Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes, I just took my blood sugar  and the level was192 (at 12noon I ate a bowl of  romain noodles and a cherry tart. thats all I had today. )my feet or blueish /purple  have a headache, b/p 110/80 and heart rate  was 111 just a few mins ago. what should I do? ### REPLY: Hello! Thank you for your question on ! Regarding your concern, I would explain that your blood sugar levels are high. How many hours after eating did you perform the blood test? I would recommend performing a fasting glucose and a glucose tolerance test, including HbA1C to exclude the possibility of diabetes. From the other hand your blood pressure seems to be OK, but your heart rate is a little high. Do you have any symptoms like palpitations, chest discomfort, shortness of breathing? Regarding the blueish feet and the headache, these symptoms could be related to an inflammatory disease, to a viral infection. Do you have any fever? A peripheral arthropathy can not be excluded as the possible cause of the changes in the color of your feet. I recommend consulting with your attending physician for a careful physical examination and some tests: -resting ECG-chest X-ray study-Doppler ultrasound of the leg vessels-blood lab tests: complete blood count, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes. You should discuss with your doctor on the above issues. Hope you will find THS answer helpful! Feel free to ask any other questions whenever you need! Best regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: while getting my teeth cleaned at the dentist, i was getting zapped in the mouth. The hygenist said she must not have been properly grounding herself. He then stopped. However I now have this coating on my upper mouth. I dont understand what is going on. ### REPLY: Hello, thank you for consulting with . There can be three reasons for this coating on tongue-first it can be possible that you might have acquired some kind of infection from the instrument. -second this type if coating occur in candidiasis-third if you are having a habit of smoking, in that condition a lesion develops called as smokers palate. Better that once you should visit your dentist and get it properly examined for treatment. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 16 years old. I have recently gone through depression treatment. But for the past few months I have been craving human blood. My boyfriend is a skateboarding and he gets hurt. So when he bleeds he allows me to drink it. I dont want to stop. But I just dont know what is wrong with me. ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are concerned about your "craving for human blood". You have mentioned that you have recently undergone psychiatric treatment, and it is possible that your present symptoms could pep art of your previous psychiatric problem that is still unresolved. You will need a detailed evaluation including a proper psychological assessment, in order to determine the exact cause of your current symptom. So, I would advise you to report your symptom to your treating psychiatrist and have further evaluation. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a hard, small knot on the bone behind my ear, and that lymph node is also slightly swollen, it does not hurt, but i am worried. i am 27 years old and never really have any health problems, i weigh 140 pounds and i am a bit of a hypochondriac. I was bitten about 6 times by black flies two days aGO and wonder if that hard lump on the bone behind my ear might also be a gland that has swollen as an immune response?? i am scared about this knot, can you help me? ### REPLY: Welcome to  .1. The different lumps arise from that region are parotid gland mass lesion, can be mass arising from underlying bone and lymph nodal mass.2. I have no came across the immune reactions acted localized, immune reactions are general generalized reactions.3. To confirmed what it is - you need to get an ultrasound scan done.4. Which will gives the consistent of the lump, and where it is arising from, involvement of adjacent structures.5. You don't have to be scared. Get an appointment and let the doctor examine and come to conclusion with investigations. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother with Colon CA stage 4, recently found out that metastasis has reached his bladder . He has had 4 chemo cycles, the last cycle included target chemo on bladder. It has been 2 weeks since then. He still urinates with blood but this morning he urinated with bright red blood dripping after urination. Is this part of the manifestations of his bladder metastasis? Or could it be something else? ### REPLY: Hello, Thanks for your query. Passing blood in the urine may be due to many causes. But mostly it might be due to bladder tumors and kidney tumors. Sometimes due to stone disease and also after chemotherapy (cystitis). You had already mentioned that your brother is having colon cancer infiltrating into bladder. So now his problem of blood in the urine is mostly due to this infiltration. The chances of new bladder tumor to occur is rare but still may occur. You can get an ultrasound of the abdomen to see if there are any other lesions in the bladder apart from this infiltration. If there are any other lesions then they a be further worked up. 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: 2 weeks ago I was on a ride in Florida, during the ride there was a steep drop (which I knew was coming, so I was holding on) but my foot slipped forward and banged the seat in front. Immediately there was a bump, bruising and it broke the skin, it was very painful but I was still able to walk. It is still bruised and the bump is still there. It is still very painful and I can t wear shoe across the front of my foot. Not sure if I need to do anything ### REPLY: Hello, I have studied your case and I think that you need to get x-ray of the foot as some time there can be fracture in the foot due to such fall. If there is any such injury than you might need splinting of the foot.  If there is no fracture than you just need to apply compression bandage and hot water fomentation. You should also take oral antibiotics so that this hematoma is not get infected.  Hot water fomentation is also useful. I hope these steps will be helpful for you. Let me know if there is any other followup questions. 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 been prescribed Lyrica for scolious of the spine.  I take cortisone shots every 2 months.  They help bit sometimes the pain is unbearable.  I have read all the side effects and am fearful.   I have had an anrythusm removed from my right renal gland. ### REPLY: Hi, In my opinion the right renal gland op isn't a reason to cause your back pain sometimes the scoliosis pain takes a long time up to 6 months of treatment of cortisone shots is suggested for operative solutions for my patient I recommend you ask your neurologist for endoscopic or minor surgical intervention to decrease your spinal nerve herniation which is the main cause of your neuropathic pain. MRI and CT spines are your best diagnostic investigation for proper management.  Please consider some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have chest and armpit pain on my right side, sometimes it radiates throughout my shoulder to my back,but most of the time it is from right pectoral to armpit. The pain is very bad in morning and night, thats why I believe its muscle, but my concern is I ve had this for several months. I m 6 4 ,240, 41 yrs in pretty good shape, I do a fair amount of heavy lifting and working, and know about being sore, had lungs checked okay. What do you think I should do? ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, in my opinion your pain is mostly due to musculoskeletal cause. It is due to heavy lifting you are doing. Try to follow these steps for better symptomatic relief. 1.  Avoid heavyweight lifting. 2.  Avoid strenuous exercise. 3. Avoid bad postures in sleep. 4. Avoid painful movements of body. 5. Start painkiller and muscle relaxant .  6. Apply warm water pad on affected site. Don't worry, you will be alright in 1-2 weeks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just got back from an orthopedic surgeon for my shoulder, MRA yesterday, no report but he read the pics and said it is a sublabral foramen not a slap tear, wont need surgery, considered to treat for strengthening bicep and rotator cuff and cortisone injections. next appt 3 months. ### REPLY: Hello, What I can understand from your opinion of what the orthopedic surgeon said is that you may have an inflammation of the labral region for which surgery may not require at present. So that the reason why he has suggested physiotherapy and injections. I would suggest you wait for the radiologist report, and then recons ult your surgeon if any doubts. 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: Hi,i beeing told that i have lyme disaese by my doctor. I dont have any symptoms and feel well. I do not even remember a bite !! Now i am takin antibiotics (just started) for 21 days. Could my blood test give false results or do i really have lyme diasese? I am not sure because i feel ok. ### REPLY: Hello, Welcome to , Lyme disease is diagnosed clinically based on symptoms, physical examination or a history of exposure to infected ticks. Lyme disease is caused by a bacteria Cordelia burgdorferi tests are available in serology to detect antibodies against these bacteria, the sensitive ELISA test is performed first, and if it is positive or equivocal, then the more specific Western blot is run.PCR is also available. So you can get the tests done for confirmation. I would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. These medications should be taken for at least one to four weeks. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had severe pain on my right side below my rib all night and been vomiting, mainly mucous and yellow stuff. This is becoming more frequent, especially if I eat meat. The pain has eased this morning but I feel nausea and not hungry, I havnt had much appetite lately. ### REPLY: Hello. Thanks for writing to ChatDoctorThere is possibility of aggravation of hyperacidity. I will advise starting antacids [proton pump inhibitors like] omeprazole -D twice a day. Sucralfate will protect gastric mucosa and will give protective covering. Try to maintain body fluid by increasing fluid intake, take easily digestible food. If not recovered then you need to consult your treating doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am on 300mg of Effexor for ocd, and I am always exhausted and very vacant. My memory is hopeless, I can give a shop assistant my card and then stress straight away wondering what I have done with it. I know I have to be on medication because I really struggle otherwise but was wondering if I can decrease my dosage or try another medication. Thank you. Wendy ### REPLY: Degree understand your concerns went through your description. I suggest you not to worry too much. If you are a typical OCD client, then you should have been advised about OCD fully. It is mandatory. The stress goes with OCD, and it is easily overcome. As long as your memory is concerned, it is not failing. It actually is overwhelmed. You are preoccupied with obsessional thoughts which fails your memory. OCD clients should learn how to tackle this, how to think away from obsessive thoughts. You might need OCD therapy and other behavioral therapies. I am more than happy to provide telephone psychological help through . Contact me through customer care, www.ChatDoctor .com. Hope this clears your some doubts. 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!!! my age is 23(Unmarried) i m facing irregular periods from the day of my maturity. i have consulted doctor they adviced me to take CYCLOREG.. from past one year if i would not consume tablet also my periods were regular. but, again now from past two months it is the same. so can u please suggest me weather this leads to infertility?? consuming tablet is good or bad? ### REPLY: Irregular periods mean you are suffering from poly cystic ovarian disease or pod. Cycloreg leads to medicinal stimulation of the ovaries and in turn regularizing your cycles. The effect of the medicine can continue for some time even after discontinuation. In the longer run people with pod have problems conceiving and should plan an early pregnancy. Cycloreg will have to be stopped when planning for pregnancy as it is an oral contraceptive pill, and you cannot conceive when on this. Sadly, this is the only treatment for pod. Diet control and weight loss can help relieve the symptoms of pod. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear SIr My brother is taking the medicines for eplipsy from 1993 Last week he suffered from long epsiode of eplipsy & doctor given the Encorate Chrono 300mgAfter 2 days againg he is feeling uneasy His MRI,EEG all reports are normalKindly suggest ### REPLY: Howell come to ChatDoctorI really appreciate your concern, if this is the Grand mal epilepsy then it responds well to treatment once the patient is on proper medication then convulsion stops then it seldom comes back, if patient is having seizure then either the diagnosis is not correct or medicine is not correct, I would advise you to discuss this with doctor or go for second opinion hope this information helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr.,I am a 30 years old male married from 7 months and could not have a baby. I started to make the semen analysis tests and it varies alot in count and motility first time the count was 1 and non motile while after a week the result cane 1 million 750 000 !! I also did a urine test after it sperm was found and rbcs and pus cells with high percentage.. Also the duplex made on the testes showed infection.. Could this infection be the reason for the low sperm count and motility? Is there any test I should do or x ray to show if the testes are working fine and no obstruction??Hormones level are normal and a great no. of spermatogenic cells are present in the semen analysis.The tests results are attached.Thanks alot.Ahmed. ### REPLY: Hai, Infections are the one of the main cause for infertility in male. As ultrasound scrotum will rule out the structure of your testis. Semen analysis as you quoted will rule out the proper function of testis. As semen culture will rule out the infection which causing you the problem. So kindly do the culture and visit a proper infertility specialist for proper choice of antibiotics and treatment. Regards . Senthilnathan. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: if an ecg states that you have had an anteroseptal infart on several different occasions and an echocardiogram shows a thickened septal area and it is nearly a year since the incident that makes you think that you have had an mi, what is the likelihood that the anteroseptal event actually happened and was not just something like indigestion ### REPLY: Hello, Welcome to . Anteroseptal infarct seen on ECG or EKG = electrocardiogram means that you did have a heart attack = the heart muscle was damaged by a clogged coronary artery and this is what causes the changes seen by the doctors on the ECG recording. These changes are quite specific and characteristic, and it is not likely that other medical conditions like indigestion would have produced them. Also, since these changes were seen on several occasions, this makes an anteromedial infarct quite certain. After an infarct the damaged area of the heart muscle undergoes scarring, and it may also result in thickening of that area as seen on the Echocardiogram. Some patients, especially diabetics, do not have symptoms like chest pain when they are having their heart attacks, so it is possible to just see the EKG changes of an "old MI" old myocardial infarction on an EKG while the patient does not even know that they had a heart attack.Typically, an acute heart attack causes severe chest pain, Shortness of breath and makes one very ill and treatment in the hospital is required, where blood tests are done to confirm a diagnosis of so-called acute MI. Hope this helps you understand this issue. Wishing you best of 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..!!I want to ask that i feel that everything around me is coated with dust and i feel very unhygienic to touch others belongings. Also i think that others should not touch my belongings.. I never touch others things because of the same reason i mentioned earlier.. Am i suffering from some psychological disorder. If yes, then what should i do? ### REPLY: Hi, From what you have mentioned, it seems that you are suffering from obsessions regarding contamination. Obsessive compulsive disorder (OCD) is a condition characterized by having repeated thoughts about certain things and in response to the thought performing some repetitive action. In your case, it is related to contamination. As a result, you avoid it as much as possible and might also be spending lots of time in washing and cleaning. Other obsessions usually consist of having doubts, and repetitive checking behavior. I would recommend that you consult a psychiatrist for complete evaluation and initiating treatment. Medications like fluoxetine are effective for OCD. In addition, you can opt for therapy with Cognitive behavior therapy in form of exposure and response prevention which is a highly successful treatment option for OCD. I do hope I was able to answer your query. 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 is suffering from extrapulmonary T.B. and in the MANTOUX test(10 TU) ,the result was 14mm in 48 hrs. She is also feeling down in energy and feeling faintness. She has pain in legs also and high blood pressure.She has cervical swelling.My question is what steps apart from regular treatment should she folllow and what diet would be good for him being a housewife. ### REPLY: Thanks for your question on . I can understand your concern. Tuberculosis patients need diet and supplements to boost their immunity so that faster recovery can be achieved. So give her high protein diet like pulses, eggs, non-vegetarian foods (if she is eating). Also give her protein powder with milk. Start multivitamin and anti oxidants' tablet. Avoid oily and spicy food. Avoid junk food. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. 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: Over the past week I have been having itchy hands, forearms and head and sporadic chest pain.  The chest pain has happened after eating a peppermint.  It is sharp and in the chest radiating to the back and in the throat.  I am wondering if it is reflux (I have never had this before). ### REPLY: Thanks for your question on . I can understand your concern. No, I don't think it is due to reflux disease. In my opinion, you are allergic to that peppermint. Itching is Cardinal symptom of allergy. Your chest discomfort is mostly due to laryngospasm and bronchospasm. So better to first consult allergist and get done skin prick allergy tests. Identify the causative allergens and avoid them. You will mostly alright if you avoid allergens in the future. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am having a lot of abdominal discomfort after switching antibiotics after my wisdom teeth extraction. I went from amoxicillin 500mg to azithromycin 250mg because of severe vomiting due to the amoxil. Now Im constipated and my stool is gray with mucus. Im assuming, since I vomited so much, that I lost a lot of the bile my body had produced. Its also worth noting that Im not eating as much since I cant chew, so Im not expecting these prolific BMs, ### REPLY: Hi, I carefully read your question and got your point. The problem started after you are given broad spectrum antibiotics ve seen so many patients in my clinic with such problem you are facing. Amoxacillin and especially azithromycin cause severe gastrointestinal upset and diarrhea. I recommend my patient take them on empty stomach. You should not worry about the pain abdomen and loss of appetite as you will feel better when you stop these antibiotics. I recommend my patient to take CEA . You can contact with your local doctor as these are prescription based  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I would just like to remind you that i am on Fertility Treatment IUI . Cycle Day 2-5 Femara. Day 5,7,9 - Menopur ( 2 each) Day 10 - U/s, 2 follicles sized 22 mm and 16 mm rest all less than 10mm. - Doctor said ChatDoctor Trigger at 9 Pm. Day 12 - IUI at 2:30 Pm Day 19 (7dpiui) - Checked Progesterone .(Doctor told this might help us to know if i ovulated) Day 21 (9dpiui) - Got result and its showing 17.10ng/mL. Day 24 (12dpiui) - today Doctor we are not sure if v ovulated and i have cramps like periods are nearing ### REPLY: Hi, One cycle of super ovulation with GUI doesn't give 100% pregnancy rate. Also, with the follicle size you described, after injection of , there is very rare chance of ovulation failure. Also, menstrual like cramps doesn't indicate failure of treatment (Not being pregnant). Pregnancy is still a possibility. You can just wait for 2-3 more days & if you don't have periods, you can do pregnancy test. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 is diabetic, we have been controlling his diabetes with diet and exercise, but the last 3-4 months if he goes off his routine meals (goes on binge), it has become harder and harder to regulate his blood sugar...he doesn t believe in meds, how else can I help? ### REPLY: Hello, High blood glucose can be controlled with diet and exercise only when a person is the pre-diabetic stage. (Fasting :108 to 125 mg, PP 141 to 199 mg & HbA1c%<6.4). But if once diabetes sets in (Fasting: 126 mg and above, PP 200 mg and above & HbA1c%6.5 and above), then treatment with specific .  Selection of medication will depend upon the severity of blood glucose levels. Along with  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my boots on for roughly 12 hours the other day. When I took them off, my upper part of both calves were swollen. The swollen went down in 2 days or so, but now I notice I have a red spot, and it s sore to the touch, also it feels hard. Is it a possible DVT? ### REPLY: HI. Thanks for the query. Deep Vein Thrombosis is a condition more commonly seen in immobile patients due to stasis of blood. What I understand from your question is you must have had the swelling due to impaired venous circulation due to the boots. The sore you have noticed might be a superficial hematoma which will gradually disappear. In the swelling recurs and persists, its better you consult a doctor and get it checked. Hope I have answered your question ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Recently i carried out a health check which includes cholestral, thyoroid, Complete hemogram, Diabetic, Liver function, Kidney tests etc.in Complete hemogram i found 3 unusual things.1. Red cell distribution width is 15.1fL ( limit is 11.5-14.5)2. Platelets distribution width is 17.3% ( range is 10.0)3. Mean Platelet volume is 10.8% ( range is 5-7)platelts are 151000 per micro litre which seems ok.i m 33yr male from India. reports remarks was: alert!!! Giant platelets.Am i All rite or i need to c a doc soon..plzz advice me.regardsPunit Srivastava ### REPLY: Hello and welcome to , The interpretation of your test report is as follows:The platelet count is within normal limits. However, the size of the platelets is increased thus creating variably sized platelets on the peripheral blood smear. This suggests that there is some abnormality in the platelet production in the bone marrow. This type of platelet abnormality is common with . In case there is any history of  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ,iam 23 years old . i have severe hair loss 3 years back .So, i consulted a doctor one year back and he prescribed minoxidil solution and btn forte tablets . These medicines helped and my hair loss decreased a lot .I used these medicines for 4 months . But now again the problem started one month back while iam still using these medicines ,My hair became very hard and brittle .Is that due to the usage of those medicines for a long time?What is the reason for my problem? Please suggest me some medicines or some natural ingredients to reduce my hair loss. ### REPLY: Hi there.1. Your concern is halogen effluvium.2. it's a temporary hair loss due to stressful lifestyle of any reason.3. You can continue your minoxidil and biotin tab.4. Along with them, you can try kaboom serum, apply it once daily during daytime and minoxidil in the night hours.5. Wash the scalp with songstress anti hair loss shampoo weekly twice with soft . This will help you in controlling hair fall. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A few days ago, my husband started taking Morphine (15mg ER) every 8 hours. He has noticed that his urine is bright orange now and he is having some difficulty urinating. Should he be going to the ER or just contacting his doctor or....? Thank you. ### REPLY: Hello, It is unrelated to morphine. If you are other medicines it can get excreted in the urine and can cause orange or red tinge to urine. Minor bleeding due to stones can also cause dark colored urine. A urine routine and microscopic examination is required to check whether the color is due to blood cells or other pigments. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had a PET scan yesterday (his 3rd for stage 3a/b lung cancer). He has never had any kind of reaction before. The problem is the hand in which they injected him with the dye is swollen; his arm is too. Its getting hard as well as turning like a bluish/purplish color. It turns white when he pushes down on the arm. Also, it is causing him some discomfort and pain. Is this normal or should we get it checked? Since he hasnt had problems in the last year with the other PET scans, we are concerned. Please help, Im worried. Thank you! Sandra Hamilton br ### REPLY: Probably some amount of dye has been injected out of veins or there may be a small thrombophlebitis (infection of vein).rest, ice , limb elevation and analgesic such as ibuprofen will help you to relieve pain. If swelling increases or pain doesn't subsides and fever comes up within 24 hours, u Should consult to your treating doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, had invasive lobular bc, stage one, and right after my double mastectomy , finishing chemo , my original cea marker was 2.5 with tumor in, ca 15-3 was 3, ca 27-29 was 8, ca 125 was 5, ca 19-9 was 26, Now twenty-seven months later, my cea is up to 5.1, ca 15-3 is 10.1, ca 27-29 is 12, ca 125 10 and ca 19-9 gone down to 22. I am very worried with the cea being constantly going up. Had colonoscopy which just showed diverticulosis and a stricture, had pet scan , showed colonic diverticulosis, CT scans no metastic disease so far. All oncologists are very vague. Could I have had the cancer spread via blood not lymph nodes during my surgery while on the table? I think I am not in remission. The cancer is just so small that they can t find it yet on scans. I don t know what other tests I should insist on having? ### REPLY: Hi, it is not clear to me why those markers have been suggested. The more investigations you do the more you will be confused. All the tumor markers have been done and not suggesting any particular diagnosis. Lobular carcinoma invasive has a chance to affect both breasts, this is why it is not like other breast ca like ductal ca. anyway ca 15-3, ca 27-29 has very little role. If any syn .  But, still, no marker has been raised significantly, even they raise, a lot of non-specific causes are there. So do not worry at all. Keep in touch with oncologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doc,I am 26 year old girl. I am suffering from viral hepatitis a and my bilirubin level is 17.88, rest all the Sgot sgpt enzymes hav come down to normal including the mild liver enlargement. My gastroentrologist decided to put me on wysolone 20 mg after brkfast and 10 mg after dinner. However, everything is normal my diet etc. i am facing a tingling burning feeling in my entire body? Is this the steroid side effect or something? Please advice ### REPLY: Hi, Thanks for using , You are suffering from Viral Hepatitis, and if your treating doctor wants to give Steroids. The diagnosis may be some other form of hepatitis most likely Autoimmune ? This can be confirmed clinically and some autoantibodies in blood like ANA (Anti-nuclear antibody). You have liver enlargement which is persisting suggest continuous inflammation in liver, in such cases these .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am an 18 year old female. And recently I have a sharp pain in my left wrist and also a sharp pain in my sternum. It hurts to breathe deeply, but the pain usually goes away within a few minutes. This situation has happened to me twice, should I be concerned? ### REPLY: Hello, As you are 18 we cannot suspect some major pathology for your health. I think this pain can be related to the tight inner clothes. It happens due to compression over the shoulder level and rib level as well. At shoulder level, there is a muscle called the Trapezius which can undergo spasm with tight inner. As the symptoms have come only once or twice we need to wait and see because major symptoms are more frequent than once a while. Kindly wear loose inner or little relaxed ones which has more flexibility. This should help. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Carrie. I currently take 100-300 mg a day of zoloft but, I am  still depressed having moments of sleeping for days then eating everything and then trying to get in shape. I feel like Im on a rollercoaster with like Im so unhappy. I dont know whats wrong with me. In a stay at home mom 4 kids. I have struggled with depression anxiety panic attacks ptsd add Ive been through bad things made bad choices and have been to counseling and therapy.  I dont know if Im bipolar or need different depression mess or personality disorder.  Im tired! ### REPLY: Hi there. I can understand what you must feel like and that you are experiencing severe stress. I do not know your prey history or what treatment you have taken, but I can recommend going to see a psychiatrist for an evaluation and getting the appropriate treatment. Along with that people sometimes underestimate the value of therapy. This can help allot building a strong therapeutic relationship and then working through things in the past and equipping you at the tools and skills for future stressors that might arise ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am looking for a female doctor in downtown Vancouver as my family doctor of 20 plus years left her practice. I am 69 years old and suffer from COPD and asthma. I need physical exam and would prefer a woman doctor. Thank you very much. Suzanne Newman ### REPLY: Thank you for asking . My name is . Since you are in search of a doctor for your COPD & Asthma treatment and need physical examination and prefer a female doctor for that purpose since your family doctor left her practice, welling this scenario, the best first step is to ask family and friends as sometime Doctor take patients from referral of their existing patients. You have mentioned downtown Vancouver, an approach for you is searching doctors online, I am sending you a link, just have a look at that. And you can search doctor online from websites like this.https://www.cpsbc.ca/just go to this site, and you will see a column "find a physician", it has a small option "advanced search, just click on that and then choose your doctor near your locality (North Vancouver, west Vancouver, Vancouver) while keeping your search narrow by just clicking family physician/specialist and Female gender ... you will get a list of doctors with the information whether they are accepting new patients or not ... Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor , plese tell me how can my father save himself from dailesis . he is 56 year old and dailesi is going on twise in a week . please suggest us how can stop dailesis or give substitute of dailesis. always thankful to you darshan singh ### REPLY: Dear Darshan, I really appreciate your care & concern for well-being of your father. Although you have not mentioned all details, I assume that your father has Chronic kidney disease. Dialysis is a treatment which is instituted only when essential & becomes life-saving for the patient. Every patient may not tolerate the dialysis well & that depends on many factors. I strongly feel that your father needs thrice a week dialysis against twice. His tolerance may become better thereafter. If he is very much scared of hemodialysis, you can switch over to CARD. I strongly advocate you to continue dialysis. There are various diet plans, . Their is no substitute available neither in Ayurveda nor in Homeopathy for dialysis, however these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor, This is rashmi. I haave PCOD since 6years. i was put on Dianne-35 for 1year thn since i gained weight i was put on Loette for last 7months. Ive put on weight again.... now my gynaec has stopped loette and has told me to take Bigomet 500 twice a day for 2months... will i lose weight and will my irregular period problem come to an end?? please tell me... I am 23 years old.(married) will i be able to conceive?? ### REPLY: Bigoted may help to restore ovulation so that your irregular period can become regular, and it improves the chances of conceiving. The .  However, it may not increase your weight; further it may help in the treatment of hirsutism which is common with POD. Further it can reduce the incidence of early miscarriage and the development of gestational diabetes, both of which are more common with POD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hit in the chest very hard with a shoulder. Now i have none stop sharp pains and shortness of breath in that area of my chest. Bending down to pick up anything brings a very sharp pain. Also things such as applying deoderant and raising my arms brings about the same pain. What could have happened to cause such affects? What should I do? ### REPLY: Thanks for your question on . . You are having blunt chest trauma. And the complications of this are as follows. 1. Rib fractures2. Pulmonary contusions3. Pneumothorax4. Muscular injury. Since you are having breathlessness, chances of pneumothorax are high. So better to get done chest x-ray to rule out above possible complications. If chest x-ray is normal than you mostly have muscular injury only. So for better symptomatic remain try to follow these steps.1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Wear chest belt to avoid mobilization of affected area. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 some very slight drops of red blood from one breast. My dr says I have a 3.4 dilated milk duct in my breast based on a mamo and ultra sound . She does not seem overly concerned as I have no family history of breast cancer but she wants to do a major duct excision. I am reluctant and and have been looking for alternatives. Any suggestions? ### REPLY: I would have liked to know other things about you like your age, number of child .  Anyway, even with no increased risk I would like to do a cytology of the discharge (the discharge is smeared on a glass slide and seen under a microscope by a pathologist). If that is absolutely normal, then you can follow up with your doctor, initially at monthly intervals and later 3 monthly till the discharge persists. At each visit, repeat the ammo and cytology. At any time any of the reports show even a suspicion of cancer, I would suggest you immediately get the duct excision done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sir i was patient of HCV after treatment of six month it clear and after other six month i test again Thanks God it clear again i thank to allah but now i did my LFT test and in report my SGPT is 43. sir plz tell me it is normal or not if it is not normal then what i do ### REPLY: Hi thanks for contacting ... Noted you had infection with hepatitis c... In such case chance of chronic infection is high as compared to other hepatitis.... So it is good that you have cleared this virus from your body .... By which method you have confirmed ??? For HCV detection ELISA or equivalent PCR methods has to be used.... So confirm your negative report by this method.... Normal Sept is up to 42 to 45 ....Here is no need for worry.... Just confirm HCV negativity by methods I have mentioned.... 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 lungs hurt very bad.  every breath i take hurts.  I do not have a cold or sick in any way other than the pain in lungs.  I do not have a temp and feel fine, although I am starting  to get some anxiety due to the lung pain and knowing this is something odd and not normal.  i will be going to the dr. monday, but i have a good 30 hours before that.  anything i can do in the meantime to help?  what might be going on? ### REPLY: Thanks for your question on . I can understand your concern. Since you are not having fever, cough, cold or any other symptoms, no need to worry about major heart and lung related diseases from your chest pain. Possibility of simple musculoskeletal pain is more. So avoid stress regarding this. This can be due to bad posture in sleep or due to awkward movement. So till Monday you can do following things for symptomatic relief. 1. Apply warm water pad on affected areas. 2. Take simple painkiller. 3. Avoid bad postures in sleep. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. 4. Avoid stress and tension. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc, I am 21 years old. I never noticed a spider or anything but when I woke up a few days ago I had what looked like 2 masquito bites right next to eachother on my left leg on the left side of my calf muscle. But after a few days it swelled up, turned really red, and extremely painful. Even when I walk sometimes. There is also 2 puncture holes that are scabbed up about 3 cm apart. Can you help identify this for me and let me know if this is serious or not. I just noticed a smaller one on the back of my arm that is suddenly getting bigger and is like a bouncy ball inside my skin. But the one on my leg is about half dollar size and is way more painful. I am 5 foot 7 inches and weigh 135 lbs. Thanks for your help. ### REPLY: Hi, Good Evening. This is . -I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Causes of the Leg skin painful Lump-is as follows-a-I think you are mostly-suffering from-black widow-Spider bite with Hives-on your arm and leg-with Infected boil-post spider bite.done worry about any cancerous lump as they are Urticaria -post-Spider bite on legs and arm. Treatment -By antihistamines point / Tb NSAIDs/ Antibiotics if infection needs to be controlled and all under supervision of family physician is advisable. Hope this would help you with the relief you needed. Wishing you healthy living and early recovery of this emergency. Wellcome for more queries till you get the satisfied. Thanks for your query to  Clinic. Have a Good Day...!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 31 years old 163 cm tall and 51KG.i am having spasmodic pain in my chest,it feels like " quick squeezing" and is irregular but probably a couple of times every couple of minutes , it has been going on for 2 days, the pain is probably a 2 out of 10 for severity, each time it happens i feel I need to catch my breath. otherwise I feel absolutely fine. ### REPLY: Hi welcome to the  Here cardiac causes has to be ruled out first... Your work up should be done as follows .... -Auscultation -EKG -CBC with HE estimation -Chest x-ray if needed -echocardiography if needed -Blood pressure measurement -Tread mill According to cause further specific treatment given Excess stress sometime can lead pain.... So avoid stress... You should consult pulmonologist or cardiologist for examination and further work up 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 there my partner has just left hospital after having a subarachniod hemorrhage from a burst blood vein, he was also diagnosed with 2 very small aneurysms however these are not treatable due to the size of them. we get married in october and was planning on going away for a honeymoon will he be able to fly??? ### REPLY: Hello, Unfortunately, there are no STANDARD GUIDELINES that have been developed yet that we can appeal to on the question of safe to fly after aneurysm burst and/or the presence of sunburst aneurysms.  The literature certainly does contain a number of citations and reports of individuals who have suffered from incidents such as spontaneous SUBARACHNOID bleeding or rupture of sunburst aneurysms who have just completed flights.  It is unclear though on any standard of practice.  The majority of the recommendations seem to point to a waiting period (without well tested or grounded data) of no less than 2-4 weeks in the case of someone who just HAD a bleed in order to fly vs. up to 6 weeks of waiting in someone's who had a craniectomy to evacuate a blood clot who wants to fly.  If it were my patient I would likely ask them to wait 4 weeks if possible to fly AFTER a bleed. 8 weeks after a surgical procedure to evacuate any blood from the head.  As far as the risk of flying WITH UNRUPTURED aneurysms there are no agreed-upon numbers therefore, in my opinion whether someone KNOWS or DOESN'T KNOW they have an unruptured aneurysm in their head (or any other organ of the body) it doesn't alter the risk factor (if there is even one to actually talk about) element so to me there should logically be NO TIME CONSTRAINT on when a person could or should fly after finding out they have aneurysms which are inoperable, etc. That needs to be more an individuals feeling of comfort zone action as opposed to a doctor trying to counsel them according to scientific evidence that it is or isn't safe because there's nothing along those lines.  Make sense? Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i AM SUFFERING FROM DEPRESSION FOR THE LAST 34 YEARS.Took treatment several times,but could not cured.Now doing xeerise everyday(runnindg & walking).Kindly adives which is the best place to get depression treatment(medicines are not effective) in the world ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Researchers and researches confirmed several times that medicines alone cannot cure any mental disorders. Therefore, every mental health treatment should include psychotherapy and meditation. Psychotherapy helps you to streamline your lifestyle and behavior. Meditation streamlines your metabolism and thinking process. You should get Cognitive Behavior Therapy under the expert supervision of a psychotherapist / psychologist. Meditation can also b taught by them. Please do not ignore this advice. Recovery is for sure. If you require more of my services in this regard, please post a direct query and I shall be happy to provide you psychotherapy tips. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has a heart murmur . It has been checked 9 years ago and everything was fine .  Now he tells me he has been having pain in the chest  pectoral muscles . He has also said he has shortness of breath upon exertion. No pain. he is also congested. I am looking for a goo heart doctor in the Trinity, Clearwater Tampa area to follow up? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely take him to cardiologist. Possibility of congestive heart failure (CHF) is more likely because of chest congestion, chest pain and breathlessness. So get done ECG, 2d echo and stress test (trade mill test). He may need diuretics and other cardiac supportive .  Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: been having lower back issues since high school. I am 27 years old mother of twin boys that are 3. When they were 10 months old I feel down the stairs and since then my lower back and tail bone has been a real pain for me. What kind of over the counter medications other then Advil. Aleeve, Tylenol will work? ### REPLY: Hi, First find out the cause of having pain after so much time as there is possibility of having some injury in spines, muscles, intervertebral discs etc. Go for x-ray, CT scan to find out the cause. Treating the cause will give complete cure.Meanwhile, you can take NSAID like Diclofenac, Ibuprofen, Tramadol etc. Take with omeprazole or pantoprazole to avoid gastritis or hyper acidity. Avoid long term use. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had a mild pain in my left lower jaw for about a month, towards the back.  Its mild and it comes and goes but never gets any worse.  At first, it was accompanied with soreness and mild swelling under my chin and on the left side of my jaw up to the ear.  That went away after a few days but the mild on and off pain in the lower jaw, towards the back left tooth, remains.  I have no pain chewing or no direct tooth pain.  Please also note that I have had a chronic phelgm problem all winter.  No runny nose, sore throat, or cough, just nagging phelgm in the sinuses. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint pain on left jaw along with swelling under the chin is indicative of some or the other forms of infection which can be due to:1. In case if you have wisdom tooth erupting the swelling can be due to inflammation of the gum flap over the wisdom tooth and the condition is known as PERITONITIS, and it can lead to pain in jaw radiating to ear along will swell in the lymph nodes, although submandibular lymph nodes are commonly swollen which are present below the jawline but can in few cases submental [below chin] can also be involved.2. Another reason can be infection in the tooth/teeth which must have got non-vital due to necrosis of nerves as a result of infection, but the area below the root tips may get infection due to progression from tooth and can lead to pain which can radiate to jaw, ear as well as swollen lymph nodes.3. One more reason can be infection in the submandibular salivary gland leading to pain in jaw, but it will also be evident just under the jawline. You need to consult an ORAL PHYSICIAN and get evaluated to get ruled out for the exact cause of the pain and the treatment can be planned only after knowing the final diagnosis. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. 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: good day. my RCB result is 45-60. Im 38 yrs old 54 in height and 76 kls. Do I have to undergo an ultrasound for my kidney. My doctor ask if i have a fever for a couple of days pass but thanks God no fever at all. May I know the symtoms on it doc.? thanks and god bless. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. I assume that you want to say RBC in urine.  You have 45 to RBC's in urine.  It suggests hematuria.  It can be due to urinary tract infection., kidney stones or some mass lesion in kidney, ureter or urinary bladder.  You should go for ultrasound kidney.  It is needed to search the cause.  Go for it and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... hi i am suffering with sinus with pain at back head behind ears also at top of my check bone and down the side of my face and jaw, I have also had virtigo and dizzyness I have now also got and sore tender spot in my grion at the top is this related ### REPLY: Hello. Thanks for writing to . I read and understand your question very well. I try my best to help you in this. As you have sinus, dizziness and vertigo problem. I suggest you to take Tab. Diatonic DCA, twice a day. Also use Tab. Vermin 4 mg for vertigo, twice a day. You have sore tender in your groin region, it is not related to this. If symptom not resolve than consult a good ENT (ear nose throat) surgeon for this. I hope my advice will help you a lot. 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 was having back pain while sitting on my couch and also i was about to get a cramp in my leg.  When i got up i all of a sudden got chills and was really cold.  Around my knee it feels like a sting and is red all over and when i touch it it feels very hot. ### REPLY: The symptoms you are describing points to different pathologies. Your low back pain with some stiffness can be attributed to lumbar spondylitis with some neuropathic pain called as lumbago.  However, the swelling, pain, redness around your knee joint suggest some inflammatory either infective or non-infective pathology. Please mention duration of symptoms and associated systemic symptoms.  I will suggest consulting a rheumatologist. Hope my answer will help you. Take care. Don't forget to rate me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I get head rushes when I get up to fast or sit down to fast. They sometime happen while I m walking to class or doing something like home work on phone dishes watching tv ect. and every thing goes black and I have to just breath through it. At first I thoght it had to do with my eyes but my eye doctor said my eyes are perfect. What else could it be ? ### REPLY: Hi welcome to ChatDoctorI have gone through your query regarding dizziness with blackouts Dear, Dizziness refers to a sensation of lightheadedness or weakness. When dizziness makes you feel as if you or your surroundings are spinning and accompanied by blackouts. For your info , It may be a symptom of a disorder that affects the whole body, or systems within the body. And may also be the result of systemic toxicity to substances such as medications and .  It is important to seek medical attention if you experience frequent dizzy spells and lightheadedness. Also consult your doctor if you experience any of the following dizziness symptoms:Sudden dizzy spells, A head injury, Severe stiffness in the neck, Disturbances in vision, High fever, Loss of hearing, weakness in limbs slow heart rate. When it happens, you at once close your eyes , do deep breathing - Inhale - Hold - Exhale - hold . Repeat for 10 times relax and take a glass of water with lemon juice and pinch of salt & black pepper for instant relief. I would like to suggest you to take care of your over all health. Gulping on only medicines indiscriminately, is not the solution for your problem. . In fact, Your body is always fighting something -- an infection, a toxin, an allergen, a food or the stress response -- and somehow it redirects its hostile attack on your joints, your brain, your thyroid, your gut, your skin, your kidneys or sometimes your whole body. It weakens your immune system. You have fewer white blood cells in circulation to fight off germs. This leaves you susceptible to infections. Your immune system is your defense against invaders. But when the immune system becomes weak, due to fault food habits and derailed lifestyle, and frequent sufferings, disease cells can grow out of control, the disease overpowers.regimen by regular exercise and Balanced diet containing essential nutrients, So include essential nutrients in your diet --FIBER RICH, LOW SALT - LOW FAT DIET, fruit, green veges ginger, garlic to balance Air factor-- Vāyu Dosh -- in our body, vitamins and minerals in natural form -, coconut water,, nuts, almonds, and supplements full of antioxidants as Aloe vera juice + AMLA juice 2 spoons, Lemon juice with water and a pinch of salt and black pepper gives immediate relief. Fish oil and flax seeds for Omega-3 and Turmeric powder + Almond oil is very important for our sound mental and physical health and strengthen immune response naturally. Avoid fried fast foods, sugar, tea, coffee, alcohol, smoking, stress, worry, anger, Constipation Proper regular walk, -, Adopt For proper blood circulation. Exercise, yoga, gently do neck rotation, clockwise anticlockwise, Kapalbhatti Panama -deep breathing, Anglo Film, Calamari are help full for soothing nerves & relieving your stress inducing sleep and eliminating toxins from our body and help the natural hormones work, Meditation also helps sooth the mind helps in detoxifying and strengthening the immune system to enhance resistance from diseases and pave way for healthy disease free life. Take Homeopathic Belgium 30 / Twice a day / Take 4 hourly / . Can repeat if required. Hope this helps solves your query. Take care. All the Westmont hesitate to get back if you have any father query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m 43 female who woke up yesterday with a scratchy throat becoming worse as the day progressed. I worked a 12 hour shift and couldn t talk by the time I got home due to throat pain feels like pins and needles when I open my mouth and can barely swallow. I have had head congestion due to allergies for weeks but there white patches on the back of my throat that look like blisters. Chicken broth is all I can get down and water but even that hurts I am nauseous and coughing up mucus and sneezing which is very painful for my throat. Fever is down from 102.9 to 101.8 after taking Advil and I am achy all over. ### REPLY: These are symptoms of allergic sinusitis as the antibiotic is not answetthere are infections of sinuses in allergy and infected mucus discharge comes down in throat causing the problems written by you and others are as sign of allergy infection in sinus is cause of fever you need short course of sinus specific anti allergic stab antipyretic SOS for fever anti allergic coup spy antacids in my opinion this can control the symptoms but need to consul tent doctor to treat it as allergy to prevent recurrence if you follow my advice ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 rapid heart rate that went from 76beats to 132 beat in forty minutes then started to come down but it took two hours to return to 84 beats per minute this happened about six months ago als then it went to 160 beats at rest what could be causing this Iam a 53 year  women ### REPLY: Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. ECG should be done but Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation.LN order to abort such episodes you should try to cough hard. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend is having stomach pain, always tired , gets hot , mad at me one moment and then in love with me the next , trips over every little thing. she says she feel something push in her stomach i think she is pregnant but we took a test a while back and was negative but basically these are all the symptoms..... what would you think it is?????? ### REPLY: Thank you for asking on . If I was the treating doctor I will do the following:1. Look for other symptoms along with stomach pain like vomiting, diarrhea. If they are present will consider some infection. If there is only stomach pain, cramp like and no other symptoms, I will consider psychological causes. After ruling out any organic illness, the symptoms appear due to psychological causes likely anxiety. Anxiety can cause stomach pains, feeling of heat in the body, irritable mood and sometimes tiredness. I hope you find this helpful. 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 20 years old and my wisdom teeth and breaking through the gums and hurting.  I am scheduled to have my wisdom teeth removed in 3 weeks time.  Right now the side of my face is swollen and quite sore.  I am out of my home country and although I have some health coverage, not sure what it would cover.  What do you suggest I do? ### REPLY: Hi, Thanks for asking the query, Wisdom tooth eruption is often associated with pain and swelling. I would suggest you to start with the course of antibiotics and analgesics under the prescription of Dentist. Take lukewarm saline rinses to give a soothing effect. Use antiseptic mouthwash rinses like chlorhexidine twice daily. You can get the tooth extracted in three weeks. Hope you find this answer as helpful. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i started one night with wheezing and cough mostly felt on the right side when i lay down. after about 2 or 3 nights wheezing went away. this all happen at night when i lay down along with aching bones, flue like symptoms. Than came the sharp pain in my chest bone and shoulder blades, than again happened when i lay down at night. my dr. put me on a puffer now seems not to be so bad. still feeling very tired. ### REPLY: Hi, Welcome to , These symptoms of wheezing and cough with bone pain or flu could be upper respiratory infection or acute bronchitis. It can be diagnosed clinically, but you must undergo routine blood investigation with sputum R/ M and C/S, chest x-ray to rule out any other pathology of lungs. You might require long course of antibiotics (amaryllis with chavulanic acid or cephalosporins) with other supportive treatment like bronchodilators (steroids, beta agonists, anticholinergics) inhalers or nebulizers with steam inhalation frequently. Consult pulmonologist who will take complete medical history and thoroughly respiratory system examination to identify the actual cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got a call that my 84 year old Mother is in the hospital and they discoered an subdural hematoma. She lives out of state with my sister and my sister said the doctor didn t seem overly concerned other than the fact of her getting surgery at her age . My question is how bad is this, They said it was a small one but they have to relieve the pressure . She has been losig her balance a lot over the last few months and falling. Other than that her health is very good. She had surgery a few month ago to clear blockage in her carotid artery. She is a former smoker but relatively good health. ### REPLY: Well the surgical procedure is a fairly easy one and since they say it's a small bleed chances are it has not caused severe permanent damage to the brain. Of course, they mention her age as the main issue because old people carry a higher complication risk for any type of surgery especially with general anesthesia, respiratory complications, infections, thrombosis etc. Hopefully that won't be her case, but doctors have to inform you of any possible scenario. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 really hope you can help me. I had a heavy watery light pink period to the state where I had to change my pants. This lasted for 3 days my normal period length, 2 days prior to this my boy friend and i fooled around. No penatration but contact. Viginal area is swolen and I have discomfert round about where my ovaries are.? Hope im saying this right. No burning or itching. Preg test neg but it is only 10 days after the fooling around. Oh and here is the breaker and why I am so worried. I m on reacutane and my doctor that put me on it speeched me on the effects that it would have if I am pregnant, he said that I would have an abnormal disabled child. I began taking it 4 days prior to the weird period. I was on 20mg and the doctor moved me to 10mg but I was totally of the pills for about 2 months before starting again. My heart rate is 123/88. I m 22 old and not unfit.I have a constant heavy bladder needing to wee alot, and I have headaches and feel constipated and tired.and then the above mentioned uncomfert in my lower abdominal area near my ovaries. I think that s the lot. Hope to hear from you soon. ### REPLY: Hi young lady. FIRST- It's highly unlikely that you might have got pregnant if you had sexual contact/ contact with sperms 3 days prior to your regular period date. So the big question to answer is did this odd period much earlier than anticipated? SECOND - I am not sure which part of the world you live, but you need to consult a local Genitourinary Medicine (GUM) specialist if you are in UK/ Australia/ NZ, or a kind Gynecologist if you are elsewhere to get checked out for any sexually transmitted disease if you have local swelling. Please donor hesitate or delay in checking yourself out. You seem to be very anxious and have lots of somatic complaints related to that. Don't worry, relax and seek opinion from the right specialist. LASTLY - Your problem is not related to your kidneys.... so you have posted your question in the wrong forum!! You have not come to any harm from it since you got a very competent person to answer it (kidding)!!! Take care. 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: Just got the results of my cbc blood. My Eosinophil was 13. I have lupus and Disconnective Tissue disease and am taking 400MGS of Plaquinel for it. I see a rhymatoligist regularly. He has no told me about all the blood work i recently have had. He runs a full metobolic panel on me every 3 months. My family Dr. gave me the results. I also have recently found out that i have fully torn rotory cuff and need surgery. I am  a Male 57 yrs old.Thank you ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your have connective tissue disease and lupus so It's common to have slightly high eosinophil count.  It's no need to worry. For your rotator cuff injury you should go for surgery according to your doctors' advice.  Your CBC has no any relation with that. You can go with surgery with eosinophil count 13. No need to worry about that. 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: my daughter will turn 4 months old on 10th of this month. She was weighing 5.9 kgs on check up which was done 15 days back i.e when she was 3&1/2 months old. According to doctor she is underweight and the doctor has suggested Tonoferon to her ? will this help her ? I have been giving her Tonoferon since last 10 days but i havent seen any change in her weight also her appetite has not increased . Please suggest if Tonoferon is ok or not? ### REPLY: Hi, I am not sure whether your doctor has noticed anything abnormal (like pallor indicating anemia) apart from weight. In my opinion, 5.9 kg at 4 months is quite good (>90% of expected weight at this age). We call it under weight when weight is below 80-85% of expected, although we need to consider birth weight also. Tonoferon contains iron supplements, used to prevent and treat iron deficiency anemia(anemia can cause poor appetite and inadequate weight gain). If I feel my patients are anemic, I used to order for a blood count and peripheral smear, to see hemoglobin level before starting iron supplements. You can discuss with your doctor. For your baby, present weight is well and fine-just give him frequent breastfeeds. We can monitor weight gain in coming months-usually they gain around 400g / month. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing severe upper back, rib and chest (side and frontal) pain, on both sides when I run. I had an ECG and Stress Test 2 weeks ago when the pain was bad. Both tests showed everything was normal in the heart although I was not experiencing the pain during the stress test. Could this still be heart blockage? I do have high colesteral although controlled with statins over the past 10 years. If not my heart, what in the world could this terrible pain be caused by, if not my heart. My lungs also checked out in the ER visit with an x-ray. It only happens when I run, not bike or other exercise. ### REPLY: Hi, Yes, it could still be heart and there are several features that would influence the likelihood. Let us start by whether you have breasts, these change the ECG and make a standard stress test less reliable. The location and movement of a pain gives clues as to what is going on. And mainly this would require an exam. Muscles, nerves, and especially the rib cage joints can cause pain. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: all my top teeth are rotted to or past the gumline. within the past month ive have felt very weak and sick to my stomach. my breath stinks but yet i dont have any mouth or gum pain. my father had his teeth removed because of poison from his teeth drained into his stomach.could i have the same thing? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your health concerns... As per your complaint if you have all your teeth decayed then it is very much apparent that there must be infection in many of your teeth as well as gums and the bad breath is also due to multiple decayed teeth which would also be causing food judgements and poor hygiene conditions in your mouth and all of this must be having deleterious effect on the gums causing gum infection also. You are feeling sick in your stomach as well as there is weakness because of two reasons:1. The bacteria present in the mouth that is causing infections must be getting carried to the stomach along with food and water and causing stomach infections leading to stomach upset, indigestion, improper absorption of nutrients into the body leading to weakness as well.2. In absence of healthy teeth the food is not being chewed well and as some digestive process starts in the mouth itself with the enzymes present in the saliva, so when food is not chewed well this process is also disturbed and when the uncrewed or partially chewed food reaches the stomach the digestion is more or less incomplete, and it can add up to indigestion. The best way to get rid of all this is that you should get the treatment of your teeth done by a dentist. Get a full mouth x-ray known as ORTHOPANTOMOGRAM [OPG] done and get all your teeth evaluated. In case for those teeth which could not be saved, get them extracted while those teeth which have some scope of preserving it's better to get them treated with root canal treatment followed by capping of teeth with or without post and core as per the requirement. The teeth extracted can be replaced with either removable or fixed dental prosthesis. Brush your teeth twice daily and use concentrated mouthwash twice a day for gargles and reducing bacterial count. Do warm saline gargles twice a day. Always gargle with water or using mouthwash after meals. For stomach infection you can consult a Gastroenterologist to get ruled out whether you have infection or not. In case of stomach infection Ciprofloxacin 5OO mg twice a day, Metronidazole 4OO mg three times a day and Pantoprazole 4O mg once in morning empty stomach and once at night. . . Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. ### END