Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 urine,blood,ct scan from E R,normal.took a omerprazole,still I have a pain upper and lower a bnominal pain.in the morning lower abdominal pain,midday upper potion,with lots of bloating,lots of gas.i am taking papaya enzyme.garic pill.still have a pain. ### REPLY: Thank you for your question! I understand your concern. According to symptoms explained by you, it seems to be the condition called "Irritable bowel syn .  It is disease characterized by chronic abdominal pain, discomfort, bloating, and alteration of bowel habits. Ibs has no known cause. It commonly occurs in females. For improving your condition, following measures may be useful:a) Take low carboy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother 84 yrs. takes gabapentin 300 mg. She has been taking for 3-1/2 weeks without any evidence of side effects. This morning she felt sick at her stomach, and her blood pressure was 155/85 and she said her heart felt like it was racing. She has been taking 300 mg. at 8;am and 300 mg. at 8 pm. Could this medication have had anything to do with the sick stomach or the feeling of racing heart. ### REPLY: Hello.thank you for query, i can understand your concern, gabapentin can cause gastritis, so leading to pain abdomen, palpitation so if this happens then she can use any antacids along this like Santa 150 mg twice daily for 2 weeks if she is not allergic to this type of medicine, racing heart also due to hyperacidity in stomach as side effects of using this medicine but it will subside by antacids. Hope you got the answer, regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , I had suffered from typhoid symptoms for some 2-3 weeks. Now i have recovered from it. But now i am facing lot of hair fall. I have lost almost more than half of the hair i had. i am worried about this.Please suggest if any measures are there. also does the hair grow back  and how much time approx it may take to grow back.Thanks a lot ### REPLY: Hi, thank you for putting up your query on . As per your history, you have halogen effluvium which usually occurs after an illness.-- it is a self limiting disease.-- you need not worry much, as stress aggravates the hair fall.-- it will take around 3-6 months for disease to cease.--you may take cap evil once a day.-- adequate dietary intake in the form of fresh fruits and green leafy vegetables and applying hair oil like coconut oil twice a week ill help.-- avoid hair cosmetic products, use herbal shampoos twice a week.-- avoid external trauma to hair in the form of straightening, curling and hair spa.-- topical minoxidil can be tried, but it has to be started only after consulting a dermatologist. Wising you good health. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had extreme left jaw pain 6/ 8 weeks now pain is intermittent can go from 0 to 10 pain scale in a couple of seconds and radiatiate all over left side of face, been on round 3 ABT. Treated for salivary gland stones, sinusitis nothing is helping. ### REPLY: Hello I have studied your case There is possibility of injury to temper mandibular joint, [jaw joint]Laxity or tear of ligament can lead to persistent pain.  So I will advise you to consult a specialist and do further investigation. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,  My niece who is 20 has an ESR of 140. The reason for her to go to doctor was a persistant allergic type of cough. Her chest x ray ia normal. Her TLC is also high abt 16000. Now they r going to do many further tests. My sister is very upset. Can it be due to the cough or some other serious illness? ### REPLY: Thanks for your question on . I can understand your niece s situation and problem. ESR (erythrocyte sedimentation rate) is marker of inflammation. So high ESR suggest presence of inflammation. TLC (total leukocyte count) is raised in infection, mostly bacterial infection. So possibility of bacterial infection is more in your niece s case. She is having coughing with normal chest x-ray. So possibility of Upper respiratory tract infection like tonsillitis or pharyngitis is more. So ask your sister not to panic much. Take her to the doctor and start antibiotics. She also needs antihistamines and anti-inflammatory .  Ask her to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 yr old daughter had HSP back in April and in May had blood tests since the virus didn t seem to be leaving. All results were normal except for ALT (33) and AST (44). We had another blood test last week and the liver # s were a little higher, ALT (39) and AST (52). She is a gymnast and is just now working out at about 90% and had some pain but not a huge amount. Any comments on why the increase? ### REPLY: Hi I am .  It is definitely not a viral infection and usually don't involve the liver. Or do you mean herpes simplex as HSP ? Which is viral infection, and again it involves liver in disseminated form which is quite rare. What ever might be, the ALT and AST mentioned is of normal range that is around 40. Even if it is taken as rose it is not a sufficient test to comment on the liver status without bilirubin and other parameters .AST can be increased in non-hepatic causes or NASH (nonalcoholic SEATO hepatitis) seen in obesity. It is highly non-specific for liver.Finally, see that she has not taken any medications that would injuries the liver. Thank you for using  . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my friend is 31 years old male, pretty much healthy, family history of hypertension, history of smoking about 1PPD since 16 years old, stopped 3 months ago. Recently i noticed that his head and hands shaking, usually it happens in the evening. He told he is just tired, but this is not the first i noticed him doing this. What can it be??? ### REPLY: Hi There After going through the details provided by you leads me towards thinking about a condition known as "ESSENTIAL TREMORS"Essential tremor is a nerve disorder characterized by uncontrollable shaking, or tremors in different parts and on different sides of the body. Areas affected often include the hands, arms, head, larynx (voice box), tongue, and chin. The lower body is rarely affected. Although it's not a life threatening condition but in severe cases can prevent an individual from doing daily activities. I would like to advise to do a complete THYROID profile for your friend as thyroid dysfunction can also trigger these. And it could only be just due to the post residual effect from smoking with . Meds like Beta Blockers, Tranquilizers, Anticonvulsant can reduce the symptoms. But I would like you to go to a NEUROLOGIST for proper examination. 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: Hello Dr, i m 27 year old, Today I got my semen analysis results. Please tell me whether the above result is normal. my semen analysis report is as follows; Thanks a lot. volume 1.5 liquefication normal viscosity normal ph ----- WBC 8 - 9 / phf who parameters: concent 23/ml prog. motil 28% norm. morph 19% other data MSC 604 M/ml PSC 2.3 M/ml SMI 68 TOTAL IN SAMPAL ALL SPERM 34.50 M/ml MOTILE SPERM 9.60 M/ml FUNCUTION SPERM 3.45 M/ml ### REPLY: HelloThanks for your query, based on report of your semen analysis that you have posted it appears that your semen analysis report is well within normal range as per WHO standards as for as morphology, sperm count and motility is concerned except the fact that presence of 8-9 WBC is suggestive of infection of either seminal vesicle or Prostate. You need to take antibiotics like Doxycycline for 4 weeks to combat the infection. Repeat your semen analysis after 4 weeks. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HelloMy daughter 33 months old. she is now suffering from severe cough related problem since last five days. Fever is there since last Wednesday. She is now being UNDER THE treatment of a Mbbs Dch Dr. And he had given CEFACLOR ORAL SUSPENSION ip AND Paracetamol and Asthalin.  Yesterday on words she is treating with Co Amoxiclave (AUGMENTIN DUO sUSP)  changed the medicine to STILL FEVER exists. This augmentin duo susp given 3 doses ie last night, today morning and after noon. 5 ml each.  What is her disease? when the fever comedown . severe cough is there when it comedown? Is the treatment is in proper way? Then why he changed the antibiotic? ### REPLY: Thank you for asking quarry. In any situation we have to go step by step. It seems that your child is having infection either bacterial or viral. First the treatment given by your doctor is correct although I suggest you to get some tests done as 5 days have elapsed. Get chest X-ray, complete blood count of child done if the fever doesn't get controlled till tomorrow evening. Hope you find this helpful. Rate the above answer if you like it. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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!iam suffering from typhoid and my dr suggest me to take twice injection a day  of 1g each. you suggest me whether it is right to take the injection and how much it is safe for me and also twll about the side affect.my age 40 year , weight neaqr about 64kg and physically fit ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. You have not mentioned the .  Typhoid is notorious for its recurrence, if you take the treatment ideally as per the sensitivity report of the stool and blood culture than you will never face recurrence. Please maintain good diet habit. Eat small frequent diet and not single heavy diet. Maintaining good hygiene is important like handwashing, this can provide cross infection to other family members. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my younger brother who is 18 and live with his nan and grandad drinks to much and gets voilent as he also suffers with ADHD,anxiety  and anger we have try for a year to get help but no one wants to help and he has been past from pillar to post. i have even tryed to get him sectioned and they wont even do this.  I am really worried for my mum and dad safety when he is drunk and dont know where or who to turn next. we have even got him arrested but no one seems to want to do anything? can you give me advice as how i can get him help ### REPLY: His admire your concern. But alcohol addiction and intoxication can cause many problems in general health and social issues.1st step is alcohol DE addiction after all other symptoms will treat as such. Anxiety and anger can be a part of alcohol addiction and treated with it. So consult psychiatrist or De addiction center nearby. Indoor treatment is must for De addiction.If you require then go for rehab. Program and take advise. Thank you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a pain in my lower left side of stomach from time to time. Thought it was hernia but ct scan did not show anything. every so often I will have a protrusion come out of my side (thus hernia thinking). Multiple Dr s have all stated they could only verify when this is actually happening and it doesn t last that long thankfully but it is extremely painful. Another Dr stated it could be a floating rib that is protruding out. i would like to start exercising but when i do i am always afraid this thing is going to pop back out. First time it happened was over 20 yrs ago and i was slimmer back then so i actually could see the protrusion. it was about the size of a golf ball. Now i have more wait so i can only feel it for the most part. i would like to know what exactly this is and how i can prevent it from occurring any more. ### REPLY: Hi. Thanks for your query and an elucidated history. You have two different problems. 1. You have a definite hernia and if the opening is large, it will not cause any pain. Consult a General Surgeon and get it operated forever. 2. The sharp pain in the right lower abdomen can be due to the following reasons:Colitis, Salpingitis, Left ovarian cyst with twisting;PID / IBS/ Sigmoid volumes and so on. The only sure way is to get a proper clinical diagnosis by a physical examination conducted by a General Surgeon or a Gastroenterologist. Get investigated:CT scan you have already taken. Blood, urine and stool tests. Diagnostic Laparoscopy if required, this can be therapeutic. If ll the investigations are normal, think about IBS- Irritable Bowel Syn . Remember that stress if the most important reasons for IBS. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an Angiogram done about 1.5 yr back and was found normal , Past month and half, i experienced severe stress resulting in High BP and its taken me about 5- 6 weeks to bring this to normal , while i am returning to normal , I find the place where the Angio was done(Right Leg Pelvis ) is causing some pain , while the pain is bearable , but its really uncomfortable . Is this anything related to my BP ? Please advise ### REPLY: Hi, first you should monitor your BP, if its high treatment should be taken. Includes low salt diet and regular exercises. You should also fatty and sugary foods. You should also get your sugars and lipid profile test done if not yet tested. If BP is not controlled medicine should be taken. I usually start my patient on tab Telmisartan 40 mg once a day. Regarding your pain, it is not directly related to BP, it can be normal, but one ultrasound of the site should be done as sometimes there can be bulging of the artery which will need treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i had a few lumps removed from my perineum 3 weeks ago, incision seemed to have healed very well, but last night i noticed a small hole with pus oozing from it; lumps were subcutaneous. Will this heal naturally, the hole is about a 2 millimetres in diameter ### REPLY: HIT hanks for posting your query to .  It could be a new infection or infection at the site of lump removal. You will require an additional course of Antibiotic for that.  But before starting Antibiotics you need a test called Pus culture sensitivity test which will tell which Antibiotic has to be used. Kindly get this test done and revert to me.  Hope this information was useful to you. Any clarifications feel free to ask. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently been diagnosed with allergic asthma. Symptoms have been going on for months. Blood pressure has been normal for years but after months of coughing and wheezing my blood pressure is elevated. My family doctor insists the blood pressure problem is NOT related to the asthma but I believe it is. I am afraid to start blood pressure medicine while I am in a high asthma state. Won t it go back down naturally when I get the asthma under control? Should I see a different doctor? ### REPLY: Hello, Welcome to , Both asthma and hypertension are spastic disorders of smooth muscle, leading to narrowing of the respiratory tract and blood vessels. But as your doctor as examined and informed you that the increased blood pressure is not because of the symptoms. There are many modifiable and non-modifiable risk factors which can play a role in pathogenesis of hypertension. High blood pressure requires both lifestyle modification and medicines. I would suggest you to check BP regularly, if it is high consult a physician and take proper treatment. 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 question is to a psychiatrist?My wife is a recovering schizophrenic(according to her doctor) and still at her parents. My mother is a borderline Parkinsons with no possibility of being able to support herself if pushed and who is terrified(has had nightmares too) of being in the same room as my wife. No one in my family or friends think it wise to bring my wife back and I do not disagree. Her influence on my 9 year old is also suspect. In your professional or personal opinion what is the best course of action for me? ### REPLY: Hello, This is a difficult situation for any family. I think you should talk to her psychiatrist about her actual condition. Schizophrenia is an illness which require long term antipsychotic treatment. People can recover from the illness and lead a productive life, but medications have to be continued. So if you can take the responsibility of giving her medications regularly under you supervision, I suppose there would not be any major problem in bringing her back to home. 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 experiencing acid reflux which I never had it before even before the HPlyori was confirmed. I am on the 5th day of Nexium ph7. It was started from the 3rd night. Last night, I need to sleep at a sit up position to avoid the reflux. Should I go back to the doctor? ### REPLY: Hi there. Thanks for writing in. I don't think right now there is a need to visit the doctor at this stage. Continue the medication as advised by your treating physician. Do try to follow other measures like:1. Avoid oily, spicy, fatty food.2. Avoid carbonated beverages, tea, coffee, smoking and alcohol.3. Regular exercise 30 minutes a day 5 days a week.4. Avoid lying down immediately after having a meal. Wait for at least 2 -3 hours after your meal before lying down.5. Wait for 2-3 hours after meal before exercising.6.  . If symptoms still persist in spite of medication and above-mentioned measures, do visit your doctor. Hope this answer was helpful to you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Ma am! I just had the following question: I have been on the pill (Yaz) since late march. I take it everyday at the same time. For about the last month, I ve been having frequent unprotected sex. Halfway through the month however, I decided to skip over some of the white pills for my period and just moved on to a new pack. Now, I m sometimes having a brown discharge on my underwear and its light pink when I wipe. However, I ve been feeling nausea on and off for the last 2-3 weeks. What do you think is wrong? ### REPLY: Hallow Dear, If you were consuming Yam pills regularly, you need not be worried about the unprotected intercourses you had since these pills are reliable birth control pills. If after the menses you have shifted from one brand to another brand of the pills, it is permissible and will give you protection form pregnancy. You have not mentioned which brand you have shifted to; hence I cannot know what are contents and the dosages of the contents in these pills. Some brownish to pinkish discharge you are having on yours panties is break through bleeding. If such bleeding becomes bothersome, you may take two pills on that day to stop the bleeding. Otherwise, you may ignore it. Nauseating feeling you are having is due to increased acidity due to the hormones in the pills. Some proton pump inhibitor antacid like Pantoprazole will help you to get relief from nausea. I do not think, you need to worry about it. If the new brand of pills is not suiting you, you may switch back to Yam again after this menses. However, if you have any doubt about pregnancy, you may get pregnancy test done on the overnight first morning urine sample 8-10 days after missed period (if at all you miss). Earlier these tests may give false negative results. Alternatively you may opt for Beta  test which is very sensitive and gives you reliable results even few days before missing a period. I hope this helps 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: How are you? I have been experiencing tingling and numbness in toes,feet,heels,burning sensation in feet and heels, slight burning,stiffness in joints in fingers and toes for a month at once it was quite painful to walk now the issue is getting much milder ### REPLY: Hello.... You seem to be experiencing symptoms of peripheral neuropathy. Are you currently on any medication? Although it is good that the symptoms are subsiding, I would suggest that you get a complete blood panel done including sugar profile and thyroid function tests. Please consult your health care provider who can examine you and guide you further as regards any other investigations that may be required. 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: hello doctor, past a week i am getting acidity kind of pain in my chest, what happen..10 year of regular smoking &drinking habit, can you suggest me what i have to do, i am worrying kind of pleural problem in my chest ,is it so...today i had small pain in my left side bottom rib  area pain..please suggest what i have to do now ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having hyperacidity related chest pain. But better to first rule out heart related chest pain because it is on left side of chest. So first get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Follow these steps for acidity related chest pain. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Take antacid (pantoprazole) tablet on empty stomach. 5. Go for walking after meals. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a question about paragard, Wilson disease and gilberts syndrome. I have that I UD and have also been diagnosed with gilberts syndrome, but have been having pain in back and pins and needles down my leg, right now its only in my foot. Had MRI and ex rays that showed nothing wrong with my back. Could it be Wilson s disease or the copper in the IUD effecting me. ### REPLY: Hi, thanks for posting your concern in the . Copper containing IUD's are known to exacerbate Wilson's disease or existing Chronic Liver Disease. But, there is no convincing evidence that they cause Wilson's disease. As you have Gilbert Syn .  But, that would not precipitate Wilson's disease too. But, it would be better to switch to some newer IUD's if you have any form of Gilbert 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: I stub my big toe on a concrete stair on Sunday. It turned red a little and had a bit of swelling on top near cuticle. Today it started leaking a dark yellow liquid and then redish. The nail looks like its detaching but it hurts to walk or put pressure on it. I am freaking out. What can I do? What will happen? ### REPLY: HI, thanks for using  Trauma to the toes can cause the toenail to eventually come off completely, but it would regrow. It may be best to visit your doctor who may be able to remove the toenail completely and therefore speed up the healing process. If this is not an option, then you can continue treatment at home. This would involve the use of an anti-inflammatory painkiller to reduce your discomfort and applying antiseptic cleaning solutions to the toe to prevent infection. Examples of painkillers are aspirin, naproxen, Catalan, ibuprofen. One of these should be able to help you. Available over the counter. 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 does blooming in left frontal subcortical white matter mean? Also Old infarcts seen in right cerebellum which are hyperintense on T2 weighted images. T2 shine through seen in these areas. Features of small vessel disease with scattered hyperintense areas  throughout  cerebral white matter. Old right cerebellar infarcts. Area of petechial bleed in left frontal subcortical white matter. Thank you. ### REPLY: HelloThanks for writing to ChatDoctorBlooming is MRI finding related to blood. You have blooming in left frontal subcortical white matter, and it is due to petechial bleed. There are also scattered T2 weighted hyper intensities in white matter of brain. It is due to ischemic changes(decreased blood supply) involving small blood vessels. It is most commonly due to systemic diseases like hypertension, diabetes mellitus etc. so you should be screened for these conditions and need treatment if suffering from these diseases. Hope I have answered your query. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been allergic to atmoshpheric changes and my doctor has prescribed me anti allergens since i was young. I am not extremely allergic but do take a few medicines say once a while in 6-8 months in case of allergy. I think thats the cuase of dark circles under my eye, they are quite big on lower eyelid and i started developing crows feet when i reached 25 years of age. I want treatment for the dark circles ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You have been allergic to atmospheric changes, doctor prescribed anti allergens since long. You have the dark circles also under the eyes, they are big as well. Developed crows feet at the age of twenty-five.  The dark circles have nothing to do with the anti allergic, still you are using them sparingly so don't worry about it.  Usual causes are anemia, hypoprotinaemia, anxiety, etc. I advise you to take more of green leafy vegetables, pulses, sprouts, milk, protein foods, etc. I advise you to consult a physician for diagnosis and treatment.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed yesterday that the tissue between my gums and my jaw inside my mouth were a little swollen.  When I woke up this morning the left side of my face was swollen and it is drooping some.  When I press my face or cheek it hurts.  I do not have a toothache or anything.  I am making a Drs appt for tomorrow....too late to see her today.  Should I be okay and what could be the cause of this. ### REPLY: Hi Welcome to  . I have gone through your query and can understand your concern... You might have any of following condition1. Dental/periodontal abscess-is a localized collection of pus associated with a tooth or gum. They occur when a localized infection of tooth spread to gums & nearby soft tissues.2.peritonitis- which is inflammation of the soft tissues surrounding the crown of a partially erupted tooth, including the gums.  Following remedies can be tried1. Anti-inflammatory . 2. Salt Water Gargle-Mix 1 tsp of salt with warm water in a glass. Gargle for roughly 15-20 seconds and spit out. You can repeat this as needed for 2-3 days. Remember to spit the water rather swallowing it. Visit your dental surgeon he will do an x-ray to confirm the cause & give you a specific diagnosis. Hoping your query is solved well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am currently feeling nauseous and tired all the time i can barely keep my eyes open, i am bloated and have a stomach ache especially in the lower right of my stomach. just generally feeling very sick and also feeling very emotional at the moment i keep crying which is not normal at all. ### REPLY: Hello dear, The symptoms as mentioned in your post is attributed to accumulation of gas secondary to increased acid production in the stomach. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods2.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 year old son has been complaining of having a sore neck and leg muscles for the last few days. He has also mentioned having a headache and has been a very pale colour too. He seems lively enough and remains active but today he has small blisters on the end of his tongue along with small red dots along the surface of it mostly at the sides. He had a temperature yesterday which seems to have subsided now but any opinions / treatment suggestions you could offer would be greatly appreciated? Thanks! ### REPLY: Hi... By what you quote this looks like viral illness. At the same time - spots on tongue too can occur in viral illness due to stress or due to viral illness itself. If the kid is active nothing to worry about it. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Would you please answer my question is what is water tumor? because my sister have the ovarian cancer on stage3. tumor (10 cm) already removed then she had chemotherapy. She now sugeried las 2 days ago. The Doctor removed some thing as water tumor between pancrease and stomach. Is it tumor or not or what it is. It does not have any root in there.Thank you very much,Mai Tran ### REPLY: HIIT looks like cyst between stomach and pancreas. Water tumor is cyst. They are not cancers. Pancreas is the commonest site for cysts. True cysts can be removed totally. Pseudocyst is a swelling where in a communication will be created between stomach and pancreas. If you have any doubt about the water tumor which they removed, it is better to send it for histopathological examination(Biopsy) which gives accurate diagnosis. Wish her good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dental x-ray showed abscess or possible abscess in lower right tooth - but there is no pain - and muscle strength test of tooth showed it to be normal. Dentist decided to wait - didnt want to do root canal until sure it was an abscess. Can x-ray be misleading about abscess? ### REPLY: Thanks for your query, I have gone through your query. The abscess could be because of the tooth infection or the gum infection. Consult an oral physician and get the complete examination done to rule out these two conditions. You can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). After taking antibiotics you can get the tooth treated with RCT(if bone support is fine) for tooth infection. If it is gum infection then get your teeth cleaned once and maintain the oral hygiene. If needed grafts can be placed to make the tooth firm. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ihave sebaceous cyst on my face around my nose , my doctor extracted them by surgical method and she also used the cautary method , please tell me if this scar will disappear please noted that i used fucidin oint ,bioderma cicabio creme ,solcoseryly gel ### REPLY: Hello, Welcome to , Sebaceous cysts are the cysts which originate from sebaceous glands and which contain sebum. Sebaceous cysts generally do not require medical treatment. However, if they continue to grow, they may become unsightly, painful and infected. The medicines and cream will help to control the symptoms like pain and infection, but it will not cure it completely. Surgical excision of a sebaceous cyst is a treatment of choice which is a simple procedure to completely remove the sac and its contents. Recurrence are very rare following surgical excision. 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 son has lower right abdominal pain yesterday. Went to the Dr they sent us to the emergency room. They did an ultrasound, and stated that his appendix appeared normal. Sent us home to observe him. He was better this morning but is back to having mild discomfort. We don t want to go back to the er and get another huge bill for them to send us home, but also don t want to ignore his pain. He has no fever vomiting or diarrhea. Any advice? ### REPLY: Hi. Thanks for your query. Read and understood your history. I can understand the pains of the huge bills along with the actual pain in abdomen on the lower right side. Ultrasound is already stated to be normal and no appendicitis, no nausea, no vomiting or loose stools. You can just visit a Doctor nearby and get a prescription for a 5-day course of an antibiotic active again intestinal infection, Metronidazole, anti-spasmodic and probiotic. He may be fine. You have to go for further tests only if there is no relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have low kidney function, doctor gave me a enterococcus bacteria infection. went of 7 days macrobid, 5 amoxicillian, was at 40,000 2 weeks late on zyvox for 81/2 days cleared, but still felt some pangs, so 10,days later ampicillian for 10 days, 2 weeks later enterococcus back to 75.000 ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Enterococcus is very notorious bacteria known for its resistance. I advise you to take the full sensitivity of the bacteria done with HEAR resistance pattern. It is always a combination of .  If your previous therapy won't work for the bacteria I advise you to take the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father in law attaining age of 75, suddenly he is feeling pain in his left nipple. There is little lump that can be felt when I touch that area. there is no pain in the lump area but paint is felt only on nipple. He is normal healthy person with  slight high pressure. ### REPLY: Hello! Thank you for asking on ! Regarding your concern, his symptoms may be related to an infection or inflammation of the soft tissues of his breast. I recommend consulting with the GP for a careful physical examination, a chest x-ray study and some blood lab gets : -complete blood count-PCR, sedimentation rate (inflammation). A chest CT scan and biopsy of the lump may be necessary to determine the nature of this lesion. Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 45 yease ago , two years ago i get blood with belgum, i went to hospital and the make chest x ray and CT, THEY SAID IT NOMINIA, THEY GIVE ME UNTIBAIOTICS , THEN I GET OK, AFTER ANOTHER YEAR SAME MONTH NOVERMER I FIND SOME BLOOD AGAIN AT BELGUM, I TOOK UNTIBAIOTICS AND GONE IN TWO DAY, NOW AFTER ANOTHE YEAR I HAVE SAME THING IN NOVEMBER ALSO, I DIDNT TAKE UNTIBIOTICS AND BLOOD GONE IN TWO DAY?  I AM A FRAIED OF CHEST CANCER>>> WITH IF I CAN SEE YOUR DIGNOSETHANKS ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have blood in sputum (hemoptysis). It is commonly seen in tuberculosis, lung cancer or other lung disorder. You should go for CT scan of chest. If you have any mass lesion in lung then you should go for fine needle aspiration cytology or biopsy of that mass lesion. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My mom is 60 years of age and had severe pain in lower back towards the left side. When an Ultrasound was done it said, small cortical cyst in the mid region of the left kidney measuring 8 mm. She has a past history of Aneurism. What is extent of the presence of cyst and what are its causes and its treatment. At present she is maintaining a good heath record apart from the recent back pain . ### REPLY: HiT hanks for the query. Renal cysts are often seen in otherwise healthy individuals and their incidence increases with age. With a single cyst of 8 mm, all we need to do is monitor its size by doing an ultrasound every 1-2 years. It does not require any other treatment. The cyst is not the cause of low back pain. I suggest that you take the opinion of an orthopedic surgeon for your mothers symptoms. Hope this helps Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am 35 years old and have been having these pains inmy chest for the last 2 days. Normally when i run or walk i dont get tired but nowadays i feel very weak even after a short walk. I feel sleepy and exausted most of the time.Having chest and back pains with a slight pain in my right arm (just beneath the shoulder joint) please help or am i being concerned over nothing ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out heart diseases. Your symptoms like easy tiredness, fatigue on minimal exertion, chest and back pain etc. are more suggestive of heart diseases. So consult doctor and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes simple musculoskeletal pain can be the cause. So avoid movements causing pain. Avoid bad postures in sleep. Take simple painkiller like ibuprofen. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 1 week but first rule out heart diseases. 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 am 18 years old and have had hair loss for two years now. Recently I have noticed that it gets worse during my period. Can microgynon 30 help my hair loss? I dont want to make it worse and I think that the hair loss is due to hormones. Any suggestions? Thanks. ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of hair loss and mainly during periods which seems to be due to nutritional deficiencies, systemic conditions, and hormonal changes. Need not worry. I would suggest you to maintain complete hygiene and take biotin supplements. You should consult dermatologist for proper examination. Doctor may order skin patch test, blood test and physical examination. You can start Microgynon 30, however I would prefer it after physical examination only. Keep your scalp .  Take Indian gooseberry powder with water once a day and use olive for massage. Hope your concern has been resolved. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 28 year old female diagnosed with spondylolithesis 14 years ago and degenerative stenosis 1 year ago. I am stiff off and on, but recently along with the stiffness there has been a red line going down my spine. I don t know if they are connected, but I have only been noticing the line when I am pretty stiff. Is this something I shoud be concerned about? ### REPLY: Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised along with MRI. As most listless cases have stiff spine and that is due to the protective mechanism of the brain to safeguard the spine. Performing regular physical therapy will help regain the mobility and also the ADL at ease. In my clinical practice I have been seen abundant cases of spondylolisthesis and all response well to physical therapy. Performing exercises on a longer run can only keep the spine and the body active. Stiffness of the lumbar spine is connected to the movement of the listless and needs a thorough exercise program. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had body aches for 5 days now, and some rattling in my chest but no cough or mucus. My chest feels stuffy, but I am not wheezing. I feel a general feeling of malaise and am getting aches and pains in my back, hands, shoulders, and feet. A lot of people at work have been calling out sick too, but they have a cough. I think I have a fever but have not verified this by temperature. I just feel really hot. I do live in Honolulu, and it is hot out--but I feel much warmer than normal. I am extremely tired and have been sleeping a lot. Taking ibuprofen and drinking lots of water. Stayed home from work 2 1/2 days. I am an asthma sufferer. I did a home breathing treatment. It didn t help much. Should I see a Dr.? Not sure why this is lasting so long with little improvement. ### REPLY: Thanks for asking your questions answer to your question is yes you should see a Pulmonologist.body ache, malaise, fever, rattling in chest, tiredness, all these symptoms can be due to variety of diseases like-upper/ lower resp tract infections-bacterial or viral infections you need to visit a Pulmonologist who can request for a chest X-ray and some blood investigations to lead to a diagnosis earlier the better in case of resp tract infections thanks feel free to ask more questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My daughter having high Fever .Not Regularly, between 1 hr interval, she is getting the fever with his head and feet.Has consulted few doctors in my home town .But the fever is not reduced.Can you please help us to get some medicines to reduces the fever. ### REPLY: Follow health advises given below:Measure your temperature and tell me reading 1. Avoid exertion 2. Take tablet paracetamol 500 mg after food (check .  Lot of fluids to be taken 4. Take proper diet homemade food like moon DAL Dalian, chapati etc. 4. Avoid wearing synthetic and tight cloths.  We have to evaluate for other symptom like cough/ throat pain/ burning urine/ stomach pain so that we can confirm cause of Reverend get Following test done and review with reportsComplete Urinalysis (CUE), Complete Blood Count (CBC), Erythrocyte Sedimentation Rate (ESR), Malarial Parasite Identification, Typhoon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve had my mirena coil for 2 years now. I ve had extremely sore nipples , terrible mood swings and its been making me lethargic. I got the mirena to atop my periods because I was bleeding through several pill contraceptions. It does stop my periods apart from every 6 months. Could you advise me on a more suitable contraception? ### REPLY: Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. Well you could just use avoid having intercourse on the days when you are ovulating, it is one of the easiest methods of contraception if you have a regular period that is, if you have an irregular period it makes it slightly harder. This is how you calculate the days on which you are ovulating, add 14 days from your last period, the next 4 days after that are the ones when you ovulate. So if you avoid intercourse for those 4 days, you're safe. If you want to be extra safe you can make it 7 days instead of 4, that way you have some margin for error. I hope this answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr . I have 23 yrs.l have PCOD.now I m married and my Dr advise to take tablets femilon to correct the periods .6 month I put the tablets. Then I got pregnant after 8 weeks That was aborted unexpectedly. Now my Dr advise to take the tablets femilon up to 2month.l have a doubt about that., How to help the tablets for pregnancy ?when l take the tablets any problems. ? ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you might be aware that PCs is a lifestyle disorder, and you need to opt for lifestyle changes. I will suggest you to opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet.  .  Avoid deep-fried foods, bakery products and refined sugars. Secondly, in PCs condition oral contraceptive pills are suggested to get down the levels of basic hormones.  Usually, depending on clinical condition pills containing anti an ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 accidentally bit into my cheek while chewing gum about a week ago. Now there is flap of skin where I bit. It s not swollen, hot/warm, or a cold sore (from what I can tell). It didn t start hurting until 4 days ago and the pain is similar to the stingy pain of a cut cheek from wearing braces. I need to know if I need to go to the dentist to get it checked out because the flap has not gone down at all and only increases in pain. ### REPLY: Hello probably your cheek is ulcerated because of biting. Generally it should heal within 2-3 days. Since it has not healed even after 4 days, you should consult dentist. May be the ulcer is too big to heal on its own or there might be some sharp tooth surface which is not letting ulcer heal. Dentist will round off sharp tooth surface and will prescribe some gel so that ulcer heals faster. 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 am a wondering if possibly tainted with salmonella almond butter could cause extensive hives and itching for two weeks after ingesting it....I just found out about a recall from trader Jo s on the raw almond butter and I ate it once about two weeks ago...trying to out together why I am broken out in hives still with intense itching....I also have cancer. Didn t feel great the last two weeks...some diarrhea. Think you! ### REPLY: Hi there. Thanks for the trust on virtual clinic. I have carefully gone through your case and yes it is possible that you are allergic to some ingredients of that almond butter. Take anti-allergic pill one daily for 7 days (fexofenadine120mg is good one). Avoid that almond butter again and remember its ingredients and to be on safe side never use such a thing with any of those ingredients. Hope you get well scorecards:- ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 under extreme stress and my bp is very high...210/110.  I cant get it to come down even though my dr told me to triple my meds.  It has been over 8 days since I visited the ER.  The dr there told me to chil out.  My fam practice dr said to triple the meds.  I am away from home right now. ### REPLY: Hi thanks for asking question. Just now your blood pressure is very high. So as doctor advise you dose increased. And still needed intravenous sodium nitropruside can be given. First avoid stress. Meanwhile, start regular exercise like jogging and running. You are away from home, so nearby Jim can be joined instead of running. Take very low salt diet. . Take green leafy vegetables. Take fruits more. After blood pressure comes down to below 180 / 100, maintain it with regular exercise and diet restriction. I hope my suggestion 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: Doctor i have pcos and getting treatment for past 2 years by taking diane.Now the cyst is gone and also took treatment to open tubes.now i took clofert in this cycle and have 3 ovums in my ovaries,2 in right and one in left.I am concerned about multiple preganancy kindly suggest what to do?my age is 27 years married for 3 years,weight 60kg,height is 5.5 ft ### REPLY: Hallow Dear, Closer is Camphene citrate. Camphene is known to cause hyperstimulation of the ovaries resulting into release of multiple eggs. If all of them or more than one of them get fertilized, multiple pregnancy can result. In such cases, selective abortion of the embryo(s) leaving back the healthiest embryo is possible; however, the legal aspects of such termination varies from country to country. The decision should be taken only by consulting a Gynecologist. I hope this helps 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 suffer from chronic sinus problems - swollen eyes and pain in jaw and teeth on left side.  My dentist says I have fluid under my back molar and need a root canal.  Could the sinus drainage cause this fluid?  I am hesitant to have a root canal done if it is not needed.  I havent had any pain in the last few months. ### REPLY: Thanks for your query, I have gone through your query. The pain can be referred from the sinus to your teeth. Consult an oral physician and get a radiograph done to rule out tooth infection. If the tooth is infected then it has to be root canal treated and cap should be placed. For the pain you can take a course of antibiotics and analgesics. It is better to get the tooth Root canal treated if it is infected, otherwise it has to be removed. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Effects of VasectomyI am 41 yrs old and I had a vasectomy about 4yrs ago and I have felt different sexually from day 1. Mentally the drive is still there, but physically Im not the same. My self esteem because of this has taken a large drop. My wife is younger and weve always been sexually active. Everything still works,  its just not as stronger and I have hardly any control. Its starting to effect my mental state, feel almost depressed a lot. My family physician found that my Testosterone levels were low, soon after the Vasectomy.  I guess my question is am I experiencing onset of ED or maybe depression, or do I just need to get in shape and work on getting my body mentally & physically back into shape? ### REPLY: Hi, From history it seems that you might be having some psychological upset due to having false fear of loosing man power and having bad effect on your partner. After vasectomy there is no lack of testosterone hormonal level as your testes from where this hormone synthesizes are intact. Vasectomy never produces any this type of effect on your sexual life. The feeling you feel is purely psychological and develop strong will power and enjoy your sex life. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 2 1/2. He has been on antibiotics for 10 days fir a sinus infection. He had a fever for a few days and seemed better. This morning he woke up with a fever and rash all over his body. Should I take him to the doctor now or can it wait until monday? ### REPLY: Hello, Thank you for your question and welcome to . I read your query and I understand your concern and the anguish that you are having. Antibiotics are usually very strong medications, and they can start an allergic reaction in the body. There are a few complications that can occur when you take medications. Along with the rash, there is a small chance that your son can have difficulty with breathing. I think that you should see a Doctor as soon as possible to get treated for the rash. Follow up after 5 days. All the best. Hope this helps you. Feel free to clarify further. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 55yrs old. 64 kgs and 175 cm tall. I have had severe reflux with throat spasms for a couple of months. I am taking nexium 40 Mgs 1daily and not having much improvement. Today I had a gastroscope and they said an ulcer / esophagitis he has ordered a ct scan of chest and abdomen as well as biopsies taken I have had h pylori with triple therapy Why is he ordering ct scans. Is he considering cancer ? I did have a duodenal erosion. 15 yrs ago Belinda ### REPLY: Hi, Thanks for writing in. CT scanning, similar to chest radiography, is not a part of the standard radiologic workup of patients with HERD. CT scans can provide information regarding the anatomy (i.e., presence and size of a hiatal hernia) but do not provide information regarding the presence or absence of reflux. Even aspiration pneumonia can be better seen in CT scan. Cancer can be ruled out through biopsy. 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: Everytime i am in a quiet room, i get nervous until i have to poop. It started 5 years ago when i had gas while taking a test, my stomach made a weird noise and i got nervous, every time in in a quiet room since then ive gotten so nervous i had to poop. My body should be able to hold my poop in nervous or not? What can i do? I am 16, 51, weigh 114. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it and close your eyes. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. If need be also check yourself for gastritis. You may need to take some medicines to control your acidity problem. Try boiled garlic with meals for good result. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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 was released from the hospital last Wed. my diagnosis was viral meningitis. I had severe headaches and stiff neck. I started to feel better but today I woke with my neck being worse--the headache is not bad but there. I was on Viral antibotics all of last week but nothing now. Shld I be concerned about this or is it just working its way out? ### REPLY: Welcome to  I have gone through your query and understand your concern. You are likely to consider yourself examined by neurophysician for exclusion of meningitis. For headache, you can take paracetamol. You should be concerned about it. 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: My daughter get cramps in her calves. She is 18 and this has been going on for over a year. It started at night and usually the right leg. Now it is happening during the during the day but more towards the night. She has seen a doctor and he had her take iron supplements but they have not helped. Also she has IBS and they made her constipated. I do not know if there is a specialist I can take her too. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms of your daughter seem to be related to muscle cramps. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement for muscle relaxation. Warm compresses can help. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got facial fillers Friday and had immediate bruising. The swelling pain and bruising worsened over the weekend. I called the nurse she said apply ice. Today there is puss and blood oozing from pores only in the injected areas. I went to the dermatologist who did the filler and he said I have herpes. I have lab work from only 4 months ago that says negative for HSV 1&2. Doc gave me valtrex anyway and an antibiotic. I think it s my body pushing the filler back out. Is that possible? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion it is not a herpes.  It is likely that it is an infection at the site of filling. I like to do Grams staining and culture sensitivity from the discharge. You can take the treatment according to the culture report. Till that time you should take antibiotics like definite and analgesics like diclofenac under your doctors' guidance. Please maintain good hygiene bye frequent cleaning and . I will be happy to answer your further concern, you can ask me on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: TOO MUCH HAIR FALL AND THINNING HAIR FROM LAST SIX MONTH AND I M USING DAILY SHAMPPO WASH TRESSMEE LAST 15 DAYS I M USING FOLLIHAIR DAILY AND CIPLA 8X SHAMPOO AND WASH HAIR ONLY 2 DAYS IN A WEEK NO OIL IN HAIR FROM LAST 15 DAYS WHAT CAN I DO CAN I CONTINUE THIS OR NOT ### REPLY: "Hi! Welcome to . Com. I have read your query in detail and do understand your concern. Daily shedding of up to 100 hairs is normal. Excessive hair fall can be due to male pattern baldness, physical or mental stress, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Avoid routine application of gels or frequent blow .  Use a sulfate free shampoo for your hair twice a week. Biotin containing hair supplements can be taken for 3-6 months. Ketokonazole based shampoo or 8X shampoo can be used for treating Dan ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 keep getting pains in my feet, I don t know if its dropped arches or I have gout....... I was off work a few days and it subsided. As soon as I started work it came back and gets worse as the day goes on. I have tried some insoles but always seem to make it worse. Any Ideas ? ### REPLY: Hi, thank you for providing the brief history of you. As you mentioned you have pain in feet there can be a possibility of calcaneal spur or gout or may be a nerve entrapment in the spine which leads to abnormal sensation. To understand this the first thing to understand the nature of the pain. Second, an x-ray of feet and also the Urine test to check the calcaneal spur and gout. Once this is ruled out an MRI of the lumbar spine will be of help. Due to many things coming into similar symptoms, one needs a thorough assessment of the feet. Chances of having a flat feet may also be the reason. So once the diagnosis is made then the treatment plan is initiated.to solve the simple problem a broad based vision is needed by differential diagnosis and better rehabilitation.regards. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have started wheezing at night , it started while i went to lay down for bed and it has now continued when i sit up in bed or lye down. It has been going on for about a month and a half. I have a hyatial hyrnia also. It was told that it might go up into my lungs. ### REPLY: Hi, Yes,it could be possible that your hiatus hernia is causing this wheezing because in this hernia, the protruding part might cause compression over diaphragm leading to irritation of pleural tissue. This mechanism might be the reason of your wheezing, and it can also cause shortness of breath and dull chest pain occasionally. Usually it is not serious but consult your doctor if it troubles you more. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Saw cardiologist last wk...high bp tingling and numbness in hands and feet extremely heaviness in chest racing, hard heart beat, extreme fatigue and body aches...stress test and monitor scheduled for next wk....I wk for a Dr, saw my echo report today...please explaine severity... Aortic insufficiency pht 663, lft atrial enlargement, tricuspid regurgitation, normal lv systolic function, lvfs 35.92% lvot 1.91/ lft atrium 43ml/m2 ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have high blood pressure, numbness in the hands and heaviness in the chest. Well the symptoms you mention in query can occur due to many reasons like cervical spondylosis, medication reaction or side effect, tachycardia, high blood pressure, heart attack, chest infection and angina. I would suggest you to consult cardiologist for proper examination without any delay. Doctor will take history, order blood tests like ECG, TMT, complete blood profile along with troponin t test and check vitals specially blood pressure. Doctor may prescribe sedatives, isosorbide initiate, beta blockers or calcium channel blockers along with diuretics. Doctor may also recommend angiography in some cases. For now take proper rest, have proper diet, do not exert your body, lower your salt consumption and apply warm compresses to chest. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have vocal cord dysfunction supposedly from GERD Ive been on omeprazole for a month now.. recently Ive been having these mucus plugs they appear black sometimes mixed with white stuff and yellow stuff they get stuck and plug my airways sometime is there any herbal or O.T.C Medications I can take Im also on benadryl. These plugs also cause my chest to feel full but past xrays show my chest is always clear ### REPLY: **1. An allergist / immunologist has specialized training and experience in the diagnosis, treatment and management of complex conditions such as VCD. [vocal cord dysfunction], who may ask for further tests such as spirometry or laryngoscopy to confirm the same.2. Treatment for VCD typically involves activities that relax the throat muscles including:. Speech therapy. Deep breathing techniques3. If you suffer from HERD, managing the condition will help in treating VCD, like. Bland and soft diet, more of milk. Avoid hot .  Give small, non-bulky meals more frequently [since HERD causes hiccups/ irritability]. Head high position at night. [since HERD causes regurgitation/choking]. Regular moderate meals, take easily digestible foods, vegetables and fruits contain fiber in plenty and should be taken in plenty. Do not sleep immediately after food, have a small walk after each meal. Prescription medicine with effective results are: Kayak Churn, Tablet Gases, Samara Assam, Syrup Lion,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,iam having pimples from 18 years,now iam 24years from the 18 years to till 23 years i have done somany things to reduce pimples & black spots,i have used somany of Creams,I have gone though Homeopathy treatment & Chemical piles,every time i ll get pimples then i ll go for treatment then it will became black spots,and slowly it ll go,after a month again the pimples will come, i have spent somuch on treatments,nothing was not given any results, At the age of 23years i got married,from that onwards iam not using anything,now iam at 8th pregnancy,i dont have any pimples now,but i have scars/red colour spots.till the 6th month i had lot of pimples,today one of friend said that apply the ERYTOP cream in over night,do you thing that i should use this ?? somany of midlife women said that after labour i ll get the pimples,is it true ? Kindly suggest me ... ### REPLY: Hi there let me try to clear some points regarding acne and pregnancy. Acne can be cleared or get worse in pregnancy, so there is a mixed approach. Secondly, generally as I can see in practice that acne get worse in the first few months of pregnancy but as the pregnancy proceeds it get better may be due to hormonal changes. Now if your cream has got Clindamycin then I would say you can apply. But I would also recommend the following1:Benzoyl or Atelier acid creams preferebly2:DO NOT apply any creams that contains retinoids or salicylic acids. Thanks very much and all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my mom got liver transplant 3 months already and she needs to test her blood once a few weeks and it seems that her SGOT SGPT have been increasing, now are about 200 something both of them. What could be reasons and how to reduce them? Doctor told that other value after tested are fine, so it seems that he only waits and sees results, but i m not sure what he s thinking to do with this. ### REPLY: Hi, Liver enzymes after a liver transplant is more complex. First it would be important to know if your mother was infected with Hepatitis C prior to transplant, as the virus comes back 100% of the time with a new liver, therefore it can cause liver enzyme elevation. The fact that she is 3 months post-transplant makes someone think also about organ rejection, therefore the immunosuppressive medications might need to be adjusted. Also, there could be "technical" issues with the bile ducts, or if the donor liver was not in good condition it could not be functioning great. Liver enzymes' elevation after transplant is not normal, and usually requires a liver biopsy for a final 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: hi I am a 26 year old female for the past 3days a been having these really bad pains in my upper stomach I havent been able to sleep or do anything I just lay around because it bothers me so much the pain comes and goes and it gets really bad at first I thought it was gas so I been doing everything I can to help it but the pain is not going away can some one please help? ### REPLY: Hi, thanks for the query to . Forum. This is acute pain in the stomach hence you didn't get relief. Hyper acidity is the main cause of this type of symptoms. Hyper acidity may be due to, Tension. Stress, Fried food, Over feeding, Alcohol,Spiced food, Smoking,Strong coffee, In this type of situation you have to take antacid type of .  Oxytocin is a local anesthetic which give quick relief. Tepid water sip like a tea will also provide relief. 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: Hey, basically im not sure what it is. Heres my background detail, sex with one patner (no one else and it is for the both of us) and im on the pill we dont use a condom no symptoms bleeding andstuff. After we have sex there small dotty things that is on his dick tht wernt there before looks like chipped dried paint and sometimes sticks to the head of his uncut head of penis and sometimes looks like grainy beads. I dont know what it is and i do try to clean my self as much as i can because he thinks i dont clean my self however i dont use any soap or shower gel. I believe that something may be comming out of my womb or my inner wall is somehow peeling off? So confused. Description: kinda looks like small sand beads and sometimes the soft chipped paint. Its also just white. When he tries to wash it off the thicker bits are just stuck. Question is what is it? and how its caused and how can i get rid of it? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that your boyfriend is getting bumps over glans penis after having unprotected sex. This is most likely to be due to allergic reaction to your vaginal secretions which are acidic in nature. Please both of you take broad spectrum antibiotic like Čeferin along with anti-inflammatory .  Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pain in my ribs and back on my right side. I have had this for about a week. If I take pain relief it dull the pain for a short while . Then it starts again. My right side is very tender to the touch. And I can t lay on that side without it becoming very painful. ### REPLY: Your symptoms suggest that you have soft tissue injury over right side of chest may be due to an unnoticed trauma. These injury takes at least 15-20 days to heal. Rest, icing, local application of non-irritant analgesic gel and anti-inflammatory analgesics such as ibuprofen will decrease pain and swelling. Deep breathing exercise will also be helpful. Hope this helps. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I would like to speak with a spine specialist, or orthopedic Dr. Unless you can help. I have been diagnosed with Adult Scoliosis, and suggests Spinal Fusion, I want to decline the surgery, but they don t suggest it. I believe the decision is mine...what do you think? ### REPLY: Thank you for the question. Scoliosis has to be either primary, since childhood structural deformity or secondary in adults due to undergoing pathologies in spine. Scoliosis Braces are worn if there is flexible curvature depending on number of curve, if one then good support is provided. Your spine surgeon must have evaluated all these and probably due to fixity (non-flexibility) may advise surgery for instrumentation along the spine to keep it straight. You look for spinal braces and support for few days till you want to wait for surgery, a physical evaluation is necessary before brace is indicated, so consult a spinal surgeon for second opinion ### END