Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is a very picky eater, does not eat fruits or vegetables. he will not drink milk , he use to drink Pediasure but I stopped giving it to him because it caused him to have very bad breath. He is 8 years old and weighs 64 lbs. I am noticing his teeth getting yellow and I want to know what vitamins or supplements should he take ### REPLY: Dear Sir/ Madam, Thank you for posting your query at .comas per the age the weight is appropriate. As per my opinion he does not require extra supplement in form of medication. However, I suggest you to prepare variety of recipe with fruits and vegetable. Kids get attracted toward new taste. Source of nutrients from vegetables and fruits is much better than the extra supplements in form of pills. Hope this is informative to you. And your vote of thanks is very much app reacted! With best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother has a pain in lower abdomin  and her age is 46 and doctor advise to do scan and after scan the report shows that1) urinary bladder: normally distended2) uterus: it is bulky and measure 9.9*5.0cms size.anterior wall of uterus shows evidence of a hypoechoic mass of 11mm size.endometrial is uniformaly thickened(thickness is 14mm)cervix shows evidence of 2-3 nabothian cysts largest measure 7 mm sizelargest follicle in right ovary is 19mm.left ovary do not show any mature follicledoctor are saying for the operation. is there any thing  to worry or either continue with the doctor advise. plz reply me. wat is actuall condition and operation is necessery with this report. ### REPLY: Hi ! Good evening. I am  answering your query. Even though it needs a clinical assessment along with the investigation reports opining on such a situation, from the history, it seems that she has got a fibroid, and and also endometrial thickening. In such case, I would advise you to follow your doctors' advice for a surgery. There is nothing serious to worry about, but the specimen should be sent for a histopathology report. Further management if any would depend on this report. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister has had several strokes and needs to see a neurology sometime in the next week. She has been hospitalized several times and has done therapy for numbness to her leg and arm. Not sure who would be able to help her. She does suffer from high blood pressure. Doctors I have looked up say they help patients that suffer epilepsy, Parkinson s disease or ALS. Never mind, I did not know I had to pay to try and find a neurologist ### REPLY: Hello! I am glad to attend you on  ! I read carefully your question and understand your concern. As your sister has suffered several strokes, you should know that the main therapy is to prevent possible future strokes. In this regard, the blood thinner and control of her cardio-vascular risk factors (a better control of high blood pressure or diabetes, dyslipidemia, avoiding smoking contacts, etc.) is necessary. Physiotherapy is the main cure to her limb numbness and to prevent possible muscle cramps. Unfortunately there are no special .  Hope to have clarified some of your uncertainties! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i just had a kidney stone removed last monday   i woke up in the hospital  hurting so bad on my left side that i could hardly move  the doc  saya that its my colon  impacted  to gently touch the skin on the outside feels like i have been burnt right at my beltline the swelling is getting worse and my colon feels like its about to bust , earlier i had some castor oil maybe 2 teaspoons and put a heating pad on my stomach not it hurts even more  what can i do now willl olive oil help ### REPLY: Hi, Why is it that you had a surgery for the kidney stone and your colon is impacted? You probably have an acute intestinal obstruction or absent bowel movement for long duration. Yes, olive oil would help too. In my view, you must get back to the doctor who operated on you and discuss the same with her/him. I strongly feel that you would do better with a bowel enema. Whatever be the case, get back to your treating doctor or the ER at the earliest, so that you get some relief from your pain. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, a week and a half ago I went to the doctor because I had shortness of breath, and I felt like an elephant was sitting on my chest, and felt like I was drowning when I layed down. I was started on prednisone, Flovent, and givin azethromiacin on top of the albuteral inhaler, singulair and Zyrtec my doctor already had me on for asthma and hay fever. Yesterday I went back to the ER because I was having extremely bad air hunger, I was dizzy and light headed, my fingers and toes where starting to tingle and the pressure on my chest was worse and accompanied by a raidiating pain that started under my left collarbone down to under my left breast. The ER took blood and chest X-rays that where normal and sent me home with a prescription for Xanax to help calm me down during an attack, threw out the night my left sided chest pain has gotten worse along with the pressure, and I have had no relieve using the Xanax, and I almost pass out every time I stand up. Ive also had swelling in my hands and ankles when I work for the past few months. Im worried about this pain and if I should go back into the ER today? ### REPLY: Thour allergic might be due to increase in other systems I think you might be having heart involvement you much check BP as it may cause the chest pain swelling due to long term asthma and allergy there is backflow of blood leading to more congestion and swelling continue with med check uptake some diuretic to clear of fluids from body done take any medicine like for sleep and anxiety consult specialist under these guidelines described above ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 12 lead ECG done at a health fair and it states sinus rhythm w/sinus arrhythmia, nonspecific T wave abnormality, abnormal ECG.  Should I be concerned?  Vent rate 78 BPM; PR int 180 ms; QRS dur, 81 ms; QT/QTc 389/423 ms; P-R-T axes 68   18   -30; QTcB   445ms ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. First relax and do not take any undue stress. Your ECG is absolutely fine. Sinus arrhythmia is a normal finding on an ECG. It is due to variation in heart rate and other parameters that occur due to breathing. Breathing process affects your heart too and some parameters change with inspiration and expiration which is recorded on ECG as sinus arrhythmia. It is actually a sign of healthy well functioning heart. So, relax and enjoy your life and do not think about it much. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 spouse told me that my breath smelled like metal. She then stated that it was coming from my pores and I smelled like metal all over. Not sure what can cause this. As far as I know, Sertraline 100 mg does not cause this. I did just start Nicotine patches, but I didn t think that was a side effect. Please help. ### REPLY: Thanks for your question on . I can understand your concern. Sertraline and Nicotine patch can not cause bad breath. Bad breathing is mostly related to oral cavity problem like caries teeth, decayed teeth, gum bleeding, abscess, parotitis etc. So better to consult dentist and get done clinical examination of oral cavity. Avoid garlic and onions from the food. Wash your mouth thoroughly after meals.  .  Rinse your mouth with antiseptic solution like chlorhexidine. Don't worry, you will be alright. Consult dentist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have hepatitis c virus Genotype 4b infection for last seven years. I have undergone Interfiron cum Ribavarin treatment of 48 weeks twice. One and half months ago I again started Hepcvir and Ribaverin treatment. Now the level of SGPT (ALT) is 71. Bilirubin, Cholesterol Sgot etc are normal. Is this high level Sgpt dangerous. ### REPLY: Hello patient You are having hepatitis C. In all hepatic viral infections the level of Sept is high. This is very common finding, but you should go for ultrasonogram to rule out cirrhosis of liver. The medicines you are taking for hepatitis C & the disease itself increases SGPT .you should regularly monitor SGPT, Bilirubin regularly.Also, the sonogram at regular interval with the guidance of gastroenterologist. Wish you good healthy life! Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doc, i am anil from Goa(India), suffering from psoriasis from past 5 yrs. Currently i am under allopathic treatment and doc is giving me medicines like emoderm cream, salytar solution,propysalic nf6,maxepa.i am 18 yrs old, wt is 54kg.  Plz suggest me about above medicines and suitable medicine for chronic plaque psoriasis ### REPLY: Hello and welcome to  Plaque Psoriasis is characterized by the presence of well-defined, thick scaly plaques mainly involving the scalp, and extensor surfaces like elbow, knee, lower back unlike extensive psoriasis disease for which both oral and topical treatment is required, for limited disease topical treatment alone is effective. Specific treatment options for psoriasis plaques are topical steroid with or without salicylic acid, topical vitamin D analogues like calcitriol, calcipotriene etc. These are available in ointment form for plaques involving the body and in lotion form for scalp psoriasis. Besides specific remedies for psoriasis, moisturizers form an important part in the management of psoriasis because of the thick scaly nature of the plaques. Moisturizers enhance the penetration of topical active ingredients as well as prevents or delays side effects like skin atrophy etc. You have been on modern(a moisturizer), altar solution(coal tar+salicylic acid shampoo) and proposal NF 6ointment (steroid+salicylic acid ointment). I find it absolutely right and therefore, I would suggest that you continue with this prescription as advised by your doctor and follow up with your doctor every 2-4 weeks. Hope this helpsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 26 year male. I have sensitive nipple and weak...but I dont like that and also dont support that... I only believe  that male will be excited by fondling female breast. but when my nipple is sensitive then I loss the willing of fondling of female breast which I think is abnormal. Now since it is weak ,I want to cut it or to create numbness there.I only like to fondle female breast and by doing this I wan to be excited..but nipple sensitivity create problem here. also I For weakness I dont tolerate this sensation. what can I do. Is it possible to remove sensation from nipple place totally??Nipple of mine is sensitive from childhood...Now I want to remove this sensation. because it is odd for me. ### REPLY: Hi. I have not understood the weakness completely. Are you generally feeling weak or is there a specific cause? Tender nipples can be managed with Lidocaine gel application locally, but it is a temporary remedy. I believe the problem will go away gradually. Do not worry much about it. Have your body hair growth developed normally with age? Is there any lump under the breasts? Do let me know, so I can advise you further. Your can do so by asking a Specialist next time. 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 father is diagnosed with bladder cancer 4 months ago, he refused to take bladder out or any treatment. he was told 10-11 months to live. he has continued to urinate blood and now it is everytime he urinates and he said it is alot of blood. how long can he bleed before something happens to him? ### REPLY: Blood in urine is one of the presenting symptoms of bladder cancer. This is common because the tumor is like a raw surface that can bleed spontaneously or with the passage of urine over it. It is not smooth like the rest of the bladder. I am afraid to say but with no treatment and with the blood that he is loosing not being replaced he will not even last the predicted 10-11 months. He will have a massive bleed someday and expire that very day. There are other options besides getting the bladder removed. This includes radiotherapy to the bladder area. This will stop the bleeding and also have a certain chance of cure. I think you should counsel your father about it. It is a painless procedure. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 37 weeks pregnant and walked into my mother in laws house and she just got done cleaning with alot of bleach and it was very strong burnt my nose it was so bad and i havent really felt the baby move since then should i go to the hospital of will it not have a effect on the baby? ### REPLY: Hello, and I hope I can help you today. The fumes from bleach may be caustic to your eyes and nose, but they will not harm the baby. However, if you are not feeling the baby move well, you should go somewhere well ventilated and quiet, lie on your left side, and eat or .  Monitor the babies movements- if you do not feel the baby move at least six times in the next hour, I suggest you call your delivering provider for advice or go to the hospital to make sure the baby is ok. So in summary, the bleach did not cause your baby to not move well, but it should be investigated if it does not get better, whatever the cause. I hope this information was helpful and answers your question. 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: I had 3 teeth extracted the other day by a horrible dentist with Aspen dental - I went to a new dentist yesterday who prescribed to me antibiotics which the other dentist never did... I have a low grade fever, and some discomfort, headache but worst of all my legs and arms ache... I kept telling the first dentist that I could feel bad pain when he was taking the teeth out but he kept on going... my legs and arms were all over the place since I was in such pain and I tensed up pretty badly... I am worried and my new dentist is great but worried about the leg and arm pains... Not sure what it is? ### REPLY: Thanks for using . Read your query. It is sad to hear of your tough time with the dentist, and feels equally good that you are in better hands now. I would advise you to continue the medication as prescribed. Generalised arms and legs pain is an uncommon condition after tooth removal, though a slight rise in temp can be expected. The stress which you have undergone with the procedure could have created such a panic situation for you, just relax and rest well, and it will reduce in its own. If you have any general issues which is not being mentioned here, which can be the cause of pain, please get it checked with your GP doctor. Hope this was useful. 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: I am a 42 years old female and I have not ben feeling like myself in days. I am known for  my iron anemia defficany and my B12 defficancy. But never used medications for this condition. I take the medication on and off not on regular basis. My head spins usually and I feel like I am in an unknown are. I feel like I a am going to colaps. I dont know if this is phylogical or do I realy have physical order From ,Khan ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have iron deficiency anemia as well as vitamin B12 deficiency. It leads to decrease the hemoglobin level, which ultimately leads to decreased oxygen saturation and hypoxia. It will lead to dizziness. You should take iron and vitamin B12 supplements. Consult your doctor and start treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had left abdominal pain for 3 days now, developed low grade fever, chills, loss of appetite yesterday and slept for 13hrs.  I took 600mg ibuprofen last night and the fever broke.  Im feeling better today but still having the pain.  What should I do?? ### REPLY: Hello, Thanks for the consult:Brief answer, Inj. Buscopan IV b.d for 2-3 daysExplanation,1. First please mention that you are male or female because in case of female the cause may be due to a)Pelvic Inflammatory Disease(PID) b) Pelvic abscess c) Ovarian torsion d) Endometritis2. In case of both male and female the cause may be due to a) Diverticulosis b) Inflammatory bowel disease3. It also depends on the age of the patient age >60 years then a) pelvic tumor b) Ovarian tumor c) Carcinoma of the Colon or rectum4. The investigations include Ultra sound abdomen5. Treatment include 1. Tab. Dolo 650 mg t.i.d b) In. Tuscan IV b.d for pain relief Hope this information will help ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with PCOS and hypothyroidism and currently on metformin 500 twice a day and eltroxin 100 mcg. we are trying to conceive for about a year now, i have completed 2 rounds of clomid with no success. This is 3 round, doctor has prescribed clomid from day 3 to 7 with dexona 0.5 mg twice a day and estrobuild from day 8 to 12, trigger shot on day 13th and progestrone tablets and duphoston from day 16th and i am taking ovacare. My query is what i am taking is correct treatment? ### REPLY: Hi, Welcome to  . Yes the treatment is proper. Closed helps multiple follicles to mature and rupture. Thus increasing chances of pregnancy.progesterone helps maintain early pregnancy and also growth of endometrium.  With this I would suggest you to go for GUI. Here healthy sperms are placed in uterus. This will increase chances of pregnancy. Hope I have been helpful. 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 4 months ago I hurt my knee. I had an MRI and it said I tore my MCl and had arthrofibrosis. My knee has gotten a lot better and my doctor thinks im on the right track and isnt doing anything else. I think theres something else wrong. My knee feels squishy and unstable. It buckles when i try and walk fast. I m not comfortable with returning back to sports with fear of hurting it again. What should I do? ### REPLY: HIF you have MRI scan report, kindly write the impression written at the end of report or send scanned report to this forum or my email yyyyyyyyyyy@yyyyyyy.yyyIf you buckle during walk, means cruciate ligaments and or meniscal injury may have occurred. You have a. Choice to show to an arthroscopic knee surgeon who can visualize the extent of damage by arthroscope and one who is expert in preparing ligaments and meniscal injury in same sitting else, open surgery after Arthroscope if extensive lesions are therefore a knee brace long one till you reach the arthroscopic surgeon for evaluation and avoid walking without knee support. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a chronic back pain I have no discs left in my lower back and several other discs in my neck and back are bad I have had all kinds of injections and they just seem to make the pain worse my doctor only wants to give me morphine but I can`t take it and they know that so how can I get pain relief ### REPLY: HiP lease tell me, what is the cause of your suffering and age? Do you have difficulty in walking and pain/numbness in lower limbs? My advice would be regular spine exercises(under guidance). You should have diet rich in calcium and vitamin D. Regarding medicine for backache my advice is to take nasal spray of calcitonin after discussion with your treating doctor. Take care and wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor My wife is 22 weeks pregnant.She is having Allergic bronchitis.. recently is affected with breathless ness and has undergone Nebulization when admitted in hospital..Now she is stable after the treatment..My biggest doubts is (1). it possible to reccur again.. (2) she is having a constant cough and sneeze, when she cough or sneeze will there be any problem for the baby inside...Thanks for your answers in advance. ### REPLY: Hello, Thanks for the query to . Forum. Since your wife is 22 weeks pregnant and developed allergic bronchitis very bad. Your query is, reoccurs ? Yes depending upon allergens, if she gets contact with allergy, she may develop allergic bronchitis. Mild degree cough and sneezing will not affect baby, but discomfort to mother. In my opinion please consult a physician and get treatment for allergic asthmatic bronchitis (mind it that prescribed medicine don't effect fetus in uterus). Coffee and steam inhalation help in allergy and don't effect fetus. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 67 yr old male. Have stopped smoking and drinking as of Jan 01/12 (Cold Turkey). I am 6 and 206 lbs. Taking 10 mg lipitor, Inhibace plus 5/12.5 mg, bisoprolol fumarate 5 mg and hydrochlorothiazide 25 mg. Recently very short of breath, weak and fatigued. Upper arms, lats and upper back very tingley and sore. Any ideas of the problem? ### REPLY: Hello sir, I went through the information you have provided and after a thorough thought I would consider the cause of symptoms as. 1) rule out underlying cardiac disease. Considering you have fatigue on exertion to start with the risk factors as you have described, underlying heart disease is a very strong possibility.  A stress test (treadmill) with echocardiography is the best test to rule things out. 2) even instance plus has 12.5 mg HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a school nurse who has treated 2 girls this past week. One had 2x syncope episode - vitals remained stable through out episode, ekg normal eeg normal cleared by cardiology and neurology... episodes are lasting 30 min each. My diagnosis from md is anxiety induced syncope? I have never heard of this. Can you give me any futher information? ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. Anxiety induced syncope is a reality. Fainting, also called syncope (pronounced SIN-ko-pee), is a sudden, brief loss of consciousness and posture caused by decreased blood flow to the brain. You may suffer from a simple fainting spell due to anxiety, fear, pain, intense emotional stress, hunger, or use of alcohol or .  Most people who suffer from simple fainting have no underlying heart or neurological (nerve or brain) problem. Simple fainting may not last for more than 10 minutes. In your case, the 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: I have fibromyalgia and have pins and needles in my feet with numbness that also goes up my lower legs. Much feet are always freezing and my feet often have pain especially if I do a lot of walking.It has got worse over the last two years. What causes it and is it anything to worry about. ThanksTracey ### REPLY: Hello, I have studied your case. First possibility could be of lumbar disc compressing nerve root leading to pins and needle with pain in foot. I will advise you to do MRI spineAnother possibility of arthritis and associated plantar fasciitis.X-ray will rule out arthritis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been suffering from sleeping too much like today all day until like 6 my legs and hands mostly my legs tremble uncontrollably and I had a post concussion ,last year my mri of my brain said a small faint area of increased signal intensity was present involving the deep white matter of the left frontal lobe afraid i may have ms ### REPLY: Given the history of head injury and the subsequent onset of symptoms of fatigue, you are suffering from possible consequences of head injury itself rather than multiple sclerosis (MS). You are having frontal lobe lesion on MRI which can explain the extreme fatigue, excessive sleep and sometimes depression like symptoms or low motivation to do any work - which may happen in some patients with similar histories. You may consult a neuropsychiatric/ behavioral neurologist in your area who can help you appropriately with medications. There are medications that can treat depression, extreme fatigue, low motivation or excessive sleep - all consequences of frontal lobe injury. Your neuropsychiatric will interview and make the right decision. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I  have a rash on my face which is very itchy, it started around my left eye about a year ago and has spread to my eyebrows and down the sides of my face.  It gets worse before my period.  I have been to my GP and a dermatologist, have had antibiotics, and topical lotions to no avail.  Now have to have a biopsy.  I am 47, never had problems before now face is horribly marked and feels rough, ### REPLY: Hi, Itchi rashes on face could be due to irritant dermatitis, allergy hives, eczema,fungal infection or during menstruation etc. It can be diagnosed only by clinical examination in most of the cases but scratch tests, patch tests or microbiologic culture of skin to rule out infection or allergy etc. Treatment is entirely depended on the cause, so if your doctors are suggesting then you can go for biopsy or above-mentioned tests. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dr. iam 19 years old ,femalei have got my regular periods and i still am scared if i am pregnanti had ChatDoctor TEST too and it shows negative.i can feel my heartbeat in the left side of my belly button and that makes me more nervous.can i know if it is normal or should i consult the dr.are the ChatDoctor TESTS always correct ? ### REPLY: Hello and I hope I can help you today. Any woman having unprotected sex is at risk for pregnancy, however, You do not have to worry about being pregnant right now because the  test is extremely reliable if performed correctly in diagnosing pregnancy. The most common sign of pregnancy is a missed period. If your period is coming regularly every month, it is extremely unlikely that you are pregnant. Feeling your pulse on your abdomen is not unusual when you are thin, you are just feeling the beating of your abdominal aorta, which is the large artery connecting your heart to your legs. So in your situation right now. You can rely on the results of the pregnancy () test and feel confident you are not pregnant. I hope I was able to answer your question and that this information was reassuring. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 year old daughter has had a low to moderate fever off and on for just over a week now. She has congestion, headache, sore throat, cough, runny nose and is fatigued. However, my major concern is that she often complains of what seems to be a stabbing pain in her abdomen. The doctor has checked her twice this week and has ruled out strep but is concerned she may have a UTI. But my toddler has only been recently potty trained and would not urinate in the cup when she was at the doctor s office. I ve asked her if she has pain when she urinates but she denies this. Could she already have a bladder infection? Is there something we are missing? ### REPLY: Hi, Thank you for asking question on . Female child . You may use Cyclops syrup 2-3 times daily to control pain abdomen. Plenty of water may help dilute the infection and free passage of urine. Better get the urine checked for infection as well as USG scanning of abdomen. Paracetamol 15 mg/kg/dose to reduce fever as and when necessary. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake 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: thank you my mom had H Pylori and turned into a stomach ulcer before it was caught.  she is having great problems eating, makes her sick.     now she is spitting up white foam. any suggestions?   we have her on kefir, non dairy product, bananas, no spicy foods whatsoever. thank you ### REPLY: Hello, Welcome to , The treatment for H. Pylori is a triple regimen which include a proton pump inhibitor (PPI) and two antibiotics. If the doctor has given you these, and you had taken them regularly, then you probably do not have it. The way to make sure that it is gone is to do a urea breath test after a month of the treatment. If your pain recurred after . Pylori. So my suggestion would be to do a urea breath test and if it is negative, keep off alcohol and take a PPI for 1 month to help the gastritis heal. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my daughter is 23 days old and suffering from cold. as per prescription we are giving her ambrolite s , 5 drops thrice a day since today noon only.now she has some tremors in legs and sleepy. earlier she was taking maxtra oral drops.please inform us about its side effects ? ### REPLY: Hi and welcome in . I can understand your concern about your daughter. So according to the history she has a common cold situation, and she is taking the medication above. I can give you some other information about them. Ambrolite cold syrup belongs to a class of . Mantra belongs to a class of medicines called anti-histamines and has several side effects as follows:Blurring of vision, Buzzing in ears, Hypotension,Anxiety, Insomnia,PalpitationsExcitability in 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: I have quite severe pain in both knees after a long cycle. The pain is on the outer side of knees, I have found it eases by sitting cross legged and bending forwards. Maybe worth pointing out that both knees tend to make noise and seem to be a bit loose? I m into yoga and various sports, little running, cycling, kayaking and crossfit too. I m 45. Please help? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have pain and unusual sound in knee. Well there can be many reasons for symptoms you mention in query like bursitis, knee cap injury, tendinitis, ALC injury and torn meniscus. I would suggest you to apply warm compresses, do light stretching exercises, take proper rest and take ibuprofen or acetaminophen for pain. Consult orthopedic surgeon for proper examination. Doctor may order CT scan along with physical examination. Doctor may prescribe muscle relaxant along with anti-inflammatory or may recommend physical therapy or surgery in severe damage. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: recently my house was robbed and i walked in on the robber and he pretended to pull out a gun on me and said he was sorry and ran out of my house ever sense i have been afraid to be alone and have been having nightmares and flashbacks of that day, what should i do? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The incident happen is an accident and I think you are in a state of shock and disbelief. Body and mind takes some time to relieve itself off the shock. In the meantime you also should be able to assist it positively. Why don't you get yourself engaged in some tasks or hobbies? That way you will be able to forget the shock much more easily than being at your home and thinking about it. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 29 year old female. I have been suffering from a sore/tender lower abdomen for about a week now. I was at my doc on friday & he put it down to a twisted ovary as he has done before. He checked my urine for a uti as well as pregnancy and both were clear. I had intercourse with my boyfriend last night & it was quite uncomfortable (which has happened a few times in the past), about 20 mins later I was very sore and found it quite uncomfortable to sit & walk. It eased after about an hour but I m still having niggly pains today. Any idea what it could be?? ### REPLY: Hello! Pain during intercourse and after it is characteristic for endometriosis. It means that a uterine cell are growing outside the uterine, mostly in abdominal cavity. To diagnose it mostly laparoscopy (some kind of surgery where a camera is put into an abdominal cavity) is necessary. However, before endometriosis is suspected, other abdominal cavity diseases must be ruled out. To do that abdomen ultrasound or even abdominal CT needs to be performed. If this shows nothing, and blood tests, urine tests are negative, laparoscopy is necessary. There can be other reason of your pain - .  You can try some lubricants. Vaginal infection should be ruled out as well. You should see your gynecologist for examination and intro vaginal ultrasound. Hope this will help ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started feeling a painless throbbing sensation in my head. I am also experiencing dizzy spells. I recently had a baby about 5 months ago. I am nearsighted but choose not to wear glasses or contacts even though my sight has over time been causing me to strain while watching television even on a 50 inch screen. I have also recently gone from about 5 to 6 cups of coffee a day to 1 or 2 very suddenly. I am hoping one of the above is the cause for my discomfort and isnt something more serious. please help. ### REPLY: As I can figure here, you have a major complaint of a throbbing headache. You also are suffering from a diagnosed shortsightedness, for which you are not wearing required glasses, and that is causing strain on your eyes. This is a case of tension headache, which mostly is due to the strained vision in your case here. Wearing glasses will reduce the headache. There could another problem of vascular migraine, however it's a diagnosis of exclusion in our case. I suggest you start wearing glasses. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor i am naveen kumar from india.I have too much of itching problem on my testis and penis.I have pimples on that part which are too itching and the itching problem gets too much at night specially.I am not able to sleep at night from 2 months due to continous itching on these parts.I have tried many medicines and lotions and vaccinations too.But i am not able to get any type of curement.I am always busy at night scratching that parts at night.PLEASE DOCTOR HELP ME AND TYPE OF SOAPS YOU WOULD SAY I WILL BUY BUT PLEASE HELP ME TO GET RID OF IT PLEASE!!!! ### REPLY: Hi, I have gone through your query. Itching along with pimple like lesion in the mentioned area are due to ingrown hairs along with mixed infection (bacterial and fungal). First thing is to maintain proper hygiene of the area and keep it .  Avoid shaving of the hairs, if any. You can apply ointments containing antibacterial and antifungal like Locate GM or any other containing same compound. No specific soap as of now. You can contact me on my page http://bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my husband had a pus filled sore on his lip which he broke open. It smelled very bad and his mouth was stinking, too. Same night we had a sex and I didnt know that it could infect me. Two days later I had very bad fever with chills and 4th day my gums were really swollen and hurting.  I had my below the jaw lymph node also swollen and paining. I went to a dentist and he cleaned my teeth thinking that it could be gingivitis. Only 1-2 teeth gum area (incisor in lower jaw) was affected when I went to doctor. However, the same day after teeth cleaning I again started to have chills and fever. The next day also I had fever and again next day I had my upper jaw gums were swollen and had whitish ulcers at inner lower lip. I am very scared what should be done now. I have next appointment of dentist 2 days later. What this could be, please guide me. ### REPLY: Hi. Thanks for the query. From your explanation it looks like viral infection leading to chills and fever with swollen and blistered gums. It may or may not be due to communication of infection from your husband and needs investigation. So my suggestion is to consult an Emergency room and get an oral swab culture and a blood test done. For now, you can take Acetaminophen to reduce fever. Apply Lidocaine gel over the gums to reduce pain. You can also do warm saline gargles. Avoid spicy foods and take soft and bland meals. Maintain a good oral hygiene. Use a soft toothbrush to brush your teeth. If viral infection is ruled out you can be advised antiviral . . Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m a 34 year old female. I have had an itchy rash in the crease of my buttox that comes and goes for months. Right now there is an obvious half moon shaped line of raised red bumps and the rest of the area slightly pink. On the other side there are several raised red bumps and 1-2 smaller than a dime circular pink spots. It itches like crazy!!! I don t know what it is or what to do. It first appeared after a trip to South Africa when I got home I was really sick and had to take a strong antibiotic to fight possible bacteria infection. ### REPLY: Hello, Welcome to , The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area . 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms.4. For itching, you can take anti histamines. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am 33 years old software engineer and am married since 1.5 years without kids. got my semens test done which is as mention below: Volume-----3.0ml. reaction-alkaline. color-Opaque grey white.  sperm count--15million/ml motility :  Active-10%               Sluggish-20%               Non-Motile-70%pus cells-12-15/hpf.Morthology-NormalImpression-Oligoasthenospermia. can you please kindly explain me my report & what are the chances of fertility & does my job effect fertility .Thanks in advance ! ### REPLY: HelloThanks for query. Your semen analysis suggests that you have Oligoasthenospermia meaning there by that your sperm count is below the normal range(Normal acceptable range is 50 million/ml) and percentage of active motile sperm is also very low(Normal acceptable range is more than 20%) as compared to WHO standards and accepted by most of the fertility centers to have effective fertilization of a female egg to result in natural pregnancy This could be due to infection of the seminal vesicle or Prostate as indicated by presence of 12-15 pus cells. Please consult qualified Infertility specialist for assessment and take antibiotics like Doxycycline twice daily for 4 weeks Repeat semen analysis after 4 weeks. Do not worry these things can be normalized with appropriate 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: I was diagnosed with Polymyalgia Rheumatica in 2011; my symptoms seem to be getting worse, especially with walking and stiffness. Also I have trouble bending my knees or just bending over. I get very shaking for no apparent reason and am very tired all the time. what could this possibly be? I prefer telling the NP in concise terms that she can consult with physician. I am diabetic since 1995, HBP, ### REPLY: Hi, You need to exercise daily. First, you need to make yourself believe that you will be fine. This I am saying because whenever pain lasts for long then psychological component also comes. Start with walking.  Gradually, increase distance and reach up to 4 KMS. Then start brisk walking. Add some stretching exercises, and you will feel better in 4-5 months. You have to be so much regular as you are regular in eating food. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor 3 weeks before i was diognised as left basal pneumonia,i was admitted in hospital n given medicine through IV,after 3 days i was discharged n given oral medicine for 10 days.Doctor told to come after two weeks to take x-ray n will tell the condition .IS there any thing serious abt this n want to know is this contagious.Thanku ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Pneumonia occurs due to respiratory infection, and it is contagious but no need to worry.  You have already taken a course of antibiotics.  You are called for repeat x-ray to check healing process. No need to worry about spread of infection. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i done semen test ,repot saysvolume- 1.0 mlodour- normalliquification- 30 minutesreaction -alkalinetotal count-90 millionactive motile-50%slugglish motile-10%non motile -40%pus cellls- 2-4/hpfrbc-nilepithelial cells- occasionalamorphous material-presentgive advise about my repot, is  it normal ### REPLY: HelloThanks for query. Based on the report of your semen analysis that you have posted I would like to comment on your semen analysis in campaign to WHO standards in detail as underspend count - Your sperm count 90 mil/ml (Normal range being 40 to 120 mil /ml). Motility of sperm is 50 % normal range being more than 30-40 their is no mention of morphology of sperms in your report that you have submitted. Rest of the parameters like viscosity, pH and liquefaction time are normal. Presence of 2-4 pus cells suggests mild infection which needs to be treated with antibiotics like Doxycycline twice daily for a month. Repeat semen analysis after completion of medications. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is of 1 month she is been hospitalized for meningitis any multipale blood clots in her brain doctor are saying that she cant devolope like normal babys .plz advised what should i do and what will be the symptons .her weight is 1.870 kg it is increasing 20 or 40 grams a day ### REPLY: Hello! Welcome on  ! Unfortunately, there is not a specific therapy for such disorder. As far, as I understand her situation is critical. Supportive therapy (antibiotics, blood thinners, perfusion, anti-seizure . ) are the main treatment now. Only after getting over this situation, the degree of brain damage will be determined. In such case, the mainstay of her future therapy would be physical and mental rehabilitation, and anti-epilepsy treatment in case of seizures. Hope you will find this answer helpful! 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: My 10 year old boy has a cluster of tiny blisters (about 30 over a 3 1/2 inch area) on his chest and several others on his abdominal. He has had them for about two weeks. It seems like a few more have popped up over the last several days. What could this be? ### REPLY: Hi, Thank you for asking question on . Looks like staphylococcal skin infection. Antibiotic containing ampicillin and oxacillin for 5 days may help. Local application of antiseptic lotion or ointment will help in recovery. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Iam 74 and suffering from prostate enlargement.And done TURP since 2 month back but a burning sensation while during my Pee continue till today my Physician advise me to take Veltam 4.0 once a day Is Veltam 4.0 a right medicine for me to reduce a burning sensation. ### REPLY: HelloThanks for query. The burning sensation while urinating that you have after surgery of TURN for enlarged prostate is common and mostly due to inflammation of prostatic part of urethra. It is due to irritation of raw surface of inflamed prostatic part of urethra that develops after resecting the prostate. Get your routine urine test and culture done to rule out infection. . Do not worry this takes 2-3 months to heal up the raw area and to get problem resolved. Veltam has no role to play as prostate is already resected. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 one copy of the Factor 5 Mutation and currently take one baby asprin a day as a precautionary measure per my doctor.  I also smoke and am about 75 lbs overweight.  What concerns should I have or be aware of with this condition and taking the ChatDoctor diet? ### REPLY: Hello Welcome to the . In factor v mutation(Leiden mutation) thrombosis chances are more Hence you have been prescribed aspirin. Smoking can affect every organ of body and can lead lung cancer, bronchitis, emphysema, bladder cancer, pancreas cancer etc. like many ill effects. So better to stop smoking as you are having thrombosis tendency also.  Take green leafy vegetables and fruits more. Avoid high fatty diet. Consult nutrition specialist for weight reduction 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: Earlier today I was moping my kitchen floor and then my left leg slipped on the wet floor causing me to do a violent split, the pain is so bad that I couldn t put weight on my left leg. I had to roll over onto my stomach and pull my self up to the sink. The pain was/is burning in my left buttock check and in my left part of my entire thigh, I also hit my shoulder on the fall going down. I need a cane to walk I cant put weight on my left leg. I rested in bed all day and its so uncomfortable. Can you tear muscels from being stretch like I was when I slipped and what can I do for the discomfort? Thank you ### REPLY: Hi Thanks for your query and Welcome to . I am . First we have to be sure that there is no bony injury to the affected part, if that is sure then we can talk about management of your soft tissue injury, otherwise X-rays can rule it out. There definitely can be a muscular strain because there can be eccentric stretching of the muscles in the process of falling suddenly on the ground. Initially the management should be :- Intensive ice packs for local application 3-4 times in a day (10-15 minutes every time)- You can use an analgesic spray for local application after ice fomentation- Anti-inflammatory medication like Tab Ibuprofen or Paracetamol can be used two times in a day initially and then on SOS basis-Rest to the affected part in the form of activity modification, if using a cane helps you, then it is ok to use it for few days to avoid putting too much weight on the affected extremityElevation of limb and compression with crêpe bandage can also be done in case of swelling. But if your symptoms like pain, swelling increase despite these measures, then I will advise you to consult your local Orthopedic surgeon and get required X-rays done please because sometimes hairline displaced crack fractures may be missed. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & 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 husband was just taken to the ER because his potassium level was extremelly high, he is 80 years of age and in not good health, I spoke to the ER Dr over the phone and he just told me that they are running tests and that he is stable, would you please give me more information, thank you. ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Hyperkalemia means increased potassium in blood.2. More potassium leads to muscle paralysis, weakness, heart conduction defects and is serious condition.3. Diuretics or dialysis in short term or potassium binding agents in long term will be helpful. Watch out for medications causing hyperkalemia. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi something is wrong with my 4 year old son. he is pooping almost white. he had a stomach bug a few days ago but he isnt throwing up and doesnt have diarreah, he pooped green earlier this week but it went back to brown. now it is almost white and looks like playdough, which we dont have any so i know its not a joke. he is also complaining of sore legs and his belly is hurting. he doesnt have a fever. i really dont know whats wrong with him. pls help idk what to do ### REPLY: Hi.... I understand your concern. BBY what you say I feel that it is pale colored stools and abdominal pain which is suggestive of an Acute Viral Hepatitis. I suggest you get in touch with your pediatrician so that your kid will be tested for viral hepatitis and treated accordingly. Meanwhile, make sure that you give him good amounts of fruits, so that he passes motion freely. Constipation is a risk factor for encephalopathy in viral hepatitis. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been dx d with a kidnet stone about 1 yr ago. Pain has come and gone, I never felt lke I ever passed the stone. But lately I have had a LOT of pain on my left side; it radiates to the front and back, only relieve I get is from putting ice on it. I want to know does it sound like a Kidnet Stone or could it be a hernia? I am a woman; 56 years old. ### REPLY: Hi, Welcome to . Abdominal pain on the left side could be due to the following reasons:1. Kidney stone2. Hiatal hernia3. Shingles4. Muscle pullKidney stone pain usually starts in the back and radiates to the front. Hernial pain is felt in the upper left abdomen.  Shingles or herpes zoster also presents with pain, but it is usually associated with group of fluid filled blisters in a particular region of abdomen. I suggest you get yourself examined by a GP nearby you to know the cause of pain. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am sexually active with my partner. The last time we made out was on february. Now it is july. I just discovered a small red lump on the outer side of my vagina, but it does not pain or anything. I tried pulling it out, it didnt come out. What can it be? ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause for red lumps on vagina-In my opinion you seem to have infected hair follicle, Boil/ fur uncle, on the outer vaginal hairy skin and is due to the unhygienic care of the private parts.Hence, stop worrying about it but do check it up from ER Gynec-Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Gynec-Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Gynec-Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to . Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my tubes tied for a yr and 3 most but today I have been having servere abdominal pain that goes to my back and puts me into tears and lots of cramping and got sick outta no where and had my period a few days ago and now I m having g light pink spotting. What should I do I need answers and idk if I am possibly pregnant. Plz help me ### REPLY: Hello, and I hope I can help you today.First, if you were sterilized, there is no reason to suspect that any symptoms you may be experiencing are caused by pregnancy. Fewer than one in 10,000 women will get pregnant after tubal ligation in their lifetime. The most common sign of pregnancy is missing your menstrual period.  If you got your period on time, and it was normal for you, there is no reason to suspect that you are pregnant. Pregnancy symptoms vary widely between women, and many of the symptoms that we commonly associate with pregnancy like bloating, breast tenderness, spotting, mood changes, and nausea can be caused by hormonal fluctuations as well as pregnancy. However, in women who do get pregnant after having a tubal ligation, there is a high risk of the pregnancy actually occurring within the fallopian tube, called an ectopic pregnancy. If you do find out that you are pregnant after tubal ligation, it is important to seek medical care right away, as an ectopic pregnancy can be an emergency requiring surgery for treatment. Having severe abdominal pain is not normal even if you are not pregnant. For example, appendicitis can cause severe abdominal pain and nausea and kidney infections can also cause abdominal and back pain.  Any woman can have spotting when the body is under stress from other illnesses. I do recommend that in your situation that you should seek medical care urgently for an evaluation. Even though it is unlikely, performing a pregnancy test may be a good idea because if you are pregnant, you should be seen in an emergency room to make sure that your symptoms are not caused by an ectopic pregnancy. It may be prudent for you to go to an emergency room anyway, as other severe illnesses that require hospitalization, such as appendicitis and kidney infections can also be causing symptoms such as yours. I hope that I was able to adequately answer your question today, and I hope you seek medical care promptly and get an accurate diagnosis of your symptoms. 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, I have a hard knot like bump that is under my skin( and not seen at all from just looking at my leg) it s under my in thigh. I have a smaller one on the other leg and is in the same area. I m 15 years old and have been at football practice for four weeks now. My leg hurts real bad when i pull it up or rotate it. It s hard for me to run. Could it be a hernia? Or just like a muscle cramp? Please help me as soon as possible!!! ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, hernias are normally not hard, so the possibility is less, you need to see what it is coming from and for that you will need investigation, muscular tear, or any benign growth is a possibility, but growths are usually not symmetrical in occurrence.It's essential to examine it to come to a conclusion. I hope that answers your query. If your want any more clarification, contact me back. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.My name is Angie. I m a 45 yr old woman with metabolic syndrome, depression and IBS as well as mild hypertension and hyperlipidemia. Additionally I had my thyroid out in 2008 non cancerous.Last Tues. I was diagnosed as having a tension headache and had normal BP. Today I spent 45 min cleaning and my bp at stopping was 143/96. BTW I had the headache for a week and a half. My cardiologist released me because I only present as being out of shape. All tests were normal. Do I need to do anything different? ### REPLY: HiT hanks for using  I think, you need lifestyle modification. It has been seen that patients of depression usually get multiple physical complaints due to sedentary lifestyle. Same thing is in your case. You should try some changes in your daily routine like morning or evening exercise pr walk, some relaxation technique like yoga or meditation etc. That would keep you active and in proper shape. In case, you need 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: My 4 year old has hit the edge of timber table and pushed her gum right up, leaving a semi circular 20c size shaped cut on her gum just above her teeth. The gum has come down and I have been giving her ice to help with the healing process. I was advised this afternoon when it happened that the mouth will heal this problem and not to worry taking her to get it stictched. The bleeding stopped and she was fine all afternoon, although when she smiled at me I could see a slightly brown cut line, and at the bottom of the gash it was a bit swollen. I am concerned that it may not heal properly and will distroy her gorgeous little smile for the period of her life, or perhaps she might have nerve damage and her teeth might die......... I need some advice, please, what should I do? should I take her to the jospital, should this be stitched, or have I left thie wound to long already? Thankyou.... Linda ### REPLY: Hi Linda, I can understand your concern. As far as the bleeding is stopped, there is no need of stitches. Slight rash and swelling will heal in a week by itself without any treatment. Smile will also not be distorted. I would advise ice application over the wound to reduce the swelling and have relief in pain. Regarding injury to the tooth, it is possible that the tooth might have hurt, and it may die internally. For that, I would recommend that you visit a dentist after about a month and go for electric pulp vitality test for that tooth which will ascertain if the tooth is dead or living. If the tooth changes its color to brownish or black, then the tooth is definitely dead, and you should go for lumpectomy treatment for that tooth. You do not need to rush to the hospital and the wound is also not left for too long already. If she is in pain, toucan give her 100 mg Acetaminophen or 162.5 mg of Ibuprofen. I hope this information solves your concern. Thank you for choosing . I wish the wound heals soon. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter has been complaining of a pain about 2/3 ribs up from the bottom, on her right side it comes and goes but it always returns in the same spot and seems to be very painful for her. I thought it would pass but it has been happening for about a month now. ### REPLY: Hi, Thank you for asking question on . Prolonged pain over the ribs at the same spot indicates crack fracture of the rib. Confirm by taking an x-ray, strapping may be necessary for rib fracture. Better consult or tho specialist. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 3yr old daughter came to me complaining about her neck bothering her and I looked and noticed a lump on her collar bone she says it bothers her I tried touching it but she would pull away. when I finally was able to touch it it felt soft the lump also looked red ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly .* This neck lump indicates inflammatory lesion (mostly lymph node) secondary to some bacterial infection.* Primary relief can be with ibuprofen syrup according to weight criteria but needs definite treatment with consultant surgeon or pediatrician to cure it. Hope this clears your query. Welcome for further doubts. 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 m 41 and on 30 mg twice a day for pain manangment and also 2400 mg of gabapentin for severe nerve damage. I got pretty dizzy today and was unable to take my 300 mg tidenal 3 today when I had a flare up. Tonight my kidneys are kinda hurting. Should I see my doctor tomorrow? ### REPLY: Hi, I would advise reducing the dose of medicines that you are taking. Although the given symptom of dizziness is not due to Gabapentin, the present complaint of dizziness could be due to vestibular dysfunction, or it could be due to some functional disorders. You have not provided the complete information, else much better could have been advised. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: lately ive been feeling really lightheaded and weird, then the other day i was just standing and it felt like the falls were falling and i grasped for air, this happened about a month ago twice over 2 days..then last night i couldnt fall asleep and ended up wakening up really early? now today i feel so strange ### REPLY: Hello, Your symptoms can be due to psychological problem of anxiety or neurological. However, sleep problem reflects more towards anxiety and restlessness behind all these symptoms. You will get relief with antianxiety meds like paroxetine or sertraline, once a day. Along with this for initial few days you should take some sleep inducing .  This will give desired rest to brain and help in early recovery. Get TSH levels and Sr. B12 Level to rule out any issues in them and if found disturbed they should be treated. Avoid alcohol, smoking or any substance of abuse if you use. Cut down or stop tea and coffee for some months as they increase anxiety. Wish you good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi... I am 36 weeks pregnant today and i went to the restroom and when i wiped i had some slight greenish discharge. Do you know what this could possibly be? Mind you i went L&D about a week ago for abdominal pain and they said i had a slight UTI and gave me medication for it and ever since i have been having watery discharge and today the greenish happened... Please help? ### REPLY: Hallow Dear, The greenish watery vaginal discharge is usually due to Trichomonal infection. This discharge is usually frothy and causes immense itching also. Metronidazole cures this infection. Along with the medicines, please follow the instructions:1. This infection can be transmitted sexually. Hence, both the partners should follow these instructions and get simultaneous treatment. 2. Observe sexual abstinence3. Shave the private parts clean4. Boil the underwear daily5. Use disposable panty liners6. Clip the nails short not neglect this infection lest the risk of baby getting infection in the eyes or anywhere else. I hope this gives you message. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: at the base of my neck on the right side when i swollow it feels like i am swollowing funny, there is no pain and i can not feel any type of lump or anything. I think i am just over thinking this but cannot convince myself i am. i am 6-1, 165, in great shape i was a college baseball player. i suffer from anxiety and have read other peoples responses to my question online about how they focused on that particular area and it got worse but if they focused on something else they didnt feel anything. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you that you make your mind that it is just a funny feeling. Nothing to be alarmed of. We broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor I have been sufferring from Psoriasis on my palm, fingers and feet from last 10 yrs. I have tried several medicines but nothing helps me other than Topisal 6%. I have recently had a flare up which is bad. My figers are all scaly and itchy. I have been applying topisal 3% but its not working. Could you pls suggest what can do to get relief from the scales and itch. Thanks ### REPLY: Hello. Thanks for writing to us at  Psoriasis affecting palms and soles is debilitating, hindering routine activities; it is responsible for significant social stigma as well. The psoriasis patches on palms, soles are . It is well tolerated and is given in weekly doses. Methotrexate can be combined with topical treatment to hasten the resolution. However, methotrexate requires monitoring for side effects by blood tests (hologram, Liver Function tests)I would suggest that you speak to your dermatologist for the needfulRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I am suffering from bilateral vericocele. I got married 2.5 years back and still dont have children. My last report says 18 Millon sperm count, far less then the range specified in the report. I consulted a urologist and he advised me a 3 months course ( 1 year back). I believe there is no difference. Do you advice me surgery for the same or there is any other cure for this problem. ### REPLY: HelloThanks for query. You are facing problem of infertility due to Oligospermia. You have been detected to have Bilateral Varicocele . Varicocele is one of the factors that causes Oligospermia (Low Sperm Count) do to temperature imbalance that affects spermatogenesis (production of sperms) by testis . Operating Varicocele improves sperm production in 30 to 40 % of cases to have pregnancy. Please go ahead and get operated. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The left under-side of my tongue by the vein is dark and looks like a large spot; no lumps or bumps. The left side is blue by is justing showing regular veins. I take an adult Bayer every day for years (following a blood clot 13 years ago in my leg from Tamoxafin), so thought maybe blood flow-related. Is this a sign of melanoma or is it normal?Thank you. ### REPLY: Hello, Thanks for your query. It can be possible that these are racial pigmentation, means in some people they are present since childhood and there is nothing to worry about it, as they do not cause any problem. But keep observing them, if in future there is problem in them then go for the examination and treatment. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query heresir. my mother had 6 dental implants out of which 4 were told rejected after 28 days and operated to remove and bone graft done and stitched . should the removed implant is a cause of concern?any tests to be done to see if removed implant may be some problem ### REPLY: Thanks for your query, I have gone through your query. The implant failure could be because of the rejection by the body or improper maintenance or systemic conditions like diabetes or smoking or immunocompromised state. Consult an oral planetologist and take an opinion. You can get your blood sugar level checked. We cannot do any investigations after removing implants. It has to be done before placing the implants. You should get a CT done to check the density of the bone to place implants. Nothing to worry now. If all the blood investigations are normal then you can wait for 6 months after grafting and place the implants again after 6 months. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I m 50 diabetic 18 yrs I m having fever 100 average for last 20days doctor say thyroditis gave medicine for 10 days still not felling well fever 101.6 is still there heart beat faster 117 per minute Weight loss is there sugar levels is high taking insulin from last 6 days just now pp sugar level 210 after taking insulin humalog mix 25 . I took 16 units please help s me I will be grateful ### REPLY: Hi, I had gone through your query and understood your concerns. The fever might be due to excess of thyroxine hormone produced due to thyroiditis due to excess of thyroxine you are having problem of palpitations.in my opinion suggest you to increase the dose of insulin and need to be made it twice daily. Kindly see your doc and discuss with him Hope I was able to help you. If you have any further question feel free to write me back. I will be happy to help. Take care. Best Regards. .  ### END