Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chronic acute mastoiditus, do you know how I can relieve the pressure and pain, caused by the chronic infection and swelling. Is there anything I can do to slow it down?The infection has made a tunnel to help it self drain . It takes 2 weeks for the infection to build and roughly 2 weeks to drain. Non stop its been relentless. Is there any hope of clearing this up? Thank you s for any help ! ### REPLY: Dear patient You have got acute on chronic mastitis. This condition is characterized by discharge from ear and behind ear which is recurrent.  It may remain silent for months and recurs when you get common Cold.  This should be investigated with X-ray of skull anteroposterior and lateral views to assess mastoid status.  Best treatment is surgery to clear infection.  You need to consult expert ENT specialist nearby your area and get yourself examined and investigated.  All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have sharp pains, sort of like bad cramps, in my lower abdomen, low back pain, breast and nipple tenderness and increased discharge (It is not time for my cycle). I am certain it is not any type of STD. I have a family hx of "female cancers". Should I wait the month it takes to get into my doctor? ### REPLY: Hi and thanks for the query, It would have been of interest getting your age, whether married or not, and history any treated STI or not. It's true that hormonal disorders could lead to certain changes in the system. However, a proper clinical review would be most welcome in your case. Pain diagnosis requires many parameters to be taken into consideration. It's better to see your internist and program screening for specific cancers. 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: Can 7mm gallstone be dissoluted with medicines? ### REPLY: Hi, Welcome to  Forum, Yes Gall stones can be dissolved by medicines, but only by HomeopatChatDoctoredicines, if you will go for allopathic treatment they will ask you to remove the gall bladder which should not be done because it has many after effects, and will disturb your digestion for future, so it is better to go for Homeopathic treatment, for more info You can mail us at info . Com or visit us a t WWW. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 inhaled fumes from cutting steel with a torch that had fireproofing behind it.the fumes took my breath away and stopped me from breathing for a second.when I got home my nostrils were a little burnt feeling.Now my chest feel tight.What can I do to get this out of my system? ### REPLY: Thanks for your question on . I can understand your concern. Sudden inhalation of toxic fumes can cause bronchospasm. And thus spasm causes tightness in chest. Best treatment is inhalation of fresh air. You can also take antihistamine like levocetrizine or fexofenadine. In severe cases inhaled bronchodilators (formoterol or albuterol) are also beneficial. 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: Should I be concerned with a score of 0.3 immature granulocytes? I am a 75 year old woman with a BMI of 22 and take no perscriptions. I do take naproxen sodium 220 mg twice daily for arthritis and have for over 5 years. My father lived to the age of 94 and his sister is 95 and still works part time. My Mother died at the age of 58 from ovarian cancer. I don t seem to have any of her health issues so far. Could you please inform me about this concern. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have 0.3 immature granulocytes.  It has no clinical significance. High number of immature granulocytes seen in infection.  But 0.3 has no significance.  So don't worry about that. Just be relaxed. No, any treatment is required. 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 17 y/o son plays basketball, had no real injury just weeks of aggressive play. Has low back pain radiating into left hip. Here is his MRI results: L1-2 minimal posterior annular bulging asymmetric to the left, there is no central canal narrowing or neural foraminal narrowing. L4-5 there is a disc bulge asymmetric to the left with a superimposed small to moderate broad-based left subarticular protrusion type disc hernaition. There is mild facet and ligamentum flavum hypertrophy . These factors combine to cause moderate narrowing of the left lateral recess , and likely impingement of the traversing left L5 nerve root . There is no right lateral recess narrowing. There is no neural foraminal narrowing. L5-S1 there is a disc bulge asymmetric to the left. There is mild narrowing of the left lateral recess but otherwise no central canal narrowing. There is mild left sided neural foraminal narrowing He is to start physical therapy in a few days. My question is - could he have sustained all of this through basketball? ### REPLY: Hello, At 17 yrs of age he is too young to have developed so many disc bulges. The symptom also suggests the compression of the nerve root due to these bulges. Usually such changes are seen in elderly. In your son these are probably related to basketball playing and associated exercises. He may be an individual who is predisposed to this and aggressive playing has precipitated it. The predisposing factors could be in the form of abnormality of collagen formation (there are diseases in which collagen protein s not formed normally, and it can lead to musculoskeletal problems). He needs to undergo evaluation for that. 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 recently visited Ghana, Africa on a school trip and have been taking doxycycline as anti-makarial tablets. Just after a week of returning I ve been have strong pins and needles in my legs and some soreness in NY lower back. I didn t know if this could be related or if I have something else, or if I m just over reacting? ### REPLY: If I were your treating doctor, I would take these symptoms seriously. New onset low backache with background of pins and needles sensation in the legs can suggest pinching of the nerves in your spine. It will need further evaluation in the form of X-ray and MRI. Further management will depend on findings in these investigations and how your symptoms respond over next few weeks. Wishing you best of health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey im 14 and i have this sharp pain in my chest everytime i breath to a certain point. i think that its precordial catch syndrome although i dont think its meant to last 2 days. Is there any possible way that i could get rid of this without any pain? and yes i have been to the doctor and she said im perfectly healthy so i dont know what the hell is wrong with me.. pleasee helppp !! ### REPLY: Thanks for your question on . I can understand your concern. Since your doctor is denying any serious illness for your chest pain, no need to worry about major heart or lung related diseases. Possibility of musculoskeletal pain is more. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 - 7 days. If not improving in 1 week then get done chest x-ray to rule out internal lung pathology. 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: every night im feeling indigeton im unable to digest any outside food i have visited apollo & they gave few tabs ( morning before BF & night after meals) if im using that tabs im feelng comfort... if not again problemstarts) ### REPLY: I think u can't digest outside because your body makeup is in such a way....I have the same problem...’d best way to overcome this situation is avoided eating outside as much as u can...if u do eat ...have fruit salads ND very less spice food.which u will be able to digest. Another thing u need to do is starting working out regularly....play sports, any sports very hardly over a long period for years.....which will slowly help u overcome this... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my mother was suffering with breathing problem. after lots of consultation she underwent goiter operation as doctor said that it was pressing the wind pipe. but after surgery she is still facing the breathing problem. now i m consulting with chest specialist. he has given her a nebulizer and mucolite saying may be chest congestion i am tensed. nobody is able to find the real problem. xray of chest was also clean. now what to do. is there any reason for breathing problem majorly in the night when she try to sleep. ### REPLY: Thanks for your question I completely understand your point actually breathlessness has the variety of causes starting from respiratory to cardiac. Breathlessness on lying down is mainly caused by cardiac illness like cardiac failure you need to consult a pulmonologist who can request for a chest X-ray, spirometry and a cardiologist who ll request for ECG don't panic have told you the format how to certainly diagnose the situationthanksfeel free to ask more questions may god bless your family with 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: Every time I cough I feel excruciating pain in the middle of my chest. It feels like something is going to explode in my chest. I also have the chills then the sweats. I do have asthma but it does not bother me. I am taking 2 I hailers ( Advair and salbutamol ) iv also been taking clonazepam to help me sleep. I have no appetite and am feeling very weak. When I cough I cry from the pain. Nothing comes up when I cough. It s just a dry cough. Please help me ### REPLY: Hi Kellstarr, Thanks for writing your query. Afterreadingyour post, it seems that the pain you are experiencing can be due to muscular in origin due to excessive coughing. The inhalers you have mentioned will help in bronchodilatation and help you in asthma. For .  I would suggest that you should have following investigations done :-1. Complete Blood Count(CBC).2. Absolute Eosinophil Count.3. Chest X-Ray (PA view).4. ECG. Steam inhalation can also help in relieving your symptoms. You should eat fresh fruits and vegetables for increasing the immunity and regaining health. If the problem persists, get yourself examined clinically. I hope this is helpful to you. 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 ve recently been recovering from back surgery and it seems to be slowly improving until a few days a go when my hip started to bother me, today, as I have been told repeatedly that I should walk so I took a walk down the driveway to the mailbox and back and later took out the garbage(all with the aid of a cane) later, after lunch, I was tired and took some ice and laydown for an hour and now when I got up, the pain in the hip is much worse. Is this a severe injury or am I falling apart a little at a time. I am 86 years old? ### REPLY: Hello, I have studied your case and I think pain in back of hip joint is most probably due to compression in nerves. Since you have gone through a spine surgery some time there can be nerve irritation during surgery or after surgery due to scarring. I would suggest you to wait for three to four days. Taking NSAID like Broken and if that pain continues after that then you need to visit your doctor and may need a repeat MRI to confirm the diagnosis. If there is any nerve compression then you might need re exploration. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My partner has experienced rigors since yesterday , he is now in hospital and is on antibiotics, his temp went to 40 degrees and he was delerious in hospital. He is in the best of care but is there anything else I should know? Can exposure to mould be a contributing factor? He is 60 yrs, 6 foot tall, approx 75kg and is generally well,on a saline drip with antibiotics every 4 hrs. Bloods are ok but inflamitoray marker is high. Would appreciate advice. Thanks Suzi ### REPLY: Thanks to  I can understand your concern there are many etiological factors for Pyrex associated with rigors it may be a bacterial, viral or fungal infections. So please check once all basic investigations like CBP, ESR,LFT, RFT. Widal test for typhoid, Rapid malaria test.blood culture, cue, urine culture generally in old age.inflammation over joints leads to high grade fever with chills rigors as you said serum markers are raised, please continue the antibiotics, antiinflammatory . don't worry it will subside, take care of deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 14 yr old daughter told me her right hand went numb then her rt arm then het mouth and tongue and then she said her vision was like she looked at a flash from a camera it was dark in the middle then the left side of her head started hurting at the temple what could it be? ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. From the given details, diagnosis is not possible. The symptoms could be due to many reasons including stress and anxiety. The best option is to consult a physician for clarity. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 34 years old, and 2 out of 3 days I have experienced a tightness in my chest where my heart is beating hard and fast for about 45 seconds or so then goes back to a normal rythym and I feel like Im having trouble breathing during that time. After this is over I get a headache within 20 minutes or so. I am also experiencing some minor aches in my shoulder and left armpit. Is this something serious? ### REPLY: Thanks for your question on . I can understand your concern. Yes, all these symptoms can be due to serious illness like arrhythmia (rhythm disturbances in heart). So better to first rule out arrhythmia in your case. So get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Along with counselling, anxiolytic .  Don't worry, you will be alright. But better to first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having extreme chest pains semi- often, and dull aching at other times. I had to wear a 24 hour heart monitor and was told that my heart rate jumps all over, it got as low as 36 at one point and jumped much higher than normal afterwards. What could be wrong? ### REPLY: Hi thanks for contacting .... Normally heart having regular systole and diastole phase and contract and relaxation of heart chamber regularly .... And so normal heart rhythm is there .... If disturbance occurs in heart rhythm it is called arrhythmia..... So heart beats irregular .... For perfect diagnosis of arrhythmia whether it is premature ventricular contraction, atrial arrhythmia or ventricular one etc.... Holter monitoring done for 24 hours ...ECG and Echo also useful.... According to cause treatment given like for ex. Beta blocker ... Your blood pressure also should be checked ... Consult cardiologist for this.... Hope your concern solved... 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 may last year I got diagnosed with fibrodenoma in left breast at the side i had a biopsy done while there. Due to have it removed a month ago due to pain, but while there chickened out. Since my breast is in loads of pain, breast looks bigger than right breast. I m really worried due to loosing my dad last year to cancer I ve been panicking and googling none stop. ### REPLY: Dear Ma'am, Sorry to hear about your problem, but I am glad that you are seeking medical attention for the same. A fibroadenoma is a benign lesion of the breast and is rarely associated with cancer. You should monitor the lump for a few months and if it is increasing in size, you should get it removed. Sometimes fibroadenomas subside with time. Please consult a breast surgeon for the pain in the breasts. Usually it is due to fibroadenomas which is caused by hormonal imbalance, and it responds well to medications. Hope you get well soon. Rohan KhandelwalBreast Surgeon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Morning Doctor My lower lip is shivering from last 5-7 days and i felt shivering right hand ring and litter finger also yesterday, is it any disease, i had a problem that a wishlist sound i was hearing continuously in left ear, i consulted and ENT and he advised that it is high frequency loss, now a days i get a feeling of blocked ears as we get in elevators, i have headache also along with loss in concentration, please advise me what exactly is the problem and what sort of doctor should i consult? ### REPLY: Hi, thanks for posting your concern in . Loss of concentration, tremors and shivering suggest a provisional diagnosis of Anxiety disorder. The ear problem and headache may be due to panic attack or some pathology in the inner ear or upwards. To rule out, any neurodeficit you need to consult a neurologist. An ENT surgeon as you said had diagnosed SNHL and that may be due to pathology in inner ear and requires treatment under ENT specialists supervision. For any further query, you can write back to us. 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 SIR,               SINCE 2 MONTHS BEFORE SUDDENDLY MY BACK IS PAINING TOO MUCH AT BOTTOM.. THEN  I CONSULT WID DOCTOR,S AND  ALL ..THEN I GO FOR A X- RAY.AND REPOTS SAYS THAT I AHVE PROBLEM OF SCOLIOSIS. BUT IT,S A LITTLE CURVE ON MY BACK BONE FROM DOWNWARDS.SO,  IT WILL  CORRECT LIKE A ORIGINAL SHAPE..?? SIR OR IT,S A SERIOUS PROBLEM ### REPLY: Thanks for writing to us. I understand that you have been told about scoliosis. It could be simple scoliosis due to muscle spasm or real scoliosis curve where you have rotated vertebrae. If it's a small curve then nothing to worry. Regular back muscle stretching and exercise will help. However, if you have persistent significant back pain then I would suggest getting MRI spine to know more about the disc condition and facet arthritis. If It's due to muscle spasm then it will be back to normal spine however if it is real scoliosis curve then it will remain like that or may worsen a little more with increasing age. 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: 24 years old, healthy, active female. BMI normal. I ve been starting to have a salty feeling in my mouth which started about a week ago. It s presence is constant. I think that the saliva I secrete might be salty. It never does away even after brushing my teeth or chewing gum. I think that it may be caused by my diet but am not sure. I eat grains for lunch with vegetables and a protein for dinner with vegetables. In between I eat fruit and yogurt as snacks. I eat two eggs for breakfast with some salt added (but that is the only time I use salt). I think that I might be ingesting too much sodium. The vegetables I eat always come from cans. The only fresh thing that I eat apart from fruits (apples and bananas) are cherry tomatoes in my main meals. Recently, a cavity filling fell out of one of my molars leaving a big hole there. I try to clean it properly since I cannot get to a dentist where I currently am and will only be able to see one come May. Luckily, there s no pain or sensitivity. What could be the cause of this salty saliva? ### REPLY: Hello and welcome, The salty taste in mouth can be due to-Altered salivary secretion. Impacted wisdom tooth. Regressive changes in tooth. Sinus infections. I would suggest you to get a thorough examination by a dentist. Thorough scaling is advice. Decayed teeth have to be restored soon to prevent progression of caries in exposed cavity. Take complete course of medicines too. Take balanced diet and plenty of fluid has to be taken. 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 contracted Grandular Fever a months ago, I had a very enlarged spleen, on the CT Scan they found a blockage, in one of my blood vessels. I was told to take Asprin every day until my specialist appointment, which isn t for another two weeks. I am 38 years old and just found out I am 3 weeks pregnant, what effect would this have on myself or my baby. ### REPLY: Hi. Thanks for your query. Since you are suffering from the glandular fever and have a large spleen, and blocked vessels and already taking Aspirin, it may not be wise to continue pregnancy as you may need further treatment for the pre-existing conditions. Please talk to your Gynecologist and the Treating Physician to tell you the most proper advise whether the pregnancy should be continued or not. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suffer from severe night sweats For a couple of months and horrific vivid nightmares for 2 years, mostly apocalyptic or about loved ones dying. I have had depression for 2 years but is rPretty much gone as I have been on citalopram for 3 months. Im 22, female, weigh 7stone and want to know how to stop the dreams and night sweats. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern, you have to control your though, you have to make your self strong enough to face the reality, stop thinking in negative way, bring beck your confidence, keep the moral very high, cheer up enjoy the life, every thing will is okay, no need to worry about that, have hot showered and hot milk prior to bed this would help you, take care and have 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: Hello doctor. iam 25, , Female and I met with an accident were my scooter rested on my lower spine.my MRI report states : 1. Mild lumber dpine scoliosis with concavity to left. 2. L4/L5 and L5/S1disc mild diffuce buldges mildly indentiting thecal sac. 3.Lumbar spine cannal narrowing at L4/L5 and L5/S1 levels. Could anyone help me by explaining how serious is this and suggest exercise or treatments. ### REPLY: Thank you for asking .  My name is .  Well mild lumbar scoliosis is not a great problem but canal narrowing with disc bulge indenting thecal sac is problem... By seeing the report we can not conclude either you should be kept on conservative management or any decompressive procedure of L5-S1 level... we always correlate patients complaint with imaging findings.so I would suggest visiting neurosurgeon for further intervention required. Meanwhile you can take proper bed rest, no weight lifting, avoid traveling long distance and no bike riding.  Take good painkiller like tab.Brexit 30 mg BD, muscle relaxant(Bernadine 2 mg) TDS Gabapentin 75 mg TDS I hope you will get well soon after visiting neurosurgeon. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I suffer from very hot feet at night. They are not necessarily warm to the touch, but they do have a burning up sensation, similar to the way a fever would feel on your face. This happens only at night, and isn t helped by ice or cold water. I am a 20 yr old female, avg weight. No health problems or medications. This problem has been ongoing for several years. Thanks! ### REPLY: Hello there, I understand your concern about this burning sensation in your feet. From the symptoms you have described it seems to be some kind of neuropathy that is damage to peripheral nerves. There are various causes for this and can be as simple as some vitamin deficiency. To treat this condition you need to be thoroughly evaluated that includes a physical exam and some blood tests and maybe some X-ray. Do visit a physician who can conduct an examination and suggest blood tests like, CBC, Vitamin B12 levels, Urine routine, vitamin D levels, Serum Calcium, Kidney functions, Liver function, Thyroid functions as a baseline to find the cause of any nerve damage. Most commonly vitamin B deficiency can lead to these symptoms, especially if you are a vegetarian as B12 is present only in animal sources. Try to improve your diet with fresh leafy vegetables and milk. If you eat non-vegetarian food then include eggs and fish in diet. Hope this helps. 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.  Ive developed an oval shaped white sore on the side of my tongue with an open whole in the center.  Ive been to the dentist and he is surprised it isnt healing.  Ive been to the doctor as well...about 3 weeks ago and he thought it would be a week or two before it healed, but so far it isnt getting better. ### REPLY: Hi, Thanks for posting the query, According to your clinical symptoms I suppose that you have developed ulceration on the center of tongue, this could be due to infection bacterial and fungal, nutritional deficiency, trauma, stress.  I would suggest you to get a checkup done by the Dentist. Take a course of antibiotics and analgesics. Take lukewarm saline and antiseptic mouthwash rinses. Take multivitamin supplements. Apply Hegel topically over the affected area. 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 ve been experiencing a toothache for a few weeks now.. I ve allowed it to go on for so long because it hasn t really been that bad. Well just this weekend I notice two small white bumps above the tooth. Now the area is so sore that I can not eat. I m unable to visit with the dentist because it s a holiday weekend. My question is has ANYONE else ever had this problem? Or maybe someone could tell me what this could possibly be? Also I had a root canal done on this tooth a few years back. ### REPLY: Hello and welcome to  forum, according to the history presented by you, it seems that it is a case of re-infection, as root canal treatment has already been performed on that particular tooth. The reason for re-infection is improper technique of RCT, also you have not mentioned that whether you had a crown over the tooth or not after the RCT.I would recommend you to visit your dentist soon as the infection has spread to the surrounding tissues as well, but till the time you cannot make a clinic visit, start with antibiotic and anti-inflammatory medication. Also perform antibacterial mouth rinse(3-4 times/day).do not worry and meet your dentist soon.I wish you good health, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What is the cause of Peripheral Neuropathy, and what is a persons life span that has it in feet and legs? I have no balance, and no Diabetes. Toes have little or no movement, lower legs are ice cold during daytime and very hot when sleeping at night (causing restlessness) this has been ongoing for 4-5 yrs. It ends at my knees. Will this go any further in my body? Was a very active and high level tennis player. Outside activities included biking, boating, walking, and tennis. Cannot do any of these things now, and it is stressful. Is there an answer??????? ### REPLY: Hi, Thanks for your query. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. The reason may be due to deficiency of nutrients or due to vascular compromise or due to any pressure effect.1. So you can take multi vitamin supplements consisting of pyridoxine, methyl calamine with pregabalin. This supplements will help you in the prevention of symptoms. 2. Along with these you need to have nutritious diet consisting of fruits and green leafy vegetables and more fluids3. Daily out door exercises (150 min per week). I 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: Feeling lethargic, no energy have stomach cramps that spasm and come and go, real shooting pain across the naval area, i had a cold last week and one or two days feeling like this, darent eat anything because of cramps, havent the need to pass stools. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate concern, the given history is suggestive of abdominal colicky pain and sometimes this goes away on its own if this does not subside then the possibility of protozoa infection is likely, If I would be your doctor then I would treat you with the following medicines, 1) Tab Dicyclomine three time in day 2) Tab Acetaminophen three times in day3) Tab Metronidazole 400 mg three times in day take care and have nice 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: Ive had a clear, stringy, liquid coming out of the upper right interior of mouth. (Inside my lip)  My dentist thinks it may be a salivary gland gone wild, but offered no remedy.  Its most annoying, as I have to pull it out several times a day with a Q-tip.  Any suggestions on what it might be and how I can get rid of it? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have chair liquid discharge from upper front teeth it can be due to infection in gums there can be formation of sinus tract, so pus can be oozing out from lip. Don't worry consult dentist and go for IOWA X-ray of anterior tooth if it is periapical infection then go for Root canal treatment, and if it is periodontal infection then go for Curettage. 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 have been treated for about 6 mo. for broncitus infection then acid reflux infection . I just had a allergy test done and it showed Aspergillus Fumigatus type b 0.4 size 5 positive . my symthoms are coughing ,I had heavy muecus. Now I cough throught the day. Hhat is the best treatment for this . I have a compromised immune system from chemo ### REPLY: Thanks for asking your query completely understand your problem for recurrent upper and lower resp tract infections you can have a 14-day course of antibiotics such as lifetime after asking your pulmonologist and regarding aspergilli or APA, actual treatment is a long term course of steroid tablets like prednisolone and leukotreine antagonists like montelukast. All these are standard treatments but as per your history you have some immunocompromised state. You should consult a pulmonologist and investigate about was type of immunocompromised state you have and how it can be corrected. don't panic APA is a treatable disease, thing is treatment is for long duration, and you have to comply to it. As I said consult a pulmonologist, and you have to take your treatment under supervision as you said you have immunocompromised state thanks/ regards feel free to ask more questions may god bless u with 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, Iam 28F we are in plan for children.. last month my periods are frm 2nd Feb, this month till now I didnot get periods.., I have taken ChatDoctor test on 3rd of dis month but result is 0.10 & also had ultrsound test 2 days back but they said nothing is seen. Iam not feeling any symptoms also, Iam not understanding when to take 1 more ChatDoctor urine test?? also if I had my periods dis month when we can have our intercourse becuz frm past 2 months I had irregular periods. Please advice. Thanks! ### REPLY: Hi, You can take a repeat urine test one week after the first one and better still, go for the blood test as you are well overdue. Since you have irregular periods, it is difficult to predict your ovulation time and hence the fertile period. You should consult a specialist to know the cause of your irregular cycles, have investigations like a complete hormonal profile, thyroid profile, ovarian study and so on. You may use the ovulation kit to predict the ovulation time in the present state of menstruation. 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 baby totally started to refuse her bottle and has a feeding aversion, she has had to go on to a ng tube she still isnt drinking much orally but is now opening her mouth for the bottle which she wasnt doing a few days ago, do you think she will ever take the bottle again so I can take out the tube? Is there anyone who can help with feeding aversions? ### REPLY: Hi...feeding aversion in an infant could be due to a palatopharyngeal incompetence. In this as the kid will not be able to coordinate between the swallowing and breathing - this aversion is the natures way of protecting the airway form aspiration. I suggest you get your infant evaluated by a pediatric neurologist and proceed further. Please do not try oral feeds forcibly if the kid is refusing. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a fertility problems for the last 2 years and I simply cannot afford a fertility doctor as well fertility medications and I am trying to find a doctor that can prescribe that for me a fertility I want so much to have a child that I cannot afford the sorbent price it would be for fertility doctor and theyre hard fertility drugs ### REPLY: HiT hank you for asking ChatDoctorBefore treating your condition first have to identify what problem you have. You have to rule out a Polycystic ovary by ultrasound examination and have to find out whether you are ovulating or not. For that an ultrasound examination and hormone analysis may be necessary. You husband semen analysis also should be carried out. Then your treatment will be easy. You can consult a gynecologist and have a work out of all these at least first. That won't be that expensive. Hope this may help you. Let me know if you have any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,My father has a history of diabetes and blood pressure, currently he has elevated creatinine levels with GFR rate 20ml/min. This level of creatitinine has increased due to consumption of ketosteril tablets.How to reduce this creatinine level to get normal value. ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that since your father has diabetes and high blood pressure. Such chronic illness can cause chronic damage to the kidney. Once the kidney function is compromised it leads to rise in the creatinine which is usually filtered by the kidney. To remove the creatinine out of body it is necessary to take the diuretics under your local doctors guidance. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr, I have a query on dealing with public speaking or performance anxiety... My major fear is about my hands shaking, when ever I m nervous my hands shivers which in turn makes my fear too recursive and stop me from performing or completely I ll get in flight mode. There is only 10 percent chance I can get back to perform at the spot. I started to feel this trauma from the day I started to give a speech at my job some 3 years back. However I was pretty much improving till that time. My confident has gone down only when it comes to public speaking but my will to overcome it is always strong in mind. I took proponal after a dr advise some 2 yr back, that really helped my nervousness and allowed me to talk clear. However this drug took me in to serious side effect , mild pinching chest pain and depression moods(mood change last for 2 days but pain got permanent). I m still experiencing pain but hardly I ll use this drug only on high need. So far I had taken 9 times in 2 yrs and I knew the consequence of it and try making my self prepared to overcome the pain by exercising. I have tested my chest pain( Cardiogram, TMT, chest CT, x ray, ECG) all shows good with out any trouble on my vital chest parts. Can you please help me in this situation, what should I do as this pain is just staying in my body for 8 hours a day continuously. Thanks for any advise ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I see you have two problems. One about the public performance and the second about the chest pain. As the investigations of the chest came negative, then you have nothing to worry (already you are aware). Still you feel the pain. That is anxiety and thought process. The pain false (imagined by you). This happens due to psychosomatic illness like Hyperion .  Psychotherapy should help you overcome. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. Relaxation and meditation plays an important role in controlling Hyperion ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 need a root canal terribly bad. However, there is still A LOT of infection in the tooth. There is still swelling in my gums as well. I have tried antibiotics 3 times and there is still infection in it. Is it possible to go ahead and get the root canal with the infection still in it. ### REPLY: Thanks for your query, I have gone through your query. The swelling in gums could be because of a tooth infection or gum infection. Consult an oral physician and get a radiograph done to rule out this two infection. Check the vitality of the tooth, if the tooth is non-vital then it can be root canal treated. Regarding root canal treatment when you have a swollen gum can be performed after taking a course of antibiotics like penicillin and metronidazole combination for three days(if you are not allergic). Once the root canal treatment is started the pus will start .  You can consult an endodontist and get the RCT done. If there is a gum infection then you need to get the teeth cleaned. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband s brother suffers from something in the brain that affects his movement and memory as he can not remember his children and he is always confused. he makes several kinds of x-rays some doctors diagnose that as tumor in the brain while the others say that it might be the inflammation within the brain because the tumor never exists in two halves of the brain as the x-rays show. i have a copy of x-rays and i can send it if you wish ### REPLY: Your doctor seems to be right. Chances of tumor in both the halves of brain simultaneously are very rare. He may be suffering from some inflammation which may be bacterial, tubercular or due to cysticercosis(A type of worm infestation of brain)It may be no active lesion, but may be just healed scar. I think a further evaluation by a physician/neurologist is required. Treatment is required according to cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 50 yrs old @ 5 9 165 lbs. I just had my upper teeth out the other day because of a bad case of pyrea. I am now throwing up and very hot. I am taking pain meds but could I be sick from the pyria? The dentist said he squeezed it all out but could this be dangerous if there is any more there? Thank you Ed ### REPLY: Hello thanks for consulting at . The pyre could have caused vomiting,if you have inadvertently swallowed it.YOU should have taken antibiotics and analgesics. Hope you had taken...if not please review for a prescription of those medicines by your treating doctor. Now onwards try and avoid inadvertent swallowing of pus... You also need anti vomiting medicines like perform,and antipyretic like paracetamol to reduce fever.please consult an oral physician for a check-up and treatment. Hope it helps,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 was having bad breath, so i went to a medical shop and asked for the tablet, but he gave me some mouth wash. He asked me to gargle with that. I used for 2 times. From that time iam getting irritation, burning in my mouth. Can any body help me with this? ### REPLY: Hi Hashish, There are several reasons for bad breath, most commonly it is tartar in the mouth. You need to get scaling done to remove the dirt, and it should improve your breath. Most of the mouth washes contain alcohol / chlorhexidine as an ingredient which results in burning sensation in the mouth. If you already had mouth ulcers then it would have caused severe burning and irritation. I would advise you to stop using that mouthwash and revert to non-alcoholic mouthwashes such as Betadine mouthwash. This will stop the burning, and you will feel comfortable. If the irritation persists after a couple of days then I would strongly recommend you to visit a dentist for the same. 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 had a tooth pulled a week ago and before he pulled it he had to remove a protruding bone underneath my gum above the tooth that was pulled. The hole where my tooth is removed is ealling nicely but the bone above it is still fully exposed. Is this normal? Will my gums grow back over the exposed bone? Thanks! ### REPLY: Thanks for your query, I have gone through your query. The exposed bone can be because of the tensed soft tissue over it. During the extraction procedure, if the soft tissue flaps have been approximated under tension, then it can result in exposure(dehiscence) of the bone. If it gets infected, then it can result in osteomyelitis. So consult your oral maxillofacial surgeon and get the bone reduced and induce bleeding and close the wound with flap covering over it with the help of sutures. It is not normal. Consult your dental surgeon. 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: hi ,i havn t been to the dentist in a very long time ,like 28 years,i have very bad teeth,i have also developed a abscess on the roof of my mouth,i am scared and in pain,this is my worst fear and totally ashamed ,i also worry my heart wont be able to take it,very scared,thanks ### REPLY: Hello, thank you for consulting with .  If you are having an abscess in the tooth, you have to visit a dentist, as without the treatment, it will not heal only with the antibiotics. If you have not visited the dentist till now, there is no need to worry as the treatments are not traumatic or painful,, you have to give it a chance, as without it, you will not be relieved. Thank you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 70 years old and have had a kidney transplant for 18 years. I take prednisone and cyclosporine for anti rejection. A year ago I had a total knee replacement . I still have significant pain with activity and am an active rancher. Taking 2 aleve a day helps tremendously. I tried for a week. Of course, the kidney doctor does not want me on NSAIDs due to transplant. My creative is 0.8 and GFR is 96. I understand if I was 40..but am not! To me the benefit may outweigh the risk. Not being able to walk without significant discomfort is hard. ### REPLY: Hi, I understand your concern and sufferings. It is good to know that transplanted kidney is functioning well. Undoubtedly, NSAIDs intake in your case will not only harm your kidney but all liver, heart,GIT also. The best remedy for pain will be to improve mobility of joints by regular light physiotherapy, exercises,local application of Martini ointment, . All these will minimize the pain. Just in case you still feel the need to take a tab then Tab Attract will be a better and safe option. Please take good care of your kidney health so that you remain healthy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20, female, and have a history of hemorrhoids. Tonight I had a bad bout of diarrhea, and now have a hemorrhoid outside of my anus; but I also have one on my perineum near my vagina, and I find that it burns with Preparation H gel. Is it normal to get a hemorrhoid on my perineum and for it to burn? ### REPLY: Hello and welcome to , Hemorrhoids are caused by prolapse of anal skin along with thrombosed veins. Increased pressure in anal and rectal veins is responsible for hemorrhoids. Increased pressure as seen during defecation can cause prolapse of hemorrhoids or piles. However, it is uncommon to find piles or hemorrhoids near the vaginal opening since the vaginal veins are not congested. The lesion that you are seeing or feeling near the vaginal opening may be due to some other lesion. A clinical assessment is required. Consult your primary health provider for clinical assessment. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am having swipes all over my body for last 15 days, citrazene taken but they re appear after effect of medicine is over. local docotr gives avil injection, till its effect lasts swipes disaapear than angain pring up . pl tell which meditine i should take ### REPLY: Hello, Thank you for posting on . The condition you have referred to is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other .  Hope this will help you in resolving your query. Thank you  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my right thumb snaps when I open and close it. Sometimes it feels like it is dislocated then snaps back. Last night in the middle of the night I woke up and could not close my thumb. I had to massage it for a few minutes before it would close again? ### REPLY: Hello I have studied your case, There is possibility of injury to ligament of metacarpal or phalanges joint of thumb. If you are having swelling and pain you can strap your finger to get proper rest to joint. Use ice packs to reduce swelling, inflammation and pain. For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 73 year old woman with a history of ovarian cancer stage 2 since 2004.  I underwent surgery and was told they got all the cancer, I underwent 7 cycles of chemo.  My cancer returned in 2007 and was again operated on for the cancer, they also removed my appenbdix and fixed a hernia.  I have been on different types of chemo since then the latest being the pill VP16.  I have had NED several times during this time, only for it to return again.  It is limited to the abdominal area, liver and kidney.  The organs are not affected, it seems the tumors are outside.  I am now at a point wher I dont feel I want to take any more chem, definetly not through my port, and I believe the VP16 is losing its power, as it seems to be active again, although slow growing.  So I would like to know about alternative methods and would be interested in knowing about Oxy or Oxy DHO.Can you make any suggestions.  I am on the following meds, Benicar HCT 40/25, Warfarin (for blood clots), Proprananol er, lexapro 30mg, macrobid 100mg, vicadin as needed, and vesicare 5mg ### REPLY: Thanks for your question on . I can understand your concern. Resistance to chemotherapy develops after 5-7 years of treatment. And you are experiencing the same thing. Your cancer is now inoperable. So better to consult oncologist and ask for palliative newer chemotherapy .  You can start palliative treatment in the form of pain management and nutritional support. Consult psychiatrist for end of life issues. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had sever problems with myback ( L3, 4, 5 ansS1) for over 20 years I m wondering if this could be causing my upper back ( bra line) to be hurting. I have been seeing specilists after specialist but keep forgetting to ask. Thanks so much for your time. Tracy ### REPLY: Hi, I had gone through your question and understand your concerns. The answer to your question is yes, having problems with lumbar column for a long time can cause pain above in thoracic column because of the continuous incorrect posture of your body caused by pain, and I assume there might be a degenerative disease affecting your vertebral column. Next time you see your Doctor, you can discuss the possibility to do plain radiographs of your thoracolumbar column, as a start examination to check for scoliosis or kyphoses of your column. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i Was recently diagnosed with COPD have been using neublizer treatments 2 xs day. Recently developed lower leg extremity with little tiny blisters that are oozing.Not working at the moment, Im sorry, wont be able to proceed with the fee. Thank you for your time. ### REPLY: Thanks for your question I completely understand your question it seems two of the diseases are different. These blisters do not occur in COPD not they seem like, side effect of any . In COPD patients there is hyperpigmentation of knees and elbows and pressure sores over the knees and elbows due to sitting in same position for quite a long time u need to see a dermatologist thanks feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 34 years old.fair complexion .i have sevral age spots brown in colour on my face.i applied melacre for the first time and the spots had disappeared.now they have appeared again on my face.i have been applying melacare and depiwhite alternatively on the for the past 6 months but there has been no improvement.kindly suggest me a cream or an ointment which can help ins fading these brown spots. ### REPLY: Hi, Thanks for writing in.  You seem to have postinflammatory hyperpigmentation or plasma. Melacare contains steroid called mometasone. It is a potent steroid and long term use can damage your skin permanently. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements.  You can apply Closely cream at nighttime over the affected area.  You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Chemical peeling can give good and long-lasting results.  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 to Doctor XXXXXX. I am a thyroid patient since 2007 and have been on medication since then. I have been taking Thyronorm 50 mcg. My reports says thyroid is in control. But neverthless, I do not feel so. I still have all the symptoms that thyroid patients have - cold intolerance, skin irritation, indigestion etc. Then I read a lot of articles on internet which claim that allopathy does not have cure for thyroid. Kindly suggest me some good treatment, as I not able to reduce weight even after going to Yoga and drinking loads of water. Please help. ### REPLY: HelloHypothyroidism can not be cured by any path. You have less production of thyroxine hormones by your thyroid, hence you have to take it daily. As far as weight loss is concerned, by taking plenty of water and doing only yoga will not help. You must do two things for that1... Consume less calories2... Burn more calories by doing aerobics or brisk walking or running daily. In yoga, you are burning many calories, hence you are not getting the required results.3... Continue yoga along with your exercises. 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: When I only look to the right I get dizzy and have a pounding (like i feel my heartbeat) in my head. Only when I turn to the right. It started yesterday. I am fine when I get up from lying down. I is only when I look to the right. Do I need to see a chiropractor and get adjusted or is something else possibly wrong ? ### REPLY: I would recommend seeing a Neurologist or an Otolaryngologies (ENT specialist--Ear, Nose, and Throat), rather than a chiropractor.  What you describe sounds possibly like vertigo, a condition that occurs due to an abnormal interaction between the bodies balance system in the inner ear and the nerves that conduct those impulses to the brain.  There are medications and certain exercises that can treat this condition--if that's what a workup and evaluation proves it is.  There are several other possibilities as well, so the evaluation should begin soon with a history and physical exam by your physician, who may want to check an MRI of the head and inner ear; a hearing test; or certain head, neck, or eye-moving maneuvers to try to confirm the diagnosis.  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 have developed pain and numbness in both hands with severe tingling. My legs feel very heavy and my feet /ankles are very stiff. This has continued to progress over the past two months. I do not take any medication and I am 52 years old and healthy. I wake up frequently at night because of the numbness and pain. In the mornings when I first put my feet on the floor it is difficult for me to walk. This has all progressed quickly.... thanks, sheila ### REPLY: Welcome to  I have gone through your query and understand your concern. There are many causes of such numbness. You should get your blood sugar to exclude diabetes. You can get your thyroid function test to exclude thyroid disease. Furthermore, you can get your vitamin B12 and vitamin D to rule out vitamin deficiency. Furthermore, you can get your lumbar spine x-ray to rule out lumbar spondylosis. Till then, you can take Mecobalamine, vitamin and trace elements supplements and analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a small pea like lump left neck midway between back of earlobe and neck.  Have history of breast cancer right side for which I have been cancer free 13 years.  Of course, am scared.  Do have appt with oncologist next week.  What could it be besides cancer? onset was itchy.  thought it was a bite or pimple but has not resolved. ### REPLY: Hi, I can understand your concern. The exact site of the swelling clear from your description. Swelling is at left side and your cancer was of right side. Anyway lymph node swelling if any should be carefully investigated. At present your symptoms not suggestive of cancer or something serious. Do not worry at all. Chance of breast cancer recurrence after 13 years is also very less. Consult your oncologist. He/she will examine you and guide you better. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 searched about antibiotics for toddlers and this is what i ve found from netdoctor site... inflammation of the middle ear...it is often difficult to distinguish between bacterial and viral infections. In most cases of middle ear infection, antibiotics have been shown to be of little benefit. I am worried as this is the first time my 1 year old daughter will take antiobitic (suprax) at least 3 1/2 ml once a day for 10 days. Please let me know of your opinion. Many thanks. ### REPLY: Hi.what you have seen in the net is right. Many times as doctors we should know when to give antibiotics and most importantly when to restrain ourselves from giving antibiotics. But a decision of whether to give antibiotic or not has to be taken only after doing an stocky of seeing the ear .  So I feel that if your doctor has prescribed you the antibiotic after performing endoscopy, then you can be rest assured that the antibiotics may be needed for your kid. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. Carol ,I just wanted to ask you some questions regarding my conditions .. apparently there are some lumps forming inside my skin .. they are solid .. on my arm .. leg .. one at the back .. and i have this pain in my chest and sometimes my left side of my stomach hurts .. just wanted to ask that is this serious or maybe im getting old and fat ?thanks ### REPLY: Hi, Welcome to . Based on the facts of your query, You seem to have Multiple Lipomatous with Drums disease. These are non-cancerous and benign /or harmless lumps on the leg/arm/ or stomach. If they are painful / or are growing then, only such a lump needs to be Surgically Excised by a Planned surgery from a Surgeon. Second Opinion from Surgeon, would be suggested in your case. Hope this would help you to plan treatment with your doctor. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor . my grandmom is living in greater noida. she is suffering from sever asthma. these days she is getting asthma attacks on a regular basis. where should i take her. can u suggest any good doctor there. or what precautionary action can i take for her ? ### REPLY: Thanks for the queryAccording to the new norms all severe forms of asthma has to be treated with steroids. It will make her better very soon. Please see a good pulmonologist. A chest x-ray is required to look for any focus of infection which is giving raise to repeated infections. CBC with AEC has to be done as well. Dosage and treatment cannot be told without at least auscultating the patientHave a healthy life ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve noticed that when I walk, my knees almost hit eachother for every step I take, they kind of bend towards eachother. I really don t know how to explain in an easy way but I hope you understand. It looks really silly when I walk, so I wanna do something about it. I m not fat or so for the record, and I now wonder if you could somehow have some kind of surgery so it looks normal when I walk? And if so, how much does it cost? ### REPLY: Hellenes pain may be many causes like problem in bones, soft tissue etc. You may need clinical correlation and investigations. Investigations include routine hologram, serum uric acid, X-ray of both knees(AP/Lateral view).MRI of knee may be advised after evaluation. It is the best investigation to assess meniscus, ligament etc. Proper treatment depend upon clinical findings and investigation reports. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A diabetic. Age 50 male. All of a sudden for last 3 days, unable to read anything close, especially small letters. For examples, cannot read the notifications on the cell phone. Especially on the left eye feels like there is something bluring the vision. Was told the feeling is like if the pupils are dialated.For the past 3 days, he is also having flu like symptom with flem and voice change.Should he be worried? ### REPLY: Hello have gone through your question and understood your concern. Chronically high blood sugar from diabetes is associated with damage to the tiny blood vessels in the retina, leading to a chronic complication of diabetes called diabetic eye disease or diabetic retinopathy. The risk of diabetic eye disease increases the longer a person has diabetes. The disease often progresses unnoticed until it affects vision. Rapid tightening of blood glucose control leads to transient deterioration of diabetic retinopathy. In my opinion this can be a potential cause of his sudden visual problems. Anyway I suggest consulting an ophthalmologist for a comprehensive dilated eye exam for the right diagnose and treatment. Hope this information is helpful. If you have other questions, feel free to ask. I will be happy to help.(you can ask me at  at my private link: bit.do/ChatDoctor- .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lump in armpit since last ten years and i am not sure what it is not sure which doctor to go to? From internet i got to know that it can be cancerous or due to infection or extension of breast tissue. Not sure what is it but want to get rid of it safely ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have lump in maxilla.  It can be lipoma, benign cyst or some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. You should consult general surgeon for that.  If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Evening Doctori am suffering from toe fungal infection. can you please tell me something about its treatment and how much time it will take to get cure. i am also taking a medicine named terbifine since 19 jan 2010. but there is no improvement can you please suggest something.Thanks in advance! ### REPLY: Good evening & Welcome to . Incomplete data like age, gender, any associated medical problem like diabetes, duration of antifungal (Terminating) treatment?? To be effective, Terminating should be taken for 6 to 12 weeks. The result of successful treatment will be seen until the nail grows back completely. It may take 4 months or longer to eliminate an infection. If you did not notice any response even after 4 months, it may be due to ineffective treatment or resistance to Terminating. In that case other medications like Itraconazole tablet or antifungal nail polish containing Ciclopirox would be more effective. Besides, your nail should be trimmed properly this helps reduce pain by reducing pressure and the . Any underlying cause like diabetes should be controlled with the medications. Hope the suggestions given would be useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Unprotected Sex 2 weeks ago , today . My Partner Ejaculated inside and didnt pull out until he was done . I have Polycystic Ovarian Symdrome ( PCOS ) , so I have Itregular Periods and Im UnSure of when to Test , since I cant go by a Missed Period . Lately Ive had Back Pain , Cramps , HeadAches , Very Frequent Urination , Fatuige and Headaches . Ive takes a Home Pregnancy Test 3 Times already and all hve come back Nagative . What should I do ? Is what Im experiencing really Pregnancy ?! ### REPLY: Tithe symptoms of back pain, cramps, frequent urination are not specific to early pregnancy and can be due to variety of things like urine infection. I would suggest you to get a urine test (microscopy and culture) done to see if you have a urine infection. Also wait for a week and get another urine pregnancy test done. That test would be then 3 weeks after the episode of unprotected sex. If its negative then you are not pregnant. If you can't wait till 1 week you can also get a blood test done now (B )Let me know if you have any more queries. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have alot of blackheads on my nose. it s so unglam. I tried ways to get rid of it but failed. nose strips don t seem to help too? I can t afford for a dermatologist . is there anyway I can remove it? ### REPLY: Hi!Rachel, Welcome To  forum, Usually people get confused between fine hair growth with the black head over nose. So kindly get it either examined by a dermatologist or look closely for the fine hair growth. If it's a black head then you can use retinoid cream at night over the lesion.Don't forget to use a good sunscreen in the daytime. Tretinoin cream has a peeling action and would peel off the skin along with the black heads. I would suggest you to consult a dermatologist at any government set up. 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: Ive had swelling in my both are mostly left one for a long time have been to drs for years on Tuesday the dr said weve tried lits of meds no relief she said theres nothing else to be down chalked it up as chronic pain syndrome and a compressed nerves neuropathy before i wad offered a nerve block now its nothing i know im not supposed to live the rest of my lifr like this please help ### REPLY: Hello, As mentioned by you in history you have tried almost every possible thing to reduce the pain.  What I figured out is that no exercise is tried. So in all the procedures above the muscle would have gone weak by now and making joints to friction by touching of the end plates of the joints. Also, the muscle weakness will lead to fatigue to set in faster and release more of the lactic acid.  Improving the overall muscular physiology with the help daily general exercise and some specified for the muscular system where the pain is more will help to have some relief. This has to be done under a competitive physiotherapist and also for a longer number of days. As the much precisely and more you do exercise the more the benefit will be. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I took the day afyer pill on the 22 the same day I has sexual intercourse and we didnt use protection be he didnt ejaculate in me later I started feeling nauseous and dizzy allso my breast hurt and had headaches and im bloated I took a pregnancy test and it came out negative on the 30th could I be pregnant oris this all because of the pill? ### REPLY: Hello dairy understand your concerned have taken the emergency contraceptive pill on the same day of unprotected sexual intercourse. It is highly effective in preventing the pregnancy if taken with in 24 hours. It has 95-97% effective in preventing the pregnancy. Nausea, dizziness, breast tenderness, bloating are due to hormonal imbalance caused by the day after pill. Pill also cause delay in the period by the 8-12 days.Meanwhile, avoid stress, take healthy diet, . Hope this may help you Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have some cervical spinal stenosis, but every morning I wake up with moderate to severe pain behind my eyes ,sinus passages and sometimes even lower back. The pain is lessened with ibuprophen but sometimes progresses to a full blown migraine. With a 3 year old I am desperate to focus completely on her instead of seeing the world through a cage of pain. Any suggestions? ### REPLY: Hi, Thank you for posting your query. You have three distinct problems contributing to pain, and each of them needs to be tackled to make you pain-free. For cervical stenosis, please consult a neurosurgeon to decide whether you need surgery or epidural injections. If not, then, physiotherapy and medications (such as pregabalin) would help. For sinus, show to an ENT surgeon, and take a course of antibiotics if needed. In addition, steam inhalation and nasal decongestants are beneficial. For migraine, please use preventive medications such as topiramate. I hope it helps. Please get back if you require any additional information. Best wishes, . Ly/ ### END