGH LIVER ENZYMES NEEDS DETAILED VALUATION.BASICALLY I NEED TO KNOW WHICH LIVER ENZYMES ARE ELEVATED.RAISED GOT AND SEPT SUGGEST HEPATITIS.AS VIRAL HEPATITIS HAS BEEN ALREADY EXCLUDED IN YOUR CASE I WILL LIKE YOU TO GO FOR TESTS FOR AUTOIMMUNE HEPATITIS.IF YOUR ALP ENZYME IS ELEVATED YOU I WILL ADVISE YOU TO DO ULTRASONOGRAPHY OF LIVER.PLEASE CONSULT YOUR PHYSICIAN AND GET YOUR DIAGNOSIS DONE AS EARLY AS POSSIBLE. I HOPE MY OPINION WILL BENEFIT OUTRANKS .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just had a few questions about some of my symptoms that I have been having. Last night I started off with a sore throat that kind of turned into a cold and I went to see my boyfriend last night and once I got over there I started feeling worst. I felt like I was running a little fever, my body was hurting more, and I was really tired. But he was sick on saturday. I think he had some type of stomach virus and he might have passed it on to me. This morning I felt sick and I tool some equate, it was kind of like tylenol and i had taken half of my multivitamin and some cranberry juice. like a minute later I started throwing up. so i tried to eat some cereal, honeynut cheerios, and I could not finish all that becasue I threw that up as well. Do you have any clue what I might have or what is going on? ### REPLY: Hi, Thanks for posting in . I understand your concern. What problem you are facing is nothing serious but an upper respiratory tract infection (URI). Your condition needs to be treated in the following way: 1. Take Tablet Risperidone for vomiting. 2. Decongestant syrup containing Ambrosia and Chlorpheniramine male ate for cold. 3. Salt water gargling with warm water for sore throat. 4. Consumption of medicated lozenges for sore throat. 5. Steam inhalation twice a day to clear congestion in the sinus. Your symptoms should get better in about 3 to 5 days. Avoid cold items like cold . Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i would like ask the meaning of hypoplastic left lobe liver? and if you have this kind of condition does it affect your sgpt results? the sgpt result of my husband is high so we consulted a doctor and a series of laboratory tests were taken to check for problem and that s when we found out that his cholesterol level was high and we were thinking that maybe that s the reason why his sgpt result went up so he went on a diet and exercise for a month and then we checked again his cholesterol and sgpt, his cholesterol result went down but his sgpt result decreased only a little and so we visited again his doctor that s when he ordered for an ultrasound of the liver, the result showed normal size of the liver, he doesnt have a fatty liver , medications were given to him and the doctor said that we ll just monitor his sgpt. After a month of taking the medication his sgpt was stll high and we went to see again the doctor that s when he decided for a ct scan of the liver, the result showed normal size of the liver with hypoplastic left lobe, what does it mean? thank you very much ### REPLY: Dear madam, hyperplasia of right hepatic lobe is a rare anomaly that is sometimes associated with ectopy of gall bladder, but it is usually asymptomatic. This anomaly shout raise his SGPT levels or any liver enzymes. You should try to find some other reason for it such as alcohol, viral or autoimmune hepatitis or metabolic diseases. CT and US can visualize liver morphology but to be sure he needs to do liver biopsy to rule out other disorders. Secondly, he shouldn't be worried about this SGPT if he doesn't have any symptoms so I suggest you just to do frequent lab tests and avoid food/alcohol which damage liver. 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: high im pregnant but before i found out i had a hard lump behind my left ear and later on in the following fortnight i had a swollen neck i have cats and have had eating the foods your not suppose to until i found out i was pregnant im soo soo worried and need to know the chances and if i treat the infection the chances and how long it takes to spread to my fetus ### REPLY: Thanks for your question on . I can understand your concern. Since you are having exposure with cats, possibility of cat scratch disease is high. It is acute infection present as enlarged cervical lymphadenopathy. So possibility of enlargement of infective enlargement of neck lymph nodes is high which is causing swollen neck and lump behind ear. So get done ultrasound examination of neck. You may need antibiotics. Avoid cat exposure. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I am 43 female caucasian. Overweight. Nerve injury in foot. I have a LUMP under my chin that is swollen and painful. I have also been having much IMBALANCE since Dec. Last time at Dr. no ear infection. I had small injury outer ear that seemed to swell in my head. Jaw hurts a bit, throat mouth a tiny bit. The imbalance feels like Im on board a boat. I have never tried this online. So glad you are here. Thank you. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, in my opinion you are mostly having enlarged lymph node. Since it is painful, possibility of Infection is more. So you need to rule out ear, nose and throat infection. Better to consult ENT doctor and get done clinical examination. You may need course of antibiotics. And if still swelling is not reducing then you need fine needle aspiration cytology for the diagnosis of course. For imbalance, you might require MRI brain to rule out cerebellar pathology. But first get done clinical examination of CNS (central nervous system) for cerebellar signs. 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 hemoglobin continually drops and is currently at 67. In May it was at 61 and had a blood transfusion to help. I have had a endoscope (through the mouth) and a colonoscopy and both can back normal. I am on supplements but it seems my hemoglobin continues to drop. I dont have any other weird bleeding. I will admit, the odd time (maybe only once a week) I forget the suppliments. Is forgetting my suppliments why it keeps dropping so drastically or could it be something else. I am finding myself so tired and wore out that I am having difficulty working and living a normal active life. any suggestions? ### REPLY: Thanks for contacting . Dear patient when hemoglobin keeps falling it means the cause for why it is happening has not been determined which could be as simple as bleeding gums to kidneys not making enough erythropoietin. You need to find out what is responsible for it. Also need to eat iron reach foods like spinach, dates, red meat, jaggery etc. Besides check iron contents of your iron supplements, as it should contain at least 100 mg of elemental iron per dose to be taken 2-3 times a day for the hemoglobin to rise. 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: 70-year old woman frequently has sharp, persistent pain just below ribs on right front. Has occurred for several years. 4 10 , 165 lbs. Frequent NSAIDs for knee injury. Does not appear to be related to diet or indigestion. Aggravated by movement, not helped by heat. ### REPLY: Hello, The causes of pain below ribs are:1. Sprain2. Overuse3. Injury4. Blunt trauma5. Pneumonia.6. Cholecystitis7. Other lung infections that you can take tablet Broken. Apply Diclofenac gel or cream. Also, apply ice locally and do x-ray chest. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedic. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a headache for the past couple days , not severe. Today I noticed a small raised lump to the left of my forehead measuring about 1.5cm in diameter. I feel fine right now just wondering us this something I should be concerned about. The lump is not tender, no warmth to it. ### REPLY: Hi! Good evening. I am  answering your query. The lump on your head might not be related to the headache. If I were your doctor, after a clinical examination of yours, I might advise you for a fine needle aspiration cytology to have a diagnosis. Further management would depend on the report. I would also measure your blood pressure to rule this out as a reason for your headache. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 2yrs before i was diagnosed with plueral infection so i took 1yr course but now sometimes i feel pain while breathing in waste like before but i have no fever now but get runny nose and cough with bulgum my age is 28 and weight is 50 should i consult a doctor again ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult doctor and get done clinical examination of respiratory system and chest x-ray. Chest x-ray is needed to rule out lung infection as lung infection is common after pleurisy (infection of pleura) and can cause similar symptoms. If chest x-ray is normal then no need to worry about lung infection. Possibility of simple viral URI (upper respiratory tract infection) is more in your case. So .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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! We are a marrier couple for last 15 months and have been trying for a child for last 5 -6 months seriously. Last month my wife had severe pain during the periods and also had some lumpy blod clots coming out. We seen a doctor who suggested some test and she detected a small cyst . Also suggested some medicines along with Lupigest 200 which was asked to be put through her Vagina . We follwed the same and have also had intercourse during the time span suggested by the doctor. My wife last month cycle was on 16.01.2012 (january) and was due around 14 - 16 th of this month (February 2012) but she did not had the period. We thought it could be a good news for us. As we planned to see a doctor this week, just today 29.02.2012 the period started. I am shattered to hear the same and dont know what is causing this. can you please advise? Thanks. ### REPLY: Hi there. I have read and understood your problem. It appears that your wife is suffering from heavy bleeding with irregular periods as well which can explain why she did not have her period on time as before. The Lupines is a hormone which should regularize her cycles in a few weeks so that her cycles will be back to normal and may attempt to get pregnant again. Do not lose hope and be distraught. There are many causes for the heavy bleeding, some of which are due to hormonal disturbances in which case Lupines should be of adequate benefit. Once the cycles are regular again, her Doctor will encourage both of you to conceive again. I hope I have answered your query. I will be available to answer your follow-up queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am suffering from very strong and uncontrollable pain and swelling in the left side of my abdomen . , this area is just below the left chest , this pain from past 4 years. I have shown a general mbbs doctor he asked me to go for CBP and cheat x ray, abdomen scan ultrasound . The report says everything is normal, to which said t might be muscular pain and insisted me to take few tablets and ointment for ten days, I have tried it for 10. Days but no changes what might be the cause of this pain ans swelling. ..? To which specialist doctor should I visit please let me know. Thank u. ### REPLY: Hi. Thanks for your question. Pain in the left Hyperion . But before coming to a definite diagnosis I would like to ask certain questions:What is your age? How is the pain? Is onset sudden gradual? How does pain aggravate and decrease? Is there associated Fever, Decreased appetite, vomiting,weakness, jaundice? How is your bladder and bowel habit? Does the pain aggravate with fatty food? What is the size of lump? Are you alcoholic? Any history of trauma to the area? I will advise you to have some investigations done:Complete blood counter Amylase and Lipase. For now, I will advise you to continue the medications given by your doctor and inform me about the reports as soon as possible. Wish you best of health 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: Within the past year I have been experiencing frequent headaches, and mood changes. I was diagnosed with depression, anxiety, and Asperger s Syndrome this year as well. I have no reason to be depressed, and it all happened without warning, pretty suddenly. Is it possible there is something wrong with my brain? I feel a tingling in my head, like when a limb falls asleep sometimes too. I run a constant low-grade fever, that gets worse at night. I haven t had a head injury, so that s not it. ### REPLY: Hello there I have read through your question and understand your concern. Depression does not always have to be triggered by any specific reason. A person may suffer from depression even when every thing is fine in his life. It may be due to genetic cause also. Since you are experiencing frequent headaches also you should get an MRI brain done to rule out other pathology. You should consult a psychologist for proper assessment of your condition and further course of treatment. 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: Hey Dr. My age is 21. I m married since two and a half years. Last year 11 months before we tried to conceive and got a positive pregnancy test. On that day I was 7 days late for period. On that evening I started to miscarried and end it with d and e. Later on after 6 month I again tried but again faced the loss on 5 weeks. Help me out ### REPLY: Hello dairy understand your concernFrequent miscarriages occur in 3-6% women of reproductive age group. You have to find first cause of miscarriage after consulting fetal medicine specialist. Following are cause of miscarriages:Unknown in most of the cases, Abnormal blood sugar levels, Hypothyroidism, Antiphospholipid antibody syn . I would suggest undergoing complete health check up, investigations like blood sugar, reproductive and thyroid hormone analysis, APA screening, PT, APT and ICT Beta-2 microglobulin antibodies, antibodies for SHE, chromosomal analysis of both partnerAvoid stress, take healthy diet,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, every month , a lump apperes on calf of leg, just the right leg, this has been going on for months now, lately its happening all the time , with really bad pain, im scared its clots, i have been trying to get my doctor to send me for smear but im not allowed until 2012, as i had one in feb 2009 which was normal, but 5 year ago i had treatment done for abnormal cells . what am i to do, i have 4 kids , and really worried and in a lot of pain, ### REPLY: Hi, thanks for the query to . Dear, Based on the facts of your report, in the background of abnormal cells' treatment 5 yrs back, and with a recurring painful calf lump in right leg, You seem to suffer from -chronic infected Venous Lump ulcer. A color Doppler study would fix the cause of it. Treat-Rule out diabetes by Fasting/and Post-meal Blood Sugar studiesContact dermatologist and treat it with antibiotics / antipyretic/ and anti-inflammatory, with a long term followup. If no relief Check with Color Doppler and take treatment from Vascular Surgeon, for the resistant calf lump with pain. Hope this reply would help you to plan further treatment in your case. Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was bit by my iguana on my thumb a few days ago. I cleaned it really good and have taken care of it with peroxide and neosporin etc. It seemed to be healing but it is now turning whitish with a bit of purple and is swollen but the skin where the cut is has turned not only very hard and sore. ### REPLY: HIT hanks for posting your query to .  I think it is getting infected. You should not self-medicate yourself. I advise you to consult your doctor as early as possible. You may require Oral Or Injection Antibiotics and may also require debridement of the wound with proper antiseptic .  Kindly get it done.  If you have not taken a shot of Tetanus kindly get that also. Hope you find this information useful. Any clarifications or Queries 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: Pus cells found in my semen 8-10. sir, i hv undergone 4 times for semen analysis and everytime reports says pus cells 6-8 or 8-10. then doctor suggest me for semen culture test and then gave me antibotics course for 2 weeks as per culture reports. after taking this course i hv done semen analyis again and result is same 8-10 pus cells.i dont have any symptoms and hv undergone 4 times for semen analysis in last 3 years.my first report says 60million sperm count and now only 30 million /mlother factor of the report is ok. is 30 million /ml is normal or below normal???and why pus cells found again and again even after treated by antibiotics??? ### REPLY: HelloWelcome to ChatDoctorYour semen count which you have mentioned is normalizing 2 to 3 pus cells is normal. In some men they have infection in the prostate gland which can lead to repeated sperm infection and pus cells seen on semen analysisHence if this is observed please meet a urologist, and he will be able to help you if there is any other problem hope to have answered your query wish you all the best .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The past week i ve been dealing with a hard lump underneath the skin located in my lower back. It s embarrassing to say, but it s actually located about an inch down inside of my butt-crack, almost but not quite, in the center of the crack.It s about the size of my thumbnail and it hurts when I sit down or lay on my back. I had my mother look at it so see if it was a pimple or a boil, and she said she couldn t see anything that looked wrong. She couldn t even visually notice a bump of any sort. However, when I rub my finger down on the area I can feel the bump and know there s something there that isn t suppose to be. It isn t squishy and feels hard-like. It isn t noticeable from the top of the skin like I mentioned. it was really painful to sit on nd move about a week ago nd died down but then started up again! Some days is sorer than others if hit it wrong way, however it isn t unbearable pain so I don t think it s a cyst like other messages I have read! ### REPLY: Hi, Dear,Welcome with your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Boil in the butt crack, which recovered on its own, being in the initial stage of the Abscess in the boil. Friction in the area caused recurrence. Being in the pressure area -is causing a lot of pain when you seat on it. If recurs repeatedly-X-ray fixed any other cause like? Colonial cyst with abscess /? Teratoid Desmond cyst with necrotic tissue-which is common in this area. Other causes of such a complaint needs to be ruled out and treated if present accordingly from Second opinion from Surgeon and Ortho-Surgeon if needed. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! . N. Senior Surgical 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 started getting severe chest pains like I was hit though that was not the case.been having the pain for two months now and da doctor prescribed myolgin the same is not working and my pain has gotten worse.an xray shows nothing is wrong.please advise ### REPLY: Hello Severe chest pain shouldn't be taken lightly. It is important to rule out cardiopulmonary causes. You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, lipid profile, liver function test, renal function test, ECG in all leads. Further investigations can be done if needed. Upper GI endoscopy should also be done to rule out reflux as it may cause similar symptoms. Proper treatment depend upon findings. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is stormy im 22. The day my friend had her son i was in the room and i got really weak and turned pale white i had asthma as a child. Lately ive been feeling weak and tired and bad headaches and back pain. Plus in my lower very lower belly it feels like im being scratched. ### REPLY: Thank you for using  .hi stormy. Asthma usually presents with chronic coughing or difficulty in breathing which are not present from the symptoms you described. Although asthma may attack even after several years from your last attack, it is best to have yourself checked by your doctor to confirm that this really is an asthma attack. As for treatment, SAGA (short-acting beta2 agonist) like Albuterol is the .  Sincerely, Mark Rosario MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m pregnant with 6 weeks and have severe asthma. I m using inhalers on doctors prescription but not getting relief. Before pregnancy I used to get deriphyllin injection for getting instant relief.................so now how can I get relief in my pregnancy with this asthma problem ### REPLY: Hipregnancy basically causes increase in all cell types to increase your blood to supply extra for the baby. In the process eosinophils blood cells responsible for allergy also are produced in excess. A little trigger like perfume, dust or even steam might cause release of allergy chemicals from these eosinophils. U can use oral antihistamines like tab chlorphenaramine, but side effect of that is being .  And if its severe asthma and u have had deriphyllin shots earlier uneventfully, no contraindication to that is there in pregnancy either. U can take those shots in severe conditions. But use caution and no  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 husband had a SA done and everything looked good except that he had a 90% rate of abnormal sperm, all other levels are well with in the normal range and he had a good number of sperm per ML should we have him checked out further or is this an issue that would complicate getting pregnant? ### REPLY: Firstly please read the link- https://www.lybrate.com/topic/improving-sexual-health-male/c2d102381098b2c50e904c6d65b2c75dNow, other parameters are within normal range except that only 10% sperms are normal. We need to know their morphology and motility and then need to find out the cause of such abnormality. If possible, we should treat the cause. Even the cause is not found or cannot be corrected, pregnancy is still possible with his sperms (whatever little normal sperms he is having. So, no need to 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: My 24 year old son has a lump at the base of his eyebrow.  Its lasted 6 months and  hasnt changed.  Last night it seemed to erupt internally and that side of his face is swollen but the lump is smaller.  Should we be concerned?  There is no pain or redness or fever.  Thank you. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You may have angular Desmond or other soft tissue tumor or cyst or basal cell carcinoma.  You should go for examination.  If needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I had an unprotected sex with my boyfriend on 28th August and that day itself I took Ipill and 30th August again we had unprotected sex and took ipill again. I know it was stupid and I have done a terrible job. But i was so confuse. Now i am having some kind of allergy rashes in my body even having headache and weakness. My menstrual cycle date is 8th. So should i wait till 8th or take some kind of medicine for all these ? ### REPLY: Hi Dear thanks for your question on , you had unprotected sex twice and both time you used I pill, and now having headache and weakness, this is due to the side effect of I pill, dont worry it will go, your cycle is due on 8th of September, you wait for your cycle before taking any other treatment, I hope you won't need any treatment, still you wait for your cycle, and if it gets delayed then go for further treatment ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My boyfriend and I just had intercourse and when he ejaculated the semen was yellowish/brownish and clearer than normal. He usually has pretty thick, white semen. That wouldnt worry me too much but there was also what looked to be a spot of red substance in it. Might have been blood. He has also just informed me that for the past week its been a little uncomfortable when he urinates. Im a little worried. But he doesnt have health insurance and doesnt want to go to see the doctor. Any thoughts on what it could be or what he could do about it? Its not an STD weve both been checked fairly recently for those. But Im worried its some kind of infection. ### REPLY: HelloThanks for query Difficulty in passing urine and hematospermia (Blood in semen) is mostly due to infection of Prostate (Prostatitis). Give his semen sample for culture and then start taking broad spectrum antibiotics like Definite with anti-inflammatory medicine twice daily before later on switch on to appropriate antibiotics as per culture report. Ensure to avoid sexual activities till he gets cured complete kl as there is risk of transmitting infection to 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 need to consult a therapist. How do I go about it? I have been suffering from hopelessness for a long time, and its beginning to harm my self-worth. I feel like my symptoms resonate a lot with Borderline Personality Disorder. I dont want to let my behavior go undetected as I feel it might have devastating impacts on my life in th near future. ### REPLY: Welcome to  ! I have gone through your question, from it few things are apparent-you have hopelessness and now started having worthlessness too. You think that your symptoms resemble borderline personality disorder (but you have not mentioned any other symptom resembling borderline personality). However, what ever be your diagnosis, (as these symptoms can be present in several psychiatric disorders), one thing is certain that you do need help. Had I been at your place, I would first visit a psychiatrist and discuss my problem in detail, let her make a correct diagnosis. After that the doctor may prescribe you some medication along with counseling sessions. I can assure you that you should not worry anymore as you have taken a right step in discussing your problem. Accepting ones problem is the first important step in treatment. Hope the answer helps you. Feel free to ask more 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 have cough from 45 days and im feeling very heavy near my tonsil.and always i am getting cough after eating food specially rice .i am feeling very irritate by coughing.. i did my blood test in that report everything okay but rbc count 5.70 millions/cmm &mch 25 picogram..others xrays are normal...please help me ### REPLY: Hi Dear!! Thanks for your query to . Read your query and understood your health concern. Based on facts of you query, you seem to suffer from- Globes Pharynges with HERD causing Cough due to Va gal irritation from Acid reflux with gastritis from Food allergy from Rice. Would Suggest you to get EGD done and Consult ENT to rule out accompanied Tonsillitis. Actual heaviness in tonsil area is from Globes Pharynges. Treatment from ENT Surgeon would fix the Cough issue in your case. Hope this reply would help you to plan further treatment with your doctors there. Welcome for further query in this regard if any. Good Day!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i get this pimple things very small not very bump things in my penis shaft they are white but when messed with or picked open the bleed little and clear liquid like oil leaks. I had one recently under my penis head like around the crown head. they dont blister or itch or anything, once my doc said they are papules. what can they be my gf is std clean and she was my first. ### REPLY: Hello, If you've never had sex, little white bumps on the shaft of the penis may be pimples, a skin cyst, or ingrown hairs.  These are common and they're nothing to worry about. Another condition that's normal and no cause for concern is pearly penile pa pules. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. 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, I have a slightly enlarged spleen so I m told from my gp, I can see a lump on the side of my left ribcage and I have pain there, feels like its pushing on my ribs or something like that. every time i breath it hurts..... I m 6ft 5 , 23 , m , Caucasian I need help :( ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged spleen.  There are many causes for splenomegaly.  Malaria, congestion, leukemia, lymphoma all can lead to enlarged spleen.  You should go for ultrasound abdomen and routine blood examination.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a son who just turned 2 and he has a quarter sized lump that is very obvious when he bends his knee.  It doesnt cause him any pain or seem to affect his behavior at all.  I do have a doctors appointment for him this afternoon.  Any thoughts or questions I should ask our doctor? ### REPLY: Thanks for your question on . Knee joint lump can be due to any of the following. 1. Lipoma 2. Desmond 3. Osceola 4. Osteocyte .  All are benign swellings. So no treatment is required if it is not enlarging or painful or restrict knee joint movements. But better to consult orthopedic doctor and get done x-ray of knee joint and ultrasound examination of knee joint to determine the cause of swelling. If he is asymptomatic then no treatment is required. You need to wait and watch only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gamma gt reading of 174. I drink about three bottles of wine a week and a few beers which my doctor thinks is too much. I am a 50 year old male in good health and not overweight. I suffer quite badly with reflux (sometimes I cant swallow food at all) and gout which affects the big toe on my left foot. Fortunately, I havent had an attack of gout for over  year but I am worried about my gamma gt reading. If I give up alcohol, how long will it take for my ggt reading to reduce and will there be any lasting damage to my liver? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Return of GGT reading to normal after complete stopping of alcohol would take around 2 months.2. You are also possibly suffering from Gout, which is getting exacerbated from alcohol.3. Alcohol can increase acidity production and can cause gastritis and cause acid reflux too. If the liver functions at present are normal, there won't be any lasting damage. If it is already cirrhotic, it will last for forever. If it is fatty liver, it will get back to normal. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor I have a question with u everybody? I have been doing hand job last 2 years ago. Now I m habited everyday. 7 times in a week. Now I got a probleams of back pain. N feeling burning eyes.Plz help me how can I avoid this habit?any one of you are kind heart. Plz answer this question very kindly. All the time running after the money is mightier then free serve to the poor n needy people..I left the question couple of month ago.n this is not only my problem  all most all the teenagers facing this same problem.... ### REPLY: Hi. . Masturbation is most common among teenagers. However, if it's becoming an obsession that inhibits other aspects of your life, or you belong to a religion or philosophy that forbids masturbation, It's possible to curb the impulse, gather your self-discipline, and take control of your urges. I can suggest u some steps. First stop punishing yourself and remember, you're human. Humans make mistakes, and they have sexual urges. Neither of these things makes you a bad person. Resist the urge of sinking into despair by remembering the times spent feeling sorry for yourself. Remove anything that tempts your urge to masturbate like access to pornograpChatDoctoraterial, loneliness and boredom. Stop being lonely. Find another outlet for your time and energy like being creative, develop a new hobby, do sports, always engage in some productive work. If you've tried everything and just cant seem to get your addiction under control, it might be time to get some professional help and ask for assistance. Don't feel ashamed, and remember that many people have similar problems like this and seeking help is a brave action. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sick with bronchitis and sinus infection for 2 months, have been through 2 courses of antibiotics and steroids but seem to be going downhill again with fluctuating temps, terrible body aches especially in chest, back and joints, feel like I m going to die ### REPLY: Thanks for your question on . In my opinion you should consult pulmonologist and get done chest x-ray to rule out lower respiratory tract infection (LETI). LETI is very common after upper Respiratory tract infection (URI) especially sinusitis. Since you have taken 2 courses of antibiotics but not improving, possibility of resistant infection is more. So get done chest x-ray and sputum culture and sensitivity to guide antibiotic therapy. You may require longer treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 34 year old son has a lump on his left thigh between his scrotum and leg. It has a burning sensation, and is painful to walk or move. He thought is was an ingrown hair and tried to squeeze it, then swelled and turned to 3 lumps. as of now the swelling has gone down. The lump appeared yesterday, today he is sick, with body aches, goes from chills to hot, and feels sick to his stomach. Is this viral, maybe an infected lymph node? The only thing he has taken is a cold & flu tablet thinking he had the flu. YOur thoughts? ### REPLY: Hi, Dear,Good evening. Thanks for your query to . I studied your query in-depth. In my opinion the painful lump on the thigh, mostly-is due to the -fungal skin-infection with multiple boils(Jock itch)-as it increased in number after squeezing./ or it could be -Boils-with spreading infection due to squeezing/ or could be infectious mono / or could be LGV. The clear history of squeezing lead to 3 lumps from one-leads to -fungal infected boils with secondary infection leading to chills and fever-due to aggressive spreading bacterial infection in the groin skin. Treatment-A-Good groin-skin hygien-with dilute detail /betadine-would go a long way in controlling these lumps in the future.b-Tb-anti-fungal for chronic infection-, antifungal creams / and appropriate-Antibiotic cover to control infection-under cover of ER-Skin doctor, would fix your lump treatment. This would require consultation of ER-skin doctor / ER-physician / and or ER-Surgeon in the treating team. Hope this would clarify the worry you had. Would love to Welcome your queries to . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: which doctor is best for k.oxytoca I have been diagnosed with this in the wound center and been treated using manuka honey for my leaks on my legs. I now have another bout with this and I went to my primary care physician and she said couldn t find k. oxytoca but my leg is swelling and having sharp biting paines lasting for micro seconds but feels like water under skin moving around. I am worried and wondering where to go I need someone agressive ti battle this disease my other leg having a beginning same feelings but not swollen yet but having discoloration in both legs would enjoy some input please. ### REPLY: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that you should do culture and sensitivity of the infection of the wound organism. If the Klebsiella Ottawa is isolated than it is associated with resistant to variety of routinely prescribed antibiotics. I advise to take the . I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently begun taking taking birth control. im on week 5 on a 3 moth supply. sporadically, ive been taking them within a 5 hour window. my set time to take it is 8:30 but occasionally it gets taken at 10:30. it does get taken everyday, but seemingly different times about 2 or 3 times a week. i have sex every Monday and Friday & my appetite has increased greatly, could i be pregnant? ### REPLY: Hi there, After reading your query, my opinion is that:1) As long as you take birth control pills every day, it is ok. 2 or 3-hour delay is not going to make a difference.2) It normally does not cause pregnancy if you are taking the pills regularly. 3) However, every form of birth control has its failure rates, and sometimes can fail. Failure rate of birth control pills, if taken regularly without skipping doses, is 0.03%, so is very efficient.4) Just increased appetite is not a cause of worry and is not a sign of pregnancy.5) My suggestion is that you wait for your periods and in case you miss them, you can get a urine pregnancy test done or even a blood test called serum beta . I hope this was helpful, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m john.i usually feel pains in my tummy after food and this has lasted for over 2 years now. But more recently,i noticed that there s a swelling in my arse hole and an almost sticky fluid leaks out of my rectum occassionally and whenever i fart .i have been placed on anusol suppositories and a sitz bath recommended but the irritation and leaky rectum remains. what do i do? ### REPLY: Hello & welcome to  forum 1) As per history, you are suffering from Irritable Bowel Syn .  IBS is a functional bowel disorder, and it should be diagnosed after all relevant investigations 2) Pain after eating indicates cholecystitis, pancreatitis & peptic ulcer disease. 3) You should go for serum amylase, UGI endoscopy, and ultrasound scan of upper abdomen. 4) You should also consult with physician or gastroenterologist for better opinion 5) Symptoms mentioned by you are also associated with some sort of depression/ anxiety, you can also perform meditation and medical therapy for total relief of your symptoms Take care & get well soon  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr. Im Aravind from Kerala. My problem is my Mustache. I m 26 years old. My mustache is not grown proper till this date. From the initial stage there is a gap in the center of the mustache. Now I m preparing for my marriage. Please give me an affordable reply. Waiting to hear from you. ### REPLY: Degree understand your concerns went through your details.  I can understand your problem of thin mustache. It is sometimes really distressing for young men like you for the improper hair growth as per your age. Facial hair growth is determined by male hormones. Let me first reassure you that such problem is totally normal. Young men like you who do not have properly grown beard and mustaches are quite concerned and anxious to grow them fully by any means. Please understand some medical facts regarding hair growth: The growth of beard and mustaches is genetics, it means whatever genes we are carrying for the growth-from our mother and fathers side determines the pattern of hair growth. If you use some creams or oils, you may come across side effects or no effect at all. Please beware, such treatment could cause loss of money. Please do let me know about the hair growth on arm pit and pubic areas. Also let me know about any abnormality in your sexual desire If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I lost job a some times ago, after that I couldn t get a job same or better one. Now I feel so guilty concious and sad. And this thoughts always disturbing me as I can t make a jump for a new job. Feeling unhealthy like this. Is this dippression and anxiouty? Pls give me a valuable advice and save me from this troubel? I had cipralex 10 mg for 2 months before 4 months ### REPLY: Hi.you are just suffering from pessimism.what we call negative automatic thoughts.they are creeping in and making your life tremulous.losing a job is not the end of the world as you will certainly get better options if you have some things within which I presume you have.so just consult a psychiatrist for some medication for anxiety, if needed and a psychologist to ad . .so just get rid of blues.best of 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: Since beginning of March I have experience severe right flank pain with hematuria. However, though I have a history of kidney stones none appear in kidney or ureter. I have had 4 CT scans and I am about to have my second cystoscopy tomorrow. What if my urologist is unable to make a diagnosis? Will I have to leave in this kind of pain indefinitely? I have done everything I know to help including drinking 3 liters of water a day. I even went to a therapist to make sure it wasn t in my head. ### REPLY: Hi, Thanks for writing in. Your urologist will certainly make a diagnosis concerning the pain in right flank and hematuria after having a look at your recent CT scan. A CT scan for kidney stones is a detailed investigation and will show stones even 2 mm in size. It is possible that since you have many stones in the kidney, one or two such stones might leave the kidney and travel down the ureters towards the urinary bladder. In this way, the stones can cause bruising of the ureter and then this causes pain and bleeding which is seen as hematuria. You do not have to live with this kind of pain for a long time. The urologist might decide to insert a double J stent which will make the passage of urine clear of any obstruction and then there will not be any trauma to wall of ureters. This will prevent flank pain and hematuria from happening. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 18years old female. i have  chickenpox hole on my face and they are dark . please suggest if there are any easy remedies to get rid of them.. i have tried a lot for that dark sports..i have uskes nomarks cream, sandel wood,...but of no use.. plz suggest me ### REPLY: **1. It is advisable to show to a skin specialist, since there are several creams/gels available, but which one is best suited for you can't be told without examination and evaluation.2. Since holes/scars are there, thus initially consult with a dermatologist regarding removal from cosmetic point of view or if they are causing psychological tension/worry.3. Most importantly use a good sunscreen for sun protection which will prevent the uneven tone of the scars [according to skin color].4. Stay HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My duaghter 10 month old she have small swelling at right side of neck and his lab investigation has shown ESR 53mm/1st hr and Platelet 551 %. pheripheral film shown anisocytosis hypochromatic poikilocytosis target cell platelet increase neutropenia. ### REPLY: Hi, Thank you for asking question on . Swelling on the right side of the neck may be a lymph node. High ESR suggests a specific infection like TB. Mantoux test and X-ray chest to rule out TB. Better consult pediatrician for proper diagnosis and treatment. 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: hey, i have notice dark skin discolouration  around my chin all of a sudden. i know i am allergic to nuts and did took some nuts yesterday but the discolouration on my my chin is not painful or sensitive at all. it is just there dark and ugly rest of my face if fine. I am worried what it is and how can i get ride of it ASAP. and it only appeared yesterday. ### REPLY: Hello, Welcome . As you said you are allergic to nuts. Hyperkeratotic patch on chin may be due to sensitivity to nuts. It may be fixed . .fixed food eruption. There are reports on such type of lesions cashew nuts, almonds, peanuts. Take short course of steroid. Apply mild steroid cream. Mometasone creamAvoid soap on face. Color may remain for long time. Avoid to ingest culprit nut. You take advice from nearby dermatologist also. I hope you got my answer. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I got in a four wheller wreak about 4 years ago and I found out that a calcium deposit formed on my forhead the docter said I m fine but if I want it tooking off then I could just for looks.. It dosent hurt but I was wondering if that sounds right ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You may have calcification lat your injury site. It is a chronic process.  No need to worry about that.  If you want to remove it then you can go for excision.  If you don't want to remove then also it's ok. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there, I am 34yr old female and have a HB of 10.6 (it was at 65 in January when i was 36 weeks pregnant and received 3 units of blood ) and my iron is at 6. Since the transfusion, it climbed to 80 then 110 (ferrous fumarate 3x day) but seems there may be an absorption issue. What could be causing this? Various tests were done post transfusion, not GI or Endoscopic though. ### REPLY: Hi. The most common cause of anemia in females is menstrual loss which leads to iron deficiency anemia. I'm not sure if your menstrual cycles are normal and that you do not have too much blood loss. If not, there may be parasitic infection in your gut which can cause blood loss. A stool for occult blood may be done to look for occult blood loss through peptic ulcers. The other condition which can cause recurrent anemia, which I'm not sure if you have is celiac disease. Guess you should not worry right now since your tests are normal. 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 just ran about 800 meters and i pushed myself  over the limit. my hart is still beating fast after 1 hour. i ate some food and drank 3 bottles of 600mill 2 clod one room temp. can u please help me i need 2 know what 2 do now i will try 2 c a doctor but i am at school now and i do not know if it is bad. ### REPLY: Hello, I understand how you are feeling. It could be scary to have a feeling of a fast heartbeat. It is normal for the heart to beat fast after physical activity. As much as exercising is good, you should avoid over stretching the limit your body can go If for example you usually run 400 meters, it is better to gradually ascend to 500 or 600 meters before getting to 800 meters this way you can avoid injury and exhaustion. Warm regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am on Ramipril for about 1,5 weeks, my BP was about 165-180/95-98 during some time, my weight is about 69 kg and height 1,63. I exercise regularly and try a healthy diet. If I continue healthy eating and exercising, is it an opportunity to come off ramipril, as I am 43 y.o and feel that I am able to find another way to keep my BP under normal level. If yes, how should I take off the medicine ( I , of course, will consult my GP). I would just want to listen as many opinions as possible. Thank you. ### REPLY: Hi Thereafter going through your query I understand your concern. I would like to tell you that BP more than 140/90 needs to be corrected. Healthy diet and routine exercise is a very good addition along with medication to control your BP. Carry on with both as of now, if in future your BP gets normalize with your lifestyle modifications and medication then you can taper off Camphill taking your GP's advise into consideration. Kind Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am having pain in my abdomen and back was sort of constipated and had se ver stomach cramps sweating and nausea. Had a big bowel movement with diarea now I am cramping for the last 3 hours shitting blood red and clotting every 15 to 30 mins do I need to go to the ER or can I wait til tomorrow ### REPLY: Hi. Thanks for your query. With the history of pain in my abdomen and back, stomach cramps sweating and nausea, big bowel movement with diarrhea with blood and clots indicates you have severe form of Gastroenteritis and you need to go to the ER urgently to check for the vitals, tests of blood, stool, ultrasonography and get a proper treatment in the form of antibiotics, probiotics, metronidazole, anti-spasmodic and symptomatic relief. If required need a stay in the hospital and further investigations of colonoscopy if required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 child is 18 month old, his tooth are become black in colourin the upper front jaw,suddenly his cheek become swollen we discussed with dentist he advised to remove the affected teeth is it need to remove the teeth are is it possible for any other ayurvedic or siddha treatment. pleace our question ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have small child with swollen cheek and discoloration of teeth, don't worry this can be due to carious tooth having Pus formation.  As there is no any ayurvedic treatment you should consult dentist and go for restoration if possible, if cant be restored go for extraction of tooth.  Hope this will help you.  Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor i am sindhu one month onwards my skin is becoming like tanning ,,,dull ness,, pimple spots ,,,,so i visited doctor ,,,so doctor told that apply clear gel on morning onwards,,and hyde cream at night ,,,,,,its better r what sir it will result docter,,,,,other wise i want to use some thing change na ### REPLY: Hi there, i can understand your concerns, if by pimples you mean Acne then apart from topical therapy you need some oral anti bionics regularly, which can be continued according to the response. There are different kind of anti bionics available and your doctor would start you on according to the severity and the grade of the acne. Once the acne has been controlled then there several effective options available for dull and tanning skin depending upon the skin type you have. For example AHA chemical peels, Microdermabrasion and laser skin resurfacing, all of these remove the superficial skin surface and a new fresher and lively skin glow can be obtained.  In the meantime kindly avoid sunlight as much as possible, wear a sunblock of more than 30 SPF throughout the day, eat a healthy balanced diet, have some good Vitamins, . I hope you'll get good results. Bye ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Husband is having strange feelings. He says he is scared. Another time he says anxious. Monday he was diagnosed with an upper respiratory infection. He took the last dose of antibiotic today. He has answered every question I could think of with no ideas coming from them. He speaks clearly. His attitude is very stressed, grouchy, and irritable. He gets dizzy a bit, not really bad. For the last week, he has been having trouble sleeping and not eating even a 4th of his usual meals, about a 1/3 of what is on his plate. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, all his symptoms (irritable, stressful, dizziness) are due to lack of sleep (insomnia) since 1 week. So better to consult sleep specialist and get done prescription for clonazepam. Clonazepam will calm his mood and help in sleep. Once he gets normal sleep, he will be alright. Also tell him to avoid stress and tension.  Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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: The anti inflammatory or analgesics have not worked so I am at a loss as to know what to do. Since about last April I have been getting splinter like electric shock feelings in my head from the left side of the cranium to just behind the left eye. This is closely followed or sometimes comes together with electric shock spasm feelings on upper or lower right arm. What can this be please? I have MS and had an MRI scan done last August which revealed two lesions on the brain stem. I would dearly like to fly out to the States to see my 89 year old stepmother who s health is beginning to fail badly. Would the air pressure in a plane affect the MS or lesions? ### REPLY: Hello dear, I have gone through your question and understand your concerns As you have multiple sclerosis diagnosed and have brain stem lesions, the current like sensation over face and limb may be explained by tract involvement. You can travel by airplane. The precipitation of ms symptoms usually occurs in hot exposure. Rest precautions and treatment to be continued as advised by your treating doctor. Hope you recover early. Wishing you good health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been suffering from breathlessness for almost 2 years, thinking that it could be due to stress and lack of sleep and probably overeating at times. But now, it has worsen to the point of me getting acute chest pains / strain as I reach out my arms horizontally. I am also getting dizzy spells lately and my breathlessness is constant now. My hands would turn red, and my right arm would feel numb at times. Am I prone to getting a heart attack? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of heart and lung related diseases is more likely. Stress can not cause such symptoms for 2 years. We must rule out coronary artery disease, heart failure and bronchitis in your case. So consult doctor and get done ECG, 2d echo and stress test (trade mill test). All these are needed to diagnose cardiac cause for your symptoms. Also get done clinical examination of respiratory system and PFT (pulmonary function test). These will be needed for bronchitis. You may need cardiac supportive .  Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END