Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 59 year old healthy female, approx. 30 pounds overweight.  I excercise regularly and lift weights. I was hospitalized recently with dull chest pain. The only positive evidence for possible cardiac disease reported to me was during the excercise phase of a stress test - ST depression coming from two leads.  While told it could be a false positive, if its not - what are some of the possible causes for this finding within my heart? ### REPLY: Hello had gone through your question and can understand your concern. If a patient has a positive stress test if I would be your doctor the next step for you to do is:Troponin, CK-MB Chest X-Ray and thenCoronarographyIf these tests are negative you should doFibrogastroscopy for determining stomach problemsAccording to the above results the respective specialists will give you the right treatment and councils. Wish you good healthThank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello , my 3 yr old son is scheduled to have circumcision next week , his doc told us that he will be having general anesthesia instead of local one ,i am very worried abt giving him general anesthesia , can u plz tell me if this is safe for 3 yr old and are there any major side effecths associated with it nw or in future,plz ve detailed iam very concerned.Thank u very much for ur help ### REPLY: Hi, Most circumcisions in infants can be done in local anesthesia, but since your child is 3 years old it may be difficult for them to control him because of the fear of doctors and the environment around. The anesthetist will use only a short-acting agent. The surgical procedure is not long. Don't worry they are competent and will take care of your child. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: does marijuana help nephrotic syndrome in anyway. i have been diagnosed for 4 years now and i visited my doctor earlier this week and he said it was in remission (may be incorrect spelling). i have been using marijuana a year and a half now and have been using almost everyday for about 5 months now. does marijuana cure nephrotic syndrome? ### REPLY: Hello and welcome to . As an Ufologist, I can understand your anxiety. Marijuana can never cure nephrotic syn . You're advised to best discontinue its use further. A remission means, a temporary period or phase of improvement in symptoms.it may relapse again at any time. That's not a fixed period. You can remain in remission for a longer time, if you discontinue marijuana. Wish you well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 who is 76 has multiple myeloma. She has had a recurrent problem with inflammation of the tear duct in her eye. She had surgery and was treated with antibiotics , but now has a small hole with some intermittent drainage between the bridge of the nose and the eye. Is this common and is it related to the multiple myeloma? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. This problem is common.  It is due to inflammation in lacrimal gland or duct.  You should go for surgery for that.  It has no relation with multiple myeloma. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: respected Sir I am facing with writing problem . I am not feeling confortable to write with pen rather than with pencil. Problem become serious when I am writing some important things like writing on bank cheque or filling some form .Apart frPleom this I take time to remember the name of person. Numerical calculation like simple addition and sub is a problem for me and I take too much time .Please advise me Hemant ### REPLY: Hello Hem ant.thanks for the query. May I know what is your age & since how many days are you facing these problems? In addition, how is your mood, energy levels? Is there any significant change in your sleeping & eating patterns & whether there are symptoms like increased irritation, sudden startle upon loud noise or excessive anxiety over trivial things? What symptoms you are describing are suggestive of attention & concentration difficulties plus anxiety symptoms. These can occur in various anxiety disorders as well as in depressive disorders. Hence, you should consult a Psychiatrist for detailed evaluation. You will be offered various treatments like Medications (SSRI type . ) don't worry.good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I AM HAVING  RASH AND  ITCHINESS ON MY  BODY.I DO NOT  KNOW  WHAT  I AM ALLERGIC  TO .THERE ARE SO MANY ITEMS IN FOOD THAT I CANNOT MAKE OUT WHAT I AM ALLERGIC TO .I AVOID FISH   BANANA  AND NON VEG.I DO NOT CONSUME ANY  NUTS .ARE  DRIED   GRAPES  ALLERGIC  IS MILK ALSO ALLERGIC ### REPLY: Hi, you may be allergic to anything. May not be food but even to flowers, metals, clothes etc. So to diagnose your allergen you can get done sensitization test for the common allergens where the doctor inject very minute amount of allergen into skin layer and based on your response can find the allergen. If it is only one episode then just take antihistamine like cetirizine or loratadine and steroids if the reaction worsens. Hope this helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 63 year old female.  I had a gallstone attack a few days ago after eating an evening meal of mushrooms, onions, bell peppers, squash cooked in butter.  I searched online ( WWW.WWWW.WW  and found a home remedy for the symptoms: a glass of  apple juice and a tablespoon of apple cider vinegar.  It worked!! I got relief within 5-8 hours.  Is this a situation that might be caused by leaky gut disorder? ### REPLY: Hello, I had gone through your problem. You said you had a gall stone attack few days back. This is not related to leaky gut disorder. Have you got your ultrasound scan of your abdomen? Usually there are many causes for gall stone formation. Hypercholesterolemia and red blood cell disorders also can cause gall stones. Usually gall stones are formed in obese females in their forties of age. No medication can cure gall stones. Even if the stones disappear after taking any medication, there is every chance for gall stones to recur. The treatment of gall stones is cholecystectomy (surgical removal of gall bladder). Get a medical advice as soon as possible before any complications arise. 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 doctor . My son is 8 months old. He has suffered 2 times. His nose get blocked and during motherfeed, he felt very difficulty. Sounds comes from his nose and some times he breathed by opening his mouth. my local doctor prescribed during winter season Claritek and Myteka Sachet alont with some cough syrup. He sid that his chest was infected. With 5 days treatment, he got better but Myteka was given about 12 days. After 2 months, he suffered with serious flu . Doctor again recommended same medicine. Claritek dropper for 5 days, Myteka for 6 weeks and one alergic syrup. This time he said that chect is not infected but could be if we dont give claritek. Now he has relief but Myteka is being given. My question is what type of disese he has after few months. I have removed all carpets from my home to avoid dust diseases. Is he has some type of alergy that causes above syptoms after few months again and again. I am confident that he dont have asthma . ### REPLY: Hi. This presentation can mean an allergic rhinitis with extrinsic asthma, which is generally associated with a secondary viral or bacterial infection casing recurrence He is on right treatment and this is what is done generally, as he is very young, with age, his immunity will also increase and by 12 years I expect him to be fine if it is an asthma. Continue the steps your taking now to avoid dust, etc. and I hope he feeds well. Take him for his vaccinations and regular check-ups. Avoid exposure to cold climate and keep him clad when he is taken out preventing dust, cold, etc. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 7 weeks pregnant and been throwing up lately. Not everyday but like once every three days or so. Last night I threw up and this morning while at work I coughed and felt i was goin to be sick but was not then when I looked at the tissue there was a streak of blood in the phlegm. I do feel a bit out of breath lately, the same feeling I get when I sometimes eat something that I have intolerance to. ### REPLY: Hello, and I hope I can help you today. Nausea and vomiting is common in the first trimester pregnancy, and if you manage to irritate your stomach or esophagus enough by coughing and retching you can injure yourself which can result in a small amount of bleeding. However, you may have an underlying stomach condition, such as an ulcer or gastritis, which is only now having symptoms because of the pregnancy. Furthermore, if there's any possibility that the blood was actually coming from your lungs rather than your stomach, there are a whole host of other diseases that need to be considered in that case. I strongly recommend if you have not yet seen a doctor for your pregnancy you do so as soon as possible, or even your family doctor could evaluate you at this point. Tests can be done to help determine if the blood is coming from your sputum or from your stomach. In the meantime, things that can help reduce nausea during pregnancy that lead to vomiting are avoiding eating anything that is highly spiced or fatty, eating frequent snacks throughout the day, so you are never starving, and making sure that you eat something small before you even get out of bed in the morning.  . There are prescription medications that can be given to help you with nausea during pregnancy. However, natural remedies also exist. Ginger, taken in teas, candies, or other forms especially if they are sweet are very soothing to the stomach. The combination of vitamin B6 and over-the-counter sleep aids, like Unison, are very effective in treating nausea and vomiting a pregnancy. So in summary, severe nausea and vomiting in the first trimester pregnancy are not unusual, however if you are bringing up blood you really do need a medical evaluation urgently. I'm not concerned about any risk to the baby, however the bleeding may get worse if you are not treated for the nausea and continue to vomit on a regular basis. I hope that I was adequately able to answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: During sonography to confirm Hernia,(3 years ago)cortical cyst in kidney(20x19 mm) was detected.Report further says.Both kidneys appear normal in size and echotexture .C-M differentiation appear normal.No evidence of calculus,hydronephrosis or mass is seen. Sonography report further states that there is mild prostatic enlargement.Prostate measures 45x31x35 mm.volume is 26cc.No evidence of intravasical extension.Capsule appears normal.Recent sonography marks improvement now volume is 24CC Liver shows grade3 fatty infilteration.Size and IHBR are normal.No evidence of focal parenchymal lesion.Recent sonography marks improvement now fatty liver is Gr.2) My family doctor has recommended only surgery for hernia? Do I require treatment for fatty liver,kidney cyst and prostate enlargement? I do not have pain/burning/acidity due to hernia?Can it be cured without surgery? At present I am taking Thyronorm 125 mcg,Olemcip20(For High BP) and Tonact-TG(For cholestrol-borderline) regards bharat khatwani ### REPLY: Hello namaskarbrief answer surgery is recommended for hernia repairDetailed answer am glad to know that your clinical profile is improving very rapidly like down gradation of fatty liver from grade 3 to grade 2. Hernia may get complicate as time passes so it's better to get it operated as earlier possible you may start getting the all those symptoms you mentioned.I tried to keep it simple for you, feel free to ask for follow 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: from last one week i am suffering from back pain and it is specially left buttok. it is like pin pain. secondly sometimes back to knee also. i m working in office and always working on computer. more sitting. can you tell me if it can be Sciatica pain. ### REPLY: Hi Welcome to  After going through your query I concluded that you are having acute backache with radiation to limb. Yes it is sciatica pain. This can be due to muscle strain due to long sitting, or it can be due disc prolapse. It can be confirmed by MRI of lumbar spine. Treatment of it is rest in lateral position. Analgesic such as ibuprofen for pain relief and vitamin B and C is useful. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told by my physician I have a growth on my hip that looks like it is actually eating at my kidney. Ive had the left Side pain for a long time but in just the last two weeks it has gotten so severe I cant hardly take the pain. I dont take opiates so ibuprophen and  acetaminophen isnt working so well. Have any thoughts. ### REPLY: Hi, Thanks for writing in to us. You should be more concerned about the growth and its treatment than the pain relieving medication. The root cause of your pain lies in the possible growth. You must first get your growth evaluated and treated after detailed clinical workup. Painkiller medications will be given to you after clinical evaluation, starting with the less powerful ones. Please talk to your doctor informing them of the intensity of pain you are having, and they may give you opiates after consideration. Always take ibuprofen and acetaminophen in recommended doses and after food. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 4 year old who has had a decrease in appetite over the past couple of weeks. He is very picky to begin with, but now won t eat hardly anything. Over the past week he has been falling asleep at random times - very unlike him. He has no other symptoms and has not been ill. ### REPLY: Hi... Thank you for consulting in . I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause . PLEASE DO NOT GIVE ANY SO-CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 small light brown blister on the top right side of my lower lip that I woke up with this morning.  Its approximately one quarter mm in diameter, its getting sticky and some brown pus is coming out of it at a very slow rate.  My lips are kind of dry so I used Chapstick Moisturizer on them after noticing it.  Im not sure if this is something to be concerned about or not.  I dont think I have the HSV-1 Virus and havent kissed a girl for around 2.5 years.  I can send a picture if that would help.  Thanks! ### REPLY: Hello and thanks for consulting . I have gone through your query. If you can send a picture that would be excellent but for now according your info I would say that I might be the case of oral herpes.It's not like only if you kiss an infected person you will have oral herpes. There are other ways of getting the infection also. You may be able to feel a small bump or hardness in the skin in conjunction with the tingling sensation. Other symptoms may include, itching of the lips or skin around mouth, sore throat, swollen glands, and pain when swallowing, and a fever. Herpes simplex virus is highly contagious, so avoid kissing or other mouth-to-body activities at any time during an outbreak. Also avoid sharing utensils, cups, or straws with other people, and wash dishes and utensils thoroughly with disinfectant soap. Gently washing the blisters with soap and water helps a lot. Wash your hands frequently, and try to avoid touching the sore. Use sunscreen on the lips and other vulnerable areas. Zinc oxide may help prevent outbreaks in people whose outbreaks are triggered by sun exposure. If outbreak lasting more than 2 weeks you should visit a doctor. Hope this answers your queryRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 blood pressure ranges from 138/98 to 165/111 and I am currently on Lasix , amlodipine 5mg so I have been taking my b/p am s pm s and at least 3x each to get an average, since I am at end stage renal failure I know this can damage my kidneys . Also I am cycling at least 30 m. a day and have a very strict diet, what else can I do. ### REPLY: The blood pressure varies from time to time in a day. The target blood pressure should be-between 120/80 to 130/85. You need to increase the dosage of your BP medicines if you cannot achieve this target. You also need to decrease the protein loss in urine if any and control phosphorus level and Hemoglobin. Also, if you are nearing end stage renal failure you should start planning for the type of renal replacement therapy you would opt. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am having severe back ache for past 2 weeks and was asked to get an x-ray and blood test done . My x ray reports are normal but the blood reports show certain abnormalities.the report is as follows :WBC:11.12RBC5.36HGB:12.9PLT:155*[10^3/uL]Also the RBC IP Message states Hypochromiaand the PLT IP message states PLT Abn Distribution .Please suggest what is the problem and how should i go about curing it ### REPLY: Hello and welcome to , The interpretation of blood report is as follows:The term hypothermia refers to decreased chroma or decreased hemoglobin content of the red blood cells. Hypochromia is most commonly due to iron deficiency which can be managed by iron supplements. Abnormal platelet distribution refers to variation in sizes of platelets. Abnormal platelet distribution usually occurs in cases of decreased platelet counts. Thanks 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: I don t understand why my doctors have been confused with my blood work the last few years. I seen an oncologist. Got retested for proteins and whatever. Well I had anemia but the rest looked good. I am chronically tired and in pain so my doctor did more test this year especially cause I have large lymph nodes and continue to get various infections. She believes I may have some form of leukemia but I don t experience painful lymph nodes all the time and I haven t dropped a pound. Does this rule that theory out? ### REPLY: Leukemia can be ruled out by doing a blood count test with peripheral smear examination. If the counts are suspicious then bone marrow examination is indicated, Chronic infection can give rise to lymph node enlargement along with anemia. In the initial stages of the disease there might not be weight loss. At the moment you need not think of leukemia as the size of the lymph nodes changes without any active 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, my sister who is 39 years old got tuberculosis maningitis this year in the month of june and she is still under medication. She is not gaining weight at all, sometimes she will gain and reduce as well. Is is disease completely curable ond if it is contagious since she has 2 small children? ### REPLY: Hi thanks for asking question. Yes TB meningitis can be completely curable. The antitubercular therapy should be started. And taken for complete total duration.Sometimes there is need for placement of shunt. Antibiotic also sometime added to therapeutic regimen. The TB meningitis can be contagious. Your child can get affected if their immunity is not much enough to counteract infection. Thanks. I hope I have solved your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my son who is 9 is very immature and is very naughty he has been checked for ADHD and we were told he does not have this. When he was born his testicale did not drop so this was operated on when he was 2 this has prity much died could this lead to a behavour problem we have a 6 year old child who we would say is normal. I have thought about Fragile x syndrome as he does not like change this puts him out and he will play up. He is also very easy lead by others. ### REPLY: Immaturity not at par with the chronological age and peers is an issue and may be related to developmental immaturity which can be due to some birth related problems as premature birth or due to postnatal insults. However, a thorough developmental history and social/intellectual assessment can give a better picture. Operation for the descended testicles per se is not the cause. After assessment by developmental pediatrician and psychologist his weak areas can be strengthened by various programs. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3 years old daughter is getting pain while passing urine for 2 days.she has no fever or any other symptoms.here urine culture not possible.is Flavoxate tab as 1/2 trice a day for 3 days safe for her?if not what medicine can i give her.pls help me . ### REPLY: Hi, Favorite, will help to relieve dysuria and urinary urgency. It's a safe tablet for the above symptoms. It may alleviate the symptom that your daughter has, but the cause for dysuria (i.e. pain while passing urine)should be found and treated. A common cause for dysuria in that age group is cystitis, urinary tract infection or sometimes renal stones.  As urine culture is not available near to you, a urine routine test can be done, which will give us a lot more information. If any constipation or voiding dysfunction is there, that need to be sorted out, and toilet training should be done if not yet trained. I would suggest you check the correct dosage of favorite for the child from your pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hellow,could you please tell the conventional practitioners for septicaemia? what is the scope of practice of the conventional practitioner for septicaemia? what is the source of training or education that the practitioner for septicaemia has to go through? ### REPLY: Septicemia, or sepsis, is a condition that is treated by internal medicine physicians or internal medicine physicians with further specialization in infectious disease medicine. In the United States, both internal medicine & infectious disease physicians complete a three-year residency in internal medicine after having obtained their medical degree. Infectious disease medicine physicians then do further specialty training for three years. Internal medicine physicians deal mostly with adult patients and their scope of practice includes all systems of the body. Infectious disease medicine physicians focus primarily on treating infectious disease complications in adults. Pediatricians also have a subspecialty in infectious disease, and they deal with me on a 10 child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I just got my blood test result and GGT showed 154 U/L, but AST and ALT are normal. Doctor suggested taking Essential Forte N for 2 months. Will this help? ### REPLY: Hello. Thanks for writing to us. GGT blood levels may be elevated due to liver disease, hepatitis, gallstones, diabetes, pancreatic disease, kidney failure, alcohol misuse, certain prescription . The mild rise in GGT that you are having does not need any treatment if there are no symptoms. Proper blood investigations are needed to find out the cause under the guidance of your gastroenterologist. I hope this information has been both informative and helpful for 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, my wife is suffering from a case of caudal migration of a disc in the lumbar region (between L4 and L5) due to which the nerve roots in the spinal cavity/canal are getting supressed and she is experiencing a shooting pain in her left leg. She is unable to walk much right now, has got limited mobilty (has to hop most of the time or lie down in bed). Is this an orthopaedic case or a neurological one? Is surgery the only solution or there are alternate ways to remedy the ailment? My wife is 28 yrs old, weight around 90 Kgs and has a history of Hypothyroidism and PCOD ### REPLY: Hi welcome to  When the spongy discs between the vertebrae of the spine in the lower back degenerate, they become weak. This leads to a narrowing of the spinal column, which is what spondylosis refers to. The lumbar region bears the brunt of most of the bodies weight, so with time everyone's vertebrae degenerate. Even if you consult an orthopedic consultant for your problem, after investigations, he will tell you that there is no definitive treatment for spondylosis and treating it symptomatically by prescribing analgesics is what they will do. But a good doctor will also tell you that ONLY exercise during pain free period can enhance your chances of reducing the existing lumbar spondylosis and revert it back as far as possible. Well, t is absolutely true that effective stretching exercises like Yogasanas help one get rid of lumbar spondylosis. You can rely upon homeopathy for help! HomeopatChatDoctoredicines work wonderfully o alleviate the lumbar pain and numbness if associated. The homeopatChatDoctoredicines act from inside out and heal the dislocated discs and give permanent relief when coupled with yoga. Consult an expert homeopath and get rid of your lumbar spondylosis soon! Homeopathy will not only treat disease it will treat person as a whole, so your wife will get rid of thyroid, pod and lumbar pain simultaneously. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boy baby has diarohea from 4 days, he has 2.5 month old, his weight 7.20 kg. I gave him only orsaline, best feeding, 2 times a day give xinc syrup 1.50 ml. But all this doing he could not recover, so please tell me how could he recove such worst diarohea. Note: after 4 days he still smile, play with mother, he also pee but diarohea can not recover. ### REPLY: Thanks for your query at .diarrhea in young babies are common. It occurs due to infection which goes with milk or touching the baby with unhygienic hand. Once it starts it may last for 5-7 days usually and 14 days maximum. If it is lasting for more than 14 days then we suspect any malabsorption syn . Your child has diarrhea for only four days which is not sever enough to cause deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 34 and i have been diagnosed bi polar and i have been married for 12 yrs and my husband is just now understanding that my condition is a real thing. but after year of mental and physical abuse i want to be done is that a healthy choice or should i keep trying? ### REPLY: Hello I read your statement and I understand your concerning you are diagnosed with bipolar disorder, your psychiatrist would have started you on initial therapy of bipolar disorder. The initial therapy depends on the staging of your disease, such as for those who are more depressed that manic, Quetiapine along with carbamezapine and Aborigine is advised those are more manic, then olanzapine given. There are other alternatives anti-psychotics counselling sessions are important in your disease since they reduce much of the psychological factor of the disease advise you to take your medicine on time, increase your social activities such as doing sports, going out with dinner with your partner, going to movie, regular visits to friends and family, and start your psychological sessions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 triglycerides came back at 850. I am a 32 Year old woman in normal weight range. Other high numbers include cholesterol which was 207 and my total non-HDL cholesterol was 171. My LDL came back as "Invalid". What does this mean? Could this be an error? ### REPLY: Hello! Thank you for asking on ! I understand your concern, and would like to explain that the result of LDL as "invalid", raises high suspicions for a false result, probably caused by the lab machine. Your abnormally high level of triglycerides is very concerning, but as long as you have no symptoms, a normal weight, this seems to be a very doubtful result. I recommend repeating your picogram profile to be sure that this is just a lab error. Hope to have been of help! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...Hi, My six year old boy was up around midnight last night complaining of a sore throat and headache, I noticed he had a temp so gave him some panadol and he went back to sleep, I thought he was better this morning but then at about 8am he vomited, he has since had a temp, I just did a reading under his armpit and it was 38 degrees. I have given him more panadol and put the air con on and a wet towel on his head. Should I take him to the doc or just monitor him for a while. Its now 2.45pm and he hasn t vomited again but he is very hot. ### REPLY: Dear parent, you should give acetaminophen or paradox in alternation with ibuprofen syrup every 4 hours.  This means that you give him acetaminophen or paradox and then after 4 hours you give him ibuprofen and so on. You should make sure the child is adequately HY .  Vomiting is caused by elevation of body temperature, once his body temperature is stabilized, the vomiting will stop. You can also give an antiemetic ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife has had 2 sist removed from both overys on may 3rd. the first time we had sex  after the keyhole surgery was on 29th may and now she has found she is pregnant. But when she has peed on the stick it says she is 3 weeks pregnant. how can this be. her last period was when she was at the hospital which was on the 3rd may.Is the test kit wrong? ### REPLY: Hallow Dear, Usually, home urine pregnancy tests are fairly reliable, though false negative results are known if the test is performed too early. False positive results are very rare. You have got two options:1. Repeat the test on the overnight first morning urine sample.2. Go for Beta  test. This test is highly specific and sensitive and can detect the pregnancy even before the periods are missed. If the Beta  test is positive, she is pregnant. The calculations of pregnancy duration may be wrong. With the help of ultrasonography, you can decide the duration of pregnancy. This will confirm the pregnancy also. 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: HelloI am 45 female in good health and I am having very persistent pain in the left side of my chest about the size and location of where my heart is. Pain is pretty much in front only and does not radiate. I have had it for several hours an I am in bed and I am now having a tingly sensation in both legs. I do have a cough that I have had for 4 days due to a cold. I also have asthma and have had a heavy chest with that but this is a very isolated pain and heavy ness.A little worried about going to sleep. ### REPLY: Hello dear, Chest pain can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack. The symptoms as mentioned in your post can be attributed to chest pain secondary to cough. It can be managed by intake of anti-tussive preparations. Other causes of chest pain include:1. Strained chest muscles due to overuse2. Chest muscle injury3. Short-term, sudden anxiety with rapid breathing4. Peptic ulcer disease5. Pain from the digestive tract, such as esophageal reflux, it will be better to consult a Doctor & get a physical examination done to rule out other causes. Investigations like an Electrocardiogram or Stress Echocardiography will be helpful to rule out any pathology in the Cardiovascular system. 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 chld is 5 yrs old with fever for 5 days with antibiotics it does not cure. after 5 days fever goes dowm. but now having stuffed nose and a bad cough. before 3 weeeks he also having fever and it cured by antibiotics. iam little worried of having my child frequent infectionc. get me the answer please? ### REPLY: Hi, Welcome to . Thank you for your question. Infections in toddler age group is common(3yrs-6yrs). I would suggest you to take him to a pediatrician and get a few investigations done to rule to urinary tract infection. Otherwise, proper hygiene, good diet including fruits and vegetables should be enough for him to build immunity. I hope this answers your query. Good luck. With 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: my doctor gave this tablet endogest  after my 16th day of period  she told to keep in private part.. for what purpose it is use ful  be come a pregnent .. for what effect it will give kindly inform.. about endogest 200 ..my age is 37 years height 5 weight 75. am having thiriod . planning for baby what is the use to take this tablet for becoming pregnent ### REPLY: Hi, How are you doing ? Before explaining how it works, let me tell you about the hormone cycle is. For a lady with 28 days cycle, during first 14 days follicle will grow to ripe size. On around 13-15th day you will ovulate. After this, remains of follicle will start producing Progesterone hormone, which will prepare the inner lining of uterus to support the baby or embryo. This will also help the proper implantation & penetrating into the deeper layers of uterus. Thus, this hormone Progesterone, will prevent early abortion & bleeding. This tablet, Eldest is same as Hormone Progesterone. So the hormone tab you are having will improve the implantation of embryo & prevent early pregnancy bleeding & abortion Hope I have clarified your query & do write back if any more queries. All the best .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 27yr old married woman with a baby of 1&1/2 yr old.My worry is about the increased esr factor found during a recent routine blood test esr67.Noticiable I am under medication for irregular periods,my other bloob factors are fine HB 12.80,WBC & RBC count healthy,no sugar or BP.Pls advice ### REPLY: HiT hanks for asking1. Your ESR is quite high. ESR is a prognostic indicator which raises in chronic infections, inflammation or autoimmune disorders.2. Since your counts are normal, not to worry about a raised ESR as you are asymptomatic. Only possibility in your case could be due to hormonal intake raising ESR.3. You can repeat ESR levels once you are out of treatment for menstrual problems.4. There is no medication to decrease ESR, only the underlying condition raising it can be treated. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I get semen with this ratios  color semen : creamy white  Semen aspect : slightly viscidTotal sperm :86,9 Mio /mlSperm cell abnormal form 10Spermatozoa:3-5 HPFWPC semen : 5-10 HPF Kindly illustrate any abnormality and if this results can affect pregnancy Thx ### REPLY: Hi greetings. The semen analysis report is incomplete. It shows total count to be normal but showing again that few spermatozoa. Motile sperm concentration is not mentioned, which is very important. We need around 52 % of progressive motile sperm for fertilization. With sperm density and morphology alone it is difficult to comment.Hence, I suggest you to repeat the test in a reputed lab where semen analysis is done frequently. Hope you are convinced. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my brother is having problem in lungs, according to doctors the lungs are not working properly with full strength. He used to take additional oxygen whenever he needed, for better treatment we want to consult a expert doctor, kindly adviseWe are in muzaffar nagar (UP) ### REPLY: Hello dear, Warm welcome to .come have evaluated your query thoroughly.* There are many reasons for the lung function problems, and the management depends upon the root cause.* You need expert opinion of Pulmonologist for which you have to go Doctors in India - Pulmonologist - prefer area nearby you.  Or can have assistance with our expert customer care dedicated team crews. Hope this will help you for sure. 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 Doctor,I had a spinal fusion in May 2017 but was readmitted with severe gastric symptoms which was put down to allergy to medication for pain. I have lost 13 kilos and have just had a breath test whicChatDoctore back positive. I have been burping and had flatus all these months. Could the infection have occurred because the gastro nasal tube or mask have been inadequately cleaned?( I used to work in theatre). Should my husband also have a breath test? I also have had candida which has been treated. Many thanks Jan Reid Sydney ### REPLY: Hi, After reviewing your question I assume you mean a positive breath test for H. pylori? I am sorry to hear the amount of discomfort that you've been through. This is how I would proceed to look at your case:1. Your symptoms are very peculiar for peptic ulcer disease or gastritis. Both are different ways of getting damage done to your stomach. An ulcer is like a crater which may or may not be prone to bleeding. Gastritis is a bit like having multiple pinpoint sore spots, causing pain and discomfort. A positive breath test may mean that you have H. pylori infection. As uncomfortable as this is, it is usually very treatable. Were you on many painkillers because of the spinal fusion? If yes, then they would certainly have contributed. 2. I don't think a mask has anything to do with this. A sterile nasogastric tube taken out of the bag is very unlikely to bring infection to the insides of the stomach. Nasogastric tubes, however, do cause a bit of irritation in the stomach lining. While they could have a very small contribution, I doubt they have had a significant effect. 3. The problem at hand seems to be the H. pylori infection which is a bacterial infection of the stomach lining which causes wear and tear in the stomach. This bug is acquired by the orofacial route. What this means is that someone with H. pylori sheds the bacteria through their stools. Sometimes, because of poor hand hygiene, they may pass it on to others, especially through food. The new victim ingests these bugs and in this way H. pylori finds a new home to infest. I don't think your husband having a breath test will add to anything if he does not have symptoms. 4. An unintentional weight loss may signify a gastric ulcer (in opposition to peptic ulcer)5. You may benefit from a look down into the stomach through gastrostomy. It will give a great deal of information. Your weight loss is also an indication of getting you a CT scan of the abdomen to ensure that there is nothing dangerous in play. 6. Treatment would include amoxicillin, azithromycin and an acid tablet such as omeprazole for a 10 to 14-day course. Since these recommendations include a gastrostomy, you will eventually have to visit a physician or a gastroenterologist to have it done. Gastroenterologists are also excellent at managing h. pylori infections, along with ulcers and gastritis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...hi,i hav just entered my third trimister n is alresdy suffering from a swere backech.i cant stand for more then 10 mins and the pain starts.it is in the lower back wat do i do??? ### REPLY: Hello welcome to ChatDoctoryou must have developed LOWER BACK MUSCLE SPASM as pregnancy exerts extra weight n pressure on lower back muscles.kindly take following treatment (1) TABLET DICLOFENAC twice daily (2) TABLET CHLORZOXAZONE three times a day(3) HOT FOMENTATION twice daily in the region of pain(4) avoid lifting heavy objects(5) sleep on a hard mattress and avoid lying down on back or abdomen rather sleep in a lateral position i.e. on sides(6) use a LUMBAR BELT but don't tie it too tight as you are pregnant(7) avoid .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok.. here is my problem.. I can not form a total sentence.. I usually forget what I am talking about and ramble on.. I find it hard to concentrate.. I read a book and my mind goes elsewhere.. I will say something that makes no sense.. for example, I will see that the fan is on and say.. Oh I see that the floor is on.. what s that about? I will start a conversation and only say half of what I am thinking.. and people have to either finish my thought or statements or try and guess what the hell I am talking about.. what is wrong with me? ### REPLY: Hi, Thanks for using . I have gone through your available history. You have not mentioned your age and duration of illness which might be very useful in making diagnosis. Your illness may range form disorder of expression to depression to early dementia. So you should consult psychiatrist for detailed evaluation and management. Treatment will be directed as per cause. Doctor may advise you to go for . Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a serious history of ankle sprains and have undergone two ankle ligament reattachment surgeries and have still been experiencing weakness and pain and last night had a pretty severe sprain again. It swelled pretty large, especially around the back and front of the ankle and now has gone down a little in swelling although still somewhat swollen and is fairly constant pain. I ve been icing today but do I need to see a doctor for x-rays, exam etc. ? ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a X-ray of the ankle to exclude a fracture. Meanwhile, I suggest using anti-inflammatory medications such as Ibuprofen to relieve the pain. I also suggest using cold compresses for local application. If the pain continues, I suggest seeing an orthopedist for further evaluation. 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 am a female age 65, about 54 and weigh about 165. I have been on tyroid medication for about 2 years and also I am on blood pressure medicine for about a year. I quit smoking about 14 years ago.I find that in the last month or so i get burning in my lungs when I walk especially when going up a hill. ### REPLY: Thanks for your question on . I can understand your concern. Burning sensations in lungs especially on exertion (walking up Hill) is mostly seen with inflammation of the airways (bronchitis). You are more than 60 years of age and having history of smoking, so you are at risk of development of bronchitis. So we should definitely rule out bronchitis for your symptoms. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of PFT report. 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: Gender:Female Age: 32 History: High Fever-- Fell down hit my head--- Hospitalized for 1 month--- Diagnosed with seizure disorder--- Now I get an aura everytime I don t get enough sleep, if I am stimulated, depressed or anxious. I noticed I get aura after I consumed spicy food. What would be some suggestions on how to avoid auras and seizures? ### REPLY: Hi, Thanks for writing in. While the spices by itself might not lead to migraine headaches, thiamine, an amino acid commonly found in foods can cause symptoms leading to headaches. This substance is usually found in foods of Chinese preparation and also old or fermented foods. Common foods triggering migraine are Chocolate, Pork, Cheese and other diary products, Seafood, Citrus fruits and fruit juices, Onions, Wheat, Mar mite, Coffee and tea (caffeine) and Alcohol. Please be selective in avoiding foods as the same food might not cause migraines in everyone. You might tick off certain foods which you consumed as spicy foods. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hai doctor, I am 26 yr old.i got married 17-11-2010.now 2 yrs.I want to conceive.i consult doctor last month(5-12-2012)second day of period.she precribed siphene for 5 days and follic acid for 4 weeks.but i am not pregnant now.this month during period i can t consult the doctor. can I take siphene ,and follic acid medicine without her prescription on 2nd day of the period. ### REPLY: Hi thanks for posting your query. Sphere is camphene which is used to induced ovulation (liberation of ovum from the ovary) in infertile patient. It is started on the first day of the cycle and is continued for 5 days. Folic acid is a vitamin, it also used for infertility. You can continue folic acid without consulting your Doctor, however you have to take sphere under the supervision of Doctor. Hope I 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: had an duodenal ulcer. ...trouble coming out of it.....it created some problems and chronic duodentis...been seeing GI(gastreoendocrenology) specialists for over 6months..... getting nowheere. they just keep throwing omeprozole and antacids at me...... did a an upper GI, blood urine and stool samples come up negative for bactereia....having some toruble and very uncomfortavle.....any suggestions to get the duodentis to go down and get normal bowels? ### REPLY: Hi, Duodenal ulcers that occur on the inside of the upper portion of your small intestine (duodenum). Usual treatment of duodenitis includes the following, depending on the other tests. Antibiotic medications to kill H. pyloriMedications that block acid production and promote healingMedications to reduce acid productionAntacids that neutralize stomach acidifications that protect the lining of your stomach and small intestine improving duodenitis might be due to the following reasons.1. Not taking medications according to directions.2. The fact that some types of H. pylori are resistant to antibiotics.3. Regular use of tobacco.4. Regular use of pain relievers that increase the risk of ulcers. If you do not have any of the above reasons causing persistent symptoms then you might need to be evaluated in detail for the following conditions.1. Extreme overproduction of stomach acid, such as occurs in Zollinger-Ellison syn .  An infection other than H. pylori3. Intestinal neoplasms4. Other diseases that may cause ulcer-like sores in the stomach and small intestine, such as Crohn's disease ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My wife has a diffuse dilitational colon with low motility that fills with gas and causes an extemely distended abdomen.  She is also diabetic.  I realize that the alpha galactosidase can cause blood sugar to increase.  However, the question arises as to how to balance the dangerously distended abdomen(colon) against the use of Alpha-galactosidase to at least reduce the generation of gas. Also because of an impaired liver she takes neomycin and lactulose to reduce the amount of ammonia that would enter her blood stream. Your comments please.  Gus ### REPLY: Hi. Thanks for your query for your diabetic wife suffering from gases and bloating. Alpha-galactosidase helps in breakdown of the complex sugars in terminal colon hence reducing the chances of formation of the gas. It may not increase the blood sugars, and you can always keep an eye on the blood sugars and stop it the moment you feel there is increase in blood sugar you can stop it or increase the dosage of Insulin or other medicines.  Aureomycin itself can be a reason for gas production. I would advise :-Stop all the foods and beverages including carbonated . , -Try another antibiotic with Tinidazole-Reduced stress and anxiety as they do cause aerophobia. -Colonoscopy CT scan of the abdomen to rule out any other problems like cancer.-Movements - ambulation in house. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 when i go to sleep at night i get chest pains and its only at night i have went to the doctor and he checked my blood pressure and heart pulse but says im fine i do however have ectopics of the heart and i have given up smoking 3 weeks ago and i am using the nicorette patches, my bowl movement is not regular at the moment could this be sending the sharp pain when i lay down at night thank you in anticapation ### REPLY: Thanks for your question on . I can understand your concern. No, irregular bowel movements can not cause chest pain in night. In my opinion, your chest pain specifically at night is mostly due to smoking with .  No need to worry much for this kind of pain. Don't pay attention to it. Divert your mind from such night symptoms. Take simple painkiller like paracetamol or ibuprofen if pain is more. This kind of pain will gradually subside by its own in 2-3 weeks time. 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: I have had low white count that I know of since 1980. Always around2.8 to3.5, now it is 3.9. I have been told that just is normal for me. Now my Monocytes are 10.6. Have been fighing some intestinal problems, nothing new for my , have had colen surgery in 1996 at the Mayoclinic. ### REPLY: Welcome to . Dear friend some people have low white cell count, but they are asymptomatic. Your white cell count 3.9 is near normal. As you told that your monocytes is 10.6 (just increased) , I advise you for repeat complete blood count and ask your doctor for peripheral blood film. This will help to rule out any kind of blood disorder and help for further investigation. Thanx for query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After exposure to spray paint yesterday afternoon,I have been experiencing pains when breathing. It is occurring regularly, but not with every breathe and seems more painful with the exhale, as if someone is squeezing my lungs with their fist. I am an otherwise healthy female. I am concerned that I may have breathed in too much of the paint fumes inadvertently and may be suffering chemical pneumonia. ### REPLY: HelloWelcome to , The paint will have lead as its composition, it may be inhaled during exposure to the paint. It may affect lung parenchymal and may cause irritation of the lung tissue, and it may cause patchy consolidation. Because of all this pathogenesis you have developed these symptoms.  I would suggest you to follow1. Oral antibiotics like Tab Autoclave, 625 mg, twice daily for 5 days.2. Spy Pricier AX, which will helps to reduce the symptoms. 3. Oral antihistamines, should be given. 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 child is 11 years old, and recently a lump grew on the upper right side of his neck, which is proportionately to the front area slightly below the jaw, we took him to the doctor and he conducted an infection and virus test both tested negative, we are still waiting on the blood test and an esr and rheumatism test, what are the possibilities for his case? ### REPLY: i. Welcome to  . I have gone through your query and can understand your concern. As per your complaint a lump under the jawline seems to be most probably due to either swollen submandibular group of lymph nodes. In case if it is due to lymph nodes, it can be probably due to infection in lymph nodes leading to Reactionary Lympahdenitis. I would suggest you to consult an Oral Surgeon and get evaluated and a thorough clinical evaluation and investigation like x-ray or ultrasound can help in diagnosis and treatment can be done accordingly. You can be advised a course of antibiotics and anti-inflammatory painkillers like Ibuprofen. Do cool compresses over the swelling. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.my 7 yr ok daughter run in high fever since last 6 days.102f is on mental p and augmentine dds for tonsillitis. Fever still spiking twice a day. TLC:4300,esr:31,vidal-ve,mp--ve,urine Microscopy fine,chest xray shows prominent vascular n hilar markings.wat more can I get done?plz help me.wat is she having? ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. 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: I ve been diagnosed with lyme disease. Been doctoring for 8 years. I m now constantly experiencing a low grade fever 24-7 and ache everywhere. Walking is becoming harder. Is there a top notch LYME doctor out there somewhere who can help me? I m afraid of getting cancer on top of all this because of all the drugs , etc. etc. I m 44 - female. ### REPLY: Hello, Welcome to , As you were diagnosed to have Lyme disease which is an infectious disease caused by Cordelia bacteria, and it is a tick borne disease transmitted to humans by the bite of infected ticks. The symptoms are suggestive of the Lyme disease. I would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. These medications should be taken for at least one to four weeks. 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: I had unprotected sex with my boyfriend on Saturday night. He ejaculated inside me like he always does. Yesterday(Sunday) was my last active pill for the month. Instead of taking that I accidentally took the first inactive pill for my period week. I did not realize this for a full 24 hours when I went to take my inactive pill today so i took the The last active one today instead. Im really scared that I could of gotten pregnant from the semen that could of still been inside me. Please help. ### REPLY: Hi, There is no need to worry as you have passed the projected ovulatory phase of your cycle; moreover, you have consumed the pill at once and this will compensate for the mistake. You can safely wait for your next cycle and only if you miss it, go for a pregnancy test with a fresh early morning sample of urine 3-7 days later. Pregnancy can occur only if you happen to ovulate at the time of the unprotected intercourse which in your case is remotely possible. Hope you find this information helpful. 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 fell and hit my chest between my breast on a large wooden cabinet. It feels like I may have bruised it. It quite painful and difficult to breathe. What steps should I take to relieve the pain? It don t feel any irregularity when I check that might suggest a break. ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having blunt chest trauma. Musculoskeletal injury is the cause for your symptoms. But better to get done chest x-ray to rule out internal damage like rib fracture, pneumothorax and Pulmonary contusions. If chest x-ray is normal then no need to worry much, you are having mostly musculoskeletal pain. Try to follow these steps for better symptomatic relief. 1.  Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. You will mostly improve in 5-6 days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im a 31 year old female, and Ive had this lump on the left side of my neck for years. Its soft although I dont push too hard on it, and you can see it if I tilt my head to the right. I did have my Dr. check it out before, and he was not at all worried about it. Figured I had some type of infection or just a swollen lymph node. However it has never gone away, and I told  him that at the time of visit. It does worry me a bit... Should I be concerned? ### REPLY: Hi, Dear, I studied your query in depth and advise you Not To Worry at all. That lump is just a Chronic Cervical Lymphadenitis, and doesn't go as such.- Still as you are worried you can demand or request FNAC Biopsy from Surgeon to rule out the Cancer fear you have. Ideally you should recheck if it grows fast or /if more appear with your Surgeon or ENT Surgeon. Hope this would solve your quarry. Wellcome for any further query in this issue. Wishing fast recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a burning sensation in my right upper chest and my right arm also feels slight numb.  The pain started about a week ago and the arm started yesterday.  Cant get in to the doctor until next week.  The burning pain is really bothering me it is above my breast and goes towards my arm pit. I am a healthy 34 year old female. ### REPLY: Respected madam, hi I evaluated your query thoroughly. Clinically it's looking as of nonspecific neuralgia associated symptoms. Right now don't get stressed out or freaked and follow some very simple steps till you meet your doctor.* do regular deep breathing exercises and YOGA for 20-30 min daily which will help you improve your tissue oxygenation and symptomatic relief.* avoid stress* avoid smoking / tobacco consumption / alcohol beverages if at all consuming.* avoid much oily, spicy, nonveg stuffs temporarily.* take adequate sleep of 8 hours daily.* can take analgesic tablet after meals if more pain for and evening.* avoid heavy weight lifting with that hand and avoid pressurization under that shoulder while sleeping. Thanks for using . Regards. Bye, take care. Wishing you a fast and speedy recovery from the same. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, I m a 22 year old female and have been having anal bleeding. It started about three weeks ago for only a day and went away. However it has come back twice again and this time it is worse. It is somewhat like diarrhea but mostly a dark colored red amount of blood. I had a colonoscopy two years ago for other issues and I m just fearful that something is very wrong with me! Please help. ### REPLY: Thanks for your question on . In my opinion you should get done1. CT ABDOMEN2. Colonoscopy As at your age chances of malignancy are very low. We need to think other causes like1. Inflammatory bleeding ulcer2. Dysentery (severe bacterial infection causes bloody diarrhea)3. Polyps4. Vascular lesions like aneurysms or telangiectasia So CT and Colonoscopy is needed. Better to consult gastroenterologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My child Abhimanyu Kundu,1yr 1mn, suffering sardi-kasi for a long days. I am from malda, W.B. I am continuing his treatment in Malda. But here Doctors are telling me that because of my Asthama problem, there is no chance to cure my baby.......I want your suggesionb. I agree to come in Kolkata...... ### REPLY: Hello, Thank you for asking at . I went through your children history and would like to know more details about Abhimanyu such as - Since when he has problems? Does he have more of nose symptoms or more of chest symptoms or both? Does he have any skin allergies like atomic dermatitis? Does he have any food intolerance/allergy? From your given history, I would like to make following suggestions to your son:1. Were I treating him, I would suggest him regular montelukast and levocetirizine for at least 2-3 months, which will improve his symptoms.2. Should he develop breathing difficulty in between, I would suggest consulting a pediatrician who will examine his chest and may suggest nebulization.3. I would suggest him allergy testing which will help you identify the substances/foods causing trouble to him. Avoidance of the substances/foods causing allergies is the best strategy for allergy/asthma.4. Please avoid exposure to dusts, smokes and air pollution to him as much as possible. A diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will help him in a long run. I would like to mention here that although asthma in parents make a child more prone to develop asthma, childhood asthma behaves differently as compared to adult asthma. With proper use of medications, nutrition and environment changes, it can be very well controlled. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish your son the best of the health and bright future ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a cpap machine that I just started using again. new supplies arrived. when I cut in on, it was blowing too strong. I attempted to cut it back, to see if I could breathe better, however, it was still to high. Is it possible to have too much oxygen in the system. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. No, it is not good to have high oxygen in the body. Excess oxygen can cause oxygen toxicity. The problem you are having is mostly with the machine. CPAP machine delivers oxygen with pressure generated by the machine. So the machines pressure mechanism might be faulty or damaged which delivers high pressure then the desired pressure. So better to get the machine checked by makers. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m 15 years old and in the past couple of years I ve noticed that my legs get red blotches when i stand for more than 5 minutes. It s a lot faster in heat, but it even happens in the cold. I also feel a lot of uncomfortable pressure in my legs, and have fainted multiple times. After researching, I ve just discovered POTS, and I show most of the symptoms. I was wondering if i should be concerned or if it s no big deal. ### REPLY: Hi, there is nothing much to worry with this. Sometimes what you read on internet is all about the symptoms, but the clinical correlation is always a very different. Why don't you try doing some regular aerobic exercises and then see. You can even look for specific lower limb strengthening as well. Workout for your core stability as well. All together this should take away your most of the symptoms, and you will find it ease soon wish you an early recovery. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 59 year high school teacher, Wed, 4/23 acute laryngitis, doctor took tests, returned and put on Steroids, Antibiotics, cough meds but no other signs or sore throat. Note to Return to work today, Monday, although I just could not get out of bed. All I ve done the last 5 days is sleep. Today I noticed on line LYMPH % 16.1 Low, MONO # 1.6 x10 3/UL High and MONO% 19.0 % High. Am I contagious? I wanted to go to school tomorrow but now I am not certain of what is best for myself or my students. Thank you, Alice ### REPLY: Hi, Welcome to ! Laryngitis is basically of several types, the common ones being Infectious and Allergic. As the name suggests, if you are suffering from allergic laryngitis, then there is no need to worry about it being contagious. However, if you are suffering from Infectious type, then you definitely need to take precautions and be isolated for few days till the infection weans off. To ascertain whether it is infectious, you can undergo certain tests like throat swab or laryngeal swab which will help in identifying the organism involved. Hope this has solved your query. Feel free to ask if you have doubts.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there,I have a bad pain in my jaw on the joint. It feels like something is pulling and it is very difficult to chew anything. I also have a discomfort pain in the right side of my abdomen just below my ribcage. Feels like trapped wind but it has been coming and going for a couple of months now. Can you help? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have joint pain don't worry this joint pain can be due to Temporomandibular disorder (TMD) this jaw pain is stress related also, don't take stress be relaxed for this you can, you should take soft diet, restrict your mouth opening, hot fermentation. You can take one tablet muscle relaxant once daily for one week. One Capsule vitamin B complex once daily. Consult dentist for examination of oral cavity and consult physician for abdomen related problems. Hope this will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For about four days I have had a burning type feeling that seems to move all around, but mostly in my arms, back, and neck. I m also feeling some tightness and pain in my chest. Sometimes my hand or my face will go numb. I thought at first that I ws having a panic attack. But its been 4 days now! I m terrified! Please help!!!! ### REPLY: Thanks for your question on . I can understand your situation and problem. Since you are having chest tightness with arm discomfort, it is better to rule out cardiac cause first. So get done ECG to rule out cardiac cause. If ECG is normal, then no need to worry much for cardiac cause. Other possible cause for your symptoms are vitamin b12 deficiency, thyroid problem and anemia. So get done b12 level, thyroid level and hemoglobin levels. If all are normal then your symptoms are mostly due to anxiety. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Gud afternoon sir,my sister is studying 1st btech.she score good marks in all internal exams.during final exams she said that i didnot remember anything what i read earlier,iam unable to read and understand,some times i got headache.We observe a changecin her attitude and behaviour.she said that iam feeling unwell.we r even unable to find the problem.please kindly suggest any solution. ### REPLY: HiT hanks for using  I think, she is in depression. May be due to study or stress, she is getting depressive symptoms. In that case, she needs some antidepressant with low dose benzodiazepine that would help her to come out of that situation. She can also try some relaxation exercise like JPMR or deep breathing exercise. Better to consult a psychiatrist for proper evaluation and management. In case, she needs further help, you can ask. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently found a hard lump in the area by my hip flexer. i am 22 5 7 an 125 lbs no major mecial history but i also discovered a cluster or 3 tiny red dots an then one that is all by itself on my lower back upper butt area but those bumps are visible. what might these things me and are they related in anyway? ### REPLY: Hi, Dear,Welcome with your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Dear, you need to consult Surgeon for lump in the hip flexor.3 on the back seem to be different and not connected with each other.USG study of the hip flexor lump would fix the diagnosis with physical exam from Surgeon and Ortho-Surgeon. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END