Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I am 41 years old.Last september I had some discomfortness and i had pain started erecting from bottom of my stomach and i didnt have any pain in the chest.I was rushed to the hospital and docotors did ECG and 2dEcho and given thrombo injection.I became normal and on the next day doctor did angiogram and found LAD type III vessel 99% blockage and angioplast+ PTCA was done and drug eluted stent placed.I am using Brillanta-90 mg twice a day,ecosprin once a day,cardivas-3.125 twice a day taking. To my left hand i feel some pain at nerves and when i am rubbing that area the blood is getting clot and after 2 to 3 days clot is disappearing. Can you tell me why this is happening and any remedy?Kindly suggest what risks i have and how to minimize. ### REPLY: Hi. Thanks for your query. You had a diagnosed Heart attack (myocardial infarction), then only thrombosis injection is given. Since you are taking medicines for the Heart ailment- it is possible to see the clots you are seeing on the left hand. Get your blood coagulation profile checked. Due to heart problems you have to continue on the medicines as already prescribed. These help to avoid clot formation in any blood vessels. Do not rub hard on the skin. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 7 days ago admitted to hospital with abscess.  It was drained and a drainage tube inserted.  I.V. antibiotics were started, which are now finished.  Antibiotics still given by mouth.  Swelling still present and another area starting to swell.  Doctor thinks it may be the mesh lining from hernia surgery that is causing the infection and disconfort.  What test should be done to determine if this is the case?  How long do you wait to see if the infection clears on its own ### REPLY: Treatment for abscess is some antibiotic like tab augmenting 625 mg three times daily or tab zipod-cv twice daily after meals with tab kilos or tab attract twice daily after meals for pain and swelling with tab rant ac or cap Gomez twice daily empty stomach. If still persistent than you have to go for abscess .  If abscess is recurrent than do culture and sensitivity test to rule out the cause and to plan the 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: hello,my mom is suffering from disease where she is feeling lack of breathness,cough etc. she is 58 yrs old.Although her treatment is going on in bombay hospital from past 4 yrs.all reports comes normal or clear cant understand the disease properly why she is suffering so much. i think that she might be having COPD?but no symptoms of COPD is been seen in her X-ray or blood reports.pl.guide & help me. ### REPLY: Thanks for your question on . I can understand your concern. COPD is not diagnosed on chest x-ray. It is functional disease of lung. It causes obstructive Airway defect. Pulmonary function test (PFT) is must for the diagnosis of bronchitis. It will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. She will need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone) on the basis of PFT. Also enroll her in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will improve lung functions. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have what appears to be a knot on the left side of my stomach that cramps and sharp crampin on the right lower side of my abdomen i have the sweats real bad and have had nausea and dizziness i am not pregnant i just finished my cycle last week please what does it sound like ### REPLY: Hi, Dear,Thanks for your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Your husband seem to suffer from-Epigastric Ventral / or Left Spiegelman Hernia-with mental entrapment causing . The sweats(Sympathetic pain response from the sympathetic fibers in the legal nerves)and the nausea(reflex pyloric dystonia with hyperacidity) with dizziness(hypotensive shock due to mental entrapment pain)You definitely are not pregnant and these symptoms of nausea are from mental ? Intestinal entrapment in herniated contents.Remedy-would be-Get CT/USG of the lump- to confirm the diagnosis, after ruling out the other causes of such a lump with sucChatDoctorplaints.-Reduce the entrapment -Manually be Reducing the entrapped contents of the Epigastric / or Spiegelman Hernia.-Surgical Reduction if the reduction is not possible-by evaluation from a Surgeon)-Welcome any further query in this regard, which would be replied in next session. Good Day!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was hit by a line drive in the thigh during a softball game. I have had a serious bruise  ( about the whole side of my thigh) for about a week. My leg is sore now, and there is a large, hard lump in the center of the bruise ( at point of impact) What can I do? And should I be concerned? ### REPLY: Hello! Thank you for the query. Such lump is most likely a blood collection caused by recent injury (hematoma). Injury can also cause veins thrombosis which gives similar symptoms (hard a painful lump along with painful calf). In case of hematoma, it may turn into an abscess. That is why it needs to be .  Veins thrombosis needs heparin treatment. So in both cases you need to consult a doctor. Please do not wait with it. 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: Hello, this stupid habit of chewing gutka has never left me since 10 years. i recently did a cleaning, but not able to come out of this habbit. the stains are back on my teeths, it is so embarassing to talk to people or even smile before them. please advise ### REPLY: Hello and welcome to  forum, it seems that you are addicted to chewing tobacco, as you know it can progress to a serious complication, therefore It's important for you to quit it. Chewing tobacco will not only affect your teeth but also the surrounding tissue.I would like to inform you that nowadays nicotine substitutes like chewing gums are available for people who are unable to quite tobacco. You may easily get it from a pharmacy. And for the stains, kindly visit your dentist at regular intervals for full mouth scaling.I 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: i was told that baking powder would help stomach ulcers.  additionally, i am trying to understand the difference between ulcers that are treatable with antibiotics and those that are not.  my client was told he has the type that DO NOT GET ANTI BIOTICS...any advice? ### REPLY: Hello than a lot for your query on , there are different causes for the ulcers in the stomach to develop.it is due to the imbalance in acid of the stomach physiology that causes such a condition. There are organisms like H. pylori, that are the commonest cause, for the stomach ulcers to develop. These are to be treated by antibiotics' combination.others are non organism related, that lead to acid imbalance. They are to be treated by other modalities like antacids and so on...maybe you are suffering from a non-infective cause that donor need antibiotics, and are to be treated symptomatically ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daugter has had stomach issues ongoing now for about 4 months of which they have tested her for alot of things with no solutions.  Today I had to pick her up from school because she felt miserable but also I noticed since yesterday she has red dots all over her back and chest?  What could that be? ### REPLY: Hi there. Thanks for writing in. I would like to know, in detail, what kind of stomach issues does your daughter have? How old is your daughter? Is it loose stools, bloating, increased belching, acidity related symptoms? Any history of fever, associated with the red rashes? The red spots could be due to an ongoing viral illness. It might be an allergic reaction to insect stings/ clothing material/ body lotions? These are the possibilities I can think of. Please do get back to me with the above details. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 been having a ache like feeling in the center of my chest and my left arm has been aching off and on. my arm only aches on my shoulder elbow and sometimes my wrist and fingers and I have a burning feeling between my shoulder and elbows at times.The Dr did a ekg,blood work and took xrays and everything came back normal so why does my chest and arm still hurt ### REPLY: Thanks for your question on . In my opinion it is muscular pain only. Since your cardiac and pulmonary work up Is normal, it seems muscular pain mostly. So try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had pain in my lower back pain on my hip pain on my stomach underneath the belly I took lots of tests for STDs all of them came negative had medication took the infection away now I have a male east infection and blood in my urine lower stomach still hurting did a ultrasound and could not find anything ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have pain in the lower back and the hip. Well there can be many reasons for symptoms you mention in query like urinary track infection, appendicitis, nerve compression or kidney infection. I would suggest you to consult urologist for proper examination and treatment. Doctor may order ultrasound or urine test along with kidney function test. Doctor may prescribe antibiotics like amoxicillin along with anti-inflammatory . Doctor may also refer you to nephrologist for kidney problem. For now take ibuprofen or acetaminophen for pain. 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: Hi i have had sharp pains in my lower abdomen since saturday and my stomach is very bloated it seems to go away and come back ( been in hospital 2 months ago and had an overian cyst size 3x4 cm i have check ups with a gynacologist and it seems to have shrunk down to 2,5 x 2 cm about 2 weeks ago they have told me that if i got sharp pains again i should go back into hospital. What would you recommend? Many thanks Cindy ### REPLY: Hi, thank you for your query ovarian cyst is any collection of fluid, surrounded by a very thin wall, within an ovary. Most of the cysts are harmless under the size of 5 cm. Most patients experience cyclical pain due to ovulation that occurs every cycle. If the pain is interfering with your daily life you should consult a doctor. Since yours already been diagnosed I would advise you to 1.keep track of your symptoms. Mark on your calendar when symptoms seem to flare up, like headaches, bloating, or pain.it will show you how close to ovulation some symptoms happen, which in turn will help decide your treatment.2. Pain relievers, including acetaminophen/paracetamol, non-steroidal anti-inflammatory . 3. A warm bath, or heating pad, or hot water bottle applied to the lower abdomen near the ovaries can relax tense muscles and relieve cramping, lessen discomfort, and stimulate circulation and healing in the ovaries but as I said if the pain is extreme or sudden pain, associated with heavy bleeding, or other concerns, don't wait and see if it will go away.consult your OB/GUN immediately thank you, wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I think I have spondilitis. I had a left shoulder dislocation some 13 years back. I was advised surgery but I did not do it. Later I developed pain in the neck, and hypertension. I work a lot on computer. Now I feel a pain from my neck right through my butt. Can you advise me pls abc ### REPLY: Hi, Your main problem is this pain in the neck which is radiating down the back. Long hours in computer work is known to cause such type of neck and shoulder pains which can spread to the arm or back. You will be having spondylitis of the neck with a disc protrusion compressing nerves nearby. Please cut down the computer work or break it up into sessions of half hour each. In between stretch out the neck muscles turning it to the normal range of neck movement. An MRI will be necessary to confirm the disc location and size. You will need medications to relax the muscles, in addition to medications for nerve pain. Apply hot packs to the neck and upper back. Hypertension should be treated by your family physician. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr.Anirudha Malpani, I had undergone IVF on 26th Feb 2010 but the result was negative. I would like to give you the detail prosses of the IVF treatment i went through. My ovam were pick up on 22nd june 2009. The transfer of the embroy could not be done after two days b coz the blood flow to the uterus was absent in three zone and so the embroys were preserved. After two months the blood flows as improved,but there was another promble, the emdometrium line had come done and was between 9 & 10. During transfer my emdometrium was 9 but the blood flow was good all four zones showed good blood flow Impt: After ovam pick up i did not ovlulate for 6 months i.e till my transfer. i asked the reason to the doctor but did not get proper answer. Please help to give solution. Thanks & Regards, Nutan Ghadi 0000 ### REPLY: Dear Rutan, thanks for posting the query. As I do not have your entire medical history and your test reports it is difficult to answer your question satisfactorily. Sometimes it takes time for your ovaries to come back to its original self after being subjected to stimulation using gonadotropin .  Having said that, it is important to evaluate why you didn't get your periods after IVF. The reasons why you didn't ovulate could be many. Excessive stress due to IVF process can have inhibitory effect on ovulation and so is excessive physical exercise and poor nutrition. Other reasons could be thyroid or prolactin hormone abnormalities, polycystic ovaries, poor ovarian reserve, or defects in the endometrium (adhesions and synechiae due to infection) or very rarely due to malignancies and conditions. Like Cushing syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently found two small lumps on either side of my right ankle.  They do not hurt and are kind of hard.  Then i started getting small lumps on my left leg on and near my shin and on my right leg.  They are very small and do not hurt.  I am 47 yrs old female, and beginning menopause.  I have been taking melatonon at night, one tablet, because I cant stay asleep.  I think the lumps started around the smae time I started the melatonin.  Could there be a connection.  What could these lumps be? ### REPLY: HI, Welcome with your query to . Based on the facts of your query, after review I would suggest you to check with your Dermatologist and to rule out the lumps on the legs, as your need for Melatonin for sleep may be overshadowing the Melanomas Cancer, which you correlate, as the time of occurrence is after the intake of Melatonin. I would suggest you with your treating doctor, whether he gave the Tab Melatonin for sleep disorder, which is uncommon at your age, as he would be knowing the real reason of starting the Melatonin.FNAC Biopsy from Surgeon, if need be fix the cause of your lumps and the need for Melatonin for sleep problems in your case. No doubt Melatonin is used as Sleep inducing tablet but at a later age after 55 yrs. Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at . Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the taste of perfume in my mouth since Monday I initially thought is was a girl at work who to me wears a strong perfume but it has continue when I am home as well even chewing gum and brushing my teeth doesnt stop the taste just subdues it for a short period of time ### REPLY: Hi. Thanks for the query. It looks like perfume like smell on mouth or taste in mouth can be due to Ketoacidosis leading to a fruity or perfume like smell or taste. It can also be due to disorders related to Central Nervous System like Tumor leading to Olfactory Hallucinations. I would suggest you to consult a Medicine Specialist and get evaluated, and he can advise you MRI scan as well as blood investigation to rule out the exact cause of the problem and treatment as well as referral to appropriate specialist can be done accordingly. The condition should not be ignored, and you should soon consult a Physician as in case if it due to Ketoacidosis it can be due to very high or low levels of blood sugar and can be fatal as well as if it is related to brain it can cause you more harmful symptoms if left untreated. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I am looking for someone to help me find an answer. I have been having pain on my right side of my abdomen for a while. I just recently noticed a lump that is deep about 2 inches below my rib cage and closer to the center of my stomach. It is hard to push on and is movable as well. It does hurt or ache when I push on it, but it is in the spot where my pain starts. I have pain every day. I have learned to tolerate it the best I can, but I am getting tired. An abdominal ultrasound was normal. CBC, CMP, sed rate, CRP and celiac panel were all normal. I do not have other symptoms of gallbladder problems. Ive seen my PCP multiple times and a GI doctor this past Tuesday. He set me up for a HIDA scan on Monday, but disregarded the lump as a possible clump of fat cells. My mother had stage 4 pancreatic cancer so I find myself freaking out about feeling a lump. My husband, coworkers, fellow doctors I work with have felt it. I just need help and I dont want to waste all this money on a wild goose chase with no answer. Please help!!! ### REPLY: Welcome to . 1. The history and symptoms suggest that the lump what you are feeling could be the xiphisternum, which is normal anatomical condition - if there was a mass ultrasound would have been picked. 2. The pain in that region most commonly are gastric causes / ulcers and inflammatory condition.3. Treatment in this case includes having small portions of food in frequent in in travel of time regularly will help. 4. Avoid junk, spicy,fat containing food and take more of fruits and salads, fibrous diet for better bowel moment - that should help, you try at least couple of weeks.5. If you have a suspicion, and you want to clear once for all - then CT abdomen is right choice - that will clear all your suspicion and help to find any underlying pathology. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.  Lately I have been feeling very jittery and out of sorts.  For example,  today I have felt jittery since getting up.  I cant focus.  I also am irritable.  I seem to have more and more jittery days lately.  I notice that when I wake up too early and go back to sleep for around a half hour I wake up like this.  I also ate lots of sugar during holidays.  Why am I feeling like this?  I hate it. ### REPLY: Hello and thanks for your query. I understand that you are going through a difficult time lately due to your psychological problems. Such symptoms like irritability, jitteriness, early awakening etc. could be indicative of a depression. However, a detailed history and a psychological assessment is needed to make a definitive diagnosis. From your description, it appears that these symptoms are putting through a lot of distress and affecting your overall functioning. So, it is essential that you seek professional help. Don't worry, there are effective treatment options in the form of medication and psychological therapy that can help you overcome your problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Doctor I have mild white patches on some part of my scalp. I have been having this problem since 8 years.  as of now i am using 777 oil for applying it on my affected scalp and also taking Zemega -3 medicine. But it cures temporarily Dr says it is mild psoriasis. so please advsie whether it is curable ### REPLY: Hello. Thanks for writing to us at  Dan . While seborrhea dermatitis is associated with faintly red patches, itching and yellow greasy adherent scales; psoriasis is characterized by well-defined deeply red patches, with thick candle wax like scales. The diagnosis of psoriasis is clinical in most cases. There may psoriasis plaques elsewhere on the body as well. If I was the treating doctor I would have asked you to use a coal tar+salicylic acid based shampoo, daily or every alternate days for mild psoriasis affecting the scalp. Depending on the clinical severity of psoriasis, dermatologists may also ask to apply a topical steroid+salicylic acid lotion for 2-4 weeks, if there are thick scaly plaques of psoriasis, as shampoo alone might not be sufficient. Other effective options apart from steroids that are available to treat scalp psoriasis are topical It D analogues like calcitriol and calcitriol. Psoriasis can recur again after seemingly complete cure. Therefore, once the patches and scaling is effectively controlled with topical treatment with lotions, a shampoo would be effective for maintaining the improvement. These are all prescription products, therefore, I would suggest you that you talk to your dermatologist for the needful. Your dermatologist would be able to assess whether shampoo alone would be effective or do you require additional topical treatment with lotions. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 22yrs male suffering from nightfalling since 7 yrs .... When i was 15 almost everday i have nightfall but now it reduces to once a week by visualitation techniq .... So it is psychological problem ..??Can i stop it by hipnotherepy...psl suggest me...sir....!! ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of night emission since last 7 tears. Night emission is natural and common phenomenon at the age of adolescence and does not need any treatment. It gets resolved itself over a period of 2 years. Please note that it is not a psychological problem hence do not attempt to take hypnotherapy. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the birth control pill, Apri, for 4 months now. I have not missed one day, and I always take them on time. My partner and I had sex while I was on my period. He did not pull out. I was also taking the drug Cipro for a UTI. This was about two weeks ago. Should I be concerned about pregnancy? ### REPLY: Hallow Dear, Since you are taking birth control pills regularly, you do not have to worry about pregnancy. Moreover, your had intercourse on your period. Intercourse during this period cannot cause pregnancy as there is no egg. The egg is released 14 days prior to the next expected menses. Egg has a life of 24 hours while the sperms are active for 72 hours. Hence, a period of about one week around the egg release is fertility window. Unprotected intercourse during this fertility window can cause pregnancy. Your intercourse was far away from this fertility window; hence you do not have to be concerned about the pregnancy. One more advice : Intercourse done during menses carries the risk of infection and some other risks to the woman. Please avoid these days for sexual contacts. I 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: I started having nausea problems at first then pain in top side lower left abdomen constently im no longer nauseous then started drinking lots of water and symptoms have quieted down quite a bit however my I hear stomach noises quite a bit sometimes growling squirting sounds eat a healthy diet been tested for pancreitis tests were negative been thinking it may be my heart or digestive track  c dif tests were negative pain not that bad maybe a 1 or 2  but there any idea what I should tell my doctore to test for ### REPLY: Hello dear, As the investigations carried out have reported normal results, the Cardiovascular, Pancreatic pathologies & C.difficile as the causative agent of your symptoms can be ruled out. Under such circumstances, the symptoms as mentioned in your post can be attributed to accumulation of gas secondary to increased acid production in the stomach. An Ultrasound scan of Abdomen & upper GI endoscopy will be helpful in clinching the diagnosis. Symptomatic relief can be obtained with intake of Pantoprazole+ Risperidone preparation (to be taken before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods.2.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, Im 27yr old female. 5 months back i had missed abortion due to the detection of TB infection in my uterus. from past 5 months im on my AKT treatment. Now im having AKT-2. I have a query, that will this treatment will affect my conceving issue. I planning to conceive again in February. will i be successfully conceive it ? ### REPLY: Hello.thanks for trusting the  doctors for your health related queries. I guess your concern is about.will u able to conceive after AKT treatment.right.my answer is.YES. there are chances of getting pregnancy after AKT.u have told that u r 27 yr old that means u came under reproductive age group(age 15-45yr came under this group). In that age group chances of getting pregnant is high. But u had diagnosed Tuberculosis of uterus which poses some difficulty in getting pregnant. But DON'T WORRY.everything have solution. Ur next query is- this .  My answer is-YES, they will affect your conceiving issue. My advice is u have to postpone your planning for conceiving till the treatment is completed. This treatment will effect your baby if u will take it during pregnancy. This AKT  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister is sychopherinic or schizophrenic . She is a mother of two and living in merrut. She is suffereing from it since 2003. In this duration we are right now consulating Ms. Shivani aggarwal ar Vimhans. But no good result. Please advice, when we can visit you. ### REPLY: Hi dear. I had gone through your query. I admire you for positive outlook. Schizophrenia has poor prognosis. Only 33% can better with medicines and get cured. Rest of others has episodic illness and remain under control with medicines. Treatment depend upon type/severity/duration/symptoms/family history etc. Detail evaluation of his mental status examination will give more proper diagnosis. There are multi modalities of treatments. HUMANS is also good institute for indoor psychiatric care... There are other good institutions like AIMS and SIMIANS etc. So get admitted for better treatment. Still if you have a query then feel free to ask. . 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: was having chest pain, tingling in hands, shortness of breath and hurting in middle of shoulder blades and racing of heart when I was laying down. took a nitro and symtoms dissolved except for racing of heart. this has been about 45 minutes ago. should I go to the hospital is my question. I am 49 year old. thanks, Gloria E. Dunn YYYY@YYYY ### REPLY: Hello dear, thanks for your question on . Yes, you should immediately consult cardiologist because your chest pain looks cardiac (ischemia) only. Heart racing, shoulder pain, relieved by nitrate are classic features of cardiac origin chest pain. So don't wait at home. Consult cardiologist immediately and get done1. Ecg2. 2d echo3. Stress test4. Coronary angiography if required. You are mostly having coronary artery disease. So better to consult cardiologist and start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband was diagnosed with advanced prostate cancer a year ago. He was immediately put on hormone treatments. I now notice that he is beginning to sleep a lot during the day. He constantly have severe lower back pain and just feels fatigued throughout the day. Is this normal. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  He has prostate cancer.  Prostate cancer is prone for bone metastasis.  His back pain may be due to metastatic carcinoma in spine. He should go for MRI of spine.  It will give you exact diagnosis. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 37 year old female who is 8 months post-partum. For about a month now I ve had almost constant chest pain-sometimes on the left, sometimes on the right. The pain does not feel deep and there is no change in intensity with activity or rest. At times my left shoulder burns and now feel icy-cold sensations in center-top of ribcage. Initial visit to ER - EKG, blood work-2 sets 6 hours apart and chest xray all normal. ER doctor said it was not my heart and probably pulled muscle strain from lifting baby. Worried as father had large heart attack at 47...should I see a cardiologist, request more tests? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart attack or consult cardiologist because you are young (37 years) and having normal ECG. Possibility of musculoskeletal pain is more in your case. So follow these steps for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid heavyweight lifting and strenuous exercise. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 1-2 weeks. If not improving then consult cardiologist. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I was in a car accident 4 days ago and my right shoulder and breast ,chest are in pain it hurts a little to breath and the harder I breath the more it hurts my chest ,I feel short of breath and my anxiety is back.I keep getting spratical pinches in my back ### REPLY: Thanks for your question on . I can understand your concern. 4 years old accident can not cause chest pain and breathlessness at present. But better to rule Pulmonary cause because you have chest trauma at the time of accident. So get done chest x-ray. If chest x-ray is normal then no need to worry about Pulmonary diseases. Uncontrolled stress and anxiety can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have 6 and half month old baby who is suffering from loose motions for the last more than 1 month inspite of many treatment from different doctors it is not possible to stop his liquid some  loose motion can u suggest or advice some treatement, remedy or precautions ### REPLY: Hi. I had gone through your history. I understand your concern. Actually, the correct treatment we can prescribe when we know diagnosis. We should find cause of diarrhea, it is symbiosis caused by pathogenic flora. For confirmation of diagnosis I suggest stool culture for flora and sensitivity to antibiotics, stool analysis, stool for cyst and ova, blood test, Igg to G.labials. I usually prescribe antibiotics or bacteriophage according to results, enzymes syrup, probiotics for 1-2 months for normal flora. Give analysis, then lets me know results. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had surgery a year ago that involved repairing a hernia by my belly button; my belly never looked the same post surgery as pre-surgery, which was not a surprise because that was the location of the surgery...it was not a small incision it was a large incision but I havent had too many problems since the recovery...some pain here and there but nothing that was consistent. I assumed it was more a result of weakened muscles getting there strength back.Howver. today I had some pus coming from my belly button, what could be causing that and what do I do about it? ### REPLY: Hi thanks for contacting ... Here pus expulsion from incision suggest some superficial bacterial infection or incisional hernia like cause..... For that full course of antibiotic taken to clear bacterial infection.... Keep incisional area clean.... Daily . .like with Betadine ointment ..... Try to avoid water contact with wound minimum.... Healthy and balanced diet with more fruits.... I would still prefer to consult surgeon and get your incisional area examined.... Hope my suggestion will help you... Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been sick for over a month now. My boyfriend just recently went to the doctors, after thinking i got him sick, and found out he had pneumonia. Could i possibly have this? My symptoms conisist of aches in my knees, wrists, and achy feelings in my back. My eyes are glossy, and i have a stuffy nose. My throat feels like its a little more closed than usual. Im very tired. Please help! ### REPLY: Hello, It looks from your details that you may be suffering from pre-viral symptoms of upper respiratory tract infection. A routine viral infection can take 3-5 days to resolve. You may take an anti-allergic medicine like levocetirizine 5 mg once a day or at nighttime to get rid of symptoms like stuffy nose. At this time of COVID-19, if there is any significant history of contact then you should ask for test for COVID-19 from your doctor. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir my wife is in 13 week of pregnancy she is having subchorionic bleed since 7 week of pregnancy and at present it is in a clot form of size 3.5x1.7x2.6 cm taking Tab Progesterone 200 mg, Injection Hydroxyprogesterone 500 mg weekly x 4 weeks taken, Tab Calcium, Tab Folic Acid, Tab Eltroxin 50 mcg is there any problem further ### REPLY: Hi, chorionic bleeding is not much of a problem if size is decreasing on repeat scan. She is taking correct medicines. Just tell her to take as much bed rest as possible. One more thing that there is a chance of less liquor with growth retardation of baby, so get the growth scans done after 26 weeks at intervals of 3 to 4 weeks. It will tell you early about that. Hope I have answered your question.  If you have any other query I will be happy to 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: I have problem in opening my mouth little wide. I can eat food but while opening little wide there is a snap/"tuk" sound and it is painful. The pain is on the right side. It seems there is some problem with the condyloid. Two bones seem to rub together. Pls advice the remedy. ### REPLY: Hello dear,First don't worry and be relaxed. I have gone through your query thoroughly. I will provide you with my best possible advice. As your signs and symptoms is suggesting you might be suffering from Temporomandibular disorder(TMD). The sound you are hearing is the clicking sound. It can be due to several reasons in which "injury" is the most common, other causes may be clenching the teeth over a period of time, dislocation of articular disc of the joint, disturbed occlusion of teeth, arthritis or even stress can create such problem. It is important to diagnose the exact cause of the problem, so I must recommend you to get an appointment with the dentist so that compete clinical and radiological examination can be done, and specific treatment is initiated.Meanwhile, I am advising few things till you get appointment with the dentist to which will provide you symptomatic relief to an extent.  - Avoidance of muscle strain (i.e. gum chewing, clenching) - Avoidance of events that can trigger pain or discomfort.  - Apply an ice pack to the side of your face and temple area for about 10 minutes. After 10-15 min apply a warm towel or washcloth to the side of your face for about 5 minutes. Perform this routine a few times(4-5) each day.  - You can take over the counter painkiller like Ibuprofen thrice daily for 3-4 days.  - Yoga/meditation/other activities is advised to reduce any type of mental stress. Hope this will help you there is any more query or question regarding this in your mind, you are welcome to ask me any time. Take Disregards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: is there any documentation in support of rutoside trihydrate,trypsin & bromaline combination for its usage in nephro patients,specially with regards to safety usage of rutoside as prostaglandin inhibitor. resp. sir i am a medical rep. & i cant pay for your answers/reply, but still look forward to an answer. ### REPLY: Hi, I appreciate your concerns regarding the safety of outside in patients with kidney diseases. Prostaglandins play an important role in the normal blood supply within the kidney tissues which contribute to the normal function of the kidneys. Non-steroidal anti-inflammatory . Although outside is a naturally occurring flavonoid claimed to be effective in reducing pain and swelling associated with inflammation and since it appears to act by inhibiting prostaglandins formation hence its safety in patients with kidney disease has not been proved on any clinical studies.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 month old son, who is suffering from Wheezing Bronchities. Hospitalized for 2 days and wheezing reduced. However After a week it wheezing recurred along with Dry cough. Our Doctor has prescribed Mitslinctus Codeine for cough. IS this syrup safe for my baby? ### REPLY: Hi...please do not use Codeine at this age. It is not licensed to be used at this age. The safety profile has not been studied and established at this age for this particular . 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: hello sir, my one month old baby have billirubin level at 16 when i tested now, i went to gastronterologist they gardenal 30mg 1/4 tab a day for 10 days , i just want to know is there any serious ,pls ans the query i was totally worried about this i dont know what to do further. ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Not to worry. As the liver is still developing bilirubin will be high in babies.2. If it goes above twenty, it might require intervention.3. Along with medication, exposure to sunlight will reduce bilirubin faster. Be careful, that there is no sunburn due to excessive exposure. It will reduce faster. Not to worry. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had an MRI on thursday, Ive had many MRIs in the last 10 years but this was my first experience in a 3.0 Tesla imaging unit. I have relapsing remitting multiple sclerosis and am on Tysabri as my disease modifying drug, I have tested positive for the JC virus {papovavirus} and so my MRIs are to watch out for possible signs of PML.  My head has been pounding off and on since thursday and I was wondering if this is common in higher Tesla MRIs. ### REPLY: Hi, Thank you for posting your query. It is possible to get headaches after 3.0 Tesla MRI and several of my patients have also complained about that earlier to me. I am not sure of the exact reason, but may be related to noise or higher magnetic field. It settles down in a few days. Wishing you a favorable MRI report. Please get back if you require any additional information. Best wishes, . 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: I have a small hard lump located on my left upper thigh close to my genitals. I also have a hard lump on the inside of my earlobe that is fairly painful. My finger also has a hard elongated bump close to the nail. Just curious what these lumps may be and if they are related. ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from HPV warts with pain in the earlobe. Treatment would be-By Co2 laser or Electrodessication/ ablation of the warty lumps with TCA (Trichloracetic) / or pedophile cream/ solution application with Painkillers and antibiotics to take care of the wound healing. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. . N.M.S. Genl-CVTS -Senior Surgical Consultant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MRI with/without contrast showed Scattered deep white matter T2/FLAIR hyperintensities noted, non-specific- most commonly seen with chronic microvascular ischemic disease. This is the only part of the report I have access to at present. I am an overweight (please don t say this is the cause), 50+ y/o female with a history of diabetes (that is food intake controlled and six months+ reports show levels within normal limits), high blood pressure (taking bp and fluid meds which dr has recently doubled both but bp is still 136/90), and high cholesterol (cardiologist stated this was genetics ). Before meds were doubled, I have been having continuous headaches for more than 3 weeks (from throbbing to severe in intensity) only on left side--at base of skull , in front of ear and behind eye. Dr. left a voice mail that everything looks normal on MRI. My head still hurts, I m missing work, getting dizzy (not falling, but I feel it coming on and brace myself). Please advise/suggest a next step for me. ### REPLY: Hello, Thanks for the query, Please note that MRI findings should be interpreted along with the clinical data. The MRI data that you have provided could be seen in patients with diabetes, hypertension. These changes reflect microvascular ischemia. You donor have to worry about these changes at all. Back to your headache. Headache can be due to various causes like migraine, cluster headache, tension headache, infection in the brain, brain tumor and so on. The possibility in your case could be migraine and/or tension headache. These diagnoses are that of exclusion. Further if the headache duration is only of 3 weeks, other conditions must be excluded before securing the diagnosis of migraine. Good that your MRI is normal. I advise you to get a neurological evaluation done by a neurologist. He will then determine a lumbar puncture will be required in your case or/not. Management will be as per the cause Hope this clarifies your query Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having left lower side pain about 3in left of my belly button and in my lower back feels sore like my muscle is sore. It really hurts if I drink alcohol and I only drink on Saturdays when we go out with friends. Coffee also makes my whole lower abdomen hurt. I have 25/f I had Lapband surgery July 20,2011. What could this be? ### REPLY: Hi, lapband surgery some times may cause Castro esophageal reflux disorder [herd]leading esophagitis, gastritis that may cause pain. Alcohol, coffee known to be gastric irritant and may cause pain. Left lower abdominal pain may be due to constipation, commonly seen in post Lapland surgery. Please discuss with your surgeon and find out and follow advice For the time being avoided the things that are causing pain Hope you be all right soon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m 18year old. my height is 5feet and 7inches .i want to increase extra 4inches without using lift kit shoes . i do hanging bar 100times a day and jumping rope6000times and drinking at least 3 glasses of milk daily and put 8hours sleep each night. usually have the food that contain calcium,protein,vitamin D,C. would i increase my height? ### REPLY: Thanks for your question on . I can understand your concern. Our long bones are having growth plates at their growing ends. These plates are the reasons why we grow height. After the age of 18-20 years, these growth plates fuse with parent bone and so other height will no longer increase. Since you are 18 years old, you might increase your height for next 1-2 years. You are doing correct things for increasing height. Additionally, start protein powder with milk twice daily instead of plain milk. Also do stretching exercises like swimming, cycling etc. Don't worry, you will gain height up to 20 years. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Evening Doctor, My wife age is 30...now a days she is getting very anger with me and my children too...the reason is she was thinking that i have affair with my brother wife(14 hours journey from my city).Very politely i explained her so many times but no use.Now currently she is not sleeping properly/fighting for small issues/beating children very harshly/warning me for(sucide)...what should i do ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The best course of action could take your wife to a psychological counselor. Any amount of explanation from your side shall not suffice the in this juncture. Over and above, she will get a lot of "circumstantial evidences" in regard to this. Therefore, never try to explain (I know you did a lot of explanation and nothing came your way). Now she is may not be under a mental disorder like Obsessive Compulsive Disorder. The thought process might just be taking the course of obsession. If all the family members ignore her comments and obsessions for some time, this problem could be cured. Do consult a psychological counselor. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Facing acute scar & marks problem on my face due to polonged Acne/pimples. Also, hyperpigmentation & tanning is also there. Kindly dvice. My dermatologist has advised me TCA wit medicines like SOTRET, DOXY C-1 Forte (both once a day for 1 month), Sofradex (to apply) & Adaplene (to apply).... My problem is 8 years old, scars & marks have become hgh from last 1 year ### REPLY: Hello, Superficial scars would respond to peeling but deep acne scars which are mainly pitted would not. In deep pitted scars, one needs to release the scars from their underling attachment with the help of needles called submission and after that fill in the dead space so create with artificial fillers or fat to smooth out the surface. However, you can go in for the TCA application as the first step and then consult a plastic surgeon for further procedures which I have mentioned. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tired all the time, have naps during the day and cant sleep at night. I also feel mentally unalert most of the time and my eyes are often foggy or sore. I dont know why though because I get enough execise and have a reasonably balanced diet. I am 14 years old, weigh 114 pounds and am 5 foot 2/3. ### REPLY: Hello and welcome to , Feeling tired during the day is due to reduced sleep during night. Reduced sleep during night can cause tiredness, decreased alertness, foggy and sore eyes etc. Adequate sleep during night is required. Night sleep can be improved by avoiding beverages before sleep, doing regular exercise, sleeping well in time and avoiding late sleeping. If insomnia remains even after these measures, you will need to consult your primary health care provider. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter has an infected pinkie finger under her nail.   She has been on 3 antibiotics and it clears up a bit but comes back as soon as she stops the antibiotic.   She also keeps soaking it in Epsom salts and that helps.  However, we are concerned the infection will become systemic. What would you suggest?  One friend said she should go to a dermatologist. Another one said did we consider it to be a fungus...Thanks in advance- Grace ### REPLY: HiT hanks for your query at . I understand your concern and situation. I would like to tell you not to worry. You must visit a physician and get any discharge or skin scrapping testing done for gram staining, microscopy for fungal elements and culture sensitivity for aerobic and anaerobic bacteria. Take treatment based on antibiotics' sensitivity results. It seems to be .  Get treatment done and problem will resolve. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 this coughing and phelgm for many years now, I always cough and clear my throat.  I take decongestants after an hour taking decongestants my breathing gets a little labored for 2.5 hours.  I dont have money to go to ENTs or allergist or pulmonary, Can you suggest one specialist to go to? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should consult pulmonologist first because possibility of bronchitis is more in your case. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection 3. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You will mostly improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriends blood sugar on a good day is normally between 70-80. Sometimes after eating a large meal or one high in carbs it will spike up to 100 or more. He becomes very disoriented ,lightheaded, slurs his words and is very shakey. Sometimes it takes a few hours to get back to his NORMAL in the 70s. His doctors say that he isnt diabetic. They never see the spike and wont listen to him. What do you think the problem could be and what should we do to make them listen. He is a former combat medic and EMT. His doctors are at the VA clinic and they instantly discount him because it is always so low when he goes in for a check up. ### REPLY: Hi, As you have mentioned Blood sugar levels of your boyfriend, all Blood sugar level reading are normal, there is no evidence of diabetes. For diagnosis of diabetes one of the following criteria need to be fulfilled 1) Oral glucose tolerance test Fasting Blood sugar level more than 125 and/or 2 hours post glucose blood sugar level more than 200. 2) HbA1c level more than 6.5. 3) Symptomatic for diabetes i.e. increased frequency of urination, unusual thirst, unusual hunger, weight loss, along with this random blood sugar levels more than 200. Whatever symptoms mentioned by you like disorientation, slurred speech, abnormal shakiness, light headiness do not denote Diabetes. Taking in to consideration of profession of your boyfriend it looks like a possibility of anxiety. Better to consult another doctor during period of symptoms, or you can make video during symptomatic period. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 year old granddaughter was hospitalized for a week last March and was diagnosed with two pus pockets, one in the front of her neck and one in the back. The one in the back was cleared up with a week long IV regiment of antibiotics, but she had to have surgery in order to suck out the puss in the one on the front of her neck. Now, it appears she has a puss pocket inside her mouth, just above her incisor tooth. A dentist says it is related to a tooth, but I want to know if it can be related to her other puss pockets????? ### REPLY: Welcome to the ChatDoctorI have gone through your question and understand your concerns. Don't worry. It seems to be due to secondary infection of the upper incisor roots and not an extension of previous pockets of pus. It needs a dentist to completely evaluated the involvement of upper jaw and treat accordingly. Hopefully this will help you. I would be happy to help you in any further questions. 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: Mu Daughter age 44 has re-ocurring skin breaking out into sore lumps in different parts of her body, she suffers come and go cronic muscle weakness, knubness in the feet to the point that she cannot stand at times, or even feel the gas pedal of a car to properly operate it. She has been to many doctors and they cannot pin it down. She tested negative for lou gerhigs disease and lupis, any ideas? ### REPLY: Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, this need a full evaluation of her symptoms and assessment of her function before any definitive treatment is formulated for her. Consult a general physician and get her investigated first. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...when you have lung cancer in both lungs brain cancer and had bowel cancer ,noe he is coughing up a small about of blood twice in two days how long do you think he will have ### REPLY: Hi, dairy have gone through your question. I can understand your concern. If you have multiple cancer then there is high chance that is it metastatic cancer. You may have lung cancer with brain metastasis. Treatment is very difficult. Surgery is not possible. So chemotherapy and radiotherapy is the treatment of choice. It is palliative treatment and can not cure the disease. So chance of survival is very low. It has poor prognosis. Life expectancy is not good. Sorry to say but it is the fact. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i hve just been diagnosed with pcos and have been taking metformin for treatment. i have had short sporadic stabbing pains in my lower abdomen all day and some of yesterday and need to know what it is. i am trying to get pregnant but not sure what it is ### REPLY: Hi. Thanks for your query and an elucidated history. .PCs itself can cause such sporadic pains. Metformin is known to cause such pains and usually settles with time. Other causes can be enteritis or urinary tract infection of a stone in the ureter. Get another ultrasonography done if required. Get a course of an antibiotic and metronidazole if you have symptoms related to urinary system or bowel habits like burning micturition or loose motions. Continue metformin unless told by your Gynecologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is rafiq sherazi 22 years old    from past 2 years my hair is tinning and falling.i was not notice tinnig the hair .now its become series falling .plzzzzzzz tell me the recipies of medicines and aswill naturally coz i m very waried about that ### REPLY: Hi radio Shiraz I read your tinning and falling of hair problem since 2 yrs. Now it becomes series falling.In my suggestion u take some precaution and medication then your problem will go away1-USE CURD IN WASHING THE HAIR.2-NEVER USE OF CHEMICAL SHAMPOO BUT AYURVEDIC SHAMPOO WILL USE ONLY.3-USE OF MAHABHRINGRAJ TAIL FOR LOCAL APPLICATION TWO TIMES.4- USE OF PROTEIN AND CALCIUM.RICH DIET BECAUSE IT IS AN IMP CAUSE OF FALLING OF HAIR.OTHER MEDICATIONNIMBHADDI CHURANA-3gm b.syrup shankhpuspi-2 SF bdGodanti plasma- 250 mg bdJatamansi Kaseya -40ml b.drama churana-3gm b.d APPLY PASTE OF AMLA ON THE HAIR OR SCALP FOR 30 MIN ONCE IN A WEEKTHANKS FOR QUERY. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a ( what i thought was a spider bite on the bottom of my foot, it has been there for weeks, it is rock hard like,a callus consisted of dead,skin, has an open hole in the center. on sometimes hurts to walk on it. My mom told me to try and pop it, so i just squeezed a little and it hurt alot ### REPLY: It is likely you have a plantar wart. This is a lesion that looks like a callus that typically appears on the bottom of the foot. It is caused by a virus. These can be painful and can get bigger or spread. They may require repeated treatments to get them under control. Popping it does not help. Sometimes the callus needs to be carved down with a surgical knife and the lesion frozen or lasered to kill the virus. Best to see your family doctor, a dermatologist, or a podiatrist to get it properly diagnosed and treated. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Gud day, my ob prescribed me daphne contra. Pill because iam still breastfeeding, I am new in using a pill I started the 1st tab 8 days ago,my ob told me that I will not have a period for the whole 28 days of taking the pill,and yet I have a bleeding this early in the morning, is it ok? Is it just a side effect, Im quite worried because she told me I wont hav my period. Pls answer me it makes me paranoid, my 2nd baby is just 4 months old. I dont want to be preg. Again. ### REPLY: Hi, Thank you for choosing . Daphne is progesterone only pill, which is safe during breastfeeding. About your irregular bleeding, it's better to confirm if you are pregnant or not. Kindly consult your obey specialist. In case of any doubt, I will be available for follow-ups. If you like my answer kindly rate my answer and write a review as well. Thank you, Wish you good health. .  .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is it possible I am allergic to composite resin fillings? I had a bunch of gumline cavities filled witChatDoctorposite resin. After the top teeth were done my upper lip swelled. MD thought I had a spider bite and treated as such. After bottom teeth were filled  both upper and lower lips swelled. DDS thought it might be latex allergy. Steroids and antihistamines reduced swelling in two days. Now three weeks later I woke up in middle of the night with both lips swollen again. I have not had any recent dental treatment. Could I be allergic to the fillings? ### REPLY: Allergies can be caused by anything and sufferer himself is the best judge to assess it. No machines or tests can 100% diagnose it. These only help. However, before you take any decision to remove fillings, try to take combo of turmeric powder, Need leaves powder and Sugar candy powder in 1:1:1 ratio. Slightest improvement or relief will indicate that it's working for you. Its safe combo. No side effects. No interaction with other medicines. May continue till it cures fully. Slow pace of cure should not be a distractor for you. Hope it 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: how will i know when i am getting a stroke ihave been coughing alot and my body is feel numb  recently i went ot the doctor office with a pain in my left shoulder center run partly down my arm yesterday  i felt some pain in my hand  didn|t stayl this morning my body  feel numb i also been coughing alot of muscous about four days i am taking medicine i also have  have asthma  the prognois mypain  as siatic nerve ### REPLY: Hi, You have two problems one is coughing with expectoration and left shoulder pain with numbness of body. Do not worry, just coughing or shoulder pain or numbness are not a sign of stroke.  Your coughing could be due to upper respiratory infection or infective bronchitis. You will require antibiotics (quinolones or accolades or cephalosporins)with expectorants and decongestants and other symptomatic treatment. For your shoulder pain and numbness, you must consult your physician for ECG and other cardiac blood markers to rule out any heart problem. Continue asthma treatment what you take. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This evening as I was walking downstairs I suddenly got bad stomach pains and had to vomit.  I produced a lot of it over a couple of hours. All of my vomit was bright yellow (so its bile, maybe). I am concerned because all I have eaten today were a few glases each of apple and orange juice so I dont know why I am feeling so sick. Also typically if I have a stomach ache I feel better after I vomit, but this time the pain remains.  What should I do? ### REPLY: Hi. Thanks for your query and an elucidated history. The pain in abdomen all of a sudden which is relieved by vomiting can be due to the following reasons:-Gastritis with outlet obstruction at the opening into the small intestine due to ulcer at the pylorus -Small intestinal obstruction when the vomit is all yellow and bile. I would advise you the following:Get an examination done by a Surgeon as physical examination reveals may diseases better than any tests known. Upper Hi Endoscopy barium studies if the obstruction is expected to be in the small intestine as the endoscope reaches only the first part of the duodenum. Get started on Risperidone and Sanitizing. Take antacid get. Soft bland diet IF no relief, further investigations as already advised. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sir, im 26 yr male suffering from heavy wheezing, sneezing and regular cold since 2007.my height is 5 feet 6inches and weight 70kg. ive a history of allergic problems and it was diagnosed in 2001. after immunization for a short period (which i discontinued after 6 months ), i had recovered but again it resurfaced in year 2007. it occured due to my smoking which i did around 18 months. after that i consulted many doctors but of no use. 1 year ago, i went for blood IGE test and the result was 598 iu/ml while normal range is 0-200. then the concerned doctor prescribed me foracort 400 and later seroflo 250 inhalers. instead of getting relief, my condition worsened and now my blood ige test is showing 870 iu/ml. im very much depressed and again want to go for allergy test which can detect my allerigic response to various food materials and other natural things. kindly help me and let me know which will be best allergy treatment centre in bangalore where i can go for allergy test and subsequently immunization. ### REPLY: Hello. Thank you for asking at . I went through your history. I would like to make following suggestions to you:1. Please continue your inhaler therapy. Make sure your technique of using inhaler is correct. Personally I would suggest you to use metered dose inhaler with spacer device, which ensures maximum . 2. Were I treating you, I would add daily montelukast and cetirizine/levocetirizine to your regular treatment. This will improve your both rhinitis and asthma symptoms.3. I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing. This will help you to identify substances you are allergic to. The Allergist may suggest you specific allergen immunotherapy which will improve your immune system to reduce allergy symptoms.4. It's great that you have quit smoking. I would also suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.5. Personally I would suggest you to learn and perform regular breathing exercises, Yoga & Panama, which will improve your lung capacity.6. A healthy diet rich in vitamins, minerals and anti-oxidants (e.g., adequate green leafy vegetables, fruits, whole grains, sprouts, etc.) will also be helpful to you in long run. Ass you have asked about allergy treatment center in Bangalore, I must say there are some very good Allergist-Immunologists in Bangalore at present. You may choose any one of them depending upon your ease of travel. However, personally I would suggest you Kempegowda Institute of Medical Sciences (AIMS) where a lot of Allergy-Immunology work is going. Well, allergy-asthma are very well manageable and most persons with allergy-asthma can live absolutely normal life with appropriate treatment. So I would suggest you not to get depressed and have a positive attitude and efforts towards your health. Hope My answer will be helpful to you. Wish you the best of the health. Should you have any further query, please feel free to ask at . Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 33 year old female, married with two kids, 6 and 9.  I have only had sexual intercourse with my husband and one other boy in high school.  I have never done illegal drugs.  I do drink about once a week.  My liver enzymes are very elevated and my BUN is just slightly higher than normal. ### REPLY: Hi.noted history of elevated liver enzymes and BUN levels. It is best if you consult with a doctor for physical examination and clinical evaluation. You may have a fatty liver or chronic alcohol intake, hence, elevation of liver enzymes. Infective and obstructive causes must be ruled-out. For your BUN levels, your kidneys must be evaluated as well. Kidney or ureteral stones must be ruled-out. Diagnostics (such as abdominal ultrasound, blood counts, urinalysis, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Low fat, low salt diet is also recommended. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 50 y/o male. I have had apthous ulcers as long as I can remember. There had been a long span of time in which I had not had a breakout, but in the last few weeks, I have been suffering a major upheaval. The inner part of my lips feel rough to my tongue and the ulcers are very small and on the margin of the lip and mucous membrane . However, I have others on the side of my tongue and a very larger one on the floor of my mouth. Can this be some sort of allergy? Many thanks.. ### REPLY: Hellothere can be various reasons for this including street, nutritional deficiency etc. etc but since you are saying that they are multiple so I would suggest that you visit your dentist and get an examination done to rule out something serious in the meanwhile you can do following1.lukewarm saline rinses2.apply Hegel to the affected area 3-4 times daily3.use McCoppin 10-15 min before eating so that you can eat properly4.start taking activity and zirconia tab daily hope that 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 had abdominal pain, like a dull pain where my ovaries are located and my lower back for the past few days. My period is not due for at least another 10 days. I ve also been very emotional recently. Starting to tear up from minor things and unable to control my mood. ### REPLY: HI. Thanks for your query. The pain in lower abdomen along with lower back can be due to the following reasons:Enteritis ColitisSalpingitisOvarian cyst or its torsionIBSYou have not mentioned any other symptoms either related to intestinal or bowel habits. Consult a Doctor to get examined and get ultrasonography done just to rule out some reasons known to cause problems as mentioned and get treated accordingly, May is for the emotional upset or so. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I am 72 yrs old Ht 5 feet Slightly over weight.I am suffering from attacke of vertigo especially at night while sleeping and I wake up with sense of every thing revolving around .It persists even if I close my eyes. some times it disappears if I flex my neck to a certain angle but some times it persists for a couple of days .my x-rays show that I have degeneration of spine C-2 to C-6 I also have Lordosis . I am doing regular neck excersizes but it still occurs .I also get spells of dizziness while standing . could all this be due to spondilytis? ### REPLY: What you have described is description of a classic vertigo. Very rarely it originates because of spondylosis (commonly misspelled as spondylitis, which is infection of the spine). More commonly it can be because of internal ear issues like benign positional vertigo. A visit to an ENT specialist is justified. Also, an opinion of Gen. Medicine/internist to rule out sinister issues of the blood supply of the brain would help rather than seeing an Orthodox. ### END