Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: just finished chemo and they said my doctor may want to discuss internal radiation. I am not interested in this at all. Been trying to find out what the step by step procedure is done prior to a treatment. I do not believe in foley cathethers so they would be told from get go NO if they said they do this and also the anal barium will not be allowed either. It is an exit not an entrance. I was told I am cancer free so I don t see the reason for it plus the side effects. I have been through enough as is and will not allow any form of pain,discomfort and the embarrassment of the whole procedure. When I shad my surgery I was told if I refused the catheter they could refuse to do my surgery. I went ahead against my better judgement and I had trouble with my bladder for 3 weeks. Painful.I was told they would only leave it in for2 or 3 hours. It was left in until the next morning, I feel most catheters are left in to make the nurses job easier. This way they don t have to help you get up to go to the bathroom. Never again. I do not need to hear from you as I pay enough medical bills currently and all I wanted was an answer and I will just wait until I go to my doctors again. Should have known it would be too good to be true to get an outside opinion. We over pay as it is . Sorry I wasted my time. ### REPLY: You have not mentioned what cancer you are suffering from, but from what you have written. I presume it is uterine or cervical cancer. Internal radiation is mandatory for these conditions. Therapy is incomplete without ICR, intracavitory radiotherapy. Cathers are required, but these are placed temporarily only. Remember life is more important than anything. Instead of having undue fear of ca tethers, think of other things in life and go ahead with therapy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 eight year old daughter who has a gluten/wheat sensitivity where she is extremely fatigued and her body aches all over the next day after eating wheat or gluten.  SHe has been on the GF diet for about 6 months and has improved considerably.  For the last two months, she has complained of nausea and burping a lot.  Feels worse at night so we propped her pillow up and began giving her prevacid with her claritin every night before bedtime.  She says it is helping but still not right.  She says she also feels nausea after eating watermelon which I find strange.  Should she continue the prevacid or increase her dose?  Does this sound like GERD? ### REPLY: Welcome to the ChatDoctorI completely understand your concerns but don't worry. I would recommend you to go for proper line of investigation to check whether your child is suffering from celiac disease(gluten sensitivity) or not. This includes Tissue transglutaminase antibodies and duodenal biopsy if not done earlier. A gastroenterologist will help you with all this. It's very unlikely to be allergic to watermelon. The problem seems to be more of HERD or peptic ulcer disease. Lower esophageal pH measurement and H pylori test can be done to confirm this. Till then, you need to keep her head end of the bed propped up instead of added pillow and continue with prevail. Hopefully this will help you. For further questions, you may contact me. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a medium to large soft lump near my ankle...I went to the ER, had it xrayd and showed nothing...I followed up with my pcp and he also blew it off but I am deeply concerned...It feels like a cotton ball is under my skin...i doesnt seem to hurt but I have been rubbing it so now it seem to be minor painful...What could this be...help. ### REPLY: Hi. Thanks for your query. Noted the history of a soft cotton ball like lump near your ankle and the X-ray at ER and an opinion of your PCP is negative. I can understand what you mean by. To me this looks to be a case of synovial thickening on the joint and hence missed till now. I would advise you the following:Get an MRI of the area done. Then get an FNAC and an opinion of an Orthopedic Surgeon. This will give you the most proper diagnosis and a chance to get a proper treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey im 4month pregnant and i already have a 7month old. i have been geting bad back and side pains 4 2 days now. i have been gettin some really strong pains and sum times it feels like i need to tense up and push. i ache all around my stomach and when i touch it it feels sore. please could you give me some advice thanks ### REPLY: Hello, and I hope I can help you today. Having some cramping during pregnancy is normal however, but it should not be severe, and certainly it should not be associate with a sensation of the need to push. It is also concerning because you say touching your stomach is uncomfortable. I am concerned that you may be experiencing premature labor, or a threatened miscarriage.  You also may have either a uterine or urinary tract infection. These can be a threat to your health and the babies if they are not treated right away, so I suggest you call your prenatal care provider and make an urgent appointment for evaluation. If you do not have access to a healthcare provider I suggest you go to a hospital emergency room for evaluation. Because of your sensation of needing to push, I do not think it is wise to delay a medical evaluation for more than 24 hours. I am sorry to have to deliver you this information, but I hope you seek appropriate medical care and that everything with you and the baby turn out to be fine. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 year old has two flat red spots on her forehead. She has had them before and they lasted for a few weeks then went away. She has now got the, again and has had them for about 3 weeks. They do not cause her any discomfort but I dont know what they are and why they have come back? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Doctor, i am hope, a 31 yr old female from nigeria. i have pains in my knee traced back to childhood. when ever i try to squat or climb a stairs, i can hear my knees rubbing off each other like friction. am confused cuz its been there all my life. i cant sit or kneel for long hours too. what could be the problem? ### REPLY: Hello, As you have been facing these issues from childhood, you need to get it examined by an orthopedist. You should take up an X-ray or an MRI of the knee, and then we can understand what exactly is happening.  Is there a malt racking of the patella, or the joint space is reduced. The knee rehabilitation team which will include the orthopedist, physiotherapist etc. to help you out.  Post the x-ray or an MRI there will be a possible understanding why the rubbing sound is there. As of now it can be due to either muscle weakness or may be ligament injury.  But as you said it's from childhood we need to figure out on clinical basis post examining the knee if there is ligament laxity.  Once we check it out we can help you better. In case you have a detailed history of you please do feel free to contact me. Hope I have answered your query. Let me know if I can assist you further. Take care 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: my brother failed his medical exam due to elevated sgot and sgpt both liver enzymes are more than 300. Iltrasound of gall bladder is done and revealed normal finding. He recently suffered from flu and treated with antibiotic and flu medicines. He is also drinking alcohol. What do you recommend? ### REPLY: Hellenes, increased SGPT may be due to medicines and alcohol intake. He may need few more investigations like routine hologram, random blood sugar, lipid profile. I suggest tablet ursodeoxycholic acid 300 mg twice daily to my patient for three months. It helps in regeneration of liver cells. He should avoid alcohol completely. Your brother may need to follow up SGPT after three months. Get well 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: pain in right side upper quadrant, just @ rib cage,feels like there is pressure there, onset pain started last week, on a 1-10 scale pain @ 3/4 just bad enough to take motrin several times a day, may have been onset from sneezing attack, bothers me more when sitting than standing , i do have dr appt tomorrow. breathing is somewhat difficult on r/s, no other issues, no pain anywhere else, all other body functions ok, please advise, i know you can not positvely diagnois over internet but opinion would be great ### REPLY: Hellowelcome to ChatDoctorthere can be following possible reasons for your pain on right side of chest(1) PLEURISY i.e. inflammation of the outer covering of lungs(2) PNEUMONITIS i.e. infection of the lung tissue(3) COSTCO . E inflammation of cartilages of rib cage(4) MUSCULOSKELETAL due to strain/sprain of the muscles of the rib cage however precise diagnosis can be made by physical examination and from getting a X-ray OF CHEST which I'm sure your treating physician will do before prescribing you the appropriate treatment regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My blood pressure is 78/48. I have been diagnosed with a sinus infection. The PA who diagnosed me said not to worry about the BP if I dont faint when I stand up. My wife talked to coworkers and she is now worried that its too low. What do you think? ### REPLY: Hello, thanks for posting a question on our site. I understand your wives concern towards your health. Low blood pressure without symptoms like dizziness, lightheadedness or fainting. We do not consider harmful, therefore do not treat. If you should begin to develop symptoms, please reach out to your physician for physical evaluation to see if there is an underlying cause of your low blood pressure. Stay healthy. Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on Topomax for about 1 year. In July my hair started falling out. In August my Neurologist reduced my dosage from 50mg to 25mg. After two months my hair was still falling out, somewhat less. I stopped taking Topomax six days ago. I have had a headache for the past four days. Is this a normal adjustment? Can I resume taking 25 mgTopomax today? Im not able to contact my Neurologist. Thank you ### REPLY: Hi, You may continue tokomak. The hair fall is halogen effluvium. There may be so many other causes like vitamin deficiencies, mineral deficiencies, anemia, stress,anxiety, thyroid dysfunction or any other internal disease. Consult the Dermatologist for the perfect diagnosis. You may take biotin containing tablets, iron preparation, multivitamin cap, vitamin E ...etc. for long time. And avoid stress and anxiety. Take care of scalp hygiene. Do meditation, yoga and exercise. Take healthy and nutritious food. Hope this helps. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 64 yrs old, 5foot 4inches and weigh 9 stone 4lb and i am female. I have been suffering with anxiety for about 5 weeks and this has caused high blood pressure and a high heart rate. Yesterday I started propranolol 10 mg 2 daily. I have been feeling a bit sick and a bit light headed is this normal. I am not very good at taking tablets and I must admit that these ones frighten me a bit as it seems as though they are difficult to come off. My heart rate has come down from 108 to 80 but the blood pressure seems high still. ### REPLY: Hi, Propranolol has heart rate lowering action and BP lowering effect is weak, so you need to have some more BP lowering medicine like Telmisartan or Amlodipine. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. 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 5 year old was given amoxicillin last Friday (Jan 10th) due to an ear infection. She has had amoxicillin many times before. Yesterday afternoon she started complaining of a tummy ache and slept all day which is very unlike her. This morning she awoke with 102.7 temp and is complaining that her legs hurt. She has also complained of her throat being sore. She is still taking the amoxicillin and I have her ibuprofen for her temp. Is this the flu? ### REPLY: after going through the history of your baby, it is most likely to be viral throat infection i.e. flu. Her tummy ache is mostly due to amoxicillin. Sometime this antibiotic gives stomach upset.  Her leg pain is mostly due to flu known as myalgic.  I will suggest continuing amoxicillin for total five days. Give paracetamol or ibuprofen for fever... dosage according to her weight. HY .  Salt water gargles will also 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: Hello,         we are using to 2 novelon birth controls pills, it will act like I pill, we are rugulary using condom, later we found it was scratched and now 36 hours later we consult doctor, she suggest use 2 novelon birth control tables and after 12 hour take another 2 number tables, does it really prevent from pregnancy, my cycle start exactly 31st dec 2013 , i dont have any problem in my cycle till date.. Please suggest, can i get the pregnancy or else can use these tablets ### REPLY: Hello, Thanks for trusting us with your health concern. I have gone through your query and would like to offer some suggestions. Ovulation occurs two weeks prior to the onset of the next period and this is the fertile phase when an unprotected intercourse can cause conception. If you had the intercourse before or after this phase, you are safe and do not need emergency contraceptive medication. Also, if you take proper course of emergency contraceptive pill within the stipulated interval, you are protected. In the future, please opt for regular contraception. 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: Yes I have 5 stitches on top of my right foot just below the 2 small toes from a deep cut caused by my bicycle handlebars it is numb and my toes are bruised and my foot is still swollen since it happened on the 24th of June 2014 I m supposed to get the stitches out tomorrow is it too early to have them removed ### REPLY: If there is swelling and bruises at local area where stitches are kept. As well if stitches are healed then you can go for removal. But if it is not healed and there is a fluid discharge from local area then it shows there is an infection over there.  I suggest visiting your doctor and get evaluated properly make sure there is no infection and then go for removal of stitches otherwise more than the removal the first thing you need to do is start having anti bionics if there is infection over there. And wait for stitches removal(till the time it gets . You can also use hot and cold pack at painful, swollen local area but make sure the water should not touch the local area where it is paining or stitches are there for some more relief. Here without physical examination it is difficult to guide you in detail, so I have given you simple guideline. I am sure this will be useful for you. Do visit your doctor let him check and take decision. 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 about two weeks ago I got a real little cut from a very rusty dirty piece of metal on a tractor and less than a week later My left side of my jaw has become very painful and the left side of my throat muscles hurt to swallow and its been this way for about a week and a half now. I have trouble closing my jaw all the way because the front teeth almost touch on top of eachother rather than having an over bite and the back teeth barely touch. At first i was wondering if it was my allergies but Ive tried multiple different kinds of allergy medications and nothing is helping it seems to only be getting worse, I was wondering what This could be. Thank you! ### REPLY: Hello and THX for your query have you have taken the tetanus toxic within 24 hrs. Signs and symptoms of tetanus may appear anytime from a few days to several weeks after tetanus bacteria enter your body through a wound. The average incubation period is seven to eight days. You can take tetanus immune globulin. Wash the wound properly with an antiseptic . Cleaning the wound is essential to prevent the growth of tetanus spores. You can take a course of antibiotic and with that an anti-inflammatory painkiller. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had extreem right upper quadrant for 3 months now. All my blood, urine, Ct scans are normal. I have no gallbladder and my appendix is normal. The pain is intollerable most of the time. No one seems to know what to do. I do not drink alcohol as well. I have had a couple Biomeridian tests that show my kidney and liver are not functioning correclty..the pain is still strong. ### REPLY: Hello, thanks for the query to . Pain right qua . Right side is the part in the body where liver lies. Once again get in blood examination for liver function test (serum bilirubin direct, indirect, total, GOT, SEPT, Amylase, enzyme functions). Please get in Ultra Sound whole abdomen with emphasis over LIVER & KIDNEYS (BOTH). Sometimes when an abscess is there in the liver that too in first phase it is very difficult to visualize this into U/S. Only physical examination by a doctor will confirm, and also physical examination will reveal any pathology in LIVER. Good luck for speedy recovery.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have found an alongated u shape lump in my right breast. I noticed it close to the surface around the nipple and followed its U shape from one side of my breast to the other side and at one end of it a hard lump. Is this something I should be concerned about? ### REPLY: HI. You should be concerned for two reasons. Any limp in the breast has to be investigated as to what is the reason. I would suggest you to go for *Clinical examination by a Surgeon.*Ultrasonography and Mammography*FNAC= fine needle aspiration cytology.* Biopsy if the report of the above is suspicious.IF you follow this protocol, You will be happy to get a firm diagnosis. Proper diagnosis leads to a proper treatment and understanding whether the disease is a malignant or non-malignant. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was having hyperthyroidism sometime March this year, after a few months medication on carbimazole 5mg prescribed by my doctor, since my last blood test result in Oct, 2011, my condition has gone back to normal, the TSH, T4, T3 all gone back to normal range, but advised by my doctor to continue with 1 tablets of carbimazole daily till Jan 2012, thereafter to do another blood test... On the other hand I have been having stiff neck with pain though not really severe by irritates me & I can t concentrate properly in my daily jobs, get agitated easily at times... to overcome my stiff neck problem, my husband advised me to consume omega 3 fish oil for inflamation to ease pain), Vitamins B1, B6 B12 for nerve function, after consuming these for about 2 mths I felt better, but still at times recurred , wonder it is wise to consume ginkgo billoba and L-Arginine which will also helps in blood circulation and arginine to helps produce nitrate oxide for the flxibility of blood vessels....and since as informed I am currently still taking carbimazole (for thyroid) can I consume all the above ? Pls advise ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to muscle spasms in the neck. I suggest using a muscle relaxant such as Baclofen three times a day. I suggest using warm compresses for local application. Furthermore, I also recommend taking a magnesium supplement along with the supplements that you have already taken. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr may i please ask you the blood tests done on my dad have just revealed +++ on the leococyte esterase and +++ on squamous epithelium and + on the blood all from the urine test done on him. the leoccocytes count was 256 / ul and the erythrocytes is 25/ul is this of concern should i tak him to the doctor this was done only for a medical aid report to put them onto a medical aid.  Regards Kerri ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has some urinary tract infection.  So he should take antibiotics like norfloxacin or levofloxacin.  .  It is prescription based medicine so 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: Four weeks after a fall against a hard object which caused severe bruising and severe pain of the left leg thigh and calf, severe pain continues in the back part of the leg down to the ankle. I have been treated at a rehab facility 5 times but the next day I still get severe pain in parts of my lower leg. I take a Hydrocodon-Acetaminophen for the pain. Is there anything else I can do to help stop the pain? ### REPLY: Dear, pain is one phenomenon of body that has a very strong psychological reaction, and this is where mental strength in feeling pain depends, so be strong and do not be always be in pain consciousness, rather be active and involve yourself in family and friends. As far as medication is concerned, let me tell you that you can try Tab Tramadol 100 mg two times in a day, but if you can be without .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: therwa aomething that i wonder. im woried i had sex without protecting my self.i took the after pill i had sex more than ones on thursday around 11:00pm and on friday i took the pill at nite it had to be taken before 73 hours and the secondone after12 hpurs and i took it but now imwondering and woried if i kuld be pregnet kam u pliz help me i need to stop worring about it ### REPLY: Hi, If you have taken the pill within the stipulated time, a single treatment would be enough to cover all episodes, and you are amply protected. Also, please remember, if you had intercourse during the safe period, you are naturally protected. You may see a breakthrough bleed a couple of days later, and you can also expect your next normal period to get delayed by a day or two as the pill contains excess hormone enough to disrupt the normal hormonal milieu. Please get expert help if you do not see your natural period even after ten days after it is due. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing a buzzing/humming sound in my left ear for the last 6 days. I saw an ENT and he felt it was due to middle ear pressure and recommended saline nasal spray and Allegra. My hearing test and ear pressure were normal and except for a small amount of wax in the ear it was otherwise normal. I have not noticed any improvement since starting the recommended medications. Just as a note I was earlier diagnosed with TMJ by my dentist and begun using a fabricated mouth guard. I also has soreness in the muscles be.ow the left side of my jaw. What do believe I need to do at this point? I thank you in advance for your response. ### REPLY: Thanks for your query. I have gone through your query. The sound near the ear can be because of the disc displacement in the temporomandibular joint. Nothing to be panic, consult an oral physician and get it evaluated. You need to get an MRI done to confirm the diagnosis. You can continue to use the splints. For the soreness over the muscles, you can take an analgesic like ibuprofen with a muscle relaxant like chlorzoxazone(if you are not allergic). For the disc displacement of TMJ, you can take proximal. You can also give hot fomentation over the joints. Take soft diet. I hope I have answered your query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Slipped on ice and came straight down on my tailbone hard.  Took a few minutes before I could get up and when I did I was dizzy and starting to black out.  Made it in my house but then fell on hard wood floor and and hit my head on the wall.  Had headache, ringing in my ears, felt nauseous and sweating. Layed on floor till ringing stopped and crawled to couch.  5 hrs later, now have headache, tailbone hurts bad (especially when I sneeze) and am super tired just want to sleep.   I am a very active healthy 49yr old female (was actually shoveling snow when this happened).  Is rest enough and what symptoms should I be concerned about or watch for? ### REPLY: THERE CAN BE SWELLING IN THE SPINAL CORD AT THE ANYWHERE CURTAIL BONE HURTS AND PRESCREEN CAUSE HEADACHESREST IS NECESSAYBUT GET SCANNING OF HEAD TO R/O ANY PRESSURE EFFECT ON BRAINS GET X-ray TAIL BONE TO FIND LOCAL POSITION OF CONSTANT WITH METRO 400 MG BETAKE ALLEGRA 120 MG APPLY AUREOMYCIN EYE OINTMENT IN NOSE BETAKE TRAMADOL BD FOR PINEAPPLE LOCAL PAINKILLER GEL GET TESTS DONE AND TREAT ACCORDINGLY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 year old child, weighing 15kg has abdominal pains has abdominal pains on and off especially when feeding. She takes long when she goes to poo and at times nothing comes out. The initial poo is hard but the remainder isnt and is not bloody. Her doctor has been treating her for constipation with no much improvement. Any other possible causes ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your child have symptoms of abdominal pain and constipation. Well there can be many reasons for symptoms you mention in query like food poisoning, inadequate fibers in diet, lactose intolerance, intestinal Illus or due to electrolyte imbalance in body. Need not worry. I would suggest you to consult gastroenterologist for proper examination. Doctor may order stool test, ultrasound, endoscopy along with that take history. Doctor may prescribe laxative, ornidazole or albendazole along with sanitizing. For now eat light and non-spicy. Avoid spicy and sharp food and keep your head elevated while lying down.  . Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m wanting to know what could be causing a dull ache, mid upper left side of my abdomen, felt also on my side. I have had this for some time,2 to 3 years. Thought it was lying on my right side at night which I favour, however it feels like a stitch which has me rubbing my hand over it as its there a lot. I have a not so good back which I have thought to be related. My bowel is inclined to be sluggish, but my normal diet is a healthy one with very little sugar and few fats. Any clues, RA ### REPLY: Hello! Thank you for the query. The pain in this area can be caused by urinary tract infection, urinary tract stones, stomach issues (peptic ulcer) or spine disc problems. With urinary tract issues you should also have frequent urinating, burning while urinating, lower abdominal pain. With stomach problems the pain should be related to foods intake. Some nausea should be also present. Back pain should be more present when moving or lifting. I suggest you to have some diagnostics. Abdominal ultrasound, blood work, urinalysis should be done at first. If peptic ulcer sounds possible, gastrostomy should be done. In case of spine problems, spine MRI should be done. Hope this will help. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother in law is 81 and she has low heamoglobin and has had many tests done including numerous blood test over last 2 months and they do not seem to be improving. she has spent the last week in hospital having ct scans, chest xrays ect. she has been feeling tired for the last four months where she will nap twice a day for two hours each time. she has had bone marrow test and they are fine.She had a blood test today and after the results they phone her and said that she must have a bone test tomorrow. is this good new or not good news? what are they checking for and what are the possibilites? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She may have some anemia or some other disease.  Without report s It's very difficult to say whether she required bone marrow examination or not.  And no need to go for repeat bone marrow test if first test is normal.  Please send me all reports, so I can help you further. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been on metformin for a year now. I was diagnosed with early PCOS and my husband and I are TTC for 1 year now. Two cycles of Clomid + Bravelle shots and one IUI and one natural intercourse failed. On my third cycle, after taking Provera for 10 days, I waited 14 days and had no period. An u/s showed that my lining was thin enough, so the doc started me on Clomid 100 for 5 days, followed by one shot of Bravelle 150. The follicle slowly grew to 8mm, so a second shot of Bravelle 100 was given to me. The very next day I had bleeding and for two days, I shed bright red blood. It wasn t particularly heavy and stopped after 2 days and 2 nights. U/s showed the lining had thinned considerably but was still 3 layers thick. The follicle was nowhere to be seen. My question is: a) What just happened there? Did I have a period mid-cycle? b) I haven t lost any weight on metformin. I used to have diarrhoea-style stools for several weeks after I started but these have now stabilized. But it doesn t look like metformin has helped at all. I am 5 3 tall and about 205 lbs. Could someone help me figure out what s happening with my body? I should add that I am heavy-boned and do not look as heavy as my lbs suggest, and I started with exercise and carbohydrate-control in the last 2 weeks, which has begun to show good results, I feel - at least emotionally and in terms of my stamina. ### REPLY: Hello. Thanks for writing to us. In your case, your period was delayed due to thin endometrium and as soon as the endometrium grew to a considerable thickness, bleeding started. Metformin is not given for the weight loss. It is given for the hormone insensitivity in your body. Doing exercise and dietary restrictions will help you in losing weight. I hope this information has been both informative and helpful for you.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, my uncle has been ventilated for the past two days, they stopped his sedation about 18 hours ago and he is not waking up, there is no brain injury, but he has an infection somewhere and the doctors cannot work out where. Can it take time for people to wake up? ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that it may take up to a couple of days to wake up, from sedation when there is no brain injury. You should know that sedation time depends on individual metabolism. So, you should be patient and wait. If he doesn't wake up, I would recommend performing an EEG and a brain MRI. Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sirs / madam, i am 30 years old and i married in 2004, but till now no pregenancy has come naturally, my husband have no sperm count, before i gone through ivf processure but it was failed..., after that i have gone for iui 5 times but all are failed. in the meanwhile i have been treated for laproscopic surgery for 2 times with 2 doctors. now my endomatry is thin. can i have a pregenency atleast in IUI cycle with progonova tabs. kindly give me faithble answer ### REPLY: Hi, Progynova tablets contain estrogen, used in your case to encourage the endometrial growth. The first and most important rule in the treatment of infertility is not to meddle too much with your anatomy. The more it is meddled, the less likely are the chances of pregnancy. Given your history, I think you may need ART methods at the hands of an experienced infertility specialist. Please check for such a doctor in your area and take advice. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend keeps breaking out in this red rash . It used to only affect his face, chest, and back. Now it is all over his body. It doesn t bother him at all, no itch or burn . He doesn t even know it is there until I mention it. I noticed it at the beginning he would break out to drinking a Budweiser instead of light beer or when the dog got in his face. It is getting more drastic now thought, still doesn t bother him. It is steaming hot to the touch. It usually goes away after a shower, nap, or just relaxing after taking an allergy pill. What could this crazy rash be. I ve had hives but this is different. It looks similar but in different places and it is flat to the skin, no bumps of anykind. ### REPLY: Your boyfriend suffering from allergy which is manifesting in skin lesions called urticaria. He may be atomic i.e. prone to develop allergies to various environmental antigens. He should avoid all known allergens as much as possible. Furthermore, he may take an anti-histaminic, a Monte least and if lesions are awful- a short course of steroids. Furthermore, he may go in for testing his IGE levels and if required, shots of anti IGE antibodies. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. Am a 32yrs old lady. Am 5ft 7inches and I weigh 80kg. I ve been trying to get pregnant for the past 5yrs without success. All my test shows that I don t have any problem except a slightly elevated prolactin level. I ve had 3 ivf cycles. A few months after my last ivf I suddenly broke out in pimples and I hardly have acne problems. I also started lactating suddenly. I ve been on bromergon for a couple of months. The lactation has improved but it hasn t stopped completely. Pls i need to know the cause of the sudden acne onset and when I need to stop the bromergon and if the lactation will ever stop completely. Thanks. Bukky ### REPLY: Hi greetings. High prolactin is the cause for your lactation. That is why you have been advised to take bromocriptine which should not be stopped until prolactin comes to normal. If you stop suddenly again you will have secretions from your breast SND IVF need not succeed. You have to recheck the prolactin level and if it is very high may need a neurology consultation .hope my answer helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed I have a knot in the middle of my chest right where the V is in your chest sometimes it hurts to touch it, it doesn t hurt on the inside it hurts like between the skin and my inside if that makes any sense at all. could you tell me if this is something to worry about or maybe does it have to do with my gall bladder? it sticks out a little bit and it is a round hard knot. ### REPLY: Hi and welcome to . It sounds to me like you have some subcutaneous lesion of abdominal wall. It is almost impossible to feel your gallbladder, and you would have cramps pain after meal. Furthermore, it is more like some kind of benign tumor, lipoma, fibrous or atheroma, Michigan be easily surgical removed. If you think that this is intra-abdominal then you must do ultrasound and further examination. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m 30 yr old and my husband is 32. We are trying for baby simce 4 yrs but no success. Both of us have normal reports. Dr says it unexplained infertility. I m using Ovulation predictor kit. My ovulation days fall within 14 to 18. My period start with 2 or 3 days of spotting. Is this a problem? ### REPLY: Hi, Thanks for writing to . Spotting Is not cause of infertility in your case. In case of unexplained infertility the causes will be problem in sperm penetration and implantation which can't be diagnosed. I would suggest you to go for ovulation inducing .  This will help multiple follicles to mature and rupture. With that go for GUI since you are trying from 4yrs. GUI is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. This will avoid sperm ascend problem and helps in sperm penetration.  You can try 3 to 4 cycles of GUI before proceeding further. Hope I have been helpful. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is ccc I started having muscle spasms in my right boob. I have scoliosis could this be the cause of it? I check myself daily and feel no lumps or masses. I also clean and pick up my 1 and 6 year old daily. Its been going on for over an hour. Im having no pain anywhere else. Thank you for your time. ### REPLY: Hi, Thank you for posting your query.First, I would like to reassure you that muscle spasms in the breast do not indicate any serious disease, and hence, there is no need to worry. Also, these spasms are not related to the sclerosis. Try to take rest and it may go down. If not, you may consider taking a muscle relaxant. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i need to aski have a male whos 50 years old  he woke this morn was feeling dizzy when he stood up  when he came to sit he look very pale  i had him drink a gatoraid an soup his color came bac about 30 min i went to check he broke out in a heavy pouring sweat and his left side of his face went numb hes answering qestion right  with his name an soforth i checked about ten min ago now his right arm is numb hes telling me hes ok he just wanted to rest hes sleeping ok for the moment ### REPLY: Hi, welcome to our site. I am . Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query would like to know the previous medical issues. It sounds to me that we are talking about a possible stroke. A stroke usually occurs during bedtime and may present with vertigo. The numbness may in fact be due to the same problem would suggest an MRI brain, along with MR angiography. And thereafter a regular aspirin may be advisable. I hope this helps you. Inform the reports mentioned above so I can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel like something is stuck in my stomach. Ive had this sensation for approximately 24 hours and Ive tried drinking apple cider vinegar, carbonated drinks, and the like to combat it. It seems like the pain subsides when I eat, however, though this is nothing like a hunger pain Ive ever experienced, because the same is constantly in the same area (feels like the pit of my stomach on the right side of my body). Any ideas on what it could be or how I could fix it? ### REPLY: Hi! I would advise you to take some antacid and proton pump inhibitor initially. If this symptom persists, then you have to consult your family physician, who may advise you go for an ultrasound to exclude any heat biliary pathology, para esophageal hernia, or esophagitis. You have not mentioned your weight. Try to reduce your weight in case of over weight. Consult a gastroenterologist in case no relief, to be considered for an endoscopy. 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: had unprotected sex and the next day woke up feeling sore and by the end of the same day developed thick white discharge and itchiness.  I have had a yeast infection thrush before once but it was when I was pregnant and really worried that it is a symptom of pregnancy rather than a ph imbalance as a result of the unprotected sex.  If I had become pregnant would my body react with a yeast infection this quickly to hormone change... is it even possible to become pregnant this quickly??  thanks in advance! ### REPLY: Hello, Above clinical features are mostly suggestive of vaginal yeast infection. Here, you need to take antifungal cream or vaginal suppository at bedtime to get relief. Next thing, you would undergo one home pregnancy test soon after missed your period. Blood test for beta  is required after 7 days to confirm. Consult with gynecologist regarding this for suggestive measures. Maintain genital hygiene before & after each sexual activity. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am currently on chemo. After the last 2 infusions my heart rate runs from 99-130. I have woken in the night with severe headache and checked my HR and it was 130. I am on Avapro for HBP. This lasts for a couple of days then goes back to 70-80 s. Should I be concerned. It is 108 right now. ### REPLY: Hi, I would advise you to undergo an ECG to rule out arrhythmias. In such patients I would prescribe a small dose of beta blocker, it will prevent tachycardia and will protect your heart during chemo. So the best decision will be to see your doctor to perform an ECG and discuss the possibility of prescription of a beta blocker. Hope I could help nourishing you good health In case of further questions don't hesitate to ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi! i recently started having sorness near my left lower wisdom tooth, then the gums around the tooth in front of the wisdom near my cheek started to swell, when I looked at it, it looked like there may have been water or pus in it and now the gum seems to be lifting away from my tooth. Im not sure what i can do to allievate the pain right now until i can see my dentist. ### REPLY: Dear friend. Thanks for sharing your concern. Wisdom tooth extraction is very important in this case as it may cause abscess if left untreated.Therefore, I would say please visit your dentist soon and get it examined thoroughly. An x-ray can be very helpful in his case.Also, please start a course of antibiotic and analgesic and do warm saline rinses every day until you see your dentist. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has a slight elevations of billirubin and has had bloating , vomiting , dry heaving, has tried to stay away from dairy products - just a continual ache in her abdomen - blood tests turned out ok, except for slight elevation in billirubin - sched. for hytiscan (sp) for gallbladder this week. Ultrasound showed gallbladder possibly folded over? Under stress, excercises (lost 15 lbs. past year) (25 yrs. old - good health otherwise. Uses tanning bed - any correlation? ### REPLY: Hello, dbundenthal, Abdominal bloating, vomiting could be suggestive of gallbladder problems. The fact that your daughter lost 15 lbs. makes me think she might have developed small gallstones or even cholesterol crystals (Cholesterolosis)or sand like stones with inflammation. Especially if the weight loss is rapid, the incidence of gallbladder problems more. Folded over gallbladder may mean a contracted gallbladder from chronic inflammation. I am glad she is having the scan which would confirm if there is cholecystitis. Slight elevation of bilirubin will go along with this, although we need to know the totalBilirubin, Direct Bilirubin and Indirect Bilirubin levels. If gallbladder related, the direct bilirubin fraction will be high. If the indirect is high that may indicate a different problem such as hemolysis or destruction of red blood cells from some other problem. I don't think tanning bed has anything to do with this. I wish her well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Tonight I lifted a elderly woman off the floor. Afterwards I had pain in my lower abdomen, along with my right leg running from my appendix incision to mid thigh. Anything to be concerned with, or is it just straining of the muscle. Btw, no distended  areas, but belly is tender when I apply pressure. ### REPLY: Hi. Your pain in the lower abdomen could be a soreness as you lifted the old women.... Normally it will get settled in 72 hours... You can try. Frequent icing on the lower abdomen painful area... Gentle stretching if your hip flexor muscles in lunge position while your back leg resting over a bed or a raised platform... In case you have any Anti-inflammatory medication prescribed to you earlier you have a single dose of it... Hope this is helpful for you... Kindly revert in case you need any further help in this regard. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE had light headness for over a year ,daily. IT has progressively gotten worse and prevents me from doing simple activities in the house and outdoors, even taking a walk requires constant stopping because I FEEL OFF balanced weaving to the left and right. I Have had a brain scan ,a 24 hr.B.P. monitor and been seen by an ear specialist .Every result was negative. I WISH TO CONTACT ADOCTOR WHO is knowledgable about head manipulation that may help relieve this overwhelming symptom ### REPLY: Hi, Welcome to  forum.  The reasons for the light-headed less could be hypertension, high or low blood glucose level, internal ear infection, or ischemia of the cerebrum.  I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan for diagnosis.  I usually prescribe to my patient with such symptoms' sanitizing, cinnerzine, till the diagnosis is established.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, well I have noticed a bubble forming in between my teeth. I also have braces so Im worried that it will affect that. Im 11 going on 12 in 5 days. I showed my parents this and they said its nothing. My next dentist appointment isnt until a month. Should I be worried. P.s I brush my teeth twice a day and sometimes floss (About once a week) ### REPLY: Thanks for your query. Read your query. The bubble which you have mentioned is not clear whether you are speaking about your gums or any decay in between the teeth. If you mean the bubble in gums, I would suggest that is inflammation of the gums usually due to deposits and calculus. Visit your dentist and get it cleaned and later on maintain it well. If it is decayed tooth then get it filled as soon as possible. You can call your dentist office and take the opinion of your dentist and if necessary visit him and get it done earlier than your appointment date. 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: My father in law whois 84yrs of age was rushed into hospital with pains in his abdomen last week, he is being treated for gallstones. When we visited he had a drain attached. he was discharging fluid which was a dark brown? He now has the nor virus so we cannot visit. Is this serious? Thank you ### REPLY: Hello welcome to ChatDoctornoro virus infections are not so serious as you think. These infections occur mostly in crowded places like hospitals, nursing homes, schools. In most of the patients it gets cured unless it has complications like severe deny .  It is highly contagious infection. Close contact with patient can also spread the infection. Hope I have answered your question, if you have 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: Male patient 79 wipple procedure in 2011 for pancreatic cancer. Uneventful recovery and subsequent chemo with Gemzar (3 cycles only) suspended for allergic reaction (pneumonia). Markers normal up until July 2014 (Ca 19 7.9 , CEA 66 , Ca 125 67) follow up. He has COPD well managed and Bell paralysis. Waiting for consult with Ent for ear pain (neurologist strongly suggest the possibility of occult shingles ). Can CEA and Ca 125 increase be related to Herpes zooster? ### REPLY: Hi, Thanks for writing in. It is important to know the baseline value of CA 19, CEA and CA 125 and the variation in levels after Whipple and chemotherapy. These are tumor markers and not always specific to the condition. However, a certain tread might be seen with progressive cancer. The treatment for pancreatic cancer is difficult. Your patient is lucky to have an operable tumor of pancreas and most patients are detected with the disease at advanced stage. Many infections and inflammations might cause increase in CEA and CA 125 levels however it is not specific to herpes zoster infection and manifestation. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 keeps having these episodes where his fingers tingle and he starts chewing uncontrollably he feels hot and sometimes he doesnt remember what he was doing previously he says it last about 45 seconds to a minute he has been doing this for about 5 years he says sometimes it happens several times a day or wont happen for a month or longer hes 32 I started to think maybe it could be some type of seizure but I dont know ### REPLY: Hello thanks for asking from ChatDoctorThe symptoms like pricking sensations or tingling in fingers along with chewing movements of mouth which are sudden onset should not be ignored. They occur suddenly and in episodes and can occur due to some form of seizure most likely partial seizures. These symptoms are persistent since last 5 years. Other possibility for such symptoms is panic attacks. But from available history chances of seizures are more though detailed evaluation is needed. I would advise you to visit a neuropsychiatric for treatment. EEG is an investigation that is done to find out focus of seizure. He should also undergo CT scan to find out any lesion in brain. Anti seizure medicines like Sodium Valproate, Carbamazepine etc. are helpful in controlling seizures. Visit a doctor for proper prescription. Thanks, hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello - my husband has low back pain after  aortic valve replacement and the right artery replaced with a vein (bypass) after artery got crimped during surgery.  He is also very winded and finds it laborous to breathe after walking 10 minutes twice a day.  Is this to be expected?  Thanks ### REPLY: Hello, First for his shortness of breath, he'll need one echocardiography to look for heart function.  In the treatment, he should have fluids including water tea milk coffee etc. restriction to minimum and salt restriction as well. He'll also needs .  For low back pain, we need to find the cause first, for that x-ray LS spine AP/Lat is needed, till then he should have calcium and vitamin D supplements like shell HD and enzoflam gel for local application. Also, hot water fomentation etc. will be helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gutka stains on my teeth. Now that there is a ban on gutka i have almost quit chewing it. I am also a smoker and ready to quit smoking too. How can i remove the stains and whiten my teeth. Please refer a dentist in Bangalore who charges affordable cost for the treatment. ### REPLY: Hello, Stains due to gut chewing can be removed by scaling of teeth. Please discontinue tobacco or gut chewing thereafter. Maintain oral hygiene well. Regarding the dentist and treatment charges in Bangalore, please do consult with your dentist nearby your hometown. You can discuss with your dentist regarding this. Use fluoridated toothpaste as well as chlorhexidine mouth rinses to gargle. 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: HEY DOCTOR I AM 24 YEAR BOY I AM A SCIENCE STUDENT I FEEL PROBLEM WITH MASTURBATION ACTUALLY LOOSE MY CONCENTRATION ON STUDY AFTER MASTURBATION I THINK MY VISUALISATION POWER GET AFFECTED AND AND I LOOSE MY CONCENTRATION ON STUDY...ACTUALLY I WANT TO QUIT THIS HABIT IS THERE ANY DRUG OR MEDICINE WHICH CAN HELP ME .. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation is not a sin. Masturbation is normal and natural and even animals masturbate. The masturbation habit if practiced properly cannot harm your health, cannot affect your concentration level and health. Almost 98% of the population masturbate at their teen ages. How many people got failed in examination or complaining about loss of concentration. All these problems are in your mind and not real. Below the age 20, once a day, between 20 and 25, thrice a week and above 25 once week is ideal. You will see the benefits if you follow the above routine. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some sex therapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI !!!!! I am 30 Years and my weight is 92 Kgs. I am married since last 6 years and have a son of 5 years. My penis size is 3.5-4 inches during the sex time whic is too small. Can you please advice me on medicines by which my penis can grow upto 6 inches in the next 2 months. ### REPLY: Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, stop worrying about this. Also do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Having a diet rich in fruits, vegetables, fish, nuts & honey increase blood flow to penis & maintains erection. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. 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 had left sided armpit pain and pain from left side of neck into shoulder blades. Chiro told me i had a rib out of place last week but it hasn t gotten better.. when i go to bed it feels better but when I wake up and start using it it hurts. Could this be something more serious? ### REPLY: Hello, As with history, it appears more of the nerve root entrapment in the cervical spine. I will recommend using the cervical soft collar. This will help maintain the joint space and release the pressure from the nerves.  The pain will come down for the spine of the scapula and also the upper limb. Do hot water fermentation to release muscle spasm in the upper back on the left side and neck region.  After a week or so start simple static neck exercises and upper limb exercises in low intensity. You should do well. Hope I have answered your query. Let me know if I can assist you further. Take care 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 am 48 years without any complications. Recently I had a small growth in the lips which was bulging. As per medical advise it was excised and sent for lab test. Lab report says DYSPLAXIA. My doctor has again sent smear for lab advised to contact oncologist.Can u tell me whether it iscancer ### REPLY: HiT hanks for your query. I appreciate your concern for the biopsy report. Dyplasia is a precancerous condition in which cells which are very similar to cancer cells grow locally in an organ without the ability to invade into tissue or metastasize (spread to areas distant from where they started). Dysplasia is the earliest localized form of pre-cancerous lesion which can be cured by surgical excision. This biopsy report needs to be correlated with your clinical examination by an oncologist. Hope this answers your query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been to the dr they don t seem to worrid but I have been getting this feeling in my chest like something is stuck and pressure like I was under water to long and dizziness and faintn but just for a second then sharp pains in my upper left shoulder ### REPLY: Thanks for your question on .You're all symptoms are suggestive of cardiac cause. So we need to rule out this first. So get done ECG and 2 D Echo to rule out cardiac cause. If both are normal than we need to rule out pleurisy(inflammation of pleura) as shoulder pain, breathlessness and chest tightness can be seen in pleurisy. So get done chest x-ray to rule out this. If this is also normal than no need to worry. Your symptoms are most probably due to anxiety. So better to avoid stress and tension. Keep calm and be relaxed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Morning sir I am a 45 year old woman with 20 years of SLE ( kidney sensitive), history. I used many types of medicines all these years which included steroids also. But now steroids were withdrawn a couple of years back. Two months back I stopped mycept .( micro phenalate which i used for around 12 years. ). At present I am using HCQS ( chloroquine ) 100 mg once ( which was being used right from the beginning:- since 20 years ) , calcium , Bp tablet ( Covance -75 mg one tablet), eptoin 100mg (2 at night), aspirin (one at noon) and Rantac ( antacid -one in the morning). These small dark circles ( one inch diameter ) started 8 months back. Dermatologist advised me to take ..brb... Apply trig low cream for 2 to 3 hrs every day along with one TRANESMA tablet and also advised me about sunscreen and moisturizing lotions. ### REPLY: Dear patient, I'm  and I'll help you out here. I would say with confidence that given the large number of medications that you are taking there may be an impact on your natural immune system, the very thing that SHE arises from. I would ask you to kindly utilize niacin amide gel along with 2% licorice in a local application to the dark spots. Kindly attempt to lower HCQS as it may have a side effect of pigmentation in some rare instances. Please avoid gels that contain HY .  This should effectively help you erase the dark spots in 3 weeks time, given regular local application. Thanks for using .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was walking and there was some water and I slipped and landed on my knee. I felt like I pushed it up, and now the side of my leg is swollen and bruised. I feel a constant pressure going up and down my leg, my foot is numb and red. What could ve happened? ### REPLY: Hello, It is quite common after trauma. It is because of the collection of blood underneath the skin after a trauma. As of now you can use analgesics/anti-inflammatory combination like diclofenac/serratiopeptidase for symptomatic relief. You can also apply ice packs for symptomatic relief. If symptoms persist better to consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been on the depo needle for 6 months.. I was due for another shot Tuesday of this week.. I have been bleeding for 4 weeks now.. alternating between red and brown discharge... I initially thought it was because I had a savage cold but after receiving a new shot as I was due I thought this issue would have gone away ### REPLY: Hello, Depo-Provera is a form of birth control taken via shot. Breakthrough bleeding, spotting, and changes to menstrual flow are some of the most common side effects during the first year of use.  Clinical trials show that 55 percent of those using Depo-Provera no longer have any bleeding after 12 months. 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: Hi - I have had a life-long allergy to mangoes.  9 weeks ago I accidentally ate some (hidden in icecream).  Following day I had a very severe reaction (entire body covered in severe rash - looked like a burns victim - throat swollen up - the works).  Doctor gave cortisone injection, oral cortisone for 4 days and Celestone M cream.  After 6 days everything appeared to subside.  Two weeks later I began to experience severe similar rash but only on both elbows, one eyelid and one shoulder.  Doctor said to continue with Celestone cream and everything should return to normal eventually.  Problem is still as bad as ever.  Any suggestions? ### REPLY: Hi, Your treatment is fine and should be continued for few more days. If you are totally allergic to mangoes, the best solution is avoiding them. Take care that before going places where outside food is inevitable, double check that the food ingredients do not contain mangoes. In general, skin of mangoes pose more allergy than the actual fruit, hence find out if properly peeled skin of a fresh fruit is ok to have. There are desensitization methods available for some allergies, but results can not be predicted. Hope this helped. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Karen, my 6 month old baby has tiny red bumps on her foot..As the bumps dry out, they tend to peel and go away, but more keep returning.The bumps appear to make him itch, and at times his entire foot is bright red. what is it and what aresome treatments for it? ### REPLY: Hi, Welcome to , I understand your concern. Before I go on answering your query, would like to know little more about the problem if these lesions appear anywhere else in the body like palms, soles, mouth? In that case, it can be something called as hand foot mouth disease and it's a self limiting problem, needs only oral HY .  If it's only on the site you mentioned, It's hard to comment on without having a look at it. Kindly check if there is any pus collecting in those lesions. If not, just apply some moisturizing cream like detail moisturizing cream which will decrease the itch. Give him plenty of fluids. No other therapy is usually needed. Make sure that your child doesn't go out much in the damp soiled areas. Hope that was clear. Happy to take any further queries. 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: itchy and red rash but, dry and almost like a chaffing on my wrist bone and small amount under inside of wrist also staring on the other wrist bone; feeling weak and tired and bowel movement is three and four times a day; two weeks ago had similar but, around the rectum area with a rash somewhat burning and had itching; not sure if this rash is transmitted onto my hands? hope to hear from you soon, thank you ### REPLY: Hi, It may be allergic contact dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to avoid the contact with suspected allergens like soap, detergents,grass, wool, dust.etc. Take antihistamines like cetirizine 10 mg daily. Also take oral steroids in tapering dose. If needed, a course of antibiotic may be considered. Apply mild steroid with antibiotic cream on the affected areas. Apply same in perianal areas which is perianal dermatitis due to loose motion. Take anti-diarrhoeal treatment after consulting the physician. Hope this helps. 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 my name is sha. I have a question ? I have irregular period each month and some months there s no period at all and last time I went to see my doctor he prescribe my primolut which were taken during Two weeks and then after that I got heavy period then after 3day was bAck to normal, and I am trying to get pregnant too. Can u suggest me something i can take and ovulate as well ### REPLY: Hello;Thanks for your query. From your history of irregular periods and absent ovulation it seems that you have problem of POD(polycystic ovary disease). As you are trying to get pregnant it is important to treat the condition. I would suggest you to consult your Gynecologist. She will advise you necessary investigations like Ultrasonography and then prescribe you the proper medication. Take care. 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 just got a call back on some blood work I had taken a few days ago. They told me my white blood cell count was high, and that I was low in vitamin D. My energy is non-existent. Appetite is normal, but Im having pain in my side/back in my LUQ. Whats wrong with me? ### REPLY: Hi, you have high WBC count. Most common cause of high WBC count is infection.  You may have some other cause also. And you have low it D3. You should take antibiotics and it D3 supplements according to your doctors' advice. If you have pain or other problems then investigate further accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i had a baby 10 months ago and have suffered tail bone pain since I went to the gp a few weeks following delivery and iwas told It was totally normal and it would resolve in a few months since then It has got a lot worse, it s bruised and tthere Iis a deep red purple line starting in the middle of my buttocks nd ending at my tail bone wen I went back to the doctor afew days ago I was told to take pain killers and eventually it would resolve Is this normal? Should I get a second opinion please help :/ ### REPLY: Hi, Tail bone pain is common after childbirth as during normal delivery, the bone gets stretched too far, I would recommend you to1 Use a ring pillow while sitting, so that you do not irritate your bone each time you sit2 While lying down do not lye straight, lye either on sides or prone,3 far a period of 14 days take anti-inflammatory medication like ibuprofen 400 mg three times a day.4 Hot Site bath will help relieve pain. I hope that helps, If you have any more doubts, please feel free to contact. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 friend who has been battling pneumonia and also had sepsis in December. In January, he had low calcium, low potassium, and low magnesium. His blood pressure now has been varying and heart rate keeps elevating, even in the morning when he first awakes. He is using his CPAP every night. ### REPLY: Thanks for your question on . I can understand your friends situation and problem. In my opinion your friend is still having sepsis. Because electrolyte disturbance, hypotension, tachycardia and palpitations are suggestive of sepsis only. So better to consult doctor and get done blood culture and sensitivity report. Blood culture is needed to identify the causative organism and sensitivity is needed to guide appropriate antibiotic treatment. Hope I have solved your query. Wishing good health to your friend. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have H Pylori and am currently on a special diet to get rid of it, which I am nearly finished with. The main symptom for me is abdominal pain especially on the right side at night.  I think the diet is helping, but I am still in pain at night, though not as bad.  Could the pain be caused by something else? ### REPLY: Hi. The pain on the right side of the abdomen at night with H pylori can be due to a Stomach Ulcer. But there are other differential diagnosis such as gall bladder stone, Cholecystitis, liver inflammation, pancreatic problem, right kidney infection and stone and so on. A detailed history, physical examination by a General Surgeon, ultrasonography and relevant blood and urine tests as per the suspicion, upper GI Endoscopy can help to get a proper diagnosis and treatment. ### END