Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the blood clotting condition factor 5. I am flying for 8hrs Sydney to Honolulu. other relations with same condition have previously been prescribed clexane when flying and the dosage has been 24 hrs before and after flight. my doctor has said 2 hours before I fly and after I arrive. The doctor appeared unfamiliar with the implications of factor 5. i have purchased compression stockings. I am a healthy 19 year female. what dosage schedule would you recommend? ### REPLY: Hello welcome to . I have read your question and understand your concerns. In clean should be taken actually according to weight and kidney conditions. Presuming you have normal kidney function and average weight you can take 0.4ml dosage of clean subcutaneously just 2 hrs before flight. Avoid prolonged sitting in flight, walk for a while every hour to avoid risk of clotting. Thank you. Have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had extreme anal itching for 7 years, I had 2 polyps removed in 2009 via colonoscopy. I also should tell you that in 2000 I had a very large cone biopsy done due to abnormal cells from HPV. I have recently discovered a perianal high fistula which is extremely painful and itchy. My gyno did a punch biopsy of it last Friday and am currently waiting the results. I am seeing the gyno due to a large calcified cyst inside my right ovary and am waiting for a radical hysterectomy. Should I be worried the fistula is a symptom of cancer from the HPV? and what kind of over the counter cream can I use in the meanwhile? ### REPLY: Hello, Welcome to , The usual causes for perianal itching is a fungal infection or a parasite called entertains vernaculars (Pin worm). In pin worm the itching is mainly at night and if you inspect your motion or the perianal region you might see the worm. The fungal lesion can also be diagnosed by a KOH preparation, which can be done at most labs. Check your blood sugar if it has not checked recently, as diabetes makes one prone to fungal infections. If you are unable to meet a doctor, for the symptoms you can try with Albendazole tablet and canes ten cream locally.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: Dr. my father is 91yrs old and has been diagnosed with stage 3 lymphoma. The doctors suggested a biopsy to my sisters but decided straight on to the chemotherapy. The doctors said that with out the chemotherapy he would die within a two week period. ### REPLY: Thanks for your question on . Lymphoma is very aggressive malignancy and life-threatening too. And risk is high when patient is old age and having advanced stage malignancy.  Your father is having both risk factors, age 91 and stage 3 disease. So he is at high risk for mortality. And lymphomas are highly sensitive to chemotherapy. With single dose lymphoma start regression. So we should start chemotherapy as soon as possible once patient is diagnosed with lymphoma. So no need to wait, start chemotherapy.  Without chemotherapy survival rate is very low, less than 1 month. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, My son at present age is 9 months. we recognised the rashes on the body since 1st month onwards and he is getting irritation due to this. there is no heridetory in this. we are consulting the dermtologist here they are keep on changing creams which needs to apply on the body. some of the creams are having steroids i.e Ellocan ..etc. kindly suggest us what we need to do... ### REPLY: Hi, Where on the body, rash is situated? Colour of the rash? Is there any oozing or peeling of overlying skin? Without seeing at least a picture, it is difficult to comment on the cause of the rash. Most common causes of generalized body rash in infants is eczema and satyriasis Alba. Both these conditions are treated by applying moisturizing and steroid creams. As these are chronic skin conditions with intermittent exacerbations, treatment may be needed for long duration. Depending on disease activity, treatment is revised at intervals. It is better to follow up with a dermatologist regularly. Need not worry about steroids, as creams are having lesser side effects than oral .  Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor,I was told toda y by my doctors office that I have anemia.they want me to redo the test in one month. Ive been having small little brusing on inner arms some as large as an eraser and small as the width of a pencil lead. Ive also seen a bruise on my thigh the size of a quarter. Think there can be a connection?Thank you, Mary ### REPLY: Hi and thanks for the question, Is anemia is associated with easy bruising, the main possibility to be exploited and excluded is a bone marrow pathology, a lesion with the kidneys with inadequate secretion of a hormone called erythropoietin, responsible for both red blood cells and platelet production and a spleen defect. The platelet production is very much linked to red blood cells production. Low platelets generally lower than 50.000/mm3 could lead to easy bruising. A complete blood count with platelet counts measured is needed. If low again, the opinion of a hematologist might count significantly in the diagnostics and management. Thanks and kind regards, Bain LE, 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: is there arelationship between short term memory loss and sudden inability to walk? my friend ...female-72 years old....and she complain from short term memory loss and she take medication for it...but sudden she refused to walk inspite of her upper limb and trunk is strong and also power of lower limb muscle is good but she is so fear i don t know why ...she also complain from hypertension and it was so high the last days...so is there ahope to can walk again???????? ### REPLY: Thank you for choosing . There are different neurological conditions which have such symptoms. Normal pressure HY .  But memory loss is not so acute. But it could be a combination of conditions like dementia, hypothyroidism , neuropathy, electrolyte imbalance and vitamin deficiencies (B12,folic acid).  She needs to undergo blood work up and imaging. Visit a neurophysician in your town. He can add ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Bala (name changed) from Kottayam.I am 2/female.Now I have 30 teeth.I am getting my 3rd molar or wisdom tooth in the right lower jaw,not yet in left side.Some of my neighbors say that if i get a molar tooth growing alone(without the other one growing) it would finally get decay.I have some decay in my 2nd molars. How can I get rid of decay and will my new tooth also get decayed?How can i make my teeth white? ### REPLY: Hi, A wisdom tooth usually erupts within 18-25 years of age. You are now 30 which is a delayed eruption. A X-ray of the tooth should be taken to determine the actual position of the tooth. If there is lack of space or the tooth is tilted it will be impacted in the bone. A dentist can determine it and would suggest you to get the tooth removed surgically. The decayed teeth have be restored at the earliest, and you should start using a fluoride mouth rinse (Pros four) once daily. Avoid sugary snacks in between meals. Brush your teeth twice daily. Change your tooth brush once in 3 months. Scaling of teeth should be done once in 6 months. Visit your dentist once in 6 months to rule out any problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Camila, i m from Brazil, 28 years old. I suspect I have asperger s syndrome and here in Brazil doctors are used to only diagnose boys with this problem..so being a girl and 28 makes things really hard. I ve always felt like i was different from the other people...in my intire life i had only 1 close friend and when she dicided not to talk to me anymore it didn t make me sad...I knew i hadn t done anything wrong to her so it was her option talk to me or not. After that I didnt have really close friends, It s not like i dont like to anyone, i do like a lot of poeple that i know, but it s hard to me to get closer and spand much time with them...it s hard to me to keep a conversation...I feel like i just have superficial relationships ....but to be honest i have never noticed it was the way I act, since i was reading a magazine and found an article about Asperger s, i had never heard about that, and the first 3 lines i read i knew it was my problem. I have some special interests also that are quite bizarre, I like to simulate buys on the internet only for fun....specially school uniforms...yeah i know it s bizarre. but those special interests always change in times by times. well I guess i ll stop here...what do you think? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely think, you do not have any condition that calls for Asperger syn .  You are unable to make friends, that does not mean you have this condition. Your personality is of an average introvert. So many people are thus. Secondly, every person have their own behavior patterns and manners. You also have some. Why do you want to think you have Asperger s syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 39 1/2 weeks pregnant. I am feeling a lot of pressure tonight, which is making me feel like I need to have a bowel movement. My last bm was about an hour ago and it had a black oily substance floating around it, what could that be? Thank u for your response. ### REPLY: Hi, Thanks for the query. I understand your query.  Downwards pressure in 39th week of pregnancy along with feeling of urgency of deification suggests decent of fetus up to the rectum. Sign of labor. . More so because of the black (? Old blood from vagina) oily substance being passed while bowel movements.probably old blood from vagina which was caused by dilatation of cervix.  You should get examined by your treating doctor for progress of labor & get admitted as per the findings.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am allergic to dust. Whenever I am exposed to dust, I get itchy patches on my skin and eventually leaves mark on my skin. I am 21 years old and I have been suffering from this since I was about 10. I had many medical treatments but they didnt seemed to help.Please help. ### REPLY: HI, thanks for using  Allergy to dust is a common problem. In your home, the use of pillow and bed casings would help. In addition, there are other tips that would help in your home environment such as: (1)wash bedding in very hot water to kill dust mites(2)clean bare floors with a damp cloth or mop(3)vacuum twice a week(4)may have to replace any .  Singular helps to reduce allergic response. You may want to consider consulting an allergist. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: He has factor five laden & just had gall bladder surgery. Found out he has a blood clot. He hasnt been on blood thinners in 6 months due to excessive bleeding, he stopped taking them. Should he be in the hospital being treated?? He does have a filter from 2004 and they found it was poking through his vein. He is extreme pain the clot is in his thigh. We do not know his inr & we was never told. Should he be in the hospital? He has always been in there before when he got them. ### REPLY: Hi, Cannot say in your particular case, but generally, factor 5 Leiden is a reason to be on blood thinners. Surgery is a trigger for clot formation. If a large clot is inside a vessel then not only is it a reason to be on blood thinners, but there is a risk the clot can be fatal if dislodged, so someone is often hospitalized for 2 days while the blood thinners are started. But there are a number of possible other factors such as the previous bleeding, so I can only say generally what is done. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fake my emotions all of them other then anger Nothing makes me happy or sad or worried honestly I fake my feelings to see what would the person Im talking to with feel or say Im always lieing I can never tell the full true last week my friend was annoyed that guy hit on her so I faked that I was mad and talked to the guy infornt of her just to make her like me more which she did not after she got mad at me I cant even remember last time I laughed from heart or enjoyed something I just do stuff for no reason ### REPLY: Personality disorders stem from biological vulnerability to feeling emotions more intensely than others, combined with a stressful environment. Please remember to rate and close this answer thread when you are finished and satisfied. In the future, for continuity of care, I encourage you to contact me directly at my private web ad .  After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i m very depressed pleasse help me.i m 27 years old.i m suffering with breathing problem.after every 4 or 5 days i feel breathless.i have consulted many doctors n also i have undergone many tests,everything is fine but after every 4 or 5 dayy i feel breathless all of a sudden and i feel also that one of my 2 opening of my nose is closed,what should i do ### REPLY: Thanks for your question on . I can understand your concern. Breathing difficulty with nose blockage are seen with allergic rhinitis and asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Intranasal spray containing steroid (fluticasone) is helpful in nose blockage. Oral combination of antihistamine and anti-allergic (montelukast) once a day at night is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I have been diagnosed with a fatty liver and fatty galbladder, this was three months ago, I have changed my diet lost 8 kilos, and barely drink more than 6 beers a fortnight, but I still have a feeling of bloating, reoccurring pain, shortened breath, inflammation and pressure under the right ribcage, my doctor says it will heal in time but I am worried as this seems to be a constant thing, I am noticing  my right thyroid in my throat is slighty tender and enlarged, should I be referred to a gastrointerolligist (hopefully thats the right pronunciation lol) or any other suggestion would be muchly appreciated. ### REPLY: Dear friend, You are having fatty liver and fatty gall bladder. The most common reason for these conditions is alcohol consumption. You have reduced your alcohol intake but I will advise you to stop taking alcohol completely because it can progress to cirrhosis of liver which is an irreversible condition and once it occurs, the liver gets permanently damaged. In addition, you can take tab urshodiol, but cessation of alcohol consumption is mandatory. For pain in throat, you can consult an ENT surgeon. He will evaluate and guide you properly. Stay healthy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m 20,female...i remain outside in sun for manu hours..due to which my hands have became dark and if now i wear a sleveless dress it looks odd that half my hand is white and half is dark...how i can get my color back pls... ### REPLY: Hi!, Welcome To  forum, You have got a sever sun tan because of long hours of sun exposure. The best thing is to wear full sleeves along with a good SPF sunscreen daily. You should use the sunscreen every three hours in the day. This would protect you from further damage. For treatment, you can go for chemical peels, along with topical application of HY . You can consult a dermatologist who is experienced in doing chemical peels. 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 recently started playing girls water polo at school and yesterday whale i was showering and cleaning my body i found a bump on my butt and when i touched it, it hurt. and today at school when i would sit it would hurt i have no idea what this is or what it can be i have never had anything like this before ### REPLY: Hello! Thank you for the query. If this lump is in the butt cheek area, infected colonial cyst is the most probable reason. If the lump is somewhere else on the butt, skin infection and small abscess it is. In both cases you need to have it incised and .  Otherwise, it will get more painful. In case of colonial cyst you need to have it removed when the acute inflammation will be gone. Please consult general surgeon with this issue. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Experiencing pain in the left flank. Swelling from my lower back to my lower shoulder blade, my left side is double the size of my right. I have bruising on my left rib cage and random bruising on both legs. Extreme discomfort associated with pain when moving around or laying down. No pain while urinating however urine has been clear(j drink maybe 1L of water a day - admittedly not enough to stay hydrated). I have a few auto immune conditions as is and am wondering if these are symptoms of kidney stones or something that needs immediate medical attention? ### REPLY: Dear patient. As you have not mentioned the autoimmune disease you have or the medications you are taking I am afraid I will not be able to narrow down the exact pathology. However, I can safely say that the pain is not due to kidney stones as the pain radiates downwards not upwardsTherefore I suggest you show yourself to your doctor and try and explore a possibility of a vascular pathology will however advise you to get a platelet profile done complete with INR and PT. Again I am sorry I could not be of much help, but I do not have enough information to make a correct diagnosis ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What could be the reason for my upper midsection back part of my body hurt its really sore some times my chest will hurt in the middle. When I smoke pot or ciggerets it seems to hurt even more. I ve seen a cardiologist and they said my heart is fine so that s good , but I don t know what s wrong. I ve also been to the gastroenteritis . They said that look good except for having abnormal cells and they said its E O E so I have to go find out what I m allergic too. so I thought I would give u a background of what s going on with me. ### REPLY: Hi Michelle, If your cardiologist says that your heart is normal and pain is not because of cardiac cause then another common cause of chest pain and upper back pain are-one is gastritis i.e. increased acid secretion in your stomach which causes chest discomfort or pain second is musculoskeletal like degenerative disc disease which is more seen in smokers.think you should go to orthopedic surgeon and get your upper back (thoracic spine) x-ray done.nevertheless remember one thing that though, today if don't have cardiac cause of chest pain your heart is definitely at risk if you continue smoking ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 39 year old female, I had epigastic hernia op, with local anaesthetic some 8 years ago. immediateldy following op I found it difficult to breathe in my right side, and I seemed to, at that time have to push something in, to breathe, although this was some way to the right and lower of where the small op took place. the plastic surgeon who did the op, mentioned that I did not have a particular kind of scan from my gp, to show him, so he was unsure of to what extent there would be a hernia ,when he opened me up. I am wondering if only part of the hernia was seen and fixed,as the little pea sized bump which was the hernia is seemed to have become fine. I get electric shocks in my mid section, often, it seems my whole right side has become affected, with sensations in my skull on the right side of a kind of seizure. also my right side becomes stiff and sort of stuck, and my lower body seems to have contorted/twisted , with my toe rotated,the big toe,so my previous centre of balance is altered, when I manage to meditate and relax back to an equilibrium , right/left side, I can feel something in the centre of my body,which to me feels like the sixe of a broad bean, that really does not feel right. note, all of these and other symptoms have been discussed with different doctors, who mostly have put it to stress. also it really feels like there is a real physical thing wrong, which is debilitating on a daily basis, which I think, it somehow affecting me neurologically, rather than psychologically, as some have said. please help ### REPLY: Hi, Dear,Thanks for the query to . I studied your elucidate-query in depth. I feel concerned about the worry and fear expressed by You for the wrong surgery done. In my opinion you require re-exploration of the repaired hernia to relieve post-operative local-electric shock like pains ...and others. I would diagnose this -"as-post-operative-obsessive neurosis", which needs to be investigated-with-Surgeon as follows-i-Please get the USG /CAT scan study, which would fix the reason creating electric shocks-which mostly is-due to the strangled nerve while repairing your epigastric hernia.ii-I would have done re-exploration -of the repaired part and would have exiled the fibroneurotic area -after clinical and operative localization of the problem area as expressed by.iii-All your post-operative psychological problems are organic defect related and not merely due to psychologic behavioral problems felt by most of the doctors. I do agree with you on this issue that there is a physical post-operative defect which is causing all the trouble you have.iv-So please act on the lines suggested by me herein above- and request your surgeon-for -a re-exploration of the repaired hernia-to remove the neuro-fibrotic area-involving the nerve in the repaired tissue.v-Hope you would recover with these health tips. Furthermore, I would love to attend your queries soon. Have a good time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 23 year old male height 166 cm weight 76 kg residing in new mumbai.hav developed hidradenitis suppurtiva almost ayear long still no results.due to little increse in sgpt 60,sgot 182,s cholestrol 240,ldl 175...they told that they cannot start isonetrine .im suffering from this for more than a yer can u suggest me treatmnt or surgery vl b better option. ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Liver enzymes are elevated indicating abnormal liver function. In this condition, isoretinoin is contraindicated.2. The lipid profile is abnormal. If the liver function and lipid profile comes near normal limits, isoretinoin can be started3. Isoretinoin can be very helpful in hi .  Look into medications and diet.4. Medical treatment is better for hi ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 large lump on my left side about the size of half of a grapefruit.  It is not painful at all.  I have a blood disorder and am taking Xarelto 20mg daily.  I also have a history of DVTs.  I have been dealing with swelling bilaterally in my legs for the last 2 months and am taking Lasiz 20mg every day for treatment of that.  I took mu last dose 10 hours ago at 12noon CST.  Now I know they can not operate on me for about another day so I will stop the Xarelto for tomorrow.  How urgent is ths symptom? ### REPLY: Welcome to  .1. Where exactly the lump you have not mentioned clearly.2. But your history suggest pain less lump with the history of vascular pathology seems like lymph nodal enlargement.3. Vascilar pathology itself can not be ruled out.4. In this case an ultrasound examination of the lump will gel to find out the nature of the lump its source and extensions.5. Lymph nodal enlargement is seen due to localized or systemic infection / inflammation, so you need to treat the cause first before the lump. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend had a celiac arterial dissection in June 2010 and before they were able to diagnose it, his spleen was cut off blood supply...so half his spleen is dead. In the last month he has had two stents put in...LAD and Right artery (around the back). He has complained of sharp pains in his spleen area and has described it as feeling like spasms. I don t believe it to be related to the stents because he said they were present before then. Is this a common symptom of having a partially dead spleen? ### REPLY: Hi, Thanks for posting your query. Is he getting watery diarrhea/ nausea and vomiting/ frequent urge to use washroom? Is he able to pass stools and flatulence? Is he getting bleeding per rectum? With the available described symptoms, there appears to be possibility of acute gastroenteritis or blockage of stents. Presence of spasmodic pain suggest the possibility of gastroenteritis. You should consult with internal medicine specialist and should go for thorough check up. Presence of abdominal sounds may help in ruling out possibility of blockage of stents as intro abdominal pathology may be associated with absence of bowel sounds. He should go for ultrasound imaging studies of abdomen along with color Doppler for evaluation of blood flow in stents. Treatment depends on the diagnosed disease.Meanwhile, he should take antispasmodics along with tramadol for relief of pain. Take care, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a 2 month old baby and he is passing motion 4 to 5 times a day and we have already consulted doctor and he has advised to give the baby C tax, O but I don t see any improvement. Is there anything to worry about now or wait for the full course of 5 days to get completed. His puss count is 26 to 30, no blood trace found in the stool.... ### REPLY: Hi... Thank you for consulting in . What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. 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. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 year old daughter was diagnosed with a mild concussion on Sunday morning. Now Tues night she just had the appearance of blood in one nostril. No excessive blood just around the lining. Should I be concerned about growing pressure on her brain or possible fracture? ### REPLY: Mild concussion? Was there any fracture? Were there any symptoms? Ok if it is a minor trauma to head association with mild injury to nose then bleed can even occur some days after injury if the clot formed previously was dislodged due to breathing or movement of nears. An x-ray and endoscopy of nose will get the diagnosis. Usually head trauma do not lead to nose bleed if it is minor trauma. ENT bleed occurs if severe head injuries. Sometimes CSF may be lost from nose in such cases. I do not thinker child nose bleed is due to direct effect from head injury that is from edema of brain or hemorrhage in brain as it leads to many more symptoms like weakness seizures headaches vomiting altered brain functions. Do not panic and take child to your treating doctor, meanwhile pack the nostril only one which is bleeding with gauze piece like a stack of ironed clothes pressed together, like a pile, like a treponemal shape, if it is heavy bleeding till u see doctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife is taking ovulation induction treatment from last 7 months i just want to know that how many cycle we can continue with ovulation induction medicine like letrozole fertyl super clomid.. is there is any side effacts to taking from long time treatment of OI. ### REPLY: HelloWelcome to  Clonidine (INN) or camphene (SAN and former BAN) or Closed or Comfort is a selective estrogen receptor modulator (TERM) that increases production of gonadotropin by inhibiting negative feedback on the hypothalamus. It is used mainly for ovarian stimulation in female infertility due to an ovulation (e.g., infertility in polycystic ovary syn .  Clonidine citrate is marketed under various trade names including Closed, Aerophone, and Microphone. Common adverse  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Im 35 years now i started musturbating when was young and continued that since last year. I have noticed my penis is not getting hard during sex and the skin is moving towards the head of the penis. I have stopped masturbation and need your help ### REPLY: Degree understand your concerns went through your details. In your teenage, you can masturbate up to twice a day without any health problems. After the age of 20, you can masturbate once per day and the frequency reduces when you grow older and as you have other duties and physical stressors. So blaming masturbation for your mood disorder is not at all apt. Please understand, masturbation is harmless and healthy. You have anxiety disorder and obsessive disorder related problems which you attribute to your masturbation habit. Wrong. You are anxious because of your lack of correct knowledge about masturbation. I suggest you psychological counseling and if need be, psychiatric anxiety treatment. Consult a psychologist first. 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 details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son 21 yrs old was just diagnosed with some type of schizophrenia -don t know yet which specific type. He might probably started showing some weird behavior since around 18 months ago -& worsened due to his father verbal abuse towards him, more than anything else. It must be on it s beginning, so Can schizophrenia be treated? My son is very smart, but the shy/quiet type, Can he have a normal life (married, working, enjoying life)? Will he need to be on meds for ever? Is schizophrenia a dangerous issue? ### REPLY: Dear serve understand your concerns went through your details. Schizophrenia is a mental disorder that affects a patients' ability to think, feel and behave clearly. There are many reasons but genetics, environment and altered brain chemistry and structure may play a role. The treatment depends on the severity of the disorder and in most of the cases, it is curable. 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 details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had this face tingling on my left side near my eye and goes round my cheek. It come and goes. I have had it for a couple of years now and am really annoyed I as it is not going away. I get really down when I have it. Also I have been feeling really weak in my arms and legs. This has just stared. I feel like there is something wrong as I dont feel generally well all the  time. Just like a blah yuck feeling. I am female and 38. ### REPLY: Hi, thanks for using  The tingling sensation that you are experiencing is likely neuropathy. This refers to abnormal structure or function of the nerves. It can be central (involving the brain and spinal cord) or peripheral. Your abnormal sensations may be related to peripheral neuropathy. The possible causes are: (1)vitamin deficiency- particularly b12 or folate(2) trauma(3)diabetes(4)exposure to toxins(5) autoimmune disease(6)infections(7)liver or kidney disease may want to consider visiting your doctor for an assessment. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What are the symptoms of a heart attack? I had a triple bypass done on February 21st of this year. Today, I have lots of sweating, my jaw was in severe pain for 2 or 3 minutes, and when I sat in a chair at an office this afternoon, my heart was beating so hard it was moving the back of the chair. ### REPLY: Thanks for your question on . I can understand your concern. You're all symptoms are classical of angina or heart failure. Jaw pain, sweating, palpitations etc. are symptoms of heart attack (angina). Since you recently had bypass surgery, possibility of blockage in new coronary arteries is more. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test) 5. Coronary angiography (if required). So don't wait at home, your symptoms are suggestive of heart attack and this needs immediate action. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 16 and a girl, and I have this strange lump under my skin, on my upper neck, right under my jaw. Its on the right side, and when I tilt my head it pokes out, but I can feel it without bending my neck. Its pretty sore..I looked up and it might be a lymp node or something, but what Im worried about is a cyst, since I had to have one removed about a year ago from one of my ovaries. Is this another one..? ### REPLY: Hi, Dear,Thanks for the query to My  Clinic. I studied your query in details and understood your health concerns.-Treatment and Cause of your lump in upper neck-a-Mostly it is-Sub-acute-Lymphadenitis due to Acute Tonsillitis -which is the most common cause in this age.done worry about it to be Cyst like the one removed from your ovary?, as its tender.b-Show it to family doctor, who would treat it accordingly. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With 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 had my prostrate removed in 2014 due to prostrate cancer. The cancer had not spread and my PSA has remained low. I currently have pain in my hip knee and shin area. It feels like cramping and primarily occurs with prolonged standing and walking, but does occasionally occur while at rest. Just curious what it may be. Thank you ### REPLY: Hello, There could be many reasons for hip, knee and shin pain. Since you have a history of prostate cancer, so you need to keep the spread of cancer in mind.  Although prostate cancer first spread to vertebrae. If the above reason is ruled out then forget about anything else.  Just focus on hip exercises, qua .  It will take time but will definitely improve. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 year old son has red blotches all over him, it started last night and we think it s hives from an allergic reaction to something. We ve given him antihistamine and out hydrocortisone on it but noticed tonight that his knees seem swollen. What could this be? ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my semen test showed a result of gram positive cocci.  My urine test was negative but my semen sometimes really smells fishy upon ejaculation (which is why I have it tested - although the test sample did not smell).  I dont understand what this means can you help me please ### REPLY: HelloThanks for query. Based on the facts that you have posted You have Semen Culture which revealed infection due to gram positive Cocci. Semen constitutes the components 1) Sperms 2) Secretions of Seminal Vesicle (Fructose) 3) Secretions from prostate which liquefy semen. In the majority of cases the infection of semen is due to infection of either Prostate (Prostatitis) or Seminal Vesicle (Vasculitis). You need to take appropriate antibiotics as per culture report for 4-6 weeks to get complete cure of this infection, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Morning My Name is Yasserim from saudi arabia 31 y/o i have a little loss of hair in my head and i would Like to ask about the Hair Implant  how Much does it cost as i am consern about the cost mainly if i can afford it or not last Doctor said that 1000 Graft is enough for my case but i did not start with it cause it is costly in his clinic ### REPLY: Hi, Well, effective treatments for some types of hair loss are available. But some hair loss is permanent. If your hair loss is caused by an underlying disease, treatment for that disease will be necessary.  This may include .  But also, 2 medications are used for treatment and include minoxidil and Finasteride.  If there is no success with these then hair transplant or restoration surgery can make the most of the hair you have left. 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 been in a LOT of pain for many years and unable to get proper care because of bad insurance (for example, it took 9 YEARS literally to get my first MRI because no one would listen to me).  Ive tried everything my insurance will let me.  My preference would be to try and find an expert who can take stem cells from a patients own body and inject them into the spine for multiple disc issues.  Insurance wont cover and because Im on disability I cant afford it out-of-pocket.  I have not been able to find a clinical trial.  Can anyone help?  PLEASE?  This is getting truly unbearable.  Im in NY.  Please help. ### REPLY: HiT hank you for your question to . Stem cell therapy is an experimental therapy. Stem cell injections in the spinal cord have been described for spinal cord injury patients with paraplegia. Spinal cord stimulator can be inserted for pain relief but stem cell therapy definitely does not help disc related pain. Pain management will help your problem. Local/epidural injections can be helpful. Spinal cord stimulator as I described can be done in chronic musculoskeletal pain cases. Hope this is helpful. I would be happy to answer any questions you may have. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What kind of bugs can live on you and they have lIke this weird smell I thought it was a heat rash at first but now what .ever it is is spleading throughout my body.and at night is when I get this intense itch on my inner thighs and ballsack...I have been to the e.r . And have been treated for scabbies and head lice...thesebugs are flat and somewhat clear..oVal shaped...it s gotten to the point where I canthink even walk or be in public due to something feeling like claws on my nutssack...very painful and I can t wear short-sleeved cause of the Wellps and scars on my arms due to scratching and picking at them...I hate it and wish this was all a dream... and how did I get them or what caused them to have contact with them or better yet help me get rid of them....I m itching really bad right now but my skin is so scard up I bleed easy from scratching all the time ### REPLY: Hello, Thank you for writing to .I've read through your concerns thoroughly, and I could understand how uncomfortable you might feel right now. Given your symptoms I would think of Scabies as well. It is one among the common parasitic infection in the body. The bug generally spreads through contact with a person or a place that is infested by it. These bugs generally burrow through your skins top layer and lays egg in the epidermis of your skin. The egg hatch and gives rise to even more bugs. The intense rash that your experience is due to the antigenic property of the eggs and the bugs crawling through your skin. Scabies is generally curable; however, you must remember to stay away from others and vacuum clean your home thoroughly especially your beds and pillows as they can till have eggs or bugs. The treatment of choice would be Permethrin lotion. You must apply it from your neck and work it down your body. Allow it to .  Sometimes oral  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 varicose veins in my left leg & had to wear compression hose when I was pregnant 6 years ago. We were playing soccer & the ball hit my left calf where the worse vein is & now a hard bump has appeared & is painful when I apply pressure. I put ice on it & elevated it, but am feeling nauseous & the swelling is not reducing. Should I apply heat instead? ### REPLY: Welcome to  I have gone through your query and understand your concern. You have got hematoma which will resolve gradually. You can take analgesic such as ibuprofen for pain relief. Local application of tomophobe gel without rubbing will be helpful in resolving it. Local heat can be applied. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have left shoulder pain. It hurts really bad when i let my arm hang at my side. I also feel it going all the way over to where my neck is. It hurts when i cough and sneeze. If i lft my arm up by my side and reat it there, it relieves the pain. My shoulder is also swollen. I also have my left thumb that twitches at times. ### REPLY: Hi, thank you for providing the brief history of you. This looks like more or a nerve entrapment. Why don't you meet up an or tho specialist and get assessed and even can undergo an MRI which will be of help is it anything with the disc issue. Also to mention that the neural symptoms like tingling, numbness, weakness, pain, twitching etc. are related to nerve directly at times. Also get assessed your shoulder because at times when there is a shoulder injury involved then there will be a weakness and swelling of the shoulder and also a chance where the muscle entraps the nerve and provides unusual symptom. Try doing hot water fermentation for shoulder and neck region. Also to mention, you can take a help of a physical therapist to help you with therapeutic ultrasound therapy and TENS for your pain and swelling. Also the physical therapist will assist you in getting back the strength in shoulder and neck muscles. When the muscles are weak the anatomy of the body changes and the physiology of muscles do not run proper. With the grace of God you will be fine and at good health in future ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 very uncomfortable my teeth are sensitive, my jabs hurt from the sensitivity. I cant touch paper or even my bed sheets without feeling very strange. My skin has goosebumps and I can eat nothing thats cold. Im wondering if Im having a big nerves problem. Or could it be the effect of taking tizanidine a muscle relaxer that I was taken last week.  Now Im taking gabapentin which is supposed to help me heal my nerves, but I feel like I cant focus very good. Will this skin and teeth sensitivity go away or should I just go see my doctor?Thanking you in advance for your answer. Veronica ### REPLY: Hi. Welcome to . As you mentioned you have problem of severe tooth sensitivity. Sodium fluoride or potassium nitrate containing agent helpful in desensitization. Use that desensitized tooth past every day in place of normal toothpaste. Consult a dentist for oral examination. Jaw pain and tooth problem may be because of nerve problem or other reasons. Detail history and physical examination give exact idea about problems. Avoid hot and cold water . . Maitain a hygiene. Brush your teeth with desensitized toothpaste. I hope this will help. Get well soon. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Today In School I Went To class feeling fine. As the day went on I felt very dizzy and my arm was numb. I was having problems with reading words and I couldnt hear my voice clearly when I spoke. I eventually got sent home sick as I got sick. I really am confused about what happens please answer thanks. Regards Conor ### REPLY: Hi! Welcome to ! Dizziness is a common complaint in people having low blood pressure. When the blood pressure is too low, not enough oxygen-rich blood is being delivered to the brain, and its function can be affected. Low blood pressure may be the result of an underlying illness or disease, or it may be a normal physiologic condition may be due to sleep deprivation. Good sleep of at least 6 hrs is required for a person to feel fresh and healthy. Some common reasons for low blood pressure include the following:Anemia, deny . Anxiety can also cause dizziness and blurred vision. So be relaxed! Hope this helps you!take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i havent had sex for 6 months now till i start dating again (had it 5-6 times in a week). also does sciatic nerve/piriformis syndrome cause week erection, i always have tinging in my glutes, sore back and also pain on my shins and bottom of my foot. started weak erection after my second cystoscopy. then my whole left side went very stiff and also my groin area was in great pain and pressure. do i have ED? ### REPLY: Dear friend, thank you for your consultation.it seems that your pain in glute, back area is really bothering you. As you have sciatic nerve /performs syn . In that case sacral and pudenda weakness is causing your weak erection. So erectile dysfunction can be present in you owing to various neural problems in your sacral and lower back region. I sincerely hope with proper medication you will overcome your erectile problem and will start leading a healthy and active sex life.my best wishes to you. 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 am looking for a clinic that a friend went to for Fibromyalgia.  It is in Utah - associated w/ University of Utah, and it is a two week program where they get off your medication and/or reduce the amount of medication through the endophines - do you know the name of this clinic and/or the doctor who does it.  I am at my wits end - I have tried everything.  I am on a very high level of medication, I have tried acupuncture, yoga, pilates, swimming, light exercise, meditation, etc.  I am still in pain that is sometimes so bad I spend the day in bed - even with all the medication I take.  Thank you. ### REPLY: Hello friend, I do not know the name of the clinic or the name of the doctor who treated your friend. But I can suggest Homeopathic treatment for your Fibromyalgia because, in Homeopathy we do not treat the disease. But the patient is treated. I think you have not yet tried Homeopathy. This is a Hypersensitive reaction and in terms of Homeopathy, it is a case of Syphilitic Miasma. An expert Homeopath can take your case in detail and can prescribe for you your genetic constitutional remedy and cure you. Once YOU are treated and cured, your sufferings will no longer exist. With best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son will be 7 next month. His 2 front teeth have been out for awhile. Hes complaining of pain on top of roof slighty behind and he has a good size lump and very painful any suggestions what this or causing it. His dentist is closed to Monday.Thank You, Britney ### REPLY: Hello and welcome. There could be a small inflammation caused due to erupting teeth in the upper arch. Therefore please do not worry, if required you can give a good tether to the kid so that he can chew upon that and feel comfortable. A very important point to note here is that please give clean and sterilized tether each time so that any diarrhea and vomiting can be avoided. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter developed a painful rash on her bra line yesterday and today she has 70 80 spots down the sides her torso that dont itch, but they hurt. The look like bug bites me, however, they dont itch. Any ideas?  Shes 20, appx 150 lbs and been battling some stress and suppressed immune system, prob. on antibiotics for a raging yeast infection after raging bacterial vaginosis.  Help ### REPLY: Hello, Welcome to , Your history and symptoms are suggestive of fungal infection, and it is more common in the genitals, as they are the normal comedians of this area which will be kept under control by helpful organisms. Whenever there is an imbalance in the environment it will produce its symptoms. I would suggest you to follow1. Keep they are clean and . Topical application of antifungal cream like Ketoconazole cream3. Oral single dose of Tab Rifleman, 150 mg.4. Oral anti histamines. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. sir i m doing masturbation for last 12 years daily. my health is almost near to demolish. plz sir help me to get rid off this habit from my life. i tried alot, doing everything which i can, but i could nt control over it. plz suggest me any medicine for it. please. ### REPLY: Hi thanks for contacting ... According to your history you are feeling trouble from masturbation.... Here are few advise..... No need for medication.... Pornographic video and magazine less .... Daily yoga and exercise done ..... Meditation also useful .... Endulge your self in daily activities .... And try to avoid remaining alone in room... Make short term and long term goals .... Meet with your friends and relatives .... Take healthy and balanced diet.... Consult psychiatrist for behavioral therapy counselling .... 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: April 2011 I was in hosp for 1 week with upper resp infec then again in Jan 2012 In hosp for same thing. Now mid Feb. I am having the same symptoms as before. I have asthma and thats why I end up in hosp. Why do I continue to have upper respiratory infections? What can I do to prevent this? I am 54 yrs old, diabetic, asthma, RLS, small vessel disease for which I am on daily meds for each. ### REPLY: Thanks for your question on . I can understand your situation and problem. Asthma patients are at increased risk of respiratory infections due to poor lung defense. And most common infection is viral infection. Amongst viruses, Influenza virus is more common. So for your symptoms, recurrent viral infections (mostly Influenza) is likely cause. And for this, annual vaccination with Influenza vaccine is advisable. This will provide sufficient immunity to prevent recurrent Influenza infection. Also take your asthma .  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: Underneath my genital area on the upper inner thigh I have a patch of dry white-ish skin on each side.....Is this just from chafing? (I am overweight). Or is this some sort of fungal infection? (it is only on the upper inner thigh-not the genital area) ### REPLY: Hello. Thanks for writing to us at  Most likely it is a fungal infection. Fungal infection are common at sites of body folds like upper inner thighs, maxilla, submammary folds etc. Chaffing/scaling is a feature of fungal infections. Itching is usually a feature too, but it is subjective in individuals. Being overweight adds to the possibility of fungal infection. If I was the treating doctor I would have asked you to use a topical antifungal cream. Clotrimazole 1% cream is available OTC and you may use this for 4-6 weeks. Oral antifungals e.g. fluconazole are more effective in controlling the symptoms and are usually prescribed once a week for 4-6 weeks. However, oral antifungals are prescription . An OTC oral antihistamine e.g. cetirizine 10 mg once daily would provide you symptomatic relief from itching. Once the condition resolves, you may use an antifungal dusting powder in the groin folds regularly, twice daily. Antifungal dusting powder would not only keep the folds  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How does low hemoglobin kill a person and is it a painful death? We brought my father in law home on a vent 2 weeks ago to pass, had bypass surgery in January and never got off the vent. Does not want anything done that requires a trip to the hospital. His hemoglobin is at 6 (this has been an issue the last 6 months with many units of blood given), our family understands that this could kill him, we dont want it to be painful. What happens when hemoglobin keeps going lower? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Low hemoglobin leads to deficient oxygenation of tissues, which can cause cellular hypoxia leading to cell death.2. Due to low hemoglobin, the heart performs more activity for more oxygen to reach tissues, this overtime will lead to cardiac failure.3. Tissue damage can produce free radicals, which cause further tissue injury.4. Cardiac failure, peripheral organs damage and risk of infection are the usual cause of death in severe anemia or low hemoglobin. 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: My grand daughter who is just under 2 years old had caps put on her front teeth on March 20th of this year and now her gums are infected. She had the procedure in the office. They took her to the dentist today and were told to brush her teeth better and to rub mouth wash on the gum area. Her gums bleed after brushing and they are saying it is a good thing... as I recall, gums bleeding is usually a bad thing. since things change from year to year with research, I wanted to clarify this situation. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, bleeding from gums while brushing indicates periodontal problem it can be there is formation of periodontal pocket.  Advise her to do proper brushing, take care of her brushing You consult dentist and go for oral prophylaxis.  Advise her to do warm saline gargle two - three times a day.  Hope this will help you. Wishing her 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: what does this mean.. RIGHT pulmonary nodule: Crescentic pulmonary nodule within the RIGHT mid lung zone corresponding to the abnormality on chest radiograph. This is of uncertain etiology and is not characteristic for a granuloma, small pulmonary nodule, or most mass lesions. There do appear to be several small vessels associated with the limbs of this crescentic lesion, and a pulmonary AVM is a consideration ### REPLY: Thanks for your question on . I can understand your situation and problem. There are many causes of concentric pulmonary nodule. But the common ones are1. Pulmonary AV (arteriovenous) Malformations.2. Fungal ball(aspergilli)3. Developing lung abscess4. Benign cyst.5. Less likely due to tuberculosis or malignant mass. So get done CT thorax and bronchoscopic evaluation of the lesion. CT is far better than chest x-ray for lung parenchymal lesion. Bronchoscopy will give you naked eye appearance of lesion. So both are needed to establish the diagnosis. So consult pulmonologist and discuss these possible causes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cough for a number of years, but it has changed so that I now have new symptoms with less coughing, but chest pain (which sometimes extends to my back) when I do cough, sneeze hick up and general chest discomfort; however the cough dose most times does not clear anything. I am a woman just under 75 & have RA, a right shoulder replacement (which is somewhat restricting but I am used to it). ### REPLY: Thanks for your question on . In my opinion you should consult pulmonologist and get done following tests.1. Chest x-ray.2. PUT (Pulmonary Function Test).3. Since you are having long-standing RA, RA associated pulmonary complications like pulmonary fibrosis, bronchitis, bronchiectasis etc. needs to be rule out first. So consult pulmonologist and discuss all these. ECG is needed to rule out cardiac cause for chest pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a rash on my lower right calf, which started as very itchy red bumps. It started with 3 in a small cluster and another 2 together in another area on same leg. Now my left elbow has a small cluster and today my left lower calf has the same bumps. Very itchy and in the beginning as the are appearing it is tender. What do I need to do for this ### REPLY: Hi, Understanding your concern. As per your query you have symptoms of itchy rashes in the calf and elbow which seems to be due to contact dermatitis, skin infection, and fungal infection. It could be due to poor hygiene of body as well. Need not worry. You should avoid touching or pricking your skin with any sharp object. I would suggest you to keep your skin clean and .  You should wear loose clothes.  If condition doesn't get well then consult dermatologist for proper examination. Doctor may order certain test like blood test, allergy test and take history to rule out the side effects of certain  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 penis skin is scaly and it is peeling. I been apply all type of lubicant like lotion and vaseline. I been putting vaseline on it for 5 days and nothing happen. None medical vaseline. it started 3 month ago. I masturbate alot And I been stopping recently. I wear boxer both day time and night.I take very hot shower where the mirror get very foggy and long ones. ### REPLY: Hello appreciate your concern At the outset I would like further information for better assessment of the conditioning recent exposure to unprotected sex? Do you have any problem with urination like burning urination or increased frequency of urine In my opinion you should clean it thoroughly with antiseptic solution and apply clotrimazole with dexamethasone ointment for 2 to 4 weeks? Maintain good hygiene and be careful while masturbating, don't put much pressure or friction. Please feel free to ask for more clarification, I will be happy to help you Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i ve just had a gal stone get stuck went to hospital they said hep c is flared up bad and rthey will remove gal bladder later this month i will then go to someome to see about getting on interfiron (something like that) i concerned about quality of life and how long i could have to live. I found out ihave had hep c 13 years ago and it has never been a problem the drs alwaays say my numbers are good. could i believe that it might be that way again or is the galblader deadly trouble for me ### REPLY: Hi and welcome to . Gallbladder can be removed with no risk even in patients with much higher liver damage than Hepatitis C. This is a risk of bleeding if you have cirrhosis, but if not then do not delay surgery because stones can cause some serious problems. Hep C is unfortunately incurable, but it can be in less or more serious phase. You need to do often work ups, care for diet, take medicines and everything will be fine. Hope I have answered your query. If you have any further questions I will be happy to help ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am wondering if a 1cm lung nodule in the right lung and also shadows on the lungs my husband was took very ill in march with h1n1 and doube phneouma which quickley developed in to ards he was on a vent in intesive care for 4 weeks did not know if he was going to pull through but he did .he is now at home gets out of breath very easily still under the hospital having further tests  for lung cancer do u think this could be some type of cancer we are all so worried thank you joanne ### REPLY: Thanks for your question on . I can understand your concern. It is very difficult to understand conclude about having cancer or not. But 1 cm nodule in lung should definitely be investigated for lung cancer first. Lung cancer like squamous cell carcinoma and Aden carcinoma can present as nodule and shadows in lungs. So better to consult pulmonologist and get done 1. CT thorax 2. Bronchoscopy and BAD (bronchoalveolar lavage) analysis 3. CT guided Biopsy from the nodule. 4. Blood tumor markers. 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: Ok had pain mid stomach to right and in the back R side, nausea vomiting . Had scan and it showed no stones but did show Gall bladder wall thickening. My Blood test came back neg. for infection. But I read that wall thickining is caused by stones, so I am confused. Stomach gets upset if I eat anything and after 2-4 hours I start getting pain and vomit what I ate or at least half. ?? ### REPLY: Hello, Thanks for posting on , You need to know that in 90% of cases, acute cholecystitis is caused by gallstones in the gallbladder. Other causes include severe illness and (rarely) tumors of the gallbladder-depending mostly on age and other risk factors. It occurs when bile becomes trapped in the gallbladder. The buildup of bile causes irritation and pressure in the gallbladder. This can lead to infection and a hole (perforation) in the organ. These stones can clear off after a while (by dissolution) so can not be seen on CT scan (probably reason for your presentation). Treatment will consist mainly of non-surgical means which include antibiotics such as ciprofloxacin, painkillers, antispasmodics, antiemetic. The specialist you will need to consult is a gastroenterologist or a visceral surgeon. 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: My wisdom teeth is growing in however there is no room for it to grow in the rate in which it is supposed to grow, and what is happening is the tootChatDoctore out a little but the rest is still in the gum and the gum is overlaying the tooth that has not come out..it is similar to a flap of loose gum like an hole underneath it ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as you have partial erupted wisdom tooth condition termed as Peritonitis. This happened when this is less space in arch leads to impaction of tooth. Impaction can be Mesioangular in your condition don't be worried so much for this I will suggest you to consult oral surgeon and go for investigations Iowa X-ray of tooth and discuss treatment if there is impaction there is no space for eruption of wisdom tooth then go for EXTRACTION of tooth. In meantime maintain proper oral hygiene, Do warm saline gargle two - three times a day. Hope this will help you.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has been suddenly sick since Tuesday night.  He vomitted once that night.  Wednesday he had no energy just layed around.  Then Wed. night he ended up with explosive diaherria.  Thursday he still had no energy.  He seemed to have a little more energy Thurs. night but he just vomitted again.  Could these be sign of Type 1 diabetes?  My mother had this and I was always told that my children had a greater risk of developing the disease. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your son have symptoms of diarrhea and nausea which seems to be due to acute gastroenteritis and electrolyte imbalance in body. It could be due to poor immunity and increased susceptibility of getting infected. Need not to worry.  I would suggest you not to panic at all. You should start treatment witChatDoctorbination of fluoroquinolones and ornidazole. Visit gastroenterologist once and get it examined and start treatment after prescription. You should get intravenous fluid administration as well. Avoid hot, sharp and spicy food. You should take banana on daily basis and light food.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 random rashes popping up on my skin.  I initially thought they were bed bugs because they look like individual little bumps/bites.  I have checked my bed and my home and have not seen any.  They are small clusters of "bites" about 1" in diameter.  I have had these bites on my toes, my fingers, my shoulder, my elbow, and have a single one on my face.  I have had weird dry skin before, but it usually stays within one area of my body (was on my shin/leg in the past)  They itch, they get red, and swollen, but they go away after 2-3 days.  Please help :) ### REPLY: Hello.thanks for your query. You may have something knows as Urticaria. It is common skin condition with frequent exacerbations and remissions. In most cases, a direct cause is not identified. Treatment is a combination of correct anti-histaminic tablets for a few months to help in reducing the severity and frequency of these hives. Start application of a soothing anti-pruritic calamine lotion to relieve the itch. In certain cases, a few Food tests are advised to rule out ant internal causation of the same. I would advise you to visit a dermatologist to rule out systemic causes of the same. You should also observe your lifestyle, diet etc.; anything eating/doing if causing the rash should be identified and eliminated. Do not worry, although symptoms and treatment course of urticaria is prolonged, these do not pose any danger in most people! Hope this helps!take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.... I just got off phone with my doctor and she send for more chest xrays because she found a swollen lymph node on my left lung.....im really scared and in pain because I have these overwhelming red marks on my forearms and knee areas....im really trying to stay positive but she said cancer, lymphoma or tumor may be some of the worst case scenarios...also because I have psoriasis and im hurting where the red bomps are swollen, she would not give me prednisone.... I just need some encouragement for my wife daughter and I.....really scared ### REPLY: Thanks for your question on . I can understand your condition and problem. There are two possibilities in your case.1. Infective enlargement of lymph nodes as skin lesions are due to psoriasis only. Since you are on immunosuppressive therapy for psoriasis this cane the cause.2. Malignant lymph node and spread of malignancy in skin. So better to consult pulmonologist and get done CT Thorax with contrast. CT gives clear-cut idea about the lesion. If necessary get done biopsy from the lymph node to confirm the diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Ive had perioral dermatitis in both corners of my mouth for about 5 years now. Everytime I go to the doctor I get hydrocortsine (1%) and it never goes. What do I do? It makes me feel really self-conscious and unattractive and I just want it gone. ### REPLY: Thanks for posting your query in .personal dermatitis is named to skin disease that manifest as multiple pa pules pustules or vesicles found surrounding personal skin and nasolabial folds.it can be caused by many reasons like allergy to certain medication autoimmune disease nutritional deficiency habits like lip sucking or lip chewing or licking etc.as u told that u have near corner of mouth it can also be due to . .so I will suggest you to use antifungal mouth ointment on corner of mouth and antiseptic mouthwash.also take multivitamin supplements.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: I ve been experiencing abdominal pain (upper and lower) on and off for the last year. I ve had an ultrasound and the doctor has ruled out a hernia . last weekend, I noticed a lump about two inches above my belly button. It is causing discomfort, especially when I sit for a long time. It is causing some mild pain and feels like it is pressing on something and causing indigestion. Any idea what it could be? ### REPLY: Hello. Thanks for using . Ruling out hernia and diagnosing it on ultrasound can be quite challenging and depends on expertise of the concerned doctor. Having said this, it can be possible that the time when you had the ultrasound, the hernia could have been small enough to be detected on the ultrasound. However, you did mention that you notice a lump above the belly button which is a sign for hernia. Advise would be to revisit your doctor for repeat checkup. Feel free for further queries. Regards. ### END