Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son had upper right side pain after many sessions of tenis ,he plays everyday.becos of garden leave.he has no apendix was done at 10 years old. Also had galls stones taken out 17 yrs ago .now he is 41 married .last nite doctor gave him an injection to stop the pain ask him to  heck in hospital for checkup. He said he is not in pain now and will play tenis in afternoon. After research I think he should go imediate for checkup and rest instead of tenis . Do you think tenis is too strenous for him and might affect his liver pancreas..? He is difficult to have kids too. He should care for his kidney .thanks ### REPLY: Welcome to . Pain is not due to playing because he plays regularly every day. He has to go for complete investigations to rule out pain as well as fertility test. CBC, URINE and USG abdomen will guide for renal stone, gall bladder stone and other abnormality in ABD. Semen analysis is necessary. If he wants child than his wives investigations are also necessary. Better go to hospital for checkup and further diagnosis and management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: please, I have a tear of the anterior talofibular ligament laterally with peritendinitis involving the tibialis posterior, the flexor digitorum and flexor hallucis longus tendons and fluid present in the tibiotalor joint space with pain and edema of foot. What treatment do I need to do? ### REPLY: unusual treatment after acute ankle injury is elevation of feet, ankle brace support, anti-inflammatory medicines and serratiopeptidase tablets-the immobilization for 2-3 weeks. MRI is done and complete tear of fibular ligament some surgeons prefer to repair. Partial sprains are treated conservatively as above avoiding all movements of ankle for 2-3weeks and avoiding weight-bearing also. Some orthopedics prefer to give a plaster cast with foot in slight reverted and mild plantar flex position to keep the ligaments from tension complete evaluation may be done by an orthopedic doctor in your 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 am a patient of DM & HTN and under treatment of Dr.J.M.Ashok kumar,International Cardiologist at apollo Hospital,Chennai, Now I am feeling better, itook advice from ec-2006,and continue the same. medicine - Metride-1daily,cap Polytorva-5kit-daily,tab Losar-a daily and at bed time,tab Alprax-0.25.My question is tab alprax will hermful or not and all will i continue? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have diabetes and hypertension. You are taking treatment for that. Furthermore, you should continue your .  However, Alex should not be taken for long time. It may lead to addiction and other side effects, so it should not be taken for long time. All other treatment should be continued according to advise. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 8 yr old daughter had a pro-longed focal seizure (33 min) in August. She was placed on Trileptal. She has since been getting dizzy spells 5- 7 times a day. They just re-ran another 48 hour EEG while on medicine and she is still having XL spikes in 4 areas of the brain. They made no changes to the medicine. They say its a gray area. They treat seizures not spikes. I thought that the anti-seizure medicine was suppose to reduce or eliminate the spikes. What does the medicine do? What should my next steps be? ### REPLY: Hello, Thankyou for your quiryBrief.MRI brain needs to be done. Detailed answer... Since first the cause of seizure should be ruled out, for proper treatment, for example, any mass in the brain, ischemic (low blood supply in focal area) change in focal area or family history of epilepsy and pre seizure cerebral infection. For that I would like to ask about MRI brain report. And if it is not done, you may get done after discussing with your doctor. EEG is the test to evaluate electrical spikes, which can be helpful to evaluate the type of seizure so the cause. If cause is known and treated, automatically spikes will come within normal limits. Do ask further  if you have any other query regarding this, it would be pleasured to help. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I only have one kidney, the right one, and on 8/25/14 7am had a double J stent put into my kidney to help a 12mm x 9mm kidney stone exit without problems. At noon same day had a lithotripsy done to pulverize this half inch stone and have been urinating sand for 7 days, and urinating small stones the past three days. Question: can I fly a commercial flight for 3 hours on 9/6 and return on 9/7? Does pressurized cabin affect my one kidney or the double J stent? ### REPLY: Hello and welcome to . As a Urologist, i assure that, flying with a kidney stent, isn't a problem. Many people have had this experience, without any problem. Also, if your treatment was done on august 14,why is your stent not out. Probably the dates you mention, have got mixed up. Kindly reconfirm the dates, and send your question.You're welcome to send it to me, as a direct question, for an expert opinion. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 at conditioning for basketball, and we do this thing where we dive on the ground repeatadley and i m pretty skinny so i would land straight on my ribs. the next morning both sides of my rib cage were pretty sore. then the right side felt fine but the lower left side of my ribs is tender and hurts and there s like an indent. if you run your hand along my rib cage you can feel a weird indentation! i don t know what it is so please help! ### REPLY: Hello, It looks that you have injured your ribs. If you are feeling excessive pain on breathing then there can be a fracture at ribs which can be confirmed by an X-ray of chest. Till then, you should do following to have relief:-Avoid heavy strain or running for few days-Take a good analgesic like Advil or sleeve for relief-Do cold fomentation over chest. This will help in reducing any type of swelling Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. I ve just recovered from mild food poisoning that started early Sunday morning after reheating some take away food from the night before. I was sick at bout 1am until 5am after which I rested and went into work about 2pm(I work in the middle east and work Sundays) I have not been sick since 5am on Sunday but still feel a bit off however my main worry is every so often my chest starts to flutter for a few minutes (I ve done a bit of internet research and it sounds like these are heart palpitations) Should I worry or is this just a result of the food poisoning (the reheated food was a mutton curry with rice). Many thanks Andrew ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you to check for your blood pressure. Because of diarrhea and vomiting associated with it there is probability of deny .  Because of it heart beats faster for which you feel palpitation. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m having pain in upper right side of the abdomen. I have kidney stones in both the kidneys and most of the time get the ureter pain that extends to the extreme lower. I do have pain in the back under and below the ribs too coz of sciatica and lumbar sprain which caused painful numbness in my outer right thigh. ### REPLY: Upper right sided pain abdomen is usually caused by problems in gall bladder or liver or Rt lower lung or chest wall. I would suggest an X-ray chest to rule out any lung or pleural lesions and also an Ultrasound abdomen to rule out gall bladder stones or infection. Details about the pain would be helpful to guide the management. Medication should not be commenced till cause of pain is known, especially when you would be on medication for kidney stones and sciatica. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last Thursday I began to suffer a severe toothache. As the days went on my glands under my chin start to swell. Minutes after that my left side of my lip and parts of my left cheek become numb, Im very freaked out because I dont know what wrong or the cause for all of this. Please Help me!! ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have toothache, don't worry, swelling can be due to Access formation, due to caries or periodontal problem, Go to dentist and get investigations done (IOWA) X-ray and get treatment done, Root canal treatment and sailing and root planning done, Do warm saline gargle two - three times a day, Take analgesic Combiflame twice daily for 3 days Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: helo sir,i m 45 yr female,65 kg wt.from last 20 yr i m sufering from dry cough.now it is in chronic stage.so many medication i taken bt no relive.nw i m 2 much distress.,my treatment history in short is; i tken so many antibiotic like azithromycin,cefodoxime n k clavunulate,anti allergic,i m hypothyroid,hypertensive n osteoarthritis n depresion.4 all regularly taking medicine.no diabetic,no TB,no surgical history.since last 5 yr taking ayervedic medicine 4 cough bt nw this time it is nt suitng.regularly i take steam inhalation.                              i m allergic 2 dust,fumes.99% i take prevention from it.i belong 2 upper middle family.                                    sir u r humbleful request 2 treat my this dry cough as soon as posible bz now it is not toleratable 4 me.                                                                  thanking u ### REPLY: Thanks for your question on . I can understand your concern. You are having chronic cough for 20 years. Possibility of bronchitis or asthma is more in your case. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule other lung related causes. PFT is must for the diagnosis of asthma or bronchitis. It will mostly also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators and inhaled corticosteroid (ICS). Combination of antihistamine and anti-allergic .  Don't worry, your cough will subside. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve got a 7 year old boy who has been ill for 4 and a half years due to joint problems. His knees, his ankle, his arms and his wrists goes swollen, hot and start with a little red rash. Took him to the doctors. Doctor said he s got behavioural problems and seeking attention. Could you tell me my doctors right ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, if I believe that your child has been with trouble 4 years in his 7 years life, probably it could not be a behavioral problem, the most sinuous thing to rule out in this case would be Juvenile Rheumatoid Arthritis, or any other reactive arthritis. I feel it would be better to consult a rheumatologist first and let it be investigated on arthritis lines. I hope that answers your query. If you want any more clarification, contact me back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A couple of months ago i fell about 5 foot from a ladder landing on a concrete floor injuring my ribs in several places on my left side. For the last couple of weeks i am feeling an increasing burning feeling and twinges under the bottom of my ribs and around to my left side and am wondering if i have have now damaged anything else in the fall? Thank you for your time. ### REPLY: Hello, Rib injuries are one of most painful injuries because the injured bone moves with every respiration. The present burning pain and other associated features are associated symptoms of our injury. You should only concern, if there is excessive redness at injured area, difficulty in respiration or there is blood in sputum. Present symptoms does not warrant to take more steps. Please continue to take analgesic, take rest, avoid lifting heavy weight. It may take 3-4 weeks to have relief. 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 have irregular menstruation for past 10 years. periods came 3 months once nowadays. I have nonstop bleeding above 20 days. Bleeding stopped after i consult the doctor and take medicine. I have this problem for 3-4 years. I have pcod also. Now periods came after 5 months and i have non stop bleeding(heavy). Now i am running 8th day. Please advice how to stop bleeding through natural remedy. I am 30 years old. Please help me.. ### REPLY: HelloPcod is the main reason of your irregular bleeding. Cysts are often caused by hormone changes. To be frank, if cysts are not to be cured you will not get relief. Using birth control pills can sometimes regulate hormone levels so that the cysts can be taken care of. So consult your gone and most probably birth control pill and metformin are the best . Need not fear, once you stop birth control pill as long as there are no medical concerns, you should not have any problems in future for irregular bleeding. So consult gone get his opinion. Hope this will help you. In my opinion there is any natural remedy for pod case. 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: Every morning i spit up blood not a lot but traces of red or pinkish blood ... specially after drinking alcohol or anything spicy .... I did an endoscopy nothing in osophygus and no ulcers... not even reflux just mild reflux due to stress ... Why is there blood coming out of my mouth then ?? ### REPLY: Thanks for your question on . I can understand your concern. You are having hemoptysis (blood in sputum). Most common cause for hemoptysis is lung infection. Other causes are tuberculosis, bronchitis etc. So consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test). You may need antibiotic and inhaled treatment on the basis of reports. And please quit alcohol .  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I had a plexiform fibrohistiocytic tumor removed from my collarbone when I was 12 years old. I have been to MRI scans each year until I was 21 years old. Should I continue going for scans? I have been disgnosed with PCOS, but something tells me that it may have been the tumor that has spread? Am I being silly or shiuld I notify my doctor? I am 27 years old now. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You had pluriform fibrohistiocytic tumor.  Your PCs has no relation with your tumor.  You should take treatment of PCs.  No need to go for scan every year. If you don't have any visible lump or other symptoms then you can go for scan every 3 year.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was recently diagnosed with strep throat and now i have swollen gums and a raw sore spot in the roof of my mouth that hurts constantly and makes it difficult to eat. I have also been experiencing blood in my stool for about a month now. I dont know if any of the things are relate, but Id like to know ### REPLY: Hi, It seems that you are having a severe strep throat. I highly recommend to use antibiotics as prescribed by your doctor. Use oral antiseptic spray can also help. I advise discussing with your doctor to rule out coinfection with fungal infection or c.diff.In regard to blood in your stool, I advise to:- run colonoscopy- culture of feces to determine why you are having blood in feces. Immediate consultation with GI specialist is highly recommended. 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: my younger baby is one and half old. she have cold running nose twice in a month but there is no solution for that please prescribe some medicines. currently given medicines are levolin, relent. if the cold is severe we have to nebulize 2times per day does nebulization is good for my baby. ### REPLY: Hi... Thank you for consulting in . Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Or you can get back to me with answers to above questions. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i m 21 female and for about a year to 2 years i;ve been feeling disconnected from the world like i m in a dream or not reality. about a month now i ve been having heart palpitations and having a hard time breathing , it happens alot more when i m laying down. i also have cheat pains along with the palpitations. i have been to see my family doctor but he doesn t take me serious because of my age. i m at the point if something does go wrong that i may need medical attention i dont think i will go to the hospital because the doctors dont believe me. just wondering if someone could maybe help me out? ### REPLY: Hi and welcome to Healthcare magic. Thanks for your question... The symptoms you describe of feeling disconnected from the world, as if you are in a .  It is often associated with stress / anxiety and can be also part of a psychological disorder called dissociative disorder. The other symptoms such as palpitations, difficulty in breathing, chest tightness can also be anxiety-related.  Now, I understand and fully agree with you that your symptoms are quite real and quite distressing indeed. I presume that you have had a medical examination and assessment to rule out any serious medical problems, and that is the reason your doctor is not suspecting any major medical causes for your symptoms. But you should be also open to the fact that these symptoms can be due to a psychological cause. There is a close link between our mind and body, and sometimes, psychological problems such as underlying anxiety can manifest as bodily symptoms.  I strongly suggest that you have a consultation with a psychiatrist and discuss your current problems. He / she would be able to assess you in detail and suggest an appropriate management plan. And remember, just because you are seeing a psychiatrist, it doesn't mean that your physical symptoms will be ignored and you won't get any medical attention. Psychiatrists are also medical doctors with sufficient clinical skills to detect and treat medical problems, if any are present.  All the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i am 16yrs old and i went to my native place there i had cold for 20days. when i returned back i started having fever so i consulted a doctor. he told me to give a blood test to see whethere i had maleria or typhoid. but nothing was there in the results.then he told to me to take an x-ray. they found in x-ray that there is some fluid in left chest.so i want to know that what i am suffering from. ### REPLY: Thanks for your question on . I can understand your situation and problem. Fluid in the lungs is known as pleural effusion. And infection is the most common cause for this. Bacterial pneumonia and tuberculosis are common infection which produce effusion. Your fever and cold are also due to this infection. To decide the nature of infection whether bacterial or tubercular, you need to get done aspiration of fluid and investigations of fluid. On the basis of this, further treatment can be planned. So better to consult pulmonologist and discuss all these. First diagnose the cause for effusion and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am questioning my knee pain, torn meniscus, or osteoarthritis . knee swollen, pain at right side of left knee also , also feeling a clicking feel while my finger is on the spot. Outside of left knee, hurts when pressed. Stiffness at times. Constant mild pain, occasionally severe pain. Especially when knee is a little twisted for whatever reason. Have had no mri or ultra sound. ### REPLY: Hello, I have studied your case. You are having very bad knee arthritis, and it should be investigated properly. I would suggest you to get knee x-ray to see if there is reduction in joint gap.Also, you should check your ESR, crp level. MRI of the knee is also helpful. If there is very severe knee arthritis than you should avoid squatting, sitting cross leg and physiotherapy. If it is very severer than you should take doctors opinion about surgery. I hope this answer will be useful 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: Was playing with my husband and son this morning and while we were wrestling on my bed I felt as if the world was spinning and it took me a good minute to regain my balance. I also had gone to Trans-Siberian Orchestra last weekend and had to leave after a couple hours because I felt as though I was going to black out. These 2 instances are the first I have experienced the feeling of blacking out. What could it be? ### REPLY: The symptoms u listed suggest some disorder of your vestibulocochlear system, which is quite evident. Problem is it could be anything from benign to malignant. U need to visit a ENT specialist so that he can examine u clinically and do a series of tests to rule out few diseases. As a neurosurgeon a simple brain MRI wound hurt and would rule out bigger causes. Again start from smaller things and then go big. 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: hi doctor, my platelets was  1.5million, doctors told me it is essential thrombocytosis , started with the medicine hydroxyurea, and my paltelets become 400 thousand  then i got some skin rashes  and doctors advised to stop the hydroxyurea and started anagralayd after fewmonths they stopped it and started imatinib i took it arround six months there is no improvement then they shifted the medicine to dasatinib150mg daily still my paltelets are 780thousand i done BCR- ABL 3 times It is negative,but the doctors here they are saying i am a cml patient, now they are going to shift the medicine agin to nilotinib. i need your advise in this matter. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have some chronic myeloproliferative disease.  You should go for bone marrow examination with flow cytometry to search the exact cause. Whether you have essential thrombocytopenia, CML or some other disease. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a biopsy on my wrist which turned out to be fatty tissue---is the swelling going to go down or will it get bigger & should I have it removed.  I have been eating almost 10 clementimes a day could this have done this to my wrist from eating to many?   Thank you ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have biopsy of wrist swelling, and it suggests fatty tissue only so most probably it should be lipoma. No need to worry much about that. If it increases in size or if it becomes painful then It can be excised. Otherwise, no treatment is required. Just be relaxed. And it has nothing to do with your diet. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got kicked by a horse on Sunday. I have a huge long bruise taking up the majority of the outside of my femur and on the side of my knee. On my knee I have a large lump and very dark colored bruise except in the middle is white. And it s super tender. What is this? ### REPLY: Hello, As I can understand from the history, I feel this is a blood clot happened due to muscle injury over the thigh. Since you mention the knee I will recommend you to get it examined and also an MRI on a safety basis as sometimes the inflammation in the tissues get septic and needs proper medical attention. For now, you can do quick icing to reduce pain and inflammation. Any ignored injury leads to problems in the latter stages of life. 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: I have pericoronitis but three days in my face is still swelling and theres been no improvement in pain. I cant swallow properly or open my mouth properly. How long do I wait b fire going back to the dentist/ doctor? Im in agony and my face is huge ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint Peritonitis is inflammation gum flap around wisdom tooth and can lead to severe pain, restricted mouth opening and swelling. As it is just 3 days you need to take the medication for at least a week. But in case if you are not taking any medications like antibiotics and painkillers then you need to consult a dentist and get evaluated and get an x-ray done. Along with medication you will be advised to do cool compresses over the swelling, take soft meals and do warm saline gargle. Avoid food accumulation in that area... In case of no importance or recurring episodes' extraction of the wisdom tooth is advisable. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiI am  working as a software engineer. I am basically too cool and wont get angry on any one. But some cases I am getting angry on my close friends for silly reasons and hurting them. Later I am realizing again. But after few days I am getting angry and changing my opinion on them . My mind is continuously changing my decisions. How can I get rid of it. Please help me. ### REPLY: Hello....... Thanks for your query. Difficulty in control of anger is a common issue that significantly hampers our life. I would suggest that you meet a clinical psychologist to learn anger management exercises like counting of numbers, breathing techniques etc. Yoga, meditation and breathing relaxation exercises might also benefit you.  If the above measures fail, you would require a psychiatric evaluation to rule out depression and personality issues. Wish you good health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Spent the day monitoring my BP because of palpitations and slight chest discomfort. Not sure but my icd may have paced me a couple times. BP has been 128/92 puls in the 70s. Background: I am a cardio patient, 2002 quad bypass, followed by 3 of 4 grafts being stinted 3 years later. Should I use nitro when experiencing the palputations? ### REPLY: Thanks for your question on . I can understand your concern. No, don't take nitro tablet without consulting your doctor because this can be life-threatening as nitro tablet can cause hypotension. In my opinion, you should consult your cardiologist and get done fresh ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). These will tell you if your pacemaker is not working properly. It will also tell you if any arrhythmia (rhythm disturbances in heart) is present or not. So, better to first diagnose yourself and then start appropriate treatment, don't take nitro tablet. 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, may I answer your health queries right now ?  Please type your query here... I am increasingly experiencing palpitations in my chest, regular occasional sharp pain in neck and aches in left chest. Family history dad triple heart bypass at53. Grandfather stroke at 47. I smoke. Since I was 17. I am 36 hrs. My doc keeps saying it stress. Is it? ### REPLY: Your question cannot be answered completely without more information. However, at 36, as long as you have no major risk like diabetes, smoking or cocaine use, the chance of heart as a source of symptoms is low. Your family history does count and low is not zero. I will usually review symptoms of reflux (burning, sometimes meal related, often lasting longer than 30 minutes or occurring at rest) and musculoskeletal pain (positional and localized with a finger) and recommend a trial of over the counter heartburn aid. If the symptoms fail to improve. You may find reassurance in a calcium scan. If your calcium score is very low, you can be reassured. If it is high, you and your doctor can use the information to decide how to ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 20 year old guy, I have back and chest pain. It is all on the upper right side of my back and chest. I feel most of the pain from the middle towards the right side of my body. Ive had  the pain for quite a while and I have taken pain relievers and doesnt help. What could be wrong? Should i contact a Doctor for this? ### REPLY: Back pain and chest pain can be caused by either muscle strain or bone problem.  Some time chest infection also causes it.  Are you also having cough, fever, pain at rest than cause is infection.  If pain is on movement than it is because of muscle weakness.  I would recommend you to get a chest x-ray.  This will give us better idea.  If pain is on movement, start taking analgesic and muscle relaxant.  Also, physiotherapy will help you.  Local application of gel like diclofenac can also work. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my daughter is 10 yrs old and has complained for months of stomachache. She always has stomach pain from stress. It comes and goes. She is otherwise very healthy and athletic. This month first two weeks had stress relate pain from sports tryouts. When that was done it seemed to get better. Now this week every day is complaining of stomach pain, especially at night. Last evening she complained of shooting pains that made her wince. I massaged her belly and found a hard mass very tender when touched. About 3 above navel, and about 2 diameter. Does not protrude past flat belly wall ( fairly deep). I have booked her with family dr tomorrow. She can eat and go to the bathroom ok, no fever, just constant ache and sometimes shooting pain. What could it be? ### REPLY: It is advisable to get an ultrasound whole abdomen done on her to ascertain the origin of the mass. Since you mentioned it is very tender, it could be inflammatory, but then the child has no fever. At her age conditions like imperf orate hymen could cause a painful mass, without fever as monarch could have set in. This can be treated with simple surgery. If the origin of the mass is elsewhere, more advanced investigations like CT scan may be required and may require more aggressive treatment. It would help to keep us posted on her investigation findings for further help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 11 month old son is having loose stools since today morning. Also he is not eating his ood as he does normally. I have not given any medicine yet..should i check with a doctor and get it tested? Or is it just indigestion and wait to see if it subsides? ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 injured my left wrist at the ulna joint on MOnday. It is in constant pain at the palmar side of the ulna joint. It basically hurts constantly regardless if I am sleeping or eating or daily activities. It hurts on all movements but especially on wrist rotation and especially on flexion (thumb towards forearm). Ice and Aleve have been unsuccessful. I have not had any xrays taken. Very minor swellling if any. ### REPLY: Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with x-ray. As you have injured your left wrist joint which pains at the ulnar side and certain movements give you pain, Taking an x-ray will be good to see if any hairline fracture or dislocation of the carpal bones is there. Post which with resting the joint in a wrist brace will help stabilize the joint and healing will occur. Later stages undergoing physical therapy if the muscles are weak will be of choice. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.. had a nova t380 fitted 2 months ago, i started my period 12days ago and theres no sign of it slowing down. i am anemic taking 3 iron tablets a day. because i have been bleeding with the pill, injection and i had a nova in 4 2months b4 this 1 and was bleeding, got sent  4 a scan and it was in the wrong place! is all this bleeding normal? ### REPLY: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 yr old daughter is fully potty trained, stays dry at night, but, after awhile of peeing and having a bowelmovement for the day, she gets a diaper rash between her butts cheeks and its very dry on her butt cheeks..what do you think the problem is? ### REPLY: Hi Welcome to  I admire your training and concern towards the baby. There are possibilities of rashes either due to rubbing of skin, sweat, burning in stool or fungal infection. However, to my patients I suggest keeping the skin moisturize with lanolin and coconut oil very effective to heal. If itching is there i ll go with the treatment for fungal infection.  Check out your pediatrician treatment .hope for the best.  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 a 24 year old male. I had my gall bladder removed 5 years ago and I have acid reflux and Celiacs disease. My stomach has been swelling for the past week with pain and nausea and extreme fatigue. Two days ago my urine started turning pinkish red. Today I my feces is pale with blood. ### REPLY: Hello, thank you for posting your query in . I understand your concern.  The symptoms you display are consistent with liver disease.  As the gall bladder is already removed there are chances of developing liver diseases. I would suggest you to consult your gastroenterologist. He or she will be able to carry out further tests and clinical examinations before arriving at a diagnosis. Hope I have answered your question. If you have any further questions I will be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter developed dengue fever in Nicaragua about 2 weeks ago. She no longer has a fever, nor aches in her muscles and bones. She feels she is getting stronger but she is still very dizzy and has been for about 6 days. She mostly lies down because she says she cannot stand or sit for very long. She cannot focus either so she cannot read or even watch television. Any clues? My daughter is 25 years old, app. 5ft 10.5" and weighs right now about 120 lbs. She has otherwise always been healthy. ### REPLY: Hello. Welcome to . This is .  I will be giving my input to your question.First I want to appreciate that you have observed these symptoms and brought to our notice. I want to make you aware about following things which actually answer your query.1) Dengue fever causes far more morbidity than what we thought earlier.2) Recent years studies have shown that many patients show sign and symptoms of neurological disturbances after recovering from dengue. Cause is still not confirmed.3) some patients also develop fatigue syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I am a 44yr old female, I weigh 250ilbs and am 5 3 in height. Over the past couple of days I have noticed that when I am sitting at my kitchen table for any length of time my feet and ankles begin to swell. I do not have any other pressing medical issues. Have had an elevated blood pressure the last time I was checked last year but Dr. was not overly concerned. I have also had a 5 to 10lb weight gain in the last 2 months. What may be cause of swelling and should I be concerned? ### REPLY: Hi, Thanks for contacting . In cases like yours, most likely the cause is some deficiency in the veins of the lower legs. If the veins are not able to pump the blood back up towards the heart as before, backlog and subsequently, swelling can occur. This tends to be worse with the feet down, as gravity adds even more work for the veins. This is very common in people, and usually the course of action is some type of compression stocking (if the blood bringing the blood down to the legs, arteries, are working properly). I hope this helped answer your question, if you have any others I am here to help. 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 braces on my teeth to extrude them. i recently had a lapse in my insurance and now i cant have the proposed extractions done. (the extrusion was a prep for the extractions) i still have the braces, is it too late to have the braces reconfigured so that i keep my teeth and just have them straightened. i ve been udergoing the extrusion process for approximately 1 year now. (i m shopping for insurance as i am back working again) ### REPLY: Thanks for using . Read your query. Orthodontic extrusion is a process which has to be monitored regularly to avoid over extrusion and consequently there can be relapse of the orthodontic treatment. Since you have mentioned that there is large gap between your checkup, and you are still having the braces, I would advise you to consult your orthodontist at the earlier to continue with the next plan of treatment. Once started, I would recommend you to have it done continuously. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im a 26 year old Female and for the past week now i have been having a lot of upper and lower abdominal pains in my stomach. My upper and lower stomach is sore, has sharp pains, and feels like I have been punched in the stomach. I am also feeling very very gassy burping more often and farting as well. Ive never had these issues therefore I dont know what to do. The other night i had so much pain I couldnt sleep. Only after taking alka seltzer I got sleep for a few hrs then had to take some more alka seltzer. I went to the doctors and she didnt seem to think there was nothing wrong and told me to wait another week! This pain is not going away and I am very worried. What over the counter drugs should i take? should i wait another week before going bsck to my doctor? I really needyour help. Thank you so much! ### REPLY: HI. In such a case you should take another opinion of another Doctor as you have pain and all other symptoms. I would suggest you the following. I would advise all such patients the following:Routine blood (CBC, blood sugar, Creatinine), urine and stool tests. Ultrasonography of the abdomen. I trial with a course of an antibiotic, metronidazole for 5 days. Activated charcoal tablets, Prebiotics and probiotics, multivitamins. Avoid foods and beverages (like Coca-Cola and soda), which you must have observed by this time that cause more gas problem. Eat less, walk around after food, sleep early, get up early, moderate exercises. Avoid stress and anxiety at any cost. This is in your hands to decide. If you have gall bladder stones, you will need to get operated to remove the gall bladder. Once the diagnosis has been made, you can certainly get a targeted treatment to get a cure. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a pain in my head that reaches from behind my ear to my forehead and behind my left eye. A few days ago it started on the right side of my head but has switched to left. I had pneumonia last year which resulted in blood clots on my lung. I had warfarin for 3 months but came off the course because I felt worse. What could be causing the pain? ### REPLY: Thanks for your question on . I can understand your concern. Since you had pulmonary embolism (PE) (blood clots in the lungs) and not taken full treatment, we should rule out transient embolic in your brain for such migratory headache. So better to get done MR Angiography of brain vessels. If this is normal then no need to worry about embolism. Sometimes, migraine can also cause similar kind of migratory headache. So avoid stress and tension, be relaxed and calm. Avoid excessive sun exposure.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , I just had an injury while playing football when one of my buddies kicked on area above the shin on tuesday. Now the pain has reduced but my ankle started swelling . Kindly let me know whether should i be concerned as am appling pain balms and applying heat therapy. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have swelling in ankle. Well there can be many reasons for symptoms you mention in query like peripheral neuropathy, hypertension, gout, kidney disease, DVT or venous insufficiency. But in your case the symptoms are probably due to fracture, hematoma or soft tissue injury. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan or x-ray along with blood test and urine test. Doctor may give plaster , recommend physical therapy, . For now keep your legs in hot water tub with Epsom salt for 15 minutes daily and keep your legs elevated while lying down. Doctor may also prescribe allopurinol. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 83, and is diabetic. Recently he developed blisters on his shins. He stopped taking his water pills and when blisters appeared he resumed water pills again. These blisters have broken and I am using antibiotic cream and keeping them clean, but they are slow to heal. Should I seek medical treatment? ### REPLY: Hello have gone through your question and understood your concern. The blisters on your fathers shin can be a symptom of water retention (also known as fluid retention or edema) with the appearance of chronic diabetic skin blisters. In diabetics, the blisters occur on the outside surface of the body and cause raised areas filled with liquid. For this reason it is very, very important to take regularly the water pills. If the blisters broke, like in your fathers case, it is very important to keep the clean, apply an antibiotic, cover the wound, change the . Diabetics are more prone to infections and the wounds are slow to heal.-In my opinion you should seek medical attention and treatment for your father because the blisters can produce dangerous compilation like staphylococcal infection(that sometimes leads to amputation), bone infection near blister sites if blisters are recurring and ulceration of blisters, if not treated adequately. Hope this is helpful. If you have other questions, feel free and ask. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Recently had my front tooth removed (root included) and currently have a tooth denture waiting for it to heal in preparation for implant. However, with my tongue I have squeezed out some pus and it really stinks...I am rinsing with warm salt water and am brushing flossing regularly...also have been continually taking nurofen gel caps for the pain & swelling...should I be worried about the stinky pus?? I m endeavouring to go to after hours doctor asap coz I just want this to all go smoothly for the coming implant...thoughts?? ### REPLY: Hello there....It's been how long you have your front teeth extracted???? Presence of pus is indicative of infection... What was the reason for your teeth removal? Inspire of antibiotic coverage, if pus discharge still persists, culture sensitive test needs to be performed ... It is evident that microorganisms are resistant to the antibiotics used and change of antibiotic is mandatory... if sterilization procedures are not well maintained that would also lead to infection... Usage of denture is not ideal before implant placement...use it only when you go out in public...continuous usage of denture is not indicated as it would pre-dispose to bone loss... for implant success you need to have enough bone.... In your present condition I would advise you to wait for at least 3-4 months before the implant placement... Get yourself examined clinically for further management... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fainted two days ago in the middle of the night in a hotel all by myself ,  I hurt my self badly, big cut in my forehead as well as several incisions in the back of my head. I was completely out for about 2 to 3 hours until I finally came back. This is not the first time I faint, but it is the first I really hurt myself plus I was alone. I was diagnosed in mexico city in a hospital by a neurosergeon as having had  a "Sincope Neurocardiogenico" do not know how to translate that into english. How serious is this? Can this be cured or at least controlled? I travel a lot by myself for working reasons, I am 53, and I need to travel, needless to say I am very scared this may happen again!! ### REPLY: Welcome to . Syncope is a transient loss of consciousness(LOC) for a few minutes, loss of consciousness for 2-3 hours does not appear to be due to syncope. It would be prudent to rule out any cardiac arrhythmias by getting a 24 hour Holder testing(Mobile ECG) to rule out any bradyarrhythmias or abnormalities of rhythm and rate. A EEG, other causes of LOC need to be looked for, this includes seizures, TIA and other cause. Syncope needs to be checked for causes of orthostatic hypotension like . Other causes of syncope like micturition /sneezing /neurogenic/vasovagal or carotid sinus syncope needs to be looked for. It would help to get a thorough neurological, cardiac and medical check up done to establish Theo cause of such symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 14 year old son has a lump on his chin bone a couple of cms. from the very front of his chin.  Its about the size of a large pea, and it seems to be attached to the bone (it doesnt move).  It doesnt hurt, even when touched.  He is otherwise in good health, though he is suffering from acne.  Any guidance you can provide is appreciated. ### REPLY: Hi! Thanks for your post on ! After going through your sons' problem of the large pea sized painless chin lump which is attached to the bone, I would like to suggest following possibilities as per our experience of the needle biopsies in our clinic:1. A benign cystic lesion possibility 60% 2. Benign soft tissue tumor or tumor-like condition possibility 30%3. Tumors of minor salivary gland possibility 5%4. Harmless enlarged lymph node possibility 5%Therefore, you should not worry about this, but please see your family physician for a detailed examination, confirmation and to relieve your concern!regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc , im an alcoholic who has been clean for few weeks..since den have been gettin shootin pain in the heart..went for angio all was fine den started getin shootin pain in the ribs all of a sudden and now have a fracture in the rib. do you think its a neuro problem and i need to see a neurologist ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* The chest pain is predictable after quitting alcohol as part of stress or anxiety associated, but fracture in the rib is not in relation with that .* Need definite evaluation with detailed history, co relation of the clinical parameters with other symptoms.* It does not sound euro problem, primary consultation with chest physician is vital to decide further line of action. Thanks. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suffer from dizziness and loss of balance every time I bend over or squat. The dizziness occurs when I stand up. In the morning, getting out of bed causes the same thing. I took my blood pressure when I first wake up. It is normal. I exercise my hands, arms and legs before I get up. My BP stays normal. But when I stand, it goes down and my heart accelerates and I get very dizzy. What kind of doctor do I need? ### REPLY: I read your question carefully, and I understand your concern. The way you describe your symptoms it seems like a case of orthostatic hypotension (excessive fall in blood pressure when you change to an upright position). If it was a case of separate rare episodes it might be normal but since you describe the episodes as happening every time the cause must be looked into. The possible causes could be many. If you are taking certain . Otherwise, a complete blood count and routine biochemical tests would be the first step in my opinion (to rule out diabetes, electrolyte changes, anemia etc.). Regarding the specialist since the possible causes are many, belonging to different specialties being checked by a general practitioner or an internist would be wise. If I had to pick a more specific specialty than since cardiovascular causes are the most frequent ones I would say a cardiologist. Hope to have been of some help. Feel free to ask further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend has been donating plasma for a while now. Last week they told him his gamma levels were low. What could this mean? He is often tired, dizzy, when he sneezes his arms go numb, and he has a really bad red scaley rash all over his body. His eyes are also yellow and bloodshot. ### REPLY: Hithis can be due to recurrent donations with variations in the liver functions. Since plasma is very essential part of the human blood, the donor also should have an equilibrium his own body, rashes can be due to imbalance of platelets or coagulation factors. Please advise him for regular liver function test, with check on bilirubin, albumin, haemoglobin, eosinophil count, white blood count, peripheral smear, & coagulation profile, viral hepatitis profile(A, B,BC)I would suggest you to take him to the gastroenterologist and haematologistAll the best for him. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Ramk,mhna, I am 35 year old male had pain in lower abdomen. I was asked to take CT scan and CT scan shows I have mescentrc panniculties. I would like to understand about this condition and treatment for the same. i am in chennai in tamilnadu. ### REPLY: Hi. Thanks for your query. Mesenteric panniculitis is a rare condition. In this condition there is a fibrosis affects the fatty tissue of the mesentery, that is the membrane by which the small intestine and colon are suspended in the abdomen and gives passage for blood and lymphatic vessels. The specific cause of the disease is not known. The diagnosis is suggested by CT Scan and is usually confirmed by surgical biopsies. Treatment is empirical and based on a few selected .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently when I stand up I sometimes experience lightheadedness and muffled hearing, also sometimes when lying on my tummy and lifting my head up (this one I have had on and off for years) I am 40 not overweight with normal blood pressure. I have also had a pain in my left side around the bottom of the ribcage front and back for a couple of weeks. Defo not kidneys, I can make it worse by bending my head towards my chest. I feel fine when being very active - just spent the weekend running around with v energetic nieces at adventure playground. Any ideas?! ### REPLY: Hi thanks for using . Your history suggest that you may have postural hypotension. Get checked for BP at lying and then standing for 30 s to 1 min from lying position. The pain at left side and back may be due to musculoskeletal pain. Take Tab Diclofenac with Muscle relaxant(Chlorzoxazone) combination three times a day for 2 days. This will relive your pain. If not cured consult a doctor and take one X-ray chest PA view to look for any problem in lungs. Hope I answered your question. Wish you good health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor my wife is pregnant her date s on 27th october 2010 but the doctors are saying that the water level s @ 8 on 21st of oct and it may reduce to 6 n couple of days which will complicate the normal delivery process and lead to operation. could you kindly advice me for the same??? ### REPLY: HI, Thank you. For the query.  I have read your query & understand your concern.  When there is low level of amniotic fluid. Doctors usually keep on monitoring it & take decision as per need. So you need not be tense. Just be relaxed/ take nourishing diet/ take plenty of fluids / take rest / think positive/ do not miss doctor's appointment & have faith in your doctor. That he will always act for betterment of you & your child !  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: 25 year old Female who smoked for two years, i quit about a week and a half ago. I have mild asthma but smoking never bothered it. Now I have wheezing and shortness of breath but havent had a cigarette since I quit. I never had these symptoms while smoking. whats causing this? ### REPLY: Thanks for your question on . I can understand your concern. You are mostly having acute e of asthma. And most common cause for this is viral infection. Smokers tend to have weak lung defense. So they are prone for respiratory tract infection. You have smoked for 2 years, so your lung defense must be weak. You are also having asthma. So worsening of asthma is likely in your case. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT will tell you about severity of the disease. And treatment of asthma is based on severity only. You may need antibiotics, antihistamines, anti-inflammatory, inhaled bronchodilators and inhaled corticosteroid (ICS). Don't start smoking again. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a tramatic  brain injury in 2011. im so confused all the time. i forget things even right after or even during what ever im doing. i also seem to regress and talk like and act like a child and im not sure why it happens. i will know what an object is but cant seem to get it out it comes out wrong. i forget where i am. my question is dimentia runs in my family along with heart disease and cancer. how do i know which thing it is. ### REPLY: Hello thanks for asking from ChatDoctorIt is common to develop cognitive impairment after trauma to head and level of impairment depends upon severity of trauma. You have developed symptoms immediately after trauma and there is history of dementia and cardiac problems in your family, this increases the risk of cognitive impairment. This is also called as Post Traumatic Dementia. I would advise you to visit a psychiatrist for management of dementia. Cognitive enhancer .  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: I had a tooth next to my bottom wisdom right side pulled. the first 10-12 days I felt great, then came the pain. I went back 3 times for antibiotics. My jaw, head, eye, ear teeth, and lip hurt on right side. My lip and chin numb the last 2 weeks. Comes and goes. Right side bottom lip hurts/burns. Pain level 9-10 most the afternoon into evening. ### REPLY: thanks for your query, I have gone through your query. The pain in the jaw, head and eye after extraction could be because of any sharp bony margin which was not smoothened after removing the tooth. The numbness could be because of the injury to the inferior alveolar nerve while removing the tooth, even this can result in numbness, pain in other areas. Consult an oral physician and get it evaluated. If the is a sharp bony margin get it smoothened under local anesthesia. If there is nerve injury, then take nerve regenerating .  The numbness might be there for days to week. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Dad has a lump about 3inch in diameter growing next to and now into his belly button.He is currently in a lot of pain and is on flucloxaclillin to reduce a lot of swelling and possible infection before they can take a proper look.His only other symptom apart from the pain is headaches.What could it be? ### REPLY: HI. There is a possibility of missing the umbilical hernia being missed. Get an urgent ultrasound done to see the contents of the swelling/ may be a CT scan to confirm. This proper diagnosis will guide for the correct treatment. If there is only an infection, abscess, he will need a surgery to open up the abscess. And a need of higher and combined antibiotics. Please let me know the results of USG. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI. I have my driving test coming up in 2 days time. Now I know I can drive, I have received very positive feedback from my instructor, but this last week, knowing that the test day is closer, my nerves have decided to kick in and now i m making all sorts of silly mistakes during my lessons! I ve tried to stay calm, I tell myself that I m a driver and a good one but my nerves seem to be getting the best of me! I didn t even know I could get this nervous! I just wanted to know that if I took a 10mg propranonol tablet an hour before my test, would it help calm my nerves? And are there any side effects that I need to know about? Maybe it s silly to take medication for a driving test, but I can t seem to control my nerves! ### REPLY: I appreciate your concern and would say that anxiety before appearing in any exam is normal. You can do the following to reduce your anxiety:1. Rehearse the test in your mind, have the vision of doing the test and do deep breathing exercise at the same time, it will reduce the arousal associated with the test.2. When you are in a state of anxiety do deep breathing exercise, take slow and deep breath in through nose and slowly exhale through mouth.3. You can take tab propranolol, and it will reduce the anxiety, only need to be careful if you are asthmatic otherwise you can take it. Reduce caffeine intake.4. Most important, you can .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 friend just fell on back after husband kicked her in chest. Now her cheat hurts, arm is sore but the feeling returned. She was finally able to stand and feels like her hip is out of place and still has numbness in her foot. Should she wait to see chiro tomorrow orGet help tonight.     YYYY@YYYY ### REPLY: Hello, Injury to hip needs to be ruled out by x-ray of the pelvis with both hips anteroposterior and frog-leg views. Please get it done from the radiology center nearby you. Numbness in the foot may be due to injury to hip and swelling. If an x-ray is normal, you need to take rest and analgesics. Do ice packs application at the site of injury. If x-ray report is abnormal, then you need to consult an orthopedic surgeon, nearby your area. 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: My friend got her blood drawn 2 days ago and the phlebotomist must ve stuck her deep and hit a nerve because she felt a shock down her arm to her thumb. It doesn t hurt on it s own but if she touches the injection site she feels the shock? Should she be concerned? Will it go away? ### REPLY: Hi, Cannot say in your particular case AND, local irritation generally subsides. Ice immediately and warm compress after the first day and anti-inflammatories often speeds resolution of inflammation. If a nerve is plain SEVERED/Destroyed, it is the outgrowth of a nerve cell, and it mostly grows back. There can be some disruption and some residual funny feelings even after it grows back. This is more likely the more damage there is like amputation in which there's nothing for it to go back to. In cases where the path to reconnect is there, things do better and generally get back to near normal. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor,Last month a street dog bites my mother, and i had taken 5 doses of  injection . Any food control need to follow. My mother friends are telling to avoid non veg completely for 3 months.Is it necessary?.Please advice.Regards, Mamatha 0000  YYYY@YYYY ### REPLY: Hello, Welcome to , Rabies is a disease which is transmitted by the dog, which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As your mother was bitten by a street dog for which she has taken all the five doses of antirabies vaccine on days 0, 3, 7, 14 and 28. There is no diet restriction in dog bite, you can give her regular diet. If she is alcoholic or smoker they have to avoid that only because it will reduce the immunity. As such there is no diet restriction in dog bite victims. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello ,,,does the  masturbation  make any double vision? i have been doing it since i was 14 years old and i am 22 years old now i feel double vision now and once i have it my eyes hurt me i always do it every 1 week one time only...and what should i do to my eyes? ### REPLY: HelloExcessive indulgence into masturbation may cause various harmful effects on your overall health Double vision might not be related to it, so I would advise you to consult an ophthalmologist for detailed check up for refractory error and ophthalmoscopyYou should take multivitamin and vitamin A supplement after discussing it with your doctor. You should control this habit now 3 to 4 times week is still Other this answers your questionPlease don't not hesitate to ask for further assistance. 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 period has been acting very abnormal lately.A week prior to bleeding I was getting severe lower abdominal cramps and I never cramp unless it is on my first day of my period but they are very bearable. My vagina was also just aching. I didn t start when I was supposed to and now my period is light but the blood coming out is clotty and jelly like and dark black. My tampon wont even absorb it. I was scared I was pregnant when I was late, but now I m not sure if I should be worried about that or not. What is going on? ### REPLY: Hi, In the current scenario, you would need a pelvic examination and a trans-vaginal sonogram to know the exact cause. Pelvic causes like pelvic inflammation and endometriosis should be considered. An urinalysis also should be performed to exclude any associated infection. Endometriosis can also give such a picture of sticky bleeding. Pregnancy is not likely with such symptoms. A pelvic antibiotic and hormonal treatment should alleviate the symptoms. Metonymic acid and dicyclomine can be taken to relieve the pain. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please write your query here Dear Doctor...m a gay guy of 24 years old so iv bin havin a problem wth my anas 4 3 months nw.m nt having sex anymore n Im craving now.im from da doctor last month he said its paals n gave a salf to applay.so I mustubate every night. ### REPLY: Hi, the pain is likely due to the sexual activity. You should avoid anal sex as rightly told by your Doctor. You can indulge in other ways of sexual activity which do not involve penetration which can lead to complications as have been in your case. Masturbation is alright if done once to twice a week. More than that can also lead to problems. All the best and hope you recover soon. 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 esinophils count has gradually been increasing over the last 5 years to a point now where it is at 2.9. I have recently started getting very dry skin that constantly flakes off and have always had eczema. I am 37 yr old male. Is this a sure sign of eosinophilia and what steps shoudl I take? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. There are many causes of high eosinophil count.  Allergy, asthma, parasitic infection, hypersensitivity etc. can lead to high eosinophil count. You have eczema which leads to high eosinophil count.  You can take antihistamines & steroids according to your doctors' advice.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pus smell coming from my mouth and a bad smell with my breath. I have a lump like in my throat which cannot be swollowed down I often get a headache in my left frontal part of my head. I have a crown fitted on my left pre molar and there is a pocket also there which has a pus smell But I have been having this for about 3 ore 4 years ### REPLY: Hithe pus smell is obviously due to pus formation in your gums. This chronic infection has led to localized lymph gland swelling which is feeling like a lump. Headache is also due to inflammation and infection in your gums. The best way to get rid of this problem is to get the proper and immediate treatment .get the dental OPG done .OPG will give the dentist an idea about the bone level around your teeth. Then ask your dentist to .  don't postpone the much-needed treatment. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello , i have severe cough from last 5-6 weeks i goes to many doctors but i d nt have relief frm the cough i hve medical history i had kidney disorder sicne 2009 n had dialysis till the time i dont hve any kind of problem with my kidneys but i have severe cough i want to releif from that plz suggest me the best ...... ### REPLY: Hello! Thank you for the query. If you do suffer from severe kidney disease and hypertension you may be taking ACE inhibitors like Captopril or Enalapril. These medicines do cause severe cough and in such case should be changed to Spartans. Other possible reasons of severe cough are asthma or COPD (especially if you do smoke), tuberculosis, lung tumor or even a mass located below the diaphragm. I suggest you to have chest CT, blow test and abdominal CT. Hope this will help. Regards. ### END