Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 26 yrs old.I have irregular periods and it ranges from 25-45 days.I would like to know when is my ovulation date exactly fertile days . I am married for last 11/2 yr and trying to conceive but i fail. I tried using ovulation calender and tried last month but failed.please advise my fertile days and when is the right time? ### REPLY: Hi welcome to . Forum. To conceive is not a matter concerned with women. Of course irregular periods is one of the causes for infertility. Both the partners should consult a gynecologist or a fertility clinic. If the period is regularly irregular means every 40 days or every 45 days like that you can calculate the ovulation time. It is 14 days prior to the expected date 5 days before after are the conceiving days. And vaginal thermometers are also available to confirm the ovulation, it is 1degree more than daily.temperature. Besides I advise male above mode of sex. Female should not get up immediately or wash. Wishing for a beautiful baby soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I have a young daughter, about 18 months old, and tonight while giving her some water from the faucet with her leaning back in my arms, she gurgled for a moment, then seemed to swallow, and then was fine. My question is, if the water had gone down the airway toward the lungs, would her body produce coughing automatically, or is it possible for a drink of water to go down the wrong pipe without coughing? ### REPLY: No water if enters into the windpipe will produce tremendous cough and choking. Body's cough reflex will automatically try to expel the water out of the windpipe through cough. But one thing I should suggest is never to feed or let .  Always feed your child in sitting position, and after you end your feed take her on your shoulder to burp him properly. As though cough reflex protects from food and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 14 he masturbates 3-5 times daily and some days it could be 10 he is unable to control this problem how can i help himAnswers to Dr. Dr. Ashish questions 1-How you came to know about his excessive masturbation? He told us about it and sometimes he feels guilty 2-Is he ejaculating 3-5 times a day or having dry orgasm only. He says he ejaculate 3 times and the rest is dry orgasm 3-How is he in studies? He is so far an A student but we are currently watching him closely and try not to leave him alone (not a healthy way for all) despite that he sneaks to his room to do it. There is strong signs that he is regressing for lack of focus4-Any other recent change in behavior? Like any boy his age he has high temper, and argumentive 5_Current maladaptive behaviors? I dont think he has one 6- History of past medical and psychological problems. Does not have any medical issues, but since KG he changed 3 school due to his Dad work relocation  Based on the above do we need to worry and take it a step further? ### REPLY: Hi I can understand your concern... Your son having over masturbation habit ... Here you have consulted psychiatrist so follow his advice .... Here I am giving few suggestions.... Because of over masturbation social guilty, fatigue, mood disorder like complaint common.... Advise him to do daily yoga to relax mind ... Avoid smoking and alcohol if habit .... Take healthy and balanced diet. ... Less pornograpChatDoctoragazine and videos... Daily exercise or meditation helpful... Daily short term and long term goals decided and be with him for motivating towards study .... Try to avoid keep him alone in room... Endulge him in daily activities.... 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 son is 17years old. He has been hurting from the upper part of his abdomen for the last 10-12 days. He can t keep food down and has lost 9 pounds in 12 days. We took him to 2 ERs and they gave him a couple of meds to help rebuild the stomach wall. He continues to throw up and we are just waiting for a GI specialist next week. Any help? Please help? ### REPLY: He is suffering from gastritis. Avoid to remain in empty stomach for more than 3 hrs, avoid too sour, too hot and too spicy food for next 2 months. Give him Tab Tablet D 1tab daily in empty stomach for 6 weeks. Gradually his symptoms will come down. Also try to reduce if any stress is present in his life... If the symptoms are not resolving after 15 days do a blood test for serum amylase and lipase, and upper GI endoscopy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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.... am seeking for a best psychiatrist to give counseling for my mother-in-law. she is 45 years old. she always fights with my father-in-law for silly reason. This has been started from their marriage itself. my fater-in-law s family is a big family.he has 5 siblings. my mother-in-law always consider them as their enemies. but the thing is basically they are good people and they are not troublesome. she always imagine that each and every bad thing happened to their family is only because of his relatives.my father-in-law was suffering by this for the past 25 years. he tried to take her to counseling. but she refused. could any suggest any solution ### REPLY: Hi Talking therapies like couple therapy or Inter personal therapy or CBT are best used in this kind of situation but would work only if the concerned parties are both interested. If you mother-in-law is not able to/willing to go for the talking therapies, then an assessment by a psychiatrist to see if there is any scope for the use of medication is the alternative. Usually, people like this will need lot of gentle and consistent persuasion to even come to the psychiatrist and the family will need to play the role of silent and unbiased mediator, which is easier said than done. Good Luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 45 year old woman. For the past three years or so I can t seem to stop sneezing every so often, mostly at work, I do sneeze at home as well, but not as much. I find that the normal allergy medication dosen t work, the only thing that seems to work is Advil , so I m taking Advil on a daily basis and don t really like that idea. I did get checked for allergies but nothing major showed up. Could you suggest what I could do or take to help me stop sneezing continously please. ### REPLY: Hi, Sneezing could possibly be due to an allergen for sure. Its possible you could be getting relief from Advil. However, Advil is Ibuprofen, a non-steroidal anti-inflammatory .  It could be worth knowing whether you changed your room, office or are constantly exposed to dust, pollen or cold. If any of these symptoms aggravate the disease, then could try as much as possible to avoid it. Secindly,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Five days ago I slipped on a tile floor and landed on my back hard. It knocked the wind out of me. I also hit my head. Had my back x rayed no new injury. The stiffness is improving but now I have sharp pain in my chest right side front if I stand or sit long. If I lay on my back I feel fine. Any ideas??? ### REPLY: Howell come to ChatDoctorBecause of the fall chances of soft tissue injury may be likely particularly in rib area and this could take little more time to come around, and for the pain you can try the medicines given below.1) Tab Diclofenac 50 mg sustain release2) Tab Chlorzoxazone once in day3) Tab Acetaminophen 500 mg once in day You can have this medicine at the time of pain and no need to take this without the pain, hope this information 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: my husband has bad psoriasis on legs and some on body, dr. gave him prednisone for an infection for 2 weeks, took him off and all of  a sudden his legs swelled up and all red, now in am his legs are thinner and during day swelling again and maybe there is fluid in there, the drs. dont know. help me. ### REPLY: Hello, welcome1. Psoriasis is skin disease in which skin becomes scaly and patchy. Itching is also symptom of this. It is a bit complicated disease which takes long treatment course2. I am surprised and a bit shocked that doctor is giving you steroid (prednisolone injections) for psoriasis condition which is totally wrong treatment.3. Due to high doses of injection there is interference of kidney functions and retention of water in lower extremities. kindly get the kidney function test done to assess the effect of steroids 4. It is very, very common side of steroids. Swelling will go off slowly slowly5. I see 4-5 case of psoriasis every day but i never ever give steroids to them. As it has the lot of side effects one of them your husband got other than these steroids can cause pustular psoriasis or further worse the psoriasis.6. Stop the injections immediately7. Start methotrexate 5-10 mg once in week and folic acid rest of the day. This medicine needs proper guidance like liver function test, kidney function test, CBC 8. I very frequently give methotrexate to psoriasis patients and get very, very good results. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor,My wife is suffering from this strange disease of hearing voices of people whom at times she says spirits at other times not. But she does not recognise no know any one of them. She has been suffering from this from the year 2005. At present she keeps swinging her mood , remains irritated , short tempered and always talks to herself. Does this problem of hers have any medical treatment ? If yes How and where ? Whom to approach ? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is clear that your wife is suffering from a mental disorder named schizophrenia with hallucination and paranoid personality disorder. Hearing of other voices are actually a delusion and are common for these patients. Medical treatment is a must. Please consult a psychiatrist for further advice. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The question is probably more geared toward a urologist. What can I use to treat tears below the head of my penis right where the skin is connected. Not the top skin torn because of lack of circumcision. At 23, I was still uncircumcised and then the skin was cut during intercourse causing much bleeding probably occurring because she had a diaphragm inside of her. I felt the cut and immediately ejected, went to hospital where I received temporary medication, told to use cocoa butter and sent home saying, I guess you were naturally circumcised. I never really had a problem afterward the skin tear, but as I get older, it seems to get slight tears at the bottom of the head where the skin is pulled back as far as it can, despite only having periodic sex. Any suggestions for remedies, special dermatological solutions etc??? ### REPLY: Hello, I had gone through history and understand your concern. As you had cut of the skin on the ventral surface of the penis during the sexual intercourse, and you are naturally circumcised during the act. Nothing to worry the skin tag will not cause any problem. If you are having any problems like bleeding after the sex, any discharge, pain in that area then you have to bother. I would suggest you to maintain good hygiene of the genitals and nothing is required. If you develop any of the symptoms then you have to consult your urologist. 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 Doctor,This is Lavanya. My Mother, 43 years of age is suffering from disc slip problem. She is having a "Strong pull" sensation in her lower back. She is suffering from this from past 7 to 8 years. She took all types of medicines like homeopathy, ayurvedic and even the pain killer tablets, but of  no use. Can you please suggest- how correct is to go for an surgery ? ### REPLY: Hi, Thanks for posting your querulous mother is suffering from slip disc which causes pressure over nerve roots. There are several modes of treatment like medicines, physiotherapy, epidural injections. If there is no improvement with conservative treatment, surgery is another option by which pressure over nerve roots relieved by removal of bulging disc (discectomy). Hope this will help regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a robotic hysterectomy in 2008 after an adenocarcinoma was found in the lining of my uterus. The surgeon said he was not able to sew me up completely because he was not able to apply enough pressure. I didn t realize that sex would be so painful. It s like putting a size 12 foot into a size 5 sock. My problem is worse than this. I now have a tear or what looks more like a small hole (looks much bigger in my x10 magnifying mirror) with tissue coming out of it and black spots above it. I am not sure if this is bruising or if this is a new sign of cancer reoccuring. ### REPLY: Vaginal narrowing after hysterectomy is common problem with this situation which leads to difficulty in sexual activity. Forceful sexual act may lead to vaginal injury. This may be another reason for this lesson apart from reappearance of cancer. You should consult your gynecologist for proper vaginal examination to find out the cause. Vaginal dilatation is the treatment of vaginal narrowing due to surgery which may help you in this situation if it is not reappearance of the cancer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a bisexual 18 year old male who recently had a dangerous sexual encounter with a male partner at school. I am scared to death that I have swollen lymph nodes behind my knees. They seem to be two lumps right on the joint- about 2 inches in diameter- they do not hurt nor do they appear in clusters. Honestly, I cannot tell if they are muscles/ tendons or swollen nodes. I can only feel the lumps when my legs are stretched out straight. Help please... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some cyst or soft tissue tumor. Chances of lymph node enlargement at knee joint is very rare. Don't worry much about that. It is not a serious condition. You should go for 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 any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had tooth 19 extracted, 1st molar left side. Periodontist performed the procedure. Buccal side of gum had small abcess due to cracked root. No evidence of any peridontal disease. I am 61 and pre medicated with Clindamycin since I have a complete joint replacement LK.  Swelling of facial area parrallel to site of extraction, about golf ball size. Peridontist Rx Z-Pack which I am taking. i am afebrile but noticed about 1 inch submandibular swelling today on lect side of face. Should I add back in the Clindamycin? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint swelling in the area parallel to the area of extraction and also submandibular region can be due to persisting infection at the site of extraction. In case if the extraction was surgical in nature then injury to the soft tissues during surgical procedure can lead to inflammation and swelling. I would however suggest you to consult your treating surgeon and get evaluated and a thorough clinical evaluation and if needed x-ray can help in diagnosis and treatment can be planned accordingly. As of now take anti-inflammatory painkiller like Motrin or Alive for reducing swelling and pain. Do cool compresses over the swelling as well as swollen lymph nodes. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I have severe back pain since last more than 6 months. I had 2 ceasereans. I have two kids. One 8 yrs old and one 1 yr old. My last C-Section was done on 5th feb, 2011. The place where they give the injection in the spine, that full area (horizontal) has severe pain. I cannot change my side while I sleep by early morning or sometimes cannot stand immediately after I wake up. Please recommend remedy. I am 37yrs old. thanks and regards, Lina ### REPLY: Hi Lina, Thanks for writing in. It is unlikely that the pain you are experiencing is due to the epidural anesthesia that you would have received during cesarean section. I would suggest the following:a. Start exercising. You need to be walking for 50 minutes daily for 5 days a week. Lose excessive weight through a combination of diet and exercise. Avoid forward bending and picking up heavy weighted. An MRI of the back (particularly the lumbosacral region) would be needed to rule out a process which is impinging on a nerve.  I would suggest you see an orthopedic surgeon at the earliest. This would be needed for a detailed examination and proper treatment. 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: Hi I am a female 19 years old and I have been having sever back pain ranging from my lower to mid. Back. Occasionally it extends all the way up to my next. The pain tends to become the worst at night. I have trouble falling asleep and getting comfortable without being in pain. It can take me sometimes 2 hours. It also hurts when I sit for too long. I have been taking aspirin using heat and stretching to try and relieve the pain but nothing seems to help. I was wonder what some suggestions maybe for me, if you may know what it could possibly be based on these symptoms or if the is a specialist I should go see. ### REPLY: Hi if you do not have regular fever, no pain in your limbs, no localized pain at back then my suggestion would be following for 3 weeks, then come back to me- 1.improve your posture by sitting straight, walk straight to simplify behave like a soldier. Avoid constant sitting that is not more than 30-45 min. 2.take diet rich in calcium and it. D like milk or milk product.  3.regular back strengthening exercises.  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: I am on AVELOX  for bronchitis and it is really scary having this cough that feels like i am being choked i use inhaler also when do you know if you need to go to the hospitali am 59 190 lbs. 57 yrds old and have hep c also only other medical prob. thank you  YYYY@YYYY ### REPLY: Hi welcome to  .... You are having bronchitis according to history and taking antibiotic for that... Your auscultation and spirometry should be done.... Spirometry will help in assess severity of bronchitis and accordingly management done..... You might need ipratropium bromide like inhaler for your condition if chronic bronchitis there... Pulmonary rehabilitation and graded exercise will be beneficial.... Avoid smoking..... Complete antibiotic course... Advise : Pulmonologist consultation for examination... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 son 5 yrs and 3 months old complained that he cannot read faraway letters so we went for an opthalmologist and he confirmed myopia. his prescription is -1.5 in left eye and -4.5 and cylindrical power -2 in right eye. he prescribed glasses and patch for symptom of lazy eye. i wanted to know how worst is this and how to follow up ### REPLY: Hello, You are on the ball.  Your child complained, and you took him to the eye doctor immediately! Many young child .  In fact, it is the most common vision defect in this age group.  Normally both eyes line up together. In a lazy eye, one of the eyes deviates, so the eyes do not line up together.  The patch makes a correction so that with time both eyes will line up normally.  If you had not taken your child to the ophthalmologist and his lazy eye wasn't correct, your son would have vision loss. I should think the eye specialist would want to see your son back in 2 months for his first eye check since he got his glasses.  You may wish to invest in a pair of eyeglasses whose frames bend and not break and whose lenses are scratch resistant. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 54 y.o. post-menapausal, 140lbs. 5 4 . meds: humira 2x month, toprol (racing heart), lipitor, wellbutrin, prozac & aspirin. my blood pressure has always been normal; the exception was twice over the last 3 years and then again today beginning 3pm and continuing currently. the highs for systolic ranged from 144 to 154, 92 to 129. i took another toprol (low dose) and .25 xanax about an hour ago. currently 141/94. no jaw pain. can i wait until tomorrow th.e speak with my cardiologist? any advice to get these numbers down tonight? thanks ### REPLY: Hello, I would explain that the situation can wait until tomorrow as your blood pressure values are not very high. I would just recommend having some rest and take a glass of lemon juice.  Adding a new antihypertensive .  But, before coming to this conclusion, I would recommend performing some blood lab tests in order to exclude other metabolic causes underlying high blood pressure values.  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife has been suffering from chronic psoriasis for a long time (15 years). She is 48 years old with two children. Her weight is 86 Kg with 5 feet 3 inches height. She also suffers from diabetics. I would like to meet you for her treatment . Would you please suggest me when and how I can approach you? What is the first treatment? would you please let me know in My email address abdulmaleque@yahoo.com with regards abdulmaleque@yahoo.com ### REPLY: Hii welcome to .I went through your case, i feel that homoeopatChatDoctoredicines would be of great help. Coz psoriasis being a chronic immune mediated disease that appears on the skin, well u have not specified as who is the psoriasis affection as such, coz there are different types of them. Homoeopathy has well-defined German origin medicines that would prove effective if u take it on a regular basis and following up the necessary diet and regimen. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 breasts have been sore all over, especially my nipples ,for the past two weeks. My husband and I were scared that I may be pregnant, so i took a test. It was negative, however, my period missed away and my breasts seem to be getting bigger and hurt worse everyday. I have gained 7 pounds in the last month and feel very exhausted for no reason.(April 2nd is my last mensural circle and we took the test on may 11th).Nowdays sometime i feel like a metal taste on tongue ..and sometimes feeling tired.. Should I take another pregnancy test? I know that some women still have their period during pregnancy. How common is that? I do not have health insurance right now so going to the doctor is out of the question. Any help would be appreciated. Thanks. ### REPLY: Hello, Your LMP was 2nd April and did pregnancy test on 11th which was also negative. There is complete absence of period during pregnancy. If bleeding is present, then possibility of abortion is there. Do a USG lower abdomen to rule out underlying pathology or conception. There are several reasons of missed or delayed period like thyroid problem, psychological upset, stress, over wt or extreme loss, eating disorder, ovarian cyst, hormonal imbalance etc. Do some hormone tests like thyroid profile and LH/FSH. Then consult with your doctor with all test reports and take advice accordingly. Take healthy diet, control body wt, avoid stress and need proper sleep. Also wear tight breast support to relief from breast problems. Be well and practice safe sex to avoid unwanted pregnancy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 83 and his nose runs constantly .... ven dripping before before he can retrieve his handkerchief. What can he do to help prevent this embarrassing condition? ### REPLY: Hello, Thanks for using . I have gone through your query and I can understand your concerns. Running nose or gonorrhea can be due to many causes, most often it is allergic in origin. It can be due to viral infection also. Some other rare conditions like CSF gonorrhea have to be ruled out before commencing the treatment. As a first line therapy you can try the following:1. Vapor rubs and nasal decongestants.2. Antihistamines like levocetrezine.3. Steam inhalation.4. Nasal sprays(olapatidine containing sprays are highly effective)5. Avoid dust and cold. If symptoms persist despite all these consult an ENT specialist and get a detailed evaluation done. Hope this information helps. Regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have developed a skin condition with red bumps on my neck, arms and legs. They last a few days than dissapear only to return again after a few days in yet a different spot. I have been to the dermatologist had a biopsy done and was given Clobetasol to use twice a day.  This has been going on for about 3 weeks. My question is can anxiety contribute to this condition? The dermatologist said it might be a virus and she would consider an antibiotic but that shouldnt be used to treat a virus, right? ### REPLY: Hi. Thanks for your query. Noted the history and understood your concerns. Recurrent skin red bumps in changing position that goes away to come back at different places indicate that this is a condition called urticaria and is necessarily an allergic condition. I would advise you the following in such a situation. Post clear pictures and give detailed history. Take second opinion of another Doctor. Get stool and blood tests, you may need the following medications on empirical basis. Antihistamine to avoid allergy. Oral steroids if you are not diabetic for control of urticaria. Medicines to treat intestinal worm infestation. Also identify the foods, beverages, atmospheric conditions, dusts, mites, mold and mildew whicChatDoctore in contact to cause this problem and avoid this altogether. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hy doc I have this unbearable pain on the right of my abdominal area at first I thought it was period pain bt this pain its just too much n its accompanied by feeling of hunger ,I would eat now bt 30min down the line I would feel hungry bt my stomach would hurt as if my intestines are curling together I went to the doc he did sonar I don t knw why coz I m not pregnant bt he mentioned that there s something that s in my abdominal. Area n gave me infection pills n I don t hv infection the pain gets worse at night when I m lying down or standing I m worried ild also feel like vomitting but nothing comes out I m 21 years old girl ### REPLY: Hi, Thanks for posting your query. With the available described symptoms, there appears to be possibility of acute gastroenteritis or peptic ulcer disease. Ultrasound imaging is not only advised for pregnancy but also for intra-abdominal pain and appendicitis and cholecystitis etc. Presence of curling pain along with abdominal pain suggests the diagnosis. You should remain in touch with your treating doctor and should go for prescribed medications. If your conditions improves then you can stop treatment after 5-7 days. If your conditions won't improve then you should also go for CT/ MRI scan and endoscopy. Meanwhile, you should also take proton pump inhibitors along with antacids. Take care, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with hyper-reactive airway & chemical bronchitis. I recently attended an office with an airborne irritant which caused my lips to burn, then my cheeks & eyes felt warm then burning, then voice changed, airway tightned. I went to freshaire, used hfa, symptoms lessened but lasted for 3 days. Can you recommend a kind of a face mask I can use that can eliminate all my exposure while using an O2 canula? ### REPLY: Thanks for your question on . In my opinion you should use N 95 masks. This mask is specifically designed for prevention of swine flu. And it is having very good filters which acts as barrier for most of the organism and dust, fume particles. And it is easy to use, very light weight and make up of soft material. So good for facial skin too. And you can also use nasal cannula for oxygen with this N 95 masks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pain in my left testicle and groin. I have been to emergency twice. I have had two ultra sounds done. One ultrasound found an iguinal hernia and another found a Varicocele. Also found inflamation in the Epididitmis. hence the antibiotic i think. i had a surgery done where they went in through my belly button with a camera and the uroloigist said that they felt neither was in need for sugery. I have been on antibiotics for 11 days already but the pain is still there. The pain is somewhat tolerable if i laydown and do nothing but never goes away. ### REPLY: Greetings. I understand your concern. Most probably your pain could have been because of hernia getting partly obstructed and ending up in casualty. I hope that was repaired, and you are free of hernia now. Coming to the second reason for pain is of epididymis infection. Even if you take antibiotics for 2 to 3 weeks the pain may not subside as the infection may not be corrected completely. There may be associated testis and prostatic involvement which might need prolonged antimicrobial treatment. A urology consultation will help you in confirming the pain and continuing antibiotics. So I suggest you to take an expert opinion. Hope my answer helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ABOUT4DAYS AGO I FELL AND LANDED ON MY LEFT SIDE I BROKE MY HAND IN 3PLACES AND MY WRIST last febiary i shattered my wrist here i go again, my question is this  for almost a month i have felt somethings wrong i felt this with in myself, in 2006 i had a brain anurisem and was in a coma when it happened i kind of felt the way i do now exceptnow i keep gettong light headed and feel like im falling forward and start to loose my balance and start stumbeling im uneasy even going up or down 3 stepts my vertigo isnt to well and ive even been tripping on a flat service, my ears are pluged but ive been horse with a rsapy voice that wont go away my vishions blurry and my eyes hurt there puffy i have no appitite for  food nothing latley interests me i cry alot and dont care or have the energy to do nothing. i have been to the ER they gave me a CT scan and found nothing and my stomach blouts out looking like im in labor  cant poop stools are full of yellow clear slimmy jell?????? ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Brain Aneurysms can cause loss of balance Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, i am wondering why the side of my lips are turning white. it is especially evident when i smile. i am 18 years old with asthma and skin asthma, i wonder if this is related in any way. by turning white, i mean it looks as though it has been stretch. thanks! ### REPLY: Hi, I understand your concerns. You are reporting to have asthma and skin asthma. I believe you are also taking oral medications like albuterol or steroid oral spray. The long term use of such medications would make your oral mucosa turn white. Another cause might be oral thrush or even anemia. I advise to:- run a complete blood count to rule out anemia in order to treat it accordingly- culture oral swab to rule out candida overgrowth and if you need further treatment-keep a good oral hygiene Discuss it further with your doctor! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At dental check up today, hygenist noticed small white spot on inner cheek near where wisdom tooth was removed in Sept. They were concerned about a little lacy effect on inner cheek. :Check up in Four mos. Now 1 am concerned about oral cancer  I do bite that area since wisdom tooth is missing ### REPLY: Hello, Welcome Thanks for consulting  I have gone through your query, as you have mentioned that you have white spot near cheek where wisdom tooth removal don't worry it is not Oral Cancer, it can be white lesion, or due to infection near socket due to not maintain of oral hygiene, go to dentist and go for Oral examination, If necessary go for investigations like Cytology or if needed go for Biopsy.  Do warm saline gargle two - three times a day Do chlorhexidine mouthwash 2 times a day Hope it 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: Hi Doc, i have a flu like symptoms right now, my throat hurts when i swallow and theres a lot of these zits -looking bumpbs in my head right now. My scalp feels so sensitive right now because of them. I also have some of these red bumps in my body including my feet. What could this be? ### REPLY: Hello, Flue like symptoms with throat pain & bumps all over in the body & foot commonly is indicative of impetigo, chickenpox, contact dermatitis associated with pharyngitis.  You are suggested to visit a GP, get physically examined. This type of skin infections are highly contagious, take care of your hygiene & avoid sharing clothes, bedding or toiletries. Diagnosis is made by clinical examination & blood tests. Your treatment will depend upon the severity of infection detected. You may need antibiotics & antivirals. Gargle with warm saline water or Medicine mouth wash three times a day. Take Acetaminophen (Tylenol) for relieve. Take semi-solid food(oatmeal/oats) or liquid diet. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is Christina I hit my head in 2005 and it fills like I have bugs or worms in my head its burning im dizzie its hard for me to take care of every day thing like take ing care of my babys I hurt almost all the time I fills like rash now I don t fill the little bug legs in my head any more the one thing that makes me think that it can be fixd is that it seems to be getting stronger and its more I mean one day my world was spineing I could hardly stand and walk down the hallway I don t know what to do help me or send me to some one who can this hurt bad im having to keep my self high on pot to keep the pain away but want this pain anymore if there might be a chanse of me getting better ### REPLY: Hi Ms Christina, Thank you for posting your query. I have noted your symptoms. It is less likely that your symptoms are fully due to old head injury that you suffered in 2005. Generally, the effects of head injury would go away in a few weeks time. Do you have any CT or MRI brain report? What was the nature of brain injury? We need to repeat another MRI of brain to find out the reason for your current symptoms. Possible causes may include ischemia (lack of blood supply to the brain), brain tumor, etc. As of now, you can take betahistine tablets to relieve the dizziness. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, when i eat and do any movement after my right side upper chest area to my shoulder hurts really bad. i cant walk after i eat it is painful. this being going on for years and getting worst. have done ekg, stress test, blood work and doctor still have tell me the problem. ### REPLY: Thanks for your question on . I can understand your concern. First no need to worry about major heart and lung diseases because you're all reports are normal. Possibility of musculoskeletal pain is more likely. So avoid movements causing. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take simple painkiller and muscle relaxant . Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,Im going to be donating a kidney to a friend soon, and Im in the final stages of medical evaluations and what-not to see if our plumbing is a match. Im wondering if theres a particular type of diet I could get into until the procedure that would be especially good for my kidneys. I want them in squeaky clean, tip-top shape for the operation. any suggestions?thank you for your time. Matt ### REPLY: Hello Matt and welcome to . As a Urologist and kidney transplant surgeon, i can understand your anxiety. First, i must congratulate you for taking this noble decision. Before a kidney transplant surgery, there are 3 tests, which must be matching :1. Blood group match. 2. PRA match and 3. Tissue match or HLA match. Then the blood tests, to determine medical fitness, along with chest X-ray ECG, and CT angiography with ICU, will be done, to know kidney status. Donors just need to have a healthy, balanced diet. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an extraction a week ago. The tooth was loose, but broke during the extraction. The dentist got all the tooth without too much trouble. I ve had little to no pain in that area since the extraction, but I noticed a few days ago that above the extraction site, the gum looks split. I have to admit that I was a little too scared to look at the area before I finally did and noticed the split. It looks fine, but I m wondering if this is normal or if I should make an appointment to disrupt my day and drive an hour to the dentist. ### REPLY: Hiafter the extraction process, the healing starts to take place. This happens by organization of blood clot in side the extraction site. As the new tissue starts forming from inside out the visible split will disappear and the gums will star to look and feel even and regular following the bone contour. So I would say that you don't need to see a dentist for this particular condition right now. You can relax and carry on with your work for now, but as I tell my every patient that they must get the oral and dental examination done every 6 months so same I will tell 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 ve having sharp lower back pain, that when I wake up in the morning it takes me awhile to walk normally, also I actively wake two hours a day and I seem to have problems with that too. My legs go numb and not only does my lower back hurt but also my upper back ### REPLY: Hi, thanks for posting your concern in the . I think you're having articular pain involving your lower and upper back. Information regarding your age, any history of recent or past trauma, is very important to come to a specific diagnosis. However, both upper and lower back pain with radiation and leg numbness suggests lumbar spondylosis along with degenerative disease of the spine. You should consult your local spine surgeon or orthopedic surgeon at the earliest for further evaluation. You would need to have X-ray of LS spine-AP/Lat view along with MRI of the whole spine (cervical, dorsal, lumbosacral) to find out any abnormality. You should have the following tests done too-Blood for CBC, ESR, urea, creatinine, calcium, it D(25), fasting TSH, HbA1cI usually advice my patients to have Pregabalin+Mecobalamine combination capsule, if they present with similar problem. It is available in Indian market in the name of Fibrogenic or Pregabalin. Please avoid having alcohol, spices, carbonated beverages, tobacco. For severe muscle pain I usually advice my patients to have cyclobenzaprine 15 mg at bedtime along with Paracetamol 650 mg SOS (min. 6 hr. interval between 2 doses). For any further information, write back to me directly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctor told me that my PSA spiked and that I need a prostate biopsy and most likely surgery and chemo and radiation.  I have learned that prostate cancer is very slow growing and so I have taken steps to treat it myself with radical diet changes and it seems to be working.   WWW.WWWW.WW is also very helpful to learning more about cancer treatment and prevention. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Diet change will not cure the prostate cancer.  You should go for prostate biopsy and then go for surgery followed by chemotherapy and radiotherapy.  Any diet change will not cure any cancer.  It is just a false belief.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my 10 month old baby girl has been having a runny nose, ffever and hight temp for the past few days. sheis also having a very fast heart beat. she is teething at the moment and am not sure if this isthe cause or could she be having a chest infection?. please what should i do, i ahve given her calpol several times today ### REPLY: Hi madam, your daughter most likely has upper respiratory tract infection which most of the time its viral, and rapid heart beats is normal during fever unless if its above 180 beat / minute.because she is an infant I recommend seeing the pediatrician and do a physical exam because sometimes pneumonia can present with these symptoms and especially high grade fever, and physical exam is very helpful in the diagnosis. I hope this is helpful ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 7 year old daughter keeps complaining of stomach ach and has been for a few week, she always has wind in the morning which we give her gripe water and she also drinks a lot, but she has never complained of her stomach hurting her like she is now ,its  normally in the evening when she starts complaining.My daughter says the pain is in the lower part of her stomach, can you help with any ideas of what it might be or should i take her to the doctors.thank you ### REPLY: Hello data would like to have a complete history. Does your daughter have perianal itching also?if yes then its worm infestation. Does she have increase frequency of urination also? Does she have painful/burning micturition?.if yes then its probably urinary tract infection. I would advise a urine routine examination of your daughter. Give her plenty of fluids and spy. Vermox 5 ml twice a day for 3 days. Avoid constipation by adding fiber to the diet. Hope it will help. Wishing your child 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 Father-in-law suffered a fall and suffered a Subdural heamatoma (blot Clot ) 3 1/2 months back. He was hospitalised in ICU for 15 days, and then brought home. He is a BP and Diabetic patient. However they are in good control. CT scan just a week ago shows the clot has been resolved. But my father-in- law canoot walk steadly at all, and needs 24 x 7 attention even now in his day to day activities.. He hallicinuates, gets deppressed often. He however eats quite well. He generally keeps sleeping. When awake he sometimes believes to be elsewhere than our home. He is pushing 94 years. His physician prescribed Serlift, and Admenta. That makes him all the more inert and very drowsy. Befor the fall he was in a very fit shape, inspite of his age, and performed all his activities very well. Today he can neither read the newspaper, or watch TV as he says he cant understand whats going on. What is the prognosis in such cases. ? ### REPLY: Hi, Important information that I need is: "Where is location of subdural hematoma?". Generally, we see the above symptoms when there is an insult is in the frontal lobe. Another point is "A resolved clot at CT scan does not change the prognosis". You should note that after a brain injury, there is only a 3-4 hours window to put off the pressure. After that the brain cells will be damaged and the damage will remain, even if the clot or the pathology resolves. The other point is: As there is only 3.5 months since the insult, there is still hope for more improvement (at least for other 6 months). So, overall, you have still time for improvement, although the prognosis is worse in elder people. The two .  I would suggest adding Neurotic II to increase the chance of improvement. Also, if a good occupational therapy center is available, I strongly suggest regular treatment sessions there, as rehabilitation is the only, evidence based treatment after brain injury due to subdural hematoma (if surgery not indicated). If occupational therapy is not feasible, or you cannot take him to the clinic, you can contact me or other neuro-rehab expert doctor to design an in-home exercise program for you. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I stop smoking 3 months i feel great .can nicotine lozengers cause oral thrush i have it mild.on and off im on quitapine and i have to lower the dose.to beat it all logic seems unfair as i have done so well to stop smoking i look and feel 5 years younger on a good day im sure i stop smoking for good. ### REPLY: Helloo...first I congratulate for the determination for stopping the cigarette....regarding thrush it can develop in certain cases but nothing to be worried...u can do tongue scraping daily twice and brushing and chorhexidine mouth rinse....also use statin gel on the thrush area for one week or so...maintain good oral hygiene.above all be happy and cool that's the best medicine...hope your benefitted something with my reply...have a healthy weekend!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 20, she has very bad pains n her stomach, belly swollen. she had her gallbladder out in march. she was told she had the start of chrons.. but now they say they r not sure if it is..my question is why does she have this pain and why would her belly be swollen? ### REPLY: HI. History of cholecystectomy noted. The swollen belly along with severe pain in abdomen has to be taken as intestinal obstruction unless proved otherwise. I would advise the following:: Standing X-ray of the abdomen along with Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. Colonoscopy is also very important. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pulsating feeling in my left mid back for about a week and I get dizzy,light headed, short of breath, and my chest gets tight when I workout. I went to the doctor and they did a chest x ray and said I was fine and thought I had bronchitis but it hasn t gone away? ### REPLY: Welcome, after going through your problem my view that you might have asthma/ chronic bronchitis /ankylosing spondylitis. For diagnosis please have the following tests done X-ray Torso lumber spine, cbc, esr, crp, HLAb27, and spirometer for lung volumes, have a CCT chest done.  Meanwhile, take rest, take good nutritious diet, morning walk, aerobic exercises(if tolerable). Consult philologist and orthopaedician. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since I was 15, I have been in a dreamlike state, which I feared to be Depersonalisation disorder. I am 29 now and this feeling has not gone away, even for a moment, in the last 14 years. I have done more searching and found this thing called Oneirophrenia. I am aware that I have sugar problems and need to get it under control, but do not know exactly what to get tested for. Can Oneirophrenia last this long without any relief?Which tests would determine this diagnosis? ### REPLY: Oneirophrenia is a clinical diagnosis that your doctor makes after reviewing your history. It is a diagnosis that is now RARELY made. You should consult a psychiatrist who will evaluate you in detail.  .  Depending on your complaints and history, the doctor may or may not order some tests. You say that you have sugar problem. If you are diabetic, then follow guidance of your doctor regarding medicines, diet and exercise. I hope this answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: DEAR SIR.I AM 26YRS OLD.I HAVE GOT A LUMP ON MY LOWER NECK.MY FAMILY DOCTOR TOLD ME TO TAKE CT SCAN AND ULTRA SOUND OF NECK AND CHEST.IT IS FOUND THAT MIDLINE LIPOMA.MY QUESTION IS THAT ANY PROBLEM WILL BE THERE FOR MY IN FUTURE IT MAY CHANGE TO CANCER.AND I NEED TO REMOVE IT OR NOT? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma. You should go for fine needle aspiration cytology or biopsy and ultrasound study.  It will give you exact diagnosis. If it is lipoma then it can be left there. There is very rare chance of malignancy in it.  So if you don't want to remove it then also it's ok.  Only indication of surgery is pain, cosmetic purpose or increase in size. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 13 weeks pregnant and has a tsh level of 3.  her T4 level is 15.1 she is aware that this tsh level may cause neurological problems in her unborn baby and other problems.  is this serious enough to consider terminating a pregnancy and how likely is this condition to affect her baby. ### REPLY: Hithanks for using . Her TSH level is on higher side according to her gestational period, but you mention T4 that is 15.1, is not sufficient as we need free T4 level. If free T4 level is on lower side that mean she is suffering from Hypothyroidism and need levothyroxine after consulting an endocrinologist. Hypothyroidism in pregnancy if left untreated can cause neurological problem in unborn baby.  I don't think that this level you think of terminating the pregnancy. You keep continue watch over TSH and free T4 level and take levothyroxine if indicated or advise by endocrinologist. 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: sir/madam, i am 32 year old and am smoking from 17 years not a heavy smoker but just 5-6 in 24hrs. Now my problem is that from last 2 years i am feeling pain in my chest on the right side, i went to a chest specialist and he told me there is nothing to worry about. but i am little concern about this as sometimes the pain goes hard. please reply ### REPLY: Thanks for your question on . I can understand your concern. Since you are a chronic smoker, pleurisy (inflammation of pleura) can cause similar kind of chest pain. In pleurisy, all reports, chest x-ray, PUT (Pulmonary Function Test) are normal. So in my opinion, you should quit smoking as soon as possible. Take simple painkiller and anti-inflammatory . Apply warm water pad on affected areas of chest.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I took postinor 2 twice the previous month and I got my period. I then had sex on the 1st of September and I think I was ovulating, so I took postinor 2 immediately. I feel strange,so I did a urine test whicChatDoctore back negative(I did this 8 days after unprotected sex). Please what are my chances of still being pregnant? ### REPLY: Hello, Thanks for letting us know your health concern. You are well protected even if you were ovulating during the sexual act as you took the emergency contraceptive pill soon after the intercourse. The home pregnancy test cannot read so soon if you suspect pregnancy. You have to go for the blood test. Also, since you consumed the emergency contraceptive pill several times in recent times, your hormone balance is going to be disrupted and a such, you can expect erratic cycles. Do not use the pill more than once or twice per year. Instead, go for regular contraception. Please get further help from your consultant. 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 son has a SGOT LEVEL OF 75 & SGPT LEVEL OF 195, TOTAL BILIRUBIN IS 0.8, DIRECT BILIRUBIN 0.5 AND INDIRECT AT O.3. HEPATITIS C TEST SHOWS 0.07 AND HEPATITIS B IS NON REACTIVE. MY SON DOESNT HAVE ANY SYMPTOMS OF HEPATITIS A . I WANT TO KNOW HOW TO DECREASE HIS SGOT AND SGPT LEVELS WHICH ARE IN THE RANGE OF 160-200 AND SGOT 47-75 ### REPLY: Hello, Rajiv.PEC, I am sure that when they did tests for hepatitis, they did for all three types. You mention that he was positive for Hep-C. I think you need more information about the tests they did for Hepatitis -C. This type, in most people, does not produce any symptoms (Although rarely) it goes into what is called "ChronicHepatitis". At this stage, the liver enzymes stay abnormal and one can experience symptoms of fatigue, aches and pains in the joints, skin rash, poor appetite etc. It is important to rule this out. Type-A hepatitis comes from eating or .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chesty cough for 8 weeks I ve tried benlyn cough mixture various cough tablets. Black magic cough mixture and antibiotics I still feel very ill and I am coughing so much I go dizzy I still have a very chesty cough and don t know what to do ### REPLY: Thanks for your question on . I can understand your concern. You are having chronic chesty cough (cough with expectoration) since 2 months which is not improved by routine OTC (over the counter) .  So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test) to rule out lung infection and bronchitis. You may need higher antibiotics, inhaled bronchodilators (formoterol or albuterol) and N acetyl cysteine (NAC) depending on the reports.Don't worry, you will be alright. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a swollen groin glad and a swollen lump just outside my anal hole together with some sores around it, i have had this in the past but have never had it checked out.  Recently had sex with my husband after a long break due to young child but dont know if this has any relevance. ### REPLY: Hi. The groin lumps can very well be lymph nodes secondary to trivial injuries one gets during intercourse after a long gap. The lump outside the anal whole may have different pathology (unless there was fiddling) This may be a cellulitis, / boil/ prolapsed pile. You have to undergo a proper clinical examination to be done by a Doctor who can catch many of the problems on your proper history and physical examination and can then guide for further investigations and treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have very tight muscle in my neck on left side and back of neck. Had massage and Chiropractor visits but gradually improving. Not sure of cause but nowim getting left upper arm muscle spasms that are a noticeable pulsing and I just realized it was noticeable after I did a workout. Would it be a neck muscle strain, or something more concerning. What is the best method to fix the problem. Feels like a pinched nerve but exray doesn t show anything ### REPLY: Hi, thank you for providing the brief history of you. As you have a doubt of the pinched nerve in the cervical spine, then an x-ray will not reveal such nerve compression because x-ray show roughly the idea about the bone and fractures. Also, for nerve injuries in the cervical spine usually an MRI is advised to see the amount of disc pressure applied on the nerve root. Also, chiropractor can help to unlock the facet joints and there by spasm can be relieved, but the actual compression on the nerve root may not get relived. Besides, massage can help soothe the muscles and lead to vasodilation to the muscle and reduce the pain. For the proper way to handle the fiscal injuries the muscle strength has to be regained as by regaining the strength the inter vertebral space is maintained and the compression from the nerve root will be elevated. That is how the in my clinical practice we rehabilitate the patients. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am mother of two boys,my bigger son, he is 15 years old and i have a strong feeling that he shakes his pennis because i have found some white spots in his underwear. Does shaking penis will harm my 15 yr old kid?what are the symptons of shaking penis? ### REPLY: Hello. I have reviewed your query and here is my advice. Masturbation is natural, normal and never unhealthy. It also does not affect your sons growth or intellect. But make sure that someone speaks to him about this and warm him from overdoing it. Safe frequency is three or four times a week. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother had the blood supply partially cut off to his spleen because of bad varices in his stomach and esophagus. He also has blood clots in the hepatic portal vein area and threw a pulmonary embolism after the spleen surgery.  He is on coumadin now and breathing fine without oxygen but he still has a shooting pain from his spleen up to his clavical and has started to have tremors.  Is this normal after the spleen surgery and will the nerve (that is what the hospital said the pain was from) ever die or stop causing his so much pain or do you have any suggestions on what can stop the pain.  Thanks so much. ### REPLY: Hi and welcome to . This is referred pain caused by Phoenix nerve irritation due to enlarged spleen and raises intra-abdominal pressure. It won't stop until speed is enlarged. Spleen can be removed, but it may be risky in such patients. There some potent painkillers with might help based on opiate. He should consult with his doctor about it. It is to expect that nerve will die or stop pain producing, unfortunately. Tratmen of cause will make all symptoms easier.Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 36 years old i am overweight and my height is 5-8 I had ultra sound in which about my pelvis is mentioned as Pelvis: Bulky uterus with irregular endometrial lining with nodularity and calcification with bil adnexal fts of irregular echotexture, nodularity and distortion. i want to know that do i have chance of getting pregenant or not. ### REPLY: Hi Shamanic,your ultrasound needs to be redone again. Bulky uterus with distortion usually means that there is an anatomical defect like fibroid etc. There is no mention of that in the report. So the main thing here is how severe the distortion is. If your periods are regular, there may be a small chance but with severe distortion, there are high chances of miscarriage. I would suggest that you repeat the ultrasound. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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!  Our daughter is 30 months old. For the past several months she was getting ill very often after she has had an enteric infection in the summer when she was treated with antibiotics. After that she had colds or flu several times, stomatitis, with a high fever.  Recently when again she had a flu as we thought, our doctor advised to make some tests (blood, urine for dysbacteriosis etc.).  The results returned with Proteus Vilgaris in her urine, sensitive to cyprofloxacin.  Ultrasound for kidneys is fine, blood shows eosinophil - 1, white cells 5, neutrophyle lymphocyte 39, segment 53, ESR - 3.  Can this be the reason why she is getting ill so often? If the reason is Proteus Vulgaris should there be any other symptoms apart from the fever?  If we use antibiotics again will we supress her immune system even further?  Should we repeat the urine test in case it is a mistake as we might have not collected her urine properly?   Thank you very much in advance! ### REPLY: If urine test is positive for Proteus Vulgarism you will have to take appropriate antibiotics for urinary tract infection. Regarding recurrent episodes of cough cold and fever, it's not unusual for a baby under the age of a year to have frequent coughs and colds. At this age the bodies immune system is still immature, so a baby is likely to develop symptoms such as a cough, runny nose and sometimes a temperature when they become infected witChatDoctormon viruses. Other causes of sucChatDoctorplaints are Allergy, chronic Rhinosinusitis etc. For further queries regarding this disease or its medications you may take my appointment 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, I am 18, I have a significant size lump under my last molar on the right side of my mouth, it s pretty from the surface of the gum. It doesn t hurt, there is no discoloration (yet), it s hard, I don t have a sore throat , or hurt to swallow so far. I don t know if it s a wisdom tooth , if it is then it s coming in sideway s. I don t know if it s a cancerous mass or not. On a side a note, I am a football player, our season has been over for two months but we still play backyard football. I lost a little part to my filling to the molar that the lump is under after a tackle about three weeks ago. I am going to the dentist next week. pleaseee give me feed back, I AM EXTREMELY WORRIED! ### REPLY: There can be many reasons behind the swelling but what I feel from your description is that the swelling is MUSCLE (though it requires a clinical examination). Muscles are lumps formed as a result of saliva the escapes into the tissue from damaged salivary glands (minor). They are translucent and bluish gray in color. The main cause is trauma. Usually they burst down but if not then requires surgical removal under local anesthesia. The bump in the gum can be hard or soft swelling. They are usually related to infection due to adjacent tooth. It is advised to see a dentist for clinical evaluation and correct diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter tested positive for the barr virus (mono). After 5 days in the hospital and terrible headaches they ordered an mri showing small blood clots in her brain. Cerebral vein thrombosis. She has since had blood tests done that have come back abnormal. She is on warafin. I have been looking for information connecting the two. Mono and clots. She is only 21, an athlete was in great shape before all this. She has lost 20 pounds because of the nausea and now is getting little sleep. We have Kaiser Insurance. We were told to wait 6 weeks for another blood test and in the meantime take oxycoden for the headaches. In 6 weeks if the blood test are still abnormal he will refer us to a hematologist. My question is should we seek a 2nd opinion and is there anything else we should be doing for her? ### REPLY: Hi, Hypercoagulable state is a condition whicChatDoctormonly comes about because of infectious states, deny .  The blood clots are referred to as sinus venous thrombosis or venous thrombosis, and they are in the venous circulation of her body...which is not a bad thing compared to if they would be on the arterial side in which case she may have suffered acute strokes....not to minimize the gravity of the current situation....she's got a bit of work to do to get normal....but she's not lost any neurological function due to the clots....just slowed her down...and giving her some mild headaches, I'm sure.  Since your daughter has been diagnosed with ABV...then, that is likely the most plausible explanation for her blood clots, severe headaches, cloudy thinking, etc. The good news is that shell get better...she's on an oral anticoagulant though current guidelines actually recommend she NOT be given orals.  If she's converted to warfarin then, I'd ask the doctor if he'd consider something instead like Eliquis (newer version of warfarin such that no INR testing is really needed, less bleeding complications overall).  I'm not sure why they chose oxycodone for headaches.  CVT headaches have been shown to have pathophysiology very similar to migraine, and they do respond to standard migraine regimens.  She may benefit from IV THE (dishy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In 2008-2009 I was diagnosed with Ewing s Sarcoma. I did a years worth of chemotherapy and 6 weeks straight of radiation. They moved my right ovary over so it won t get damaged from radiation. I ve been in a relationship for over 6 yrs now and me and my partner really want to conceive. I am getting a little doubtful. It is hard for me to find out exactly when, or if I do ovulate because I don t have normal periods (every month ) my period only comes when it wants to and out of nowhere. I finally had a period on my own last month which really surprised me and made me happy. It s February 20th today and I should have started my period by now but haven t yet. On another note, last night me and my partner were getting a little touchy last night and he even noticed that I had a thick clear discharge in my vagina. I know it normally happens before a period but I m not getting no cramps at all. Which I always do before I start. I ve never had this kind of discharge are all before and I have been sexually active since the day I ended my last period which was in January 27th. Does anyone have any guess or answers at all as to why I had this unusual discharge last night and if this is some kind of sign, could I possibly be pregnant or is my body finally functioning the way it s supposed to. Since I did have a period last month does that mean I can and do still ovulate ### REPLY: Hi, Thanks for writing in. It is possible that after getting treated for Ewing's sarcoma by chemotherapy and radiation therapy, you have had a sub fertility and this is due to hormonal imbalance. If your periods are not regular then please consult your gynecologist and follow treatment to regularize it. Ovulation occurs 14 days before periods in most women. However since your periods are irregular therefore it is not easy to predict ovulation in your case. There are home test kits available to monitor ovulation or do ultrasound follicle monitoring around the time of ovulation. When your periods are regular then you might use the ovulation kit to know exactly when you are most fertile and conceive. If there is persisting difficulty in monitoring ovulation then there is a chance of pregnancy by artificial reproductive techniques. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have one foot that is very dry, itchy. Some times i end up peeling my skin and it starts to bleed, sometimes i peel a bump or two that have clear like subtance that comes out. I also have itchy toes which i was told it was chiggers, not sure if the chiggers clear or itchness is part of what i have on the bottom of my foot. The strange part is i have it bad on one side of my foot and the other side is just my toes. ### REPLY: Hello and welcome to ChatDoctor . I would ask you get a KOH wet mount from the scale, for a confirmatory diagnosis. If KOH wet mount shows fungal elements, then you could apply a topical OTC antifungal cream e.g. clotrimazole cream, twice daily for 4-6 weeks. An oral antifungal e.g. fluconazole 150 mg once weekly for 4-6 weeks is also advisable for a confirmed fungal infection. An OTC antihistamine e, g cetirizine 10 mg once daily would help you in providing symptomatic relief from itching. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having some back and chest pains for about 2 weeks. I have an echocardiogram, stress test, egg and an angiogram. The stress test and ekg were abnormal but when they did the angiogram, there were no blockages. The echo was ok as well. should i be concerned? ### REPLY: Hello Thanks for posting at . ECG,2 d echo and treadmill tests are non-invasive tests which can be false positive. An angiography is an invasive test which directly visualizes the arteries of the heart. It is a very sensitive test for heart blockages. Since there are no blockages on angiography, there is nothing to worry about. ECG and stress test will remain abnormal in your case always. Wishing you good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having a lower back pain. When I get up from my sleep in the morning my back is very stiff. I take 2 tablets panadiene but does not help. I also use a hot pack on my back but it only gives momentary relief. I am also under treatment for osteoporosis. Please advise. ### REPLY: Thank you for choosing ChatDoctorBased on your description, it is likely that osteoporosis can be causing the pain that you are having. I do hope that your Doctor has started you on vitamin D and Calcium to help prevent the problems and symptoms as far as possible. There are a few more things that you can do to see if they help:Ice the back for 15 mins at a time Then warm the back with a hot pack for 5 mincemeat this after 1 hours, you can do stretches for the lower back and also massage the area. Follow up after 5 days. All the best. Another therapy is giving local injections to stop the pain, but this is a last resort. Hope this helps you ### END