Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 common is it for intuniv to cause auditory hallucinations? my 6 y.o. daughter has been on it for a month and mentioned voices in her head on two occasions however it is unclear if they are thoughts she is having or actual voices. she says that it is her voice ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Its is not very common for int univ to have this side effect. She is not tolerating the medicine and that needs to be changed. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, hbsag is poitive and hbeag is negative also i have done the test of lft, usg abdomen afp all the reports are normal and my dna report is awaited . i am healthy and fine women , 25yers old, because of that i could not joint the work . what should do for the next steps. and what all diet i should take. please hep me out i"ll be greatful. thank you. ### REPLY: Hello, you probably have chronic hepatitis B. The laboratory data you've provided are not sufficient to judge that. The hepatitis is considered chronic when the Bag is present for more than 6 months. Other markers can be used though to determine the diagnosis indirectly. Regarding treatment of chronic hepatitis, it depends on whether it is active or not. The serum transaminase and viral load (HAVANA) are crucial information to decide treatment initiation. Your diet has nothing to do with the outcome, so since you've no symptoms or obvious disease activity, there is no dietary change that you should try. You can contact me again, if you'd like more information about your condition or would like to discuss the results you're awaiting. I'll be glad to help! Kind Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I want to ask that my grandmother is suffering from cancer and has completed one cycle of chemotherapy. Her ca125 level decreased to 38. But now doctor advised her to eat medicine ChatDoctortin. But there are no good results.today also the ca125 results are 1038. now i want to ask that is there any natural diet to decrease ca125 level ### REPLY: Hi, ChatDoctortin is topotecan, a chemotherapy. Probably your grandmother has ovarian cancer. Treatment history in detail should have been mentioned. In treatment of ovarian cancer first line treatment is generally Latin based chemotherapy after surgical removal of tumor. CA-125 is a marker to detect the cancer, and it is raised in many non-cancerous diseases also. That is not related to diet. Anyway, consult your oncologist for further treatment guidance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have been using betnovate cream on my face for years now. I wash my face before going to sleep every night and apply it on my face. I tried to stop using it but can t cos my skin gets very itchy and red and small zits start appearing on forehead , cheeks and chin if i do not apply it on my face for a day even. I have a combination skin and i started using betnovate cream without any consultation with a doctor. I am 24 years old. Now I have stopped its use from 3 weeks. My skin was itching the first week and red and small zits started appearing and now it has left dark spots. I am on homeopathic treatment my doctor told me to apply cold milk for itchy skin and it worked but what about the dark spots. What should i do? please suggest ### REPLY: Hibernate is a strong steroid - long term use has several hazards, including skin atrophy.  Your skin may end up worse in the end!  You are wise enough to have stopped now. Self-medication is fraught with dangers!  It is wise to see a skin specialist - generally, they may give antihistamine, moisturizing lotions, and if there be a need for steroid, they will advise the least harmful one like simple HY .  I am not competent to comment on other systems of medicine! 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: I had a infected molar back on on the right side, had antibiotics for 10 days. 2 days after I was done with them started hurting again, had a dental appointment, they could not get the tooth numb at all... Had it pulled, now in day 5 have stitches no surgery, simple pull it is hurting and swollen I think its the stitches but worried...I do not need a dry socket tho I think its over that time.. flying on Tuesday.. I just think its the swelling, keeping it super clean.. Any suggestions or advice? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint in case if you have a pain in the area of extraction socket and as it is 5th day, you need not worry as there can be pain for about a week after extraction and there can be slight swelling too. But in case if the pain and swelling is severe there is a possibility that there is infection in the extraction socket or there is any left out root piece that is flaring up or might be due to .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 woke up last saturday to find my scrotum swollen, blue and purple and painfull. I went to the doctor on monday who checked me and then referred me to a urologist who also checked me, used ultrasound and then prescribed antibiotics for 10 days.The blue colour has since gone and i now notice a long lump that when i feel it, feels like it is between my testicles but more to the left running all the way from the top of my scrotum. What is this likely to be, im starting to worry because the medication is almost over but i still have little pain and discomfort? ### REPLY: Hello, The lump that you are feeling is the epididymis which becomes swollen, so you have the pain in your scrotal area. The epididymis is the tube where semen passes from the testicle to the penis. It is normal to feel the epididymis a little painful and still would not revert to its normal size. It may last for a few weeks even months. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Type 2 diabetic got stung by wasp about 2.5 days ago, initial reaction was local pain. Cooled with ice water, took naproxen and used hydrocortisone cream. No  proble until 1.5 days later, finger began to swell and itch...more cream and benadryl. Finger continues to be erythemous and swollen. Blood sugars running about 50 points higher than norm. ### REPLY: Hello, Welcome to , As you were stung by a wasp which can be uncomfortable, but most people recover quickly and without complications. Mild and moderate reactions to wasp stings can be treated at home. You need to wash the sting area with water and soap to remove as much of the venom as possible. Cold pack may be applied over the stung area to reduce swelling and pain. If there is itching you can apply calamine lotion to control the discomfort. Itching and pain can be reduced by Antihistamines like Chlorpheniramine Male ate and Ibuprofen respectively. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with scoliosis when i was in middle school. I am now 23. I have days when my back hurts all day. I work as a nursing assistant. I have a back brace that i bought. Its not a medical brace just a ordinary brace. Do i need to follow up and have it rechecked since its been a while since a doctor last looked at my back. ### REPLY: Dear-thanks for using our service and will give you my medical advice. It is important to have a follow-up of your scoliosis with an orthopedic. This is a condition that can get worse and give you more symptoms as you get older. You née a medical brace, one that has been made for your specific measurements and support. This is something that will avoid getting worse and will relieve the pain. I hope that my advice has been helpful .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In Ultrasonography of my KUB region Doctor impression is that I have Protatomegaly. size of my prostrate is 33x43x40mm(30cc). Capsule is intact. Peri prostatic planes are maintained. seminal Vesicles are normally visualised and no free fluid in the peritoneal cavity is observed. What is Protatomegaly ? What are the causes for such a condition. How serious is the problem.? What is treatment.? has it to do anything with cancer? I am 67 years old. I have hypertension for last 25 years but by taking medicine I keep under control. can I consume wine in this condition? Please guide. many thanks and regards ### REPLY: HelloThanks for query. Prostatomegally is a condition where prostate gland increases in size after the age of 60 years. This is aging process as one gets cataract in eyes at old age. It is a benign condition and not a cancer of prostate. It can be kept under control with medication however one may need to get it resected(Surgery) if the obstructive urinary symptoms develop and interfere with quality of life. You can consume small quantity of wine. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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..... iam suffering from severe stomach pain for the past 15 days. all doctors are telling nothing nu. past 5 years back i did one operation in stomach tat liver shrinked nu. from childish to still now i cant eat much at the same time motion also problem full of pain. ### REPLY: Hi ! Good afternoon. I am  answering your query. To reach at a tentative diagnosis, one has to know the details of the surgery you had 5 years back apart from a physical examination of patients abdomen. Without the details, one could think of some kind of partial obstruction to your intestines giving rise to your symptoms. If I were your doctor, I would not hesitate to refer you to a general surgeon/ gastrointestinal surgeon for a physical examination and related investigations to plan further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife is undergoing IVF treatment. Her embrayo transfer happend on 2nd Feb. Doctor prescribed Ovidac 5000(ChatDoctor injection) on 2nd, 6th, 9th and 12th. She did beta ChatDoctor test on 16th and result is >1500 mIU/ml. Doctor said that it could be multiple pregnencies and she did a scan on that day and nothing was seen. Doctor asked her to come on 23rd for another scan.>We are very much woried about the result.My questions are 1. What is the effect ChatDoctor level in blood for ChatDoctor injection, is it possible that 1500mIU/ml is because of effect of ChatDoctor injection she is taking?2. what could be ther possibilities for higher ChatDoctor level?3. Doctor places 3 embroys and if all of them are continuing then is it possible to terminate one of them and continue with other 2 by any medical procudure?We are very much woried, any help would be very much helpful .. >BEst Regards,-Anisen ### REPLY: Hi, I have gone through your question and understand your concerns.  levels at this stage should be around 120 mid. High  levels in your wife can be due to  injections as  takes at least 14 days to get cleared from the body. Other causes of high  levels can be multiple pregnancy or molar pregnancy. These conditions can be ruled out in ultrasound which you can get done after 2-2 weeks as now it is too early to detect anything. Yes, if there is triplet pregnancy, then the multifetal pregnancy reduction to twin pregnancy can be done under ultrasound guidance by a fetal medicine specialist. Hope you found the answer helpful. 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: We just noticed a large swollen lump on the side of the face of our 3 month old baby. Its located on the side of the face just in front of the ear. The lump is about 1.5 inchs in length and about an inch in width. It is visible from several feet away. It is not discolored and is fairly hard to the touch. It doesnt appear to be causing any pain. What could it be? ### REPLY: Hi! Thanks for writing to us! After going through the description of the large swollen hard, skin-colored painless lump on the side of the face of your 3-month-old baby, I would like to consider of some congenital or early childhood disease and I must say that this has to be examined by a pediatric surgeon and investigated properly; however, the possibilities are:1. A benign cyst like Desmond cyst, retention cyst, preauricular or bronchial cyst, lymphatic cyst etc.2. Solid tumor or tumor-like conditions like neurofibroma, lipoma, fibrous histiocytoma etc.3. Lymph nodes due to recent ear/nose/throat infections or tuberculosisTherefore, please take him to a pediatric surgeon and further progress; 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: Thing of the moment is I had a tooth extracted at the dental school (oral surgery) a week ago Thursday. It was beyond bad & I think infected. I have had headaches, though right now is almost unbearable and my gums are inflamed & my bottom front teeth next to one taken out are very painful. There is another broken off tooth on the top, but they could only do one. That one had been seriously bothering me these last days. I don t feel well at all. All of my teeth need to come out and are decaying. Do you think this is an emergency situation at the moment? Any advice? ### REPLY: Though not an emergency, the situation that you are in demands immediate and complete care. The teeth that have been taken out must have been in a non-salvageable condition. If all your teeth are in a state of decay then I suggest you to complete the treatment where the ones which are not in a very bad state will be filled and restored and the ones which need to be taken out though may not be still bothering you will be removed to prevent any further episodes of pain and discomfort. Also, since the gums as you reported are inflamed and painful a deep cleaning of all your teeth is necessary. If you complete all these procedures without leaving the treatment in between you will be in a state of good dental health 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 have problem with stomach discomfort, when I press my upper belly with my fingers I felt that discomfort and nausea more. No diarhea. It happens now from last Wednesday and It had happened in the weekend of July 1 and disappeared after 1 week. I went to doctor to take a breath test for Helycobacter pilory and it came back negative, I have not go to the doctor after the test yet as still waiting for my stool test, what is my problem ? ### REPLY: Hi. Thanks for your query. Noted the history and understood the concerns. Pressure on upper belly with fingers causing discomfort and nausea can be due to gastritis. This can be treated with a PPI like Omeprazole and antacid. Go for soft bland diet. Avoid hot and spicy foods. Avoid stress and anxiety, late nights. Small frequent meals. Take rest. This should help you the best. If these measures fail then you need an upper GI Endoscopy to make certain the diagnosis and get treated accordingly. The stool test may help further if at all shows any positive findings. Hope I have answered your query. Let me know if you need further assistance. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, My father was hospitalised last month(29th April 2014) due to increase in is uric acid it was 13.9 mg/dL & creatine was 2.1 mg/dL. At the time of discharge after 10 days uric acid was 11.9 mg/dL & creatine 2.6 mg/dL. On 24th may 2014 we have carried out test of uric acid whicChatDoctore down to 7.2mg/dL & creatine was 2.6 mg/dL. Kidney size are normal. But left side kidney having shrink little bit. My query is that whether my father is having any problem with his kidneys. ### REPLY: Hello and welcome to . As a Urologist, I must advise you to send me the reports, for a detailed view of the urine, blood and scan reports.  By reading your question, I must opine, that all reports are surely suggestive of a kidney problem, with less function. Uric acid, can also go up Creatinine is an indicator of kidney function. When kidney function decreases, the creatinine will go up accordingly, and vice versa. If kidneys are affected, the size on a scan will also show decrease. You can send the reports for an expert opinion, to me. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: IM 48 YR OLD FEMALE I HAVE CHF HIGH BLOOD PRESSURE AND I WAS A SLEEP AND WOKE UP THE BACK OF MY HEAD WAS NUM AROUND THE LEFT SIDE OF MY FACE IT FELT LIKE MY FACE AND FORE HEAD WAS DRAWING AND MY LEFT ARM AS FEELING SOME NUMBNESS AND I HAD SOME CHEST PRESSURE I STILL FEEL A LITTLE CRAZT HEADED MY BP 180/89 PULSE98 I FEEL LIKE ITS HIGHER THE MACHINE KEPT PUMPING UP THREE DIFFERENT TIMES. IM ALSO NAUSEAED AND MY STOOL IS BLACK WHEN I WENT TO THE RESTROOM SHOULD I BE CONCERN I HAVE NEVER EXPERINCED THIS IT WAS VERY INTENSE. THANK YOU AMANDA BOYD ### REPLY: Thanks for your question on . In my opinion you should definitely rush to the emergency room and get done ECG and 2D Echo to rule out heart attack. Since you are having high blood pressure with numbness in face and left arm, possibility of coronary artery disease is more. You may need MRI brain to rule out brain stroke. If you are on blood thinner medicine like aspirin than your black colored stool can be due to this. So stop aspirin if you are taking. Blood pressure control is must for you and so consult cardiologist immediately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive accidentally stabbed myself in the chest with a craft knife, what do i do? The wound is clean and not bleeding much. The size is approx 1cm length by 2/3 mm deep. my breathing is ok but Ive got a kind of indigestion feeling and a slight feeling of pressure. Im just a little concerned in case im bleeding internally. Ive patched it up and its been about an hour ago now. Am i ok to go to sleep ### REPLY: Hello, welcome to . You are absolutely fine. The wound seems to be deep. It heals on its own but takes a lot of time. Also, you should take care that it should not be infected. The wound should be cleaned with antiseptic solution like salon if the knife was soiled.i advice you to take appointment with doctor. With 3-4 sutures and local tobramycin like ointment, the chances of getting infection can be avoided. All the organs are fine. Nothing to worry. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctors i have recently started getting lower back aches all the way into my hips/tighs and sometimes past my knees i thought i was getting better 2 days ago woke up fine but it came back later that night and hasent left since should i go to the doctors or the hospital thank you for your time ### REPLY: In my opinion you should stop worrying. For immediate relief have some painkiller along with a muscle relaxant for 3-5 days depending upon the pain and symptoms and have proper bed rest for a week. Do not lie down on soft mattress use hard one instead, Do not strain your self or over exert. U can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dont know if Im actually talking to a real doctor but I have an urgent question. I have been on my birthcontrol (Tri-Sprintec) for about two weeks now. I previously had been on it for a couple years but just recently started using it again. Through the two years I had never gotten pregnant...even though My partner and I never used any other kind of protection besides the birth controI. I had unprotected sex about twelve hours ago and have heard that you can take 2-5 birth control pills to be used as an emergency contraceptive. Im wondering if this is true, how many pills of the tri-sprintec should I take?Thank you, I hope to hear back from you soon.-AAAAA ### REPLY: Hello Sky and welcome to . Thank you for your query. Tri-sprintec is a birth control pill that has to be taken as advised by your doctor, not more, and not less. The usual instructions include taking it on the first day of your period, and then taking one pill a day. The 28-day pack contains 7 pills which are called the reminder pills, while you are on these you will experience your period. Please do not take any extra pills, one pill a day is more than enough to prevent a pregnancy. As you have already been on the pill since 2 weeks, and hopefully initiated it on the day your doctor has asked you to, and provided you have not missed a dose, then there is usually no requirement for you to have any other pills or extra pills. At times, we do advise one extra method of contraception, like the use of condoms, as there is a 2-3 % chance of failure of this form of contraception. As you have been on the pill, and provided you have taken it the day you had unprotected intercourse, you need not take any extra pills. So please, rest assured. The one pill a day course, is more than sufficient. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.ChatDoctor .com/doctors/ .  I would gladly help you. 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: hello, I am a 32 years old married man.we are trying for a baby for the last 1 year. In the last october my wife had suspected oophratis with a beta ChatDoctor level of around 250. The b ChatDoctor level came down to 3 after a month. what should we do . Which is the best place in bangalore for infertility issues ### REPLY: Hello;welcome to  When a couple is staying together for more than a year and inspire of having unprotected sex if there is no conception/pregnancy then the condition can be labelled as Infertility. It can be a male as well as female problem of infertility. Male problem can be ruled out if the semen analysis of a person is normal. As for females there are many causes like :--irregular menses with ovulatory cycles-blocked Fallopian tubes-hormonal imbalance of FSH/LOCOS etc a detailed investigation is required ;once the cause is located or diagnosed it can be treated, and you can have baby. For infertility issues please consult a Gynecologist in Bangalore, and she will guide you regarding further management after examination of the patient. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I had a fall about two months ago and my knee has what looks like 3/4th of a golf ball bump on it. I have been putting ice on it. It doesn t hurt unless I put pressure on it. It is mostly squishy but has hard parts. I can walk normal. Is it some kind of cyst that formed from the fall? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have history of trauma.  You have high chance of having hematoma formation due to extravasation of blood.  Furthermore, you should go for MRI knee once to rule out any meniscus or ligament injury or other soft tissue injury.  Then you should take treatment accordingly.  Rest, anti-inflammatory plus analgesic .  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 11 year old daughter was diagnosed with strep and Flu A&B on Thursday.  She has been taking her medicine since then.  She really perked up yesterday and seems fine, at what point can we send her back out into the public again, without putting other people at risk or herself?  She wants to go today. ### REPLY: Hi thanks for asking question. She is suffering from influenza. Usually first 7 to 10 days can be infective for other people through airborne transmission. So for approx week it is better not to go outside and taking rest. Whenever sneezing, use handkerchief for sneezing. . Eat more fruits and fruits juice. Maintain immunity to counteract influenza infection. I hope I have solved your query.thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am suffering from 6mm kidney stone on right side of the kidney. doctor as asked me to take lot of water, tender coconut water and have told it wil come out. I am taking spasmo prvoxyn pain killers...but its been 8 days now..stone has not come out and pain is stil thr.... ### REPLY: Hello and welcome to .  As a Urologist, i can understand your anxiety.You've not given details of the stone position in the kidney. Have you had stone formation or treatment in the past.? You need to take a medicine to shrink the size of the stone. So take Potassium Magnesium Citrate tablets twice daily. Gradually the stone starts to shrink and should flush out with fluid intake of 15 glasses daily.  Coconut water may be stopped. If you've any doubts, send it as a direct question to me, with all reports. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I lost my father and best friend at the same time that a new lover became my best friend. Now she has left (after 10 years) and the grief is worse than it seems it should be since it was mutual. Could I be finally facing the grief of losing my father which I didn t seem to have a difficult time dealing with 10 years ago? Do you know of any topical books on such a subject? ### REPLY: You have been through a lot of losses in your life. Grieving takes different lengths of time and is a very individualistic experience; there is no time limit in which the grief is "over." It may very well be that the grief you are experiencing now is much worse because you did not fully grieve over the loss of your father and best friend 10 years ago. The best thing is to not place any judgment on your feelings, and let yourself be okay with grieving your first two losses at this juncture. Some books on grieving are: How to Go On Living When Someone You Love Dies by Therese Random, Ph.D., and Honoring Grief: Creating a Space to Let yourself Heal by Alexei .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is abhilash and my LFT report is as follows.please give your suggestions.Please not that i used to drink heavily once in a week.s bilirubin t 1.2 mg/dls bilirubin d .39 mg/dlSGOT 71 u/lSGPT 106 u/lAlkaline phosphate 67 u/lTotal protein 7.3 gm/dlS albumin 4.0 gm/dlS globulin 3.3 gm/dlA/G ratio 1.2thanking u abhilash ### REPLY: Hi and welcome to . These are moderately elevated liver enzymes, but question is there and how serious is your liver damage. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated .  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. 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: my 5 year old daughter has a lump behind her ear. Looks like mastoiditis,but no fever, ear pain now. about halfway through antibiotics for it, a little smaller, but still very present. Her ear is sticking out. I m worried the doc is missing something. Should I be? Could it be mastoiditis or something else? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He may have mastitis.  If he has lump then it can be reactive lymph node or sebaceous cyst.  Just complete the course of antibiotics.  If lump still persistent then go for biopsy accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi good morning, my daughter is 2.5 months she s in pain it seems like her tommy..I took her to the Dr who gave her enteogermin susp 5 MLAs once / day...& dph decongestion 3 times daily because baby spitting clear bubbles she believes cold draining back in the throat to the stomach...baby is really f fussy..please help.. thank you ### REPLY: Hi... This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to .  Unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. This will get better by itself. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sis-in-law has been suffering w hives, and swelling for months now the drs in indiana dont know what is wrong after mri ct scan they see nodules on liver & want to biopsy it to rule out cancer. I live in CT & we have great medical treatment up here I am doing research to try & give her a direction of what it could be? ### REPLY: Hi, She is having liver nodules. Hence, malignancy needs to be ruled out Traffic CT scan and serum AFP estimation will be beneficial in rule out HCC. If needed USG guided biopsy can be done and sent for histopathology examination for rule out malignancy. According to cause specific treatment given. CBC also should be done to check eosinophil. If needed for rashes antihistamines .  Consult a physician or gastroenterologist for examination and further work up accordingly. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes please I found a lump about the size of an egg and it seems to sit right above the rectum but I feel it in my abdomen it is hard and it is painful to bend at waist. I had three abdominal surgeries three years ago and I have three fistulas. I have also been running a fever between. 100. and 103. ### REPLY: Hello lump of the size of an egg is a matter of concern particularly in perianal await could be any of following perianal or ischiorectal abscess Large hemorrhoids Rectal polyp Cancer growth in rectum or anal canal I would advise you to consult a gastroenterologist or proctologist for colonoscopy/ photocopy for confirmation of diagnosis have plenty of fluids lots of fruits and dietary fiber avoid constipation by taking liquid paraffin at night smoking and alcohol to be given up hope this helps you regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old daughter says she is hungry constantly. As soon as well leave the restaurant or get up from the table she wants a snack. I am afraid of her becoming obese some day. Is this constant hunger normal? She is 4 foot tall and weighs about 65 lbs. She is solid. ### REPLY: Dear, Welcome to ChatDoctorWe understand your concerns went through your details. When child .  You must be able to identify which food the child is always craving for? Is there any association or patterns etc. Identify the food and include that food in everyday meal. Second reason could be, that they are making food association. TV and food, video game and food are great association they make. When they sit there, they ask for food. Some child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Every year for at least the last seven years I tend to get what seems like a really bad chest cold - however they often last for 1-2 months. I usually end up going to the doctor 3-4 times trying different types of cold meds. This year it started with what the doctor said was the flu, and then a chest cold, then tonsillitis, and now bronchitis. I am still coughing up green phlegm, coughing and blowing my nose non-stop (it is both clear and greenish-yellow in colour). And my body is very very weak in energy and I am having trouble breathing. Why does this happen at least once a year and is there anything that I can to do prevent it from happening in the future? What is it exactly that I am dealing with and why does it stay so long? darshan ### REPLY: Thanks for your question on . I can understand your concern. You are having seasonal bronchitis. It comes every year. It is caused by some inhaled agent which is in the environment for that particular time of year. Furthermore, it is common in winters. So in my opinion, you should consult pulmonologist and get done PFT (Pulmonary Function Test). You should start inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral combination of antihistamine and anti-allergic . Start these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my periods are 10 days over due. I did urinary pregnancy test by strip twice it was negative both the times. My consultant here advised me to take primolut n twice a day for five to triger mensturation. please advise if it is ok, as I am still confuse that it is pregnancy. ### REPLY: Hallow Dear, If 10 days after the missed period the urine pregnancy tests are negative, probability of pregnancy is very less. If you are still in doubt, for further confirmation, you have the following options:1. Repeat the test on the overnight first morning urine sample. This urine is concentrated on the  hormone and hence the test will be more reliable. 2. Get Beta  test done.3. Get ultrasonography done. If any of these tests reports are no pregnancy, then what your doctor has prescribed is a right treatment to get your menses. Take Primal N or Devilry tablets for 5 days. You will have with .  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: in the last three days i have started burp/hiccupping all day long and when i need to burp but cant its like the burp gets stuck in my chest and it hurts really bad, it feels like i literally have a lump in my throat.  the first day i had it, i also had heartburn but now the heart burn is gone but im still burping? any suggestions? im a 28 yr old female taking 20mg of lexapro and 7.5mg of buspurone a day. thanks in advance!! ### REPLY: Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. It's a gastritis. Avoid hot, spicy, oily and fatty meals. Have multiple small meals instead of heavy meals. Don't lie down immediately after meals instead have a walk for some time. Avoid smoking and .  Take Tab Panto once a day before breakfast. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was pulling weeds a couple days ago out of my flower beds, came in and washed my hands and noticed a black speck on my wrist kind of under the skin, the next morning it was above the skin and came off, and now I have very swollen red almost raw bumps or rash that starts on my wrist and is spreading down my arm....it s also very painful, what could it be??? ### REPLY: Hi, The rashes can be due to some allergic reaction, contact dermatitis, scabies or bacterial/viral infection. Remove any bracelet or fitness band that you may be wearing. Avoid use of harsh soaps, latex, rubber gloves, poison ivy, etc. Stop addictions if any also stop medications that you might be taking for a couple of days for it can be a side/allergic reaction to it. Take care of your hygiene, wash your hands, cold compress & apply topical calamine lotion. Take antihistamines(Levocetrizine). It should subside. If not get physically examined, you may need oral antibiotics or immune suppressant therapy. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having horrible chills, followed by back/nect pain (FROM BEING HIT BY AN 18 WHEELER IN 2004) ELECTRICAL SHOCKWAVES THROUGHT MY BODY LIKE BEING TORTURED WITH A TAZAR, I GET A SENSATION OF BURNING AND ITCHING. THAT IS FOLLOWED BY WEAKNESS AND MEMORY LOSS/STUPITY THEN A HEADACHE. I HAVE HAD A IUT THAT WONT GO AWAY. ### REPLY: Hi thank you for trusting ChatDoctorI read your query and understand your concernUnfortunately your symptoms don't lead to a specific disorder In my opinion you should be checked by a neurologist because neurological exam will give information about the cause and the suffering zone It may your neck or your head which is provoking your symptoms Consult your neurologist than decide for the right examination which will probably be magnetic resonance Hope I have been of helps healthyRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Pain is radiating from the left side of the spine (scapula area) through the shoulder blade and to the rear upper arm (triceps area). Pain subsides and returns but is nearly constant. When severe, the pain radiates down to the left little finger. The area inside the shoulder blade in the thoracic area is extremely tender. I am very active and suspect that I injured the muscle/nerve group immediately adjoining the spinal region. This pain sometimes diminishes for hours and sometimes, jittering or throbbing of the triceps muscle takes place. The condition has been present for approximately four days but has increased in severity in the past three days. ### REPLY: Hi hope this msg finds u in good health. I have gone through your complaints and understand your concern. you are right. .u seem to have cervical disc prolapse that might be causing pain and articular inflammation due to nerve compression. U need to get a detailed MRI done to find out d exact cause. Take analgesics and anti-inflammatory tablets' physiotherapy may help. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just got my pap results back today and they told me that it came back abnormal. She mentioned HPV and said I will have to come back for further testing. I have my period right now so I made it for a week from today. Reading things online is freaking me out because its sounds like something bad to me ### REPLY: Hi thanks for asking question in .HPV is of two type like low risk and high risk type.HPV infection lead to CIN-cervical intraepithelial neoplasm. But if it is diagnosed in early stage as in IN 1 OR 2 stage then survival rate are good. So here you don't worry. Your first step is to confirm whether you are HPV infected or not. And if you have confirmed HPV, then regular pap and other screening done at 6-month interval. Chances of getting malignancy is high only if IN is of stage 2 or 3. So before malignancy occur, with PAP it will be diagnosed and treatment done. The confirmatory diagnosis of it will be done by immunohistochemical examination like FISH which is gold standard for diagnosis. I hope I have explained you about your infection very well. Best health ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: old back disk injury. onset of extreme low back pain in back and hips no leg pain however extreme pain in low back and hips hindering me from walking also difficulty standing up from sitting position and sitting down from standing position. the pain is extreme ### REPLY: Hello, Thanks for your query. You might be suffering from Acute mechanical back pain.1. Hard bed rest for 2-3 days2. Take some muscle relaxants like moral 8 mg, etc., along with painkillers like diclofenac 50 mg. You can continue using voting spray.3. Hot water fomentation to back 2-3 times a day4. Physiotherapy - Inferential therapy (IT) to your back will help you relieve the pain5. Avoid .  These activities can increase your back pain. Even after a week if your pain doesn't gets relieved, better to get yourself examined by an orthopaedician. He might ask you to take a X-ray of your back do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my mom is having Typhoid from last 2 weeks ... Though her temp is I tidally was 103-104 but now after her ongoing treatment it is 99-100 It had been 4 days since her temp is between 99-100 . She has been given on medicines Zimnac, Velvet & crocin fr temp. Please advise ### REPLY: Typhoid fever has a potential chance of getting chronic as there is possibility of carrier stage. For typhoid you should take anti bionics for at least 7_14 days. And for carrier stage you need to take 28 days antibiotics to clear the infection. During the treatment take rest, . Take care of your self and about your personal hygiene as typhoid is highly contagious. And consult your family physician if symptoms getting worse. Get well soon... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi ...I have a 16 month old with an ear infection, nausea/vomiting, fever (100.9 - 104.9) was seen on the 1/19 by Dr. was prescribed Augmentin 250mg TIB. Tylenol allergy also allergic reaction to flu vaccine. Administering ibuprophen Q4-6 hrs. refusing fluids. Some glanular swelling in odd places of the neck...I m assuming glandular??? I feel the inflammation is to low on the sides of the neck...they are not fixated..feel more cyst like... any suppositories OTC for the nausea/fever? ### REPLY: Hi, From the history, it seems your child has upper respiratory tract infection. The glandular swelling is probably reactive lymphadenitis, which settles as infection subsides. As you have already started on oral antibiotics, continue and complete the course as advised by your pediatrician. If it is a bacterial infection, it should respond to antibiotics.  If viral infection, can give broken every 8th hourly or metal if not responding. Consult your pediatrician before starting this .  Tepid sponging with warm water may help little. Keep your child well HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a CT guided liver biopsy on Thursday 8/28/14 to get tissue samples of cysts, I had a little swelling after and had moderate pain until today. The swelling had gone down as of this morning, and the pain was substantionaly lower. I bent down to pick up some paper off my floor and had a sharp pain in my right upper abdomen where they had entered with the needle. The swelling has returned, but only in the direct area, also I am noticing a stiffness in my back just under my right shoulder. As well as a redish blotchiness to the swollen area. Should I go to the er? Or is this possibly something I can wait to see my doctor about when they open back up after the weekend? ### REPLY: Hi.noted history of liver biopsy and current experience of back stiffness and pain over the site of biopsy. It may be an inflammatory reaction secondary to the procedure. It will resolve spontaneously in a few days time. Analgesics and lukewarm compress may temporarily alleviate the pain. If the symptoms are persistent, it is best if you do a follow-up consult with your doctor, for physical examination and clinical evaluation. Diagnostics and management will be directed accordingly. Physical/rehabilitation therapy/exercises is also suggested. 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: Hi I m a 39 year old male, overweight and trying to change my diet habits and exercise more. I am however feeling a tightness across my upper chest and it s particularly noticable in the morning when I first wake up and for instance try and roll over etc..etc.. I ve also noticed when I sneeze, I can t perform a deep sneeze that I can feel starting deep in my chest. My body seems to only allow a somewhat shallow sneeze. If I sneeze again, it s deeper (as it should be) but slightly hurts. Same as a cough. I can no longer do a deep cough. My doctor suggests it might be some kind of bug in my stomach? Huh? He ordered a blood test which I m waiting on now. Any ideas? Could it be anything else? What kind of bug are we talking about here and how does one get rid of it? Any help would be great! ### REPLY: Hello! Thank you for asking on ! Your symptoms could be related to a musculoskeletal pain or chostochon . Gastroesophageal reflux or gastritis can not be excluded either. For this reason, I would recommend trying an antacid or PPI (omeprazole, omeprazole). If it helps relive your symptoms, it would indicate possible gastritis or gastroesophageal reflux underlying your symptoms. In such case a fibrogastroscopy would be necessary to confirm the diagnosis. Otherwise, I recommend trying ibuprofen. If your symptoms are relied on by ibuprofen, it would indicate possible musculoskeletal pain (including chostochon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor, I, 65 years male, am having cervical spondylitis and lower back pain for past 30 years and osteo arthriitis ofboth knees. I didnt take much medication though I have constant neck pain and knee pain. I used to experience giddiness at times. However, I was able to walk faster, and climb stairs. while coming down the steps I have difficulty. Of late, I hav started having problems keeping my balalnce while walking. I kind of sway and have the fear of falling. Some times I have no problem while walking. I have been asked by a neuro surgeon,  to do MRI of sipne. Meanwhile, he has prescribed Doloneuron 100 and Tolperitas 150 tablets for 10 days. Klndly advise whether this will help in improving my gait. Thank you very much. Sincerely, Jairaj Kamthan ### REPLY: Hi, Yes, in initial stage these medicines will help you in preventing giddiness. The reason behind this is your neck arthritis, due to the osteophyte formation there is compression of vertebral artery at your neck that is leading to the feeling of giddiness and loss of balance. An MRI is advisable to find out the level of compression. You need to avoid hyperextension with rotation on the same side of your cervical spine to prevent the compression of the artery. To prevent this you can wear a cervical collar also. For knee arthritis yoga, knee press (plus other knee strengthening exercises), cycling, swimming will help you to prevent further damage. I would advise for a physiotherapy treatment. Hope this helps you with your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i just got y wisom teeth taken out last week and now i think one of the extraction sites has pus coming out of it. Im not sure if this is normal or if i have an infection. Its been like this for at least four days and my throat on tjat side kinda hurts. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query pus from extraction socket is not good it can be due to infection in socket. For this you should consult dentist and go for Irrigation of socket and zinc oxide eugenol pack if your extraction socket has infection. Follow post-operative instruction given by your dentist. Take proper course of medication prescribed by your dentistConsult dentist for visual examination of socket. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a laproscopic hysterectomy and since the surgery I have used estrogen patches a couple of weeks after starting the patches I developed huge painful mouth sores.  My dentist and doctor said there is nothing they can do to help me with this and my gynecologist said he doesnt believe it has anything to do with the estrogen.  I get them every other week now and they are so painful it interrupts my entire life.  I didnt have them before the surgery and no one seems to be able to help. ### REPLY: Thanks for your query, I have gone through your query. The recurring ulcers could be a recurrent authors ulcers. It can occur secondary to stress. Nothing to worry, you can use topical analgesics and anesthetics like Anabel gel before food, apply it 4-5times daily. You can apply topical steroids like triamcinolone acetone (0.1%) 4-5times daily after food for 1 week. Do saline gargling. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have swollen feet which pitt 3 months after chemo TAC.  I also get a tight throat and breathlessness.  I do have a chronic lung condition which I have been told in not sinister.  I was really fit and finding stiff legs when getting up or after sleeping a pain in the neck. ### REPLY: Thanks for your question on . I can understand your situation and problem. Swelling and stiffness in legs is commonly seen in right sided heart failure. You are also having chronic lung disease. These diseases in the later stages cause right sided heart failure. So better to first rule out this. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. You also took chemotherapy. And sometimes chemotherapy can cause renal damage. This can also cause lower limb swelling. So also get done renal function test (creatinine and urea). So consult doctor and discuss all these. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my boyfriend and i are med students in dominican rep. he has 3 swollen lymph nodes in the armpit (one extremely large and a red-purple color), a rash on the arm that doesnt seem to get better with rash medication and look more like small open wounds, feet are constantly itchy especially after taking sneakers off (ive realized all these reactions have happened after he left his sandals somewhere and now he always has to wear his sneakers) i did my research and i was thinking it may be cellulitis but i get so scared it can be something else!!his father passed away last year from a heart attack and he too had the itchy feet.. his brother has it as well.help! ### REPLY: Hi, Welcome to . I have gone through your query and I understand your concern about the not healing rash of your boyfriend. As you are a med student, you will have to understand that lymph node swelling is usually associated with infection of the region they . The common infections causing axillary lymph node swellings are B herself infection (cat scratch disease) and Staphylococcal or streptococcal skin infections. Look for any significant history of exposure to an infected cat like a cat bite. Cellulitis can also be one of the reasons. I suggest a culture sensitivity of a swab taken from the rash or oozing wounds to confirm the organism causing infection and appropriate antibiotics have to be taken based on that test result. Coming to itchy feet, most common reason for them is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with diverticulitis yesterday - 7 September. Treatment is Flagyl and Cipro and clear liquids and then soft foods. It seems like everything I eat aggravates the pain in my back - which I assume is my esophagus complaining, and the nausea and sometimes heartburn.  Chicken noodle soup seems to be ok, but grapes and yogurt are out as they aggravate the symptoms.  What can I do to alleviate the pain in my back? what are the clear liquids and soft foods I CAN eat? ### REPLY: HI, thanks for using  In terms of the clear liquids this would include clear sodas, broths, pulp free fruit juice, jello, popsicles. Once these are tolerated then soft foods can be used. This would include foods such as mashed potatoes or other vegetables, yogurts, soft pasta. In terms of helping the back pain, you can try paracetamol or the opiate family such as codeine, tramadol. You may want to avoid NSAIDs such as ibuprofen, Catalan or aspirin because they may increase the risk of bleeding. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a planters wart on my heel that I have been self treating . I have cut quite deep into my hell to finally reach the black area. It has been treated well over a year ago and apparently wasn t killed. However, whether it be due to me cutting too deep or what, I am in CONSTANT, throbbing, can no longer tolerate pain! I have had to take my migraine meds for this pain, and it will not stop. I was completely unable to sleep last night and now as it is fast approaching bedtime, I still feel the pain is too great to allow me restful sleep. I CAN increase my oral pain meds, but that has not relieved the pain entirely thus far, and it will also prevent me from sleeping. Is there ANYTHING the ER can do to remove it and relieve my pain? ### REPLY: Hello and thanks for your question. The emergency department could give you pain medications, but they would not be able to remove the wart. You need to see a podiatrist and get the wart treated so that it is removed completely. This may take several visits. Warts are often removed by freezing and for a deep plantar wart it can take multiple treatments. Here are some things you can try to decrease your pain. Try taking 800 mg ibuprofen every 8 hours. Use ice packs on your heel frequently during the day. Get a bunion pad, foam pad with hole in the middle, and place it over the wart, so that when you walk you are not putting pressure directly on the wart. Good luck to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I took my first A1C test.  The results is 6.9%  My doctor wants me to retake the test next week.  I have a family history of diabetes.  Im 48 years old, dont smoke, 6ft tall and weigh 240 lbs.  I exercise at least 5 days a week mainly cardio - some strength.  And, I make good efforts at eating healthier meals.  My total cholesterol is always in a good range (140 MG/DL taken 3-23-17).  My HDL is 34 MG/DL. Should I be concerned so fast about this first A1C test? ### REPLY: Hello, Thanks for the query. HbA1c% is considered normal when it is less than 5.9%, between 5.9 to 6.4 % is considered as pre-diabetic. >6.5 % is confirmed diabetes. So your HbA1c% of 6.9 is showing that there is presence of diabetes. Therefore, it needs treatment.Further, looking at your weight and height it is clear that with a BMI of 32.59 kg/M2, you have grade 1 obesity. Your ideal body weight should be 182 lbs. That means you are over weight by about 58 lbs. This itself can be a major contributor for inducing diabetes. HbA1c% hardly changes in just few days. If you start treatment for diabetes then it takes about 3 months for HbA1c% to show the change.  My suggestion is, better to start treatment for diabetes in consultation with your physician or a planetologist. Plus follow all the dietary advise and consider weight reduction seriously. 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: iam a 28 yr old male.. i been trying to get my girlfriend pregnant for about 3 months now and i dont see any results so far.. also my sperm comes out very watery, can that be the problem..? (my girlfriend has already a kid from her first marriage so i know shes not the one with the problem) ### REPLY: Degree understand your concerns went through your details. Watery semen is not the deciding criteria for not able to impregnate your girlfriend. In fact, semen thickness depends on various factor like level of body fluids, physical and mental conditions etc. I suggest you to consult an infertility specialist to analyze your problem. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. 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 having really bad edema in my feet and ankles. I went to the er and was prescribed water pills and the Dr also saw that I have a uti infection. I am only 28 years old, very healthy and never have any health issues in life. My ankles did go down but I have bruising in legs that have been there for months.my right ankle is worse than my left. Now since there almost back to normal my right foot is considerably darker then my other foot and its hard. I m getting nervous because unfortunately no Dr can tell me what s wrong besides I may have heart issues and need to see a cardiologist asap. Help ### REPLY: Hi, thank you for providing the brief history of you. As you been having skin discoloration of the feet I feel it should be related to vascular insufficiency. Also, many a time due to kidney issues the water retention occurs and the skin discoloration happens. In my clinical practice I have only seen skin discoloration and swelling in patients with Cardiac issues, kidney issues, diabetes and some unknown factors. We try to examine first and go by the natural instinct and in many of the unknown cases it has worked well. We feel it is a metabolism issue and needs a booster for the same. We plan and program our workout session in a fashion where the work out behind reducing the swelling by exercises and improving the cardio endurance along with improved metabolism. Furthermore, we get good results in the swelling reduction. For the discoloration of the skin we usually plan the whirlpool therapy and expose the skin area to the sunlight so a natural healing and skin color changes. We almost found cent percent results. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiWhat is the best method to treat recurrent prostate cancer after undergoing  a radical prostatectomy  in1995. My PSA score is 4.1 and there is no metastasis. Which treatment is best, hormonal therapy orradiation therapy. The surgery took place 18 years ago. ### REPLY: Hi!welcome to ! If prostate cancer recurs, follow-up treatment depends on what treatment you have already had, the extent of your cancer, the site of recurrence, other illnesses, your age, and other aspects of your medical situation. If the cancer is still thought to be localized to the area of the prostate, a second attempt to try to cure the cancer may be possible. If you've had a radical prostatectomy, radiation therapy may be an option, sometimes along with hormone therapy. When prostate cancer has spread to other parts of the body (including the bones), hormone therapy is probably the most effective treatment, It's often very effective at shrinking or slowing the growth of prostate cancer that has spread. Hope this helps 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 an old back injury from nursing. Lately Im finding I get pins and needles on the left side (same as back injury) of my arm, along with very sharp shocks when I sometimes try to bend down. The most confusing part is I have been suffering from  a buzzing feeling in my head and it seems to make me feel dizzy when I move suddenly. Is this possibly from my back issue? ### REPLY: Hello, Thanks for writing to us, According to your history it looks like there is lumbar disc bulge compressing your spinal nerves leading to pins and needle sensation in your legs. I will advise you to do x-ray spine and MRI spine. You may need muscle relaxant with analgesic, and neurotrophic medicine. Lumbar corset and hot fomentation will give faster relief. Physiotherapy like USG and SWD will give quick relief. Spine exercises done regularly will prevent endurance of such episodes. I hope that I have answered your query. Let me know if I can help you further. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 month old has had a runny nose (clear mucous) and watery eyes (no redness) for the last three days. He doesn t appear to be fussy or uncomfortable. I do hear the congestion in his nose when he is breathing. Does this sound like a cold, an allergy, or could this be because he is teething? ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Neck pain started few days ago. Pain shooting down to right fingers and down to tail and legs to calves! Even shooting pain through my throat! Across shoulders. Cripples me. In last yr muscle and bone pain has almost stopped my life I once never sat still. Past yr or More I m in bed, chair or sofa. Stiff painful joints. Swelling hands and feet. Pains too much. But neck n back have ruined my life. I take 800mg ibuprofen tid and muscle relaxers but still in agony. Diag with bulging sacral n lumbar discs, fingers tingle numb pain shoots Q where and through my throat This is hell and I m praying I get diagnosed so treatment created. Muscle Pain and cramps. Fatigue low Grade fever almost everyday swollen glands. Stiff painful joints. Hands n ft feel Useless n painfull. It seems I don t urinate enough. I swell. Pain I. Abd. My legs weak n give out wo warning. Help me so a dr will listen ### REPLY: Hello! Welcome and thank you for asking on ! I read carefully your question and understand your concern. Your symptoms seem to be related to spinal canal stenosis or compression myelopathy. As the pain irradiates in the arms, it may indicate a problem localizing in the cervical portion of the spinal cord. From the other hand the presence of swollen glands, joint pain, low grade fever, seem to be related to an inflammatory disorder including an infection. Coming to this point, I would recommend consulting with your doctor for a physical exam and some tests: - a cervical spine CT scan or MRI-complete blood count, PCR, sedimentation rate for inflammation should discuss with your doctor on the above issues. 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: For the past 8 years (approx) I have had 6 small lumps on my neck, 3 on each side. They are nearly identically located on each side, one on it own and two together. None of them cause any pain, discomfort or are sore to touch. Now, 8 months ago I discovered a small lump near my groin, I dont how long it was there before that because I actually never checked there. It is quite small and hasnt changed size. Now, about 4 weeks ago, just above my adams apple, to the left I got a small lump and the outer skin on that area because sore to touch, that has cleared up and now, I am left with a painless lump, which seems to span withways, about a cm. Painless to touch and hard to find unless you tilt your head right back. I could jusy be getting overexcited, I dont know. As a child I suffered very bad with ear infections once or twice a year and had gromits and my adnoids done. For the past 2-3 years my lifestyle has been quite unhealty due to stress and have been consuming a lot of alcohol. ### REPLY: Welcome to . 1. The history and symptoms and lumps locations suggest - enlarged lymph nodes at different locations.2. The enlargement of the lymph nodes can be due to any infective / inflammatory process anywhere in the body. Also seen in presence of any malignancy. Besides in lymph nodal pathology itself.3. So I would recommend getting start with ultrasound of neck that will help to assess the lumps its nature and where it's coming from and where all its extending to. At the Sam time any pathology causing the symptoms.4. An abdomen pelvis ultrasound will help to assess internal glands status and organs evaluation.5. So suggest getting an appointment and find out the cause get needful investigations done and treated accordingly. Good luck. Hope I have answered your query.Anything to ask do not hesitatehttp://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 Doctor,My father had a Annual Master health checkup. in ECG reports it shows, t wave abnormality consider lateral ischemia. Could you please let me know, is this severe problem? do we need to have immediate medical attention?Thank you very much for your help in advance.Thanks,Sai ### REPLY: Thanks for your question on . I can understand your concern. Yes, this is matter of concerned and you're should consult cardiologist for him. ECG is just screening test forward heart diseases. Ischemia on ECG is suggestive of coronary artery disease (blockage in coronary artery). Lateral denotes Lateral wall involvement. Lateral walls of heart are supplied by right coronary artery. So he is mostly having blockage in right coronary artery. But we need to confirm this. So immediately consult cardiologist and get done 1. Stress test 2. 2d echo. 3. Coronary angiography. He my need stenting of blocked coronary artery and cardiac supportive .  Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: UI ve had these flutters on my right side of my chest beneath my breast bone for 2 days is no pain or shortness of breath breath just fluttersI ve had these fluttets on the right side of my chest beneath my breast bone for two days they come and go. No pain or shortness of breath. ### REPLY: Thanks for your question on . I can understand your concern. Fluttering sensation in chest is commonly seen with arrhythmia (irregular heart beats). So we need to first rule out arrhythmia. So get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all of them are normal than no need to worry about arrhythmia. Sometimes muscular twitching can also cause fluttering sensations. Calcium deficiency is common cause for this. So get done calcium level and if deficiency then you need supplements. Stress and anxiety is another cause for fluttering. So if you are having stress than avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi just took my 11 son to the doctor today he has been sick for 3 to 4 days 102 temps body aches headaches pain on left side of his neck. Doctor checked him and seeing a white spot with with black and it on the back of his throat. And diagnosed him with tonsillitis and bronchitis tested him for strep and flu botChatDoctore back negative I m wondering if there s more to this because my son is not really moving or eating he s lost 5 pounds ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* There are many conditions apart from flu and strep giving tonsillitis.* Suggestions for better recovery - Continue antibiotics as per guidance by the doctor regularly.- Allow plenty of liquids orally preferable to give boiled water, coconut water, green tea, coffee, butter milk etc.- Soft, light diet at intervals.- Avoid all cold .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...Our ten year old son complains of burning after he urinates. He says it does not burn during and it subsides after 15 minutes. We took him to the doctor and they tested his urine for a UTI and they did not find evidence of one, however he continues to complain and was brought to tears this evening. ### REPLY: Hi, As the urinary infection has been ruled out the only other option existing should be concentrated urine because of decreased water intake. I suggest you give plenty of water and even then if the same problem is persistent then the kid might require an ultrasound abdomen to see if there is any bladder wall inflammation or renal stones. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son came home with what looked like flea or spider bite on back I leg...it had a white head so I popped it, lots of creamy mayo like fluid came out ....now it has been two days and it s swollen, red and continues to drain out blood and clear liquid once he soaKs in bath? ### REPLY: His appreciate your concerned or spider bite produces release of lots of inflammatory mediators that leads to swelling redness and pain at the site since you had pressed it, so you aggregated the injury and infection could have set inn such a case I would advise you take antibiotic ointment to be applied locally with tab cetirizine to reduce itching and acetaminophen for pain relief Hope this helps you good luck take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi!   I am 43 years old, 125 lbs and in good health.  I have some food allergies, and a mold allergy. It has been very hot and humid out on and off all summer.  Each time the temp and humidity rise, I have a really hard time breathing.  Feels like someone is sitting on my chest, and it is extremely painful to take a breath.  It goes away slowly when I get into an air conditioned area with lower humidity / lower temp. ### REPLY: Hello, i can understand your concern.I would like to know if you are a known asthamatic.it has been found that people with asthma do tend to get worsening of the symptoms like difficulty in breathing, tightness of chest, wheeze.I would advise a pulmonary function test initially to know the presence of any obstructive lung diseases.I would suggest an inhalation bronchi dilator like formoterol initially which is a long acting one. If required a steroid inhaler would be prescribed later. Kindly get back to us with the reports. Hope you are satisfied with our response. Thanks for choosing  ### END