Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 20 year old female and there is a lump on the underside of my left breast, it started to swell, and i was feeling it and it popped and quite a bit of blood came out, it looks like 2 light flesh color bumps and a swollen vein.. there has been a lump for a few weeks, but now it is swollen and hurts quite a bit.. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst, fibrotic disease with inflammation, abscess forming infection or other mass.  Chances of breast cancer are very rare at your age.  So nothing to worry about that. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I do have anxiety and depression , but I ve been fine lately, and I have missed one period last month, but I have it now.. (I m just giving facts for you to get a better understanding) I m 20. But, for some reason, my head has been feeling like pressured on both sides in the middle, and my face , mainly my cheeks feel hot. I ve felt a little light headed when standing. What s wrong? ### REPLY: Dear Madam It is not clear whether you have been diagnosed to have mixed anxiety and depression. If not then symptoms you described may be due anxiety or tension headache if you have heaviness of head or headache. If it is so find out the source such as work related stress, over burden of any kind etc. and manage accordingly such as time management, resource management etc. Also try relaxation technique, deep breathing exercise etc. If you have a diagnosis you require active treatment from qualified psychiatrist in form of medication with or without psychotherapy. Hope you will be fine 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: ii had my wisdom teeth removed four to be exact. Pain is nearly gone same as swelling but now i have a very hard lump on my right jawline. Its hurts somewhat and is making my jaw feel heavy, hard time opening mouth wide what could this be? I am a hypicondriac so am i just over reacting? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have undergone wisdom tooth extraction now you have swelling don't worry after removal of wisdom tooth swelling occurs. If your swelling last for more than one week then consult your dental surgeon again and go for oral examination. Do warm saline gargle two - three times a day. Hope this will help you.  Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, For the past 2 days my son is having stomach pain, and his bowel movement is kind of foam..i gave Albandazole suspension(given bya paediatrician)....but still his bowel movement look like a foam..can u suggest me any medication to regular the bowel movement? ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What are the symptoms of an elevated ammonia level? My 30yr old son takes Depakote for a seizure disorder and bi-polar he also has autism, so I can t ask him about how he feels. For the past few weeks he has been very tired, clumsy, his eyes are beginning to take on a yellow hue though no one seems to notice this but me, and he has black circles under his eyes. All the usual suspects have been ruled out, infection, anemia etc. I was just sitting here at dinner watching fall asleep at the table and the thought popped into my head perhaps his ammonia level is elevated. I can t find much info on what the symptoms, so any information would be much appreciated before I drag him through another blood test. Thank you for your time ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about these symptoms that your son has been experiencing. Unless the liver is not functioning normally, there would be no increased ammonia levels. With you reporting a yellowish discoloration of his eyes, it could be possible that he has an ongoing liver disease. Ammonia in excess levels would induce sleepiness, manipulation and eventually coma. This would be unlikely without a severe liver disease.  Get hi to the doctors should you be concerned but ammonia per se without a suggestive history would be unlikely. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have Pain on the left side of my head, and ear. Severe, and sometimes not as severe. There is swelling behind my eyes. More so on the left. I have no feeling on the left side of my throat. This has been going on for over 7 months. I also have a bad taste in my mouth. several months ago I saw an ENT and he gave me a shot in the head to numb the pain, and ignored everything else. I also had an MRI 4 months ago and nothing was found. I have passed out several times as well. Please help. ### REPLY: Hi, Thank you for posting your query. Your symptoms are suggestive of lower cranial nerve involvement, namely trigeminal, facial, glossopharyngeal, etc. The underlying disease may be vascular, infective or desalinating. Complete evaluation would include MRI brain with CONTRAST and lumbar puncture (CSF analysis). Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dr. sir i have to ask you yestarday i am starting small cold and cough and after one day my voice also changed thats why i took boil eggs and hot milk perhaps this is not enough shall i go to clinic pls tell me what to doThanks & Regardstanweer ### REPLY: Hello dear user of ! Thank you for sharing your concerns with us!I'm sorry for the situation you are going through. I'll try to give my help as much as possible. It seems you have an upper respiratory tract infection. Having cough, and voice changes indicates that you larynx is under inflammation too. If you have other symptoms like high temperature, pain in chest or back under the shoulder blades, weakness, muscles ache, and similar to these, you have to start as soon as possible an antibiotic cure, to treat the infection and prevent complications. I would recommend you azithromycin once daily, Ibuprofen for the fevers if you have, for the pain and inflammation, vitamin C to help you recover quicker. Have a balanced diet, 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 2 year old grandson has had these tiny little bumps (the doctor called them warts) in his armpit and down his side. They are tiny and have a little head on them that look they can be popped like a pimple. He started out with just one a few months ago and now has many of them along his side. We have used topical cremes and nothing is helping. What are these? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed after masturbating several days ago that my semen was a brownish color. Note: I had not masturbated in a couple months. I decided to try again tonight and the semen still had brownish color however was a bit less brown than several days ago. I am over 50 and have not had such an episode before. Should a wait a week and masturbate a few more times to see if this clears on its own or see my doctor ASAP. I am not experiencing any pain or discomfort. Thanks for your input. ### REPLY: Degree understand your concerns went through your details. Brownish semen can occur due to infections especially in the prostrate, and also due to bleeding in the prostrate. It is due to a tear in one of the fragile veins of the prostate.  The prostate is the organ that produces the majority of the seminal fluid in response to sexual stimulation. When the prostate contracts at the time of ejaculation, a vein may tear and blood mixes with the semen (hematospermia). Red blood indicates new and dark (brownish) discoloration indicates previous bleeding. Irritation of the gland (prostatitis) can also cause it to become inflamed and predisposed to bleed.  Some factors leading to inflammation include too frequent or too infrequent ejaculation, sexual arousal without ejaculation, with .  Also, certain tumors of the prostrate can cause this. I would suggest that you visit a urologist for complete work up and further assistance in treatment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m a 5 11 163lb 30 yr old male with a CRP level of 14.6 as of two days ago. Although I have regular bowel movements I am constantly bloated. I have my heart checked and everything is fine there. I am worried this sudden increase in CRP may be due to cancer (colon?). No history of high CRP and I excercise 6 days a week. Should I be worried about cancer? also no autoimmune disorders detected but the hla b27 gene was found. ### REPLY: Hi, CRP is a marker of inflammation. Increase may be due to a lot of non-specific causes. Simply based on CRP report nothing can be commented on diagnosis like cancer. What make you think about possibility of colon cancer is not clear to me. Any gastrointestinal cancer may have vague upper G-I symptoms. In case of suspicion upper G-I endoscopy and colonoscopy may be ordered, but that depends on your detailed clinical history. Consult your physician. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Sheila, and after an assualt , being punched 8 times in my abdomen by belly button and to the left side, i found that i had trace of blood in urine, high wbc count, and also high neutro absolute level. what does this mean,? thanks.sheila ### REPLY: Hi Sheila ! Good evening. I am  answering your query. Based on the history of trauma, and the investigation reports, I would suggest you to report at the ER of your nearest hospital at the earliest for a clinical assessment of your abdomen and related investigation like an ultrasound abdomen. It might not be possible to opine on this over net without a clinical examination. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Over the past few months i keep on getting bite like bumps appearing on my body. They are similar to mosquito bites, extremely itchy and tend to always appear on my left hand side of the body. It does not appear to be anything in my bed, as my husband has been effected. ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Causes for itchy lump on left side of body-You seem to have Shingles as the itchy bumps come only on left sides-and appears to be a case of left sided shingles or herpes zoster. So please consult ER Physician. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 said my last blood analysis showed my liver enzymes were almost ten times what they should be. She took me off Pravastatin and told me not to take any anti-inflamatory drugs until she finds the problem.  What could have caused this to happen? ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. There are many causes of raised liver enzymes. Some of them are infections especially viral, alcohol intake, nonalcoholic fatty liver disease, certain metabolic disorders, autoimmune diseases and intake of liver toxic medications. Statins you were taking can also raise the liver enzymes. I hope that answers your question. 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 a male, 20yrs, 75kg and 5.5 ft. Having consistent fever, 102 to 103.5 degrees F. LFT shows SGOT-364, SGPT-507. Gamma GT-188,Total Bilirubin-1.7, Conjugated Bilirubin-1.1,Unconjugated Bilirubin-0.6,Urine colour is chocolate brown.Am I having some type of Hepatitis? ### REPLY: Hi dear thanks for asking question. Yes your liver enzymes are increased... You should consult doctor..... First here hepatocellular jaundice by viral hepatitis has to be ruled out.... Alcohol and prolong . . . As your urine is brown color hemolytic jaundice should rule out by serum LDH, urine urobilinigen, relic count etc ... Rest your liver by taking less fatty diet. Take papaya like fruits more.... Licorice with honey good herbal remedy... Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A few months ago, I had a knot (bump) come up below my left ear.  Yesterday, I was messing with it, and it popped really loud, but it popped INSIDE.  This morning, it was still there, but it had elongated downward, and it has the whole left side of my face and neck area hurting like crazy. ### REPLY: Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At . I studied your query in depth and understood your concerns. Causes for lump below ear as follows-Mostly they are - could be parotitis with jugulo-diagastric lymphadenitis. Treatment-Tab-NSAIDs -like VoltarenTab-Amoxycycline 250 mg x three times a days . Check with ER Surgeon and check your FBS and PPS, and plan for Excision Biopsy of the lump to resolve the worry.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and . Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With 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 sir my brother is suffering from left leg pain last some months recently he consult skin doctor he said that some pus is formed from below knee to foot. he is of age 52 and weight 120 kgs. please suggest what is the name of disease and whom to consult at hyderabad? please ### REPLY: Hello.than for your query on , there is not a great thing for you to be panicked. Do visit a surgeon immediately. Let the condition of your brother be diagnosed. Let them see his situation exactly. They will prescribe the right treatment. Do follow it meticulously. There is a no specific disease associated with it. There can be various reasons for it. Do meet any good surgeon in Hyderabad. Things will gradually improve regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 28/female/married. its 7 yrs passed bt i didnt get concievd, so me and my husband had our routine check ups regarding this nd we got to kno the problem which is vry low sprem count, its about 8million. from last 3 years we are getting our treatment for ths bt it does not help us. recently i have done my laproscopy nd my all reports are as perfect as it should be.. so plz doc help me out for this life disheartening prob. should i go for icsi coz i ve done iui for 2 times bt that also does not help us... and if u r also agree for icsi then plz let me know the best doc or hospital for ths in delhi or ncr.. ### REPLY: Hi welcome to . I have gone through your question. Low sperm count 8million/ml is very low. I would advise doing ultrasound color Doppler scan for scrotum to find the reason for low sperm count, varicocele, vascularity of testes. If you couldn't get success through GUI then can go for CSI (intracytoplasmic sperm injection) IVF (invited fertilization). In Delhi and NCR there are so many hospitals like aims etc. Hope I answered it question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir. i m sending u my two MRI reports ..sir i am going for phsiothrephy for last 2 mnth ..n i finally took mri report ..which was nt upto mark..n i m not getting any relief from phsiotheaphy ..sir now what should i do..should i stop goinf there..as i have to go for my joing on 10 march ..what should i do ..should i take rest or do some yoga at my home..sir please kindly help.. ### REPLY: 1. You haven't mentioned the MRI report, neither you have told about the specific area for which this investigation was done.2. You haven't mentioned the symptoms for which it was advised?3. If report says, there is STENOSIS, physiotherapy or any massage is Contraindicated, as it will result in more accumulation of fluid, resulting in edema and aggravation of symptoms.4. Rest or yoga depends upon your Physician, that too after careful consideration of your symptoms, MRI report.5. If cause is structural. Initially Surgical Consultation will be of help! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an extra lump of skin on the left upper side of my lip. A long time ago my lip got swollen and due to the stretching there has been an extra lump of skin. Its upsetting to look at and is pretty noticeable. Is there any surgery or anything I can do to remove it and get my lip back to normal? ### REPLY: Hi! Good evening. I am  answering your query. Yes, there are many advancements in Plastic Surgery which could change the way your lip looks and as such the way someone looks like. Therefore, I would advise you to consult a plastic surgeon in your area who might after some routine investigations would take you up for a surgery to correct the abnormality. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 24 weeks pregnent and for the last few days i have had this butterfly feeling in my chest, I get short of breath, it lasts for a couple of mins then goes away, comes back.....what can be causing this? and is it ok for my pregnency? ### REPLY: Hello, and I hope I can help you today. The fluttering you occasionally feel I nor chest is called heart palpitations, which are occasional irregular heartbeats. They can be caused by pregnancy itself, but thyroid disease, anemia and other heart problems should also be ruled out. I recommend you tell your prenatal care provider about your symptoms, and they will likely refer you to get an EKG to check your heart rhythm. If it is abnormal, you may need to see a cardiologist for an evaluation. The good news about this is that none of these problems have any effect on the baby, but it is important you have a medical evaluation of your symptoms to make sure your heart is healthy. I hope I was able to adequate answer your question today and that my advice was helpful.  Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have chronic lyme and have been suffering from midriff SQ pain for about 4 months.  I recently had two episodes that I were sure were heart attacks.  However, all test cam back neg including neg enzmes.  It was recently brought o my attention that this could be pluerisy... ### REPLY: Hello and welcome.  Bacteria belonging to genus Cordelia are responsible for causing Lyme disease. An infected Tick usually transmits the disease.  The concept of Chronic Lyme Disease is controversial, most modern medical centers in the world refuse its acceptance. If the symptoms persist after a comprehensive antibiotic treatment then disease is called Post Treatment Lyme Disease Syn .  Long term antibiotics is not recommended for PTLDS.  The symptoms you have mentioned are quite often seen in PTLDS.  I would recommend the following.1. Keep your treating physician informed of your symptoms. 2. Maintain a diary for symptoms, lifestyle habits, sleep, diet, exercise.3. Eat healthy balanced diet and have plenty of rest. Do not try supplements over the internet without consulting your doctor. 4. Get treatment symptomatic as and when needed. Hope I answered your queries. Thank you so much. 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 19 After I donated blood i felt angry all of a sudden but i felt really light too not light headed like i could move faster and i noticed that i took notice of every thing around me like myy sense became a bit hightened from the experence should I be concerned? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that blood donation won't cause such a reaction. We had carried out many blood donation camps from many years but we haven't find even a single case of such whicChatDoctorplaints of short leopardess. Donating a blood is a very good and noble cause. Do as much you can give. Also inspire for your known for blood donation. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. 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: My relative  has breasst cancer and got one breast removed and also undergone chemotherapy. Now she has swollen hand and some breathing problem. Is theer good post care treatment facility? What is general survival chance of breast cancer patients after chemotherapy ? ### REPLY: Hi, Thanks for writing in. Arm swelling is seen in many patients after breast surgery for cancer. There is increased amount of lymphatic fluid in the arm and this does not .  With time there is deposition of the fluid under the skin and the patient has swelling and edema. There is no specific treatment and wearing compression garment in the hand might reduce the swelling. Weakness during chemotherapy is due to the strong medicines which are given. The medicines kill the cancer cells and destroy them. After destruction there is release of toxins from the cancer cells which might circulate in the blood. This causes breathless and weakness. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my grandchildren have broken out with fever n 1 has blisters on her feet n hands one has what looks like major heat rash from waist/diaper area up chest ....what is foot n mouth disease? a lot of people r saying that s what it looks like n that its really going around ### REPLY: Hi, It is possible that your grandchild may be having hand, foot and mouth disease. Sudden vesicular rash following fever on hand and foot may be hand, foot and mouth disease. However, consult the dermatologist for the perfect diagnosis and proper treatment. It is a viral disease and self-limiting. There is no perfect treatment just symptomatic treatment may be done ok. 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: I am a black female and I have a lot of dark spots left on  my face from acne. Ive been using pure aloe vera gel on my face which has stopped any pimples from emerging, but now I just want to know the best cream and/or products that I can use to remove these spots as quickly as possible ### REPLY: Hi, Welcome to . You seem to have post acne Melanesia on face. You take all precautions to prevent the relapse of acne. For relief in pigmentation, take glutathione containing tab. For long time. Vitamin C and nicotine acid tabs may be added. Application of comic acid, vitamin C and albumin containing cream might benefit. You consult dermatologist and take treatment under his observation. Avoid sun exposure. Sunscreen gel may be used to protect from sun. I hope you got my answer. 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 consulted the urologist as i am feeling some type of stiffness and not feeling easy  and he got ultrasound and other urine tests he told me that prostate is somewhat normal in my age that is 59 he subscribed me prostanil, alprax .25 and one is vitamins ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. You seem to suffer from Anxiety neurosis with temporal muscle spasm with restlessness.Don't worry as the doctor has assured no problem on USG and Urine Test, that the prostate in normal and not enlarged as worried from You. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have already been to my gyno who found my right falopian tube to be blocked and full of fluid. I was suppose to have surgery to have it removed but in the mean time I developed pancreatitis and had a stay in the hospital and my regular doctor put off the surgery to remove the falopian tube until he gets all my blood work back to clear me for surgery. Tonight I lifted something heavy and I am having some intense pain where I think the falopian tube is. My question is......Could I have burst the tube? Should I be concerned or do I take some tylonal and rest. It feels like a ruptured cyst ( I have had those before) ### REPLY: Hi there, Thanks for posting in . The two most common cause for pancreatitis are alcohol intake and gallstones. So if you have the habit of .  Get an abdominal scan done to look for gallstones and if present the gallbladder has to be removed. The sudden intense pain after lifting weight may be due cramps and not due to bursting of the fallopian tube. You can take benzyl for relief. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a metal/spicy taste in my mouth for the last 4 months, and now Ive developed bloating in my upper right abdominal area with discomfort/tightening.  I recently had an MRI of my liver which showed a few small cysts.  Do you think they are related, and should I have the cysts removed? ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. Only large cysts in the liver can cause some dull pain. You are having only small cysts and these do not cause abdominal pain. You are having dyspeptic symptoms. Check your blood glucose level and also get tested for H.pylori infection. Avoid fatty food. You may get benefited by taking prokinetic medications. I hope that 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: my HB is 8.3.and my weight is 92 kg and my age is 33.i am female.sometime i am look like yellow.and i feel short of oxygen.i want sleep more time but i dont like,is all problem belong to HB?how can i loose my weight if i eat dates i will gain more weight.plz help me ### REPLY: Hi yes you have low he. And it gives rise to all problems. You need proper investigation for your anemia. Go for CBC and PS examination.  Anvil needed to go for special test like iron ferritin it b12 etc. And then take treatment accordingly. For iron therapy you can take oral as well as injectable iron go to doctor and take treatment after proper diagnosis. You will definitely get benefits. Thanks for using . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was trying to use my ankle to inject meth but was unsuccessful. Within hours my ankle was very sore & my lower leg started hurting as well. By the next day my ankle & leg about 3-4 inches above injection site had swollen severely & hard its also red & warm. When I try to stand or put it down it feels like thousands of neddles sticking me. I started taking Cephalexin TID & Bactrim BID & Tylenol its been 6 days & most of the redness is gone & some of the swelling is gone but its still very hard & still has the same pain. Is there anything I can do to stop the pain? Could you tell me what it could wrong? Thank you ### REPLY: Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you were trying medicine, there is a possibility of the .  So avoiding that should provide some results. Also, the needles pricking sensation is related to the nerves. So a thorough neuromuscular assessment is advised. May be checking the lumbar spine will be Advice and MRI or NCV might be suggested. Based on the reports the further action will be taken. Physical therapy is recommended for further rehabilitation. 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: Hi. married 2 years ago. My age is 28 and hus is 32. We are trying to conceive 10 months. But not getting . previous i m not getting exact 28 cycles . Now this 3 months is exact 28 day cycle. before mensus date me getting pregnency symptoms like vomiting , sivier head ache , Pimples and other symptoms also. we are thinking that consult a doctor. Before tht what may be the problem . any suggestions please ? ### REPLY: Hello. Thanks for writing to us. Since you are married for only 10 months, and you are having regular cycles, the best option for you right now is to have sex on every alternate day during your fertile period-that is, day 9 to day 16 for next six months. In case you do still do not conceive, then you need thorough investigations. I hope this information has been both informative and helpful for you.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, good evening. My mother (92yrs) has this artritis-like 2 lumps (5mm high each) on first joint of her right middle finger, pain on touch. What are the precautions, what to take, or rub, to relief the pain, and therapy? Is voltaren gel advisable or can you please suggest anything else I can do or give her? Do voltaren gel and oral type can cause the same side effects and adverse reactions? Thank you Christina ### REPLY: Hi, Thank you for providing the brief history of you mom. A thorough musculoskeletal assessment is advised. As she is 92, I will advise to undergo physical therapy, as by the use of therapeutic ultrasound therapy the inflammation will be reduced. Since due to arthritis the joints get swollen, also with little of strengthening exercises like pressing the ball should help her. In my clinical practice I see geriatrics and 99% of times, physical therapy helps them to be functionally active and avoid much of the pain and aches due to systemic illness. 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 had undergone surgery for varicoceletomy 6months back.I was prescribed with Maxoza L&Fourts-B earlier.now I have been prescribed with Lycored softgels&Siphene-M.my count is only 25lakhs with low viscocity&low active motility.which medicine is the best one? Is there any chances of getting back the problem of varicoceletomy even after microscopic surgery? ### REPLY: Hey thanks for your faith in the .I have gone through your question and understood your problem. The majority of men with varicocele remain fertile and asymptomatic. Varicocelectomy results in significantly improved semen parameters in 60% to 80% of men and pregnancy rates of 20% to 60%.it improves sperm motility and viscosity. Hope I have answered your query. If you like my answers and wish me to answer in the future, bring it to my attention ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Juvenile Myoclonic Epilepsy . I had a seizure in October 2012. Recently I been having respiratory problems with my breathing . Lost 4 lbs since friday. been to the doctors constantly. Havent seen my neurologist in a few months. I have been feeling this twitching/weird feeling in my thighs mainly sometimes recently near my elbows it comes and goes. I am concerned of it being ALS. I constantly do research on it. It does nothing but give me bad anxiety . I am being treated for that too. I am on 6 different medications right now. Been feeling dizzy and when I am up and about doing things i get shortness of breath very easily. I don t know what to think because sometimes i do overreact about things and maybe i am paying attention to closely to my body. But then again I don t think I am. I had a MRI on my brain back in November whicChatDoctore back good. I can walk fine, pick things up. Please let me know what you think. ### REPLY: Hello Riggs.kimberiyaWelcome to  Juvenile Myoclonic Epilepsy is a type of seizure that is mainly characterized by Sudden onset jerky movements of extremities. The twitching movements you are having in thighs or elbows might be due to the electrical activity in this area. So don't be anxious as in Amyotrophic Lateral Sclerosis although sudden onset articulations are seen, but weakness of limb and atrophy is main presenting feature, articulations are observed but in latter course. Other symptoms like difficulty in walking, holding things are seen more often. As you have mentioned that you are having just twitching movements and I assume that there is no weakness or atrophy, there is very fewer chances of ALS. Regarding anxiety, it may occur due to seizure itself, due to anti-epileptic .  So if you have still any doubt then visit a good neurologist for expert opinion. ThanksTake 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 lack iron. They have given me many test and I was in the hospital for infection and they gave me two pint of blood and my enemia was still very bad they pulled me out to a bleeding asophuicus I have not worked as of march and need to know what to do they have given me medician for the pain but, that isn t really helping the problem need to know who to see. have had many test. I am51 female, ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have iron deficiency anemia then you should search the cause of that first. It may be due to some internal or external bleeding.  Or may be due to low intake. You should consult physician for that.  Take treatment of cause first. For iron deficiency you should take iron rich diet like green leafy vegetables, .  You can take oral or injectable iron according to your doctors' advice. 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: I am 53 year old and a year ago I was diagnosed with duct carcinoma breast cancer, went through surgery and radiation and was on tomoxifen and now they put me on femara due to the fact that I had a hysterectomy in May 2011.  Besides taking vitamins and calcium these are the only medicine but when I go to sleep I fall asleep fast and then about an hour or two I jump out of bed and feel like something is wrong.  I usually walk to the bathroom and then go back to bed and usually I fall asleep right a way or within a few minutes.  Sometimes I sleep the rest of the night but sometime it comes back again within a few hours. What should I do.   I ### REPLY: The treatment that you have undertaken appears to be scientifically correct, and you need not worry about it. Also, none of the .  It is probably a result of insomnia due to the stress of the disease and the treatment that has its toll on the mind. It is best you take a sedative at bedtime for a few weeks. Meanwhile, try to occupy your mind with activities during the day. Join a meditation group. Don't sleep during the day. Eat at least 1 hour before bedtime. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 7 abnormal ekgs and failed my stress test. I suffer from weakness, dizziness, nausea, chest pains,shortness of breath and headaches. Swollen feet and ankles. My blood pressure is 95 over 55 on a good day and 83 over 41 on bad days. Nitro didnt help with the chest pains and Morphine helped me walk about with almost no problems. However there is no diagnosis. Im still in pain and no answers what do you think? ### REPLY: Hi this is most likely congestive cardiac failreadviceNT-pro BNP tester electrolytesStress thallium test to rule out cardiac functions, if stress thallium not available go for a 2 d echo As soon as possible .2d echo will reflect the functions of the heart, the left ventricle ejection fraction.after that coronary angiogram would be planned. Most likely you are in congestive cardiac failure due to blockage of coronary vessels. Urgently contact a cardiologist he would start you on diuretics, nitrates, beta blockers and calcium channel blockers. You low blood pressure is most likely because your LVEF is low, so go for an echo asap. Sorry but if you will neglect this, you can have a cardiac arrest 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 doctor , i am having red patches with itching when i exposed to sunlight today , also i am suffering from psoraissis form long time and continuing with homeopatChatDoctoredicine . One of my medical practitioner suggested Rupanax-m tablet , but stll i woke afwetr strong itching urge in my body , please help me out , thanks ### REPLY: Hi Dear, Welcome to the board of , Psoriasis is a continuous recurring disease. It persists long, may be whole life. Stop worrying about this disease, lead a cheerful life forgetting the disease, but in the meantime you have to take continuous treatment from your dermatologist. For itching, he will give you some antihistamine medicine and some steroidal cream. This will take care of your night itching. Hope your query is answeredThanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 awoke two weeks ago in severe...extreme pain in my left chest. Swelling on my ribs. I went to Dr. had Ct showed nothing broken. A very small lesion 7mm on spleen. They then did bone scan and 7th rib lit up. Decided ot was costiocondritis.Two weeks later....I still have mild pain...fatigue and generally feel a bit under the weather. This morning I woke with a dark purple bruise round...above my belly button. Again no trauma. Wondering what is going on. ### REPLY: Thanks for asking your question I completely understand your question you have to continue treatment for Costco . In mean time visit a general physician who can request for a general blood picture, which can probably give a clear picture of the situation, as it seems like, there is purpuric rash may be thrombocytopeniathanks no need to panic feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m 28 n married.to get pregnant i started using tribugin capsules on doctor s advice..but after taking ths tablet i suffer a severe headache n increased heartbeat n severly i get neasued.n my body temperature also increases frm normal.what can i do?pls help me ### REPLY: Hi, Incomplete data like the purpose of taking origin? Yes, the herbal preparation of Ginseng like origin should not be taken while pregnant because its safety is not being established if taken during pregnancy.  Based on the history you seem to have developed side effects of origin. Stop taking it and consult your treating doctor for an alternate effective but a safer medicine for you. 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 im jimmy im 34 5  feet 10 and weigh 17 stone i been hearing voices 2 to be exact talking about me and my family all bad things running commentry telling me to do things i also see shadows in my door way with just the eyes on show staring at me i also have a problem with feeling down for long periods sleeping for like 14 hours a night no energy no motivation and enthusiasm i dont enjoy the things i once use to then it lifts for a few days then i feel bad again for weeks thanks for your advice ### REPLY: Dear friend, I feel very sorry to know about the problems you are facing. From your description it is clear that you are having depression along with auditory hallucinations and perhaps visual hallucinations and delusions too. It can be possible that depression leading to hallucinations or vice versa. In either case, you need to consult a psychiatrist as soon as possible for starting of medicines antipsychotic and antidepressants. Next thing is to share your problems with your family and to gain social support because it is very essential. Don't follow the voices what they are commanding you because these are not real. Be safe and inform your family as soon as possible.It's very easily treatable. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 who is 21 yrs has dislocated her shoulder whilst playing a game on a retreat. Fortunately a doctor who was present put the joint back into place. My concern is that my daughter has about 40%  curvature of the spine. Should she continue the retreat or seek further medical assistance to ensure there is no damage to her spine? ### REPLY: Hi, Thanks for contacting. I suggest your daughter should start doing shoulder exercises, like full range of motion and light Resistance training as shoulder dislocation in younger age should be taken seriously as it might become recurrent shoulder dislocation. Avoid sleeping on sides do emphasis on straight sleeping, and do some warm up also before playing, for spine ask your daughter not to carry heavy backpacks, and do back strengthening exercises. Core muscles strengthening exercises, cat and camel, and take look over her diet at this age I will suggest you to give her calcium, protein rich diet for bones and muscle development. With enough carboy . 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 brothers son suffering with stomach pain and Operation done.   tumor observed and removed from large intistiine by surgical operation. and the tumor sent for biapsy  test and conformed as cancer. and doctor told it is in 2nd stage. Is there any chance for curable?. the patient age is only 15yrs. Kindly give me the answer ### REPLY: Thanks for your question on . I can understand your situation and problem. Sorry to say, but cancer is incurable disease. Till date no treatment is invented to cure cancer completely. Chemotherapy and radiotherapy are available, but they can not cure it. They can slow the progression and reduce the sufferings. Intestinal cancer in young age carries good prognosis. And if early surgery is done than life expectancy is less than 10-15 years. So stage 2 operated case (your case) is having good prognosis Five year survival rate is more than 80%. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter is 7yrs old and has been getting stomach pains for a while now, I would say off and on for two yrs now, she complains like... sharp stabbing pains in the belly! I try to rubb he tummy and give he pain reliever! I have taken her to her doctor and she didn t seem to concerned? But why does she still get these pains? Could it be anxiety?? ### REPLY: Dear Parent, Functional abdomen pain that is pain in abdomen without any medical explanation can occur in child .  I suggest that you maintain a diary as to when the pain occurs. I am glad that you have taken your child to pediatrician to evaluate her abdomen pain. If you are not satisfied with your pediatricians' assurance, I would suggest that you take a second opinion to confirm that nothing is wrong with your child before giving her pain relievers. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 believe I have a kidney infection.  I have taken Cipro with severe reaction and Macrobid with equally severe side effects.  I am allergic to penicilins, sulfa drugs, Bactrim also.  I would like to help my doctor find something that will make me better.  I also have swollen glands under my right jaw which are painful to the touch. ### REPLY: Hi, Thanks for using . I feel you better get urine culture and sensitivity test done. Meanwhile levofloxacin is also effective against renal infection which is a non-sulfa group of antibiotic. Depending on culture sensitivity report you can change antibiotic. Discuss with your doctor about antibiotic treatment, You may need to take it for minimum 10 days for renal infectionSwelling below right jaw could be a sub mandibular gland swelling due to any obstruction to its . Hope I answered your query. 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 just suffered bulging discs in my cervical spine at the c5/6 and c6/7. Having lots of nerve pain through my neck, right shoulder and arm. Cannot sleep. Do you have any suggestions to help. I have just started taking neurotin in the last 24 hours. Not helping so far. Movement feels the best, but they have suggested not using my arm much. I use a manual wheelchair due to a 27 yr old spinal injury at the T12 area. So, need to use it some. Laying or sittjng still causes more shooting pain. I am looking to see if there is something I can do naturally to help me sleep and to lessen the pain. Thank you. ### REPLY: Hi, I had gone through your question and understand your concerns. In my opinion you may add some muscle relaxants and steroid intramuscular injections and some anticonvulsant that helps you sleep easier with lesser pain attacks. Neck exercises like extension, retraction, shoulder retraction, and isometric hold are highly suggestive in such cases. You may ask your neurosurgeon for further evaluation to recommend you the required dosing according to your condition. Sometimes a surgical solution is better especially after 6 months of treatment by physiotherapy and medications. Spinal surgeons can remove just the protruding portion of the disk. Rarely, however, the entire disk must be removed. In these cases, the vertebrae may need to be fused together with metal hardware to provide spinal stability. Rarely, your surgeon may suggest the implantation of an artificial disk. Please click on THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey this is david yesterday i ran a mile but i wanted to go one more lap around and then my thigh started to hurt i already broke it before i still have the rods in my leg still and i have this weird big bump and hurts thru a 1 to a ten it hurts like a five ### REPLY: Hello, I think you have got ankle post-traumatic arthritis. You should get ankle x-rays in 2 or 3 positions and confirm this diagnosis. The treatment is different depending on the stage of arthritis. In early stages the treatment is non-operative with medication, braces, and physical therapy. In advanced stages treatment is with surgery, ankle replacement, or fusion. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had a severe toothache for about 3 weeks.  I know i have a severe infection because the pain is so intense.  The problem is i did not have the time to change my dental insurance so im stuck with a plan that most hospitald wont take.  Dental care in New York are very expensive and i really dont want to pwe anybody for years to come.  But this pain is so severe at times that i think my hea will explodde.  I get the worst headaches and i cannot eat anything without fear that i will cause my mouth to hurt.  While at work i take at least 7 or eight ibuprofen for the pain. And at home about the same or more so that i can sleep.  My ear hurts all the time, and sometimes feels clogged.  My face burns sometimes, tingles and even feels sore and numb when the pain is at its worst.  For the last two or three days not even an ibuprofen seems to be helping.  After about 10 minutes the pain returns.  It builds up like a contraction during childbirth and then at it its worse when i feel to faint it subsides.  I cant take this anymore and now its the weekend.  I need to go to an emergency dentist to get some teeth puled, if not tonight then definetly Saturday morning.  What can i do to help the pain, will an emergency dentist in a local hospital see me even if they dont take my coverage?  Please help feels as if i will die. ### REPLY: Helloo.read through your query.I must say that it a be a periapical abscess(infection beneath the root).u have to take antibiotics (amoxicillin+metronidazole) for 5 days then infection will subside so will the pain.taking ibuprofen alone can't do much reduction as it can just be effective for some time...after that if u want u can meet an endodontist and see if it can be filled(root canal treatment+crown) and saved.saving a tooth is most important than plucking it away.but as your having problem with insurance yes u can meet a dentist and get it extracted....it's better to take antibiotics and reduce infection and going to dentist as with infection dentist won't be able to extract on same day as it may cause more pain to u.do nice salt water gargle as many times as possible.try not to bite with that side.and meet your dentist.be cool and happy.it reduces pain...peaceful mind can be the best medicine.hope your benefitted something from this reply.have a healthy day!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am sanjay from India my daughter having child Asthma, when weather changes she become ill and she face problem while breathing due to heavy cough.Actually i can t afford her treatment and regular nebulization charges. Is there any alternative for this ### REPLY: Hello Sanjay. Thank you for asking at . I went through your daughters' history. I would like to ask you a few more questions to make better suggestions like - What is the age of your daughter? Since what age she has been having breathing problems? How many episodes does she get in a year? How is she in between the episodes? Does she have nose symptoms like nasal congestion, running nose, sneezing etc.? Does anyone from home smoke? Does anyone from her family have allergies or asthma or both? However, from your given history, I would like to make following suggestions to her:1. Were I treating her, I would prescribe her montelukast for at least 7-14 days when she has an episode.2. If she has nose symptoms also, I would add an antihistamine like levocetirizine or cetirizine.3. If with above treatment, she is getting wheezing, I would suggest you inhaled albuterol or levosalbutamol for her in appropriate device. However, suggestion for device can only be made after knowing her age.4. Please try to avoid exposure to dusts, smokes and air pollution for her.5. A healthy dietary habit (adequate green leafy vegetables, fruits, sprouts, etc., minimizing cold . Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish your daughter the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i live in Barbados in the carribean our climate is very hot every year there is not kind of cold temperture. i went to a dermothologist to realize that i was diagnosed with spsorias and my dermatholigist prescibed hyrdroquinone 4% and tretinoin 0.025% cream mix together to carry way the dark marks but i found that it was getting around the area of the dark mark very light and the rest of my complexion is darker and im very scared cause i want to know what will bring back the colour of my  natural complexion. ### REPLY: PSORIASIS IN NEWER STUDIES IS DIAGNOSED AS CHRONIC INFLAMMATORY REACTION TO ONE OR MORE OF FOOD COMPONENTS WE EAT DAILYSTART WITH ELIMINATION OF MILK AND DIARY PROTEINS COMPLETELY FROM YOUR DIET AS IT IS MOST LIKELY ASSOCIATED WITH THIS DISEASE THE OINTMENTS YOU APPLY ARE FOR SUBSIDING NIT CURE GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES OF MILK WHEAT POTATO CHINA EGG RICE NUTSELIMINATE THEM FROM DIET COMPLETELY YOU WILL RECOVER AFTER FEW WEEKS OF WITH .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 partner who I recently meant who has a drinking problem (former AAA recovered and stared again) who also has been seeing therapist for 20 yrs and suffers from manic depression constantly. They need to be alone daily and seem to deal with past trama from childhood and present . I also suffer from depression, and am wondering what do I need to do to not trigger there mood swings ### REPLY: Hithanks for using  I think in your case the best thing is, u know each other problems. First u should help in maintaining the treatment. That would prevent from aggravation of symptoms.  Second try to maintain your social life. Go for outing on weekend and try to spend time with each other as maximum as possible. Third any time u and your partner feel comfortable, make physical relationship. Try to follow all this stuff. Can connect us whenever need help. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son suffers from croup and bronchitis, i have pulimcort for his nebulizer which i have been using, I am running out and have duolin respules from a previous presciption, is it possible to use them for him or should i rather take him back to our gp? ### REPLY: Hi thanks for contacting .... Noted your child suffering from bronchitis. Pulmicort contain budesonide.... Duolin contains bronchodilator hat YAR s albuterol and ipratropium bromide... In bronchitis if allergic it is necessary to relieve inflammation ...so Pulmicort need to be used along with bronchodilator to relieve inflammation .... You can take both res pules....in nebulization. If only one is to be used go for Pulmicort as narrowing is due to inflammation.....so Pulmicort will be useful.... Take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I often have pain/discomfort on the outside of my left leg. Almost every day; it comes and goes. My right leg does not have any problem. Only the side part of the left leg. It occurs both at rest or walking. Sometimes, but infrequently, my left knee will buckle while I m walking. Just for a second, not enough to cause me to stop. Any idea on what might be the problem? Thank you. ### REPLY: Hello, I have studied your case. There are many reasons of leg pain. Due to spinal disc bulge there can be compression of nerve supplying your leg leading to pain and difficulty in walking. You may need to do MRI spine to see for nerve compression. Due to compression of nerve there is leg pain with it. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Another differential can be leg muscle cramps. Leg Muscle cramps are very common in females my advice for YouTube plenty of water, fluid intake will dilute toxins. Physiotherapy with ultrasound and Tens will help you, Take potassium rich diet. Hot and cold fomentation to leg Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am wondering if i am contagious. I have been on the go for the last two weeks and weekends. I went jogging when it was cold outside (last wed) and have had a cough/itchy through since. I have some allergies, but didnt take anything. Coughing/sneezing got worse then i spent Sun/mon in bed with a fever, chills, spine ache (hightest temp was 100.1).I took zyrtec-D, Monday, and that helped a quite a bit. My mucous has been clear...once or twice slightly green. But at the same time i have had chest congestion and coughed up green or brown loogies. Is that from laying down for two days? Am i contagious - as far as a cold goes? I have a temp again this am of 99.0. ### REPLY: Hello, thank you for posting your query here. Yes, you are still contagious for another 3 to 5 days. It is best to use cough etiquette when you are around other people-cough or sneeze into your shoulder (not your palms), or into a tissue which you dispose. As for the brownish phlegm, if your fever is settling and you're getting better overall, there's no need to worry about them. If you have difficulty breathing or a temperature more than 102 F, contact your physician. I suggest you take some anti histamines and montelukast if you are prone to allergies, as the climate will exacerbate your allergies. Hope I have cleared your doubts, get well soon! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently had a general blood test, as I was suffering from Hair loss, night swats and sore glands. The blood test came back Norman however my white blood cell count was low. Considering this was the only abnormality, should I have further investigations? My doctor suggested another CBC in 1 month. I am a 20 year only female, generally otherwise healthy, had glandular fever earlier this year. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have mild decreased WBC count.  It is not a big worry.  Simple viral infection can lead to this.  So don't worry about your WBC count.  Just repeat it once after a month. Not a cause of big worry. 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 Doctor, I am epileptic patient from the age of 12 years. I am 26 now. Have had 11 seizures since then. 4 of them in the last year, because of negligence in taking proper sleep and skipping on medicines frequently. I was on Valprin (200 + 300 mg) & (Lamez 100 + 100 mg) at this time. After a dosage test it was found that Valprin level was very low in my blood stream. Since then I am on a very high dosage of (valprin 500 + 700 mg) and (Lamez 100 + 100mg) Since past months 4 months I have been taking these. And it has wrought severe side-effects: 1. Weight Gain and Water retention in body leading to a bloated look 2. Lack of focus 3. Weakening of eyesight and hearing loss 4. Hair loss 5. Nausea and slight loss in body balance 6. Loss of memory Do I have to take this medicine all life long?? How can I reduce these sideeffects. ### REPLY: Hello, As you know that Valarie and Lame have been prescribed to you because you suffer from epilepsy. A doctor decides the dose of a medicine based on your symptoms and that is why the dose of both the medicines have been increased. Let me tell you that every medicine has its side effects, but a doctor always weighs the advantages and disadvantages of the medicine before prescribing it. As you are suffering from Epilepsy which can be life-threatening, the medicines are much more important than the side effects. You will have to bear with the bad effects of the medicine as of now, but it is also true that the dose may be decreased in the future. Do not worry, management of epilepsy is primarily important. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I WAS WONDERING I HAVE BEEN HAVING THIS ISSUE WITH EARS AND ALLERGIES, BUT ALSO, I WAS EXERCISING ALLOT AND THEN NOTICED I HAVE HAD OFF BALANCE FEELINGS LIKE A MOTION THING GOING ON, THERE IS ALSO A FLUTTER IN MY CHEST AT TIMES IS THIS RELATED TO HEART, EARS OR COULD I HAVE AN INFECTION FROM SOMETHING? I FEEL OK MOST OF THE TIME BUT THIS COMES AND GOES. ### REPLY: Hi, first allergy is out of question. Now come to ear problem, what exactly ear problem u did not mention and for off balance during exercises, u can consult ENT specialist whether any ear problem because vestibule cochlear nerve is pass through ear canal from which vestibule component is responsible for balance of the body and cochlear for hearing. U might be having some ear problem but u had not mentioned any particular symptoms ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i started masturbation in the early age of 12. now i am 26 years old. I have following problems: Semen leakage: if i touch any girl or think about any girl for 1-2 minutes then semen just start to come out from my penis even without the tightness of penis. Weak Erection Premature Ejaculation Night Fall Less quantity of semen Digestive Weakness Now i want to know that all these problems are curable? ### REPLY: Masturbation is a perfectly normal way of self gratification when there is strong sexual urge in the absence of partner. Problems arise only when it becomes a preferred mode of sex even in the presence of a partner. When you touch or think about a girl, the fluid coming out is a fluid which is watery and meant for lubrication. IT IS NOT YOUR SEMEN. When you start developing guilt, you have anxiety, resulting in poor erection which in turn enhances anxiety, so this cycle goes on. Night fall again is a normal discharge of semen during sleep and causes no ill effect. These are curable if you consult a good qualified sexologist .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I need an endoscopy. I suffer from chronic depersonalization/derealization. Marijuana induced 36 yrs ago. I would like to know if Propofol/Diprivan used for sedation will worsen my DP disorder. I understand this anesthetic works with the brains cannobinoid system in the same way THC does. Please advise. Thank you. ### REPLY: Hi. I understand your concern. Depersonalisation is dissociative disorder and nothing to do with THC. Cannabis can worsen or induce psychological disorder. No need to worry with anesthetic agent like propofol. Ketamine can worsen psychological illnesses. So continue to take medicines for depersonalization while going through operative procedures. Take advise from your treating psychiatrist and get help. I hope I have answered your question. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor , I am a 35 year old female. For the past 3 weeks I have been having extraordinary fatigue. I also hav pain in my arms and shoulders . I also have had episodes of headache and nausea with tightness in chess and pain once or twice. I also had sweating palms one day with tightness in chest. I have a family history of heart disease and heart attacks . I have missed my periods this month. What i the likelihood of a heart problem. ### REPLY: Hi, Welcome To . I can understand your concern regarding your health. I have seen the number of patients of this type. First consult your cardiologist for check-up of BP and ECG. You have to go for these both, for diagnosis of your symptoms. Check your BP daily at different times for 5 days. If your BP will be diagnosed higher than normal, then go for the treatment of it. Also go for other laboratory investigations like lipid profile, Secret., FBS, PUBS, HbA-1C, T3, T4, TSH for better diagnosis and treatment. After getting all the reports, please share them on . After doing all these things, I hope you will get well sooner, and please share your review about my answer on . Take Care, Thank You. From:-  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: skin spots on random areas of body. round, red, a little itchy looks like a bug bite, but not, all perfectly round. Begin as very red, grow to almost dime size, then dry up and leave mark/scar, again all perfectly round. Began about three weeks ago. ### REPLY: Hi there. Thanks for trusting . I have gone through your case very carefully and its because of some kind of allergic reaction that have made you like that. Perhaps you have taken some food that you are allergic to. Consult a Dermatologist for proper evaluation because skin diseases need proper diagnosis after examination. For that time use Tablet Fexofenadine 120 mg one daily for 7 days. Avoid any kind of potential allergens. It will improve your condition. Hope it will be helpful for you. Thanks and have a nice time. Regards: ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I got a tooth removed on July 4th , Ive noticed a bit of puss in the extraction hole. When I took a q-tip and passed it on it some sort of yellow slim came out and also seems to have a bit of blood inside the hole as well. I have no pain at all or swelling. Ive been rinsing my mouth and brushing throughout the day. Any suggestions on what it could be? Thanks ### REPLY: Hi. Thanks for the query. It looks like there is some Infection at the extraction site but as it is already more than 20 days of extraction so by now there should be complete initial healing and any discharge is not normal. So for now you can gargle with antiseptic mouthwash like Chlorhexidine or can even use Magic mouthwash. Do warm saline gargles. If in a week also you still find discharge you should get checked by a Dentist and an x-ray of the extraction socket should be done to rule out any remaining root pieces. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I m sure it s been asked before but I ve been dizzy for about the past week. Went to ENT and he said it s most likely labyrinthitis. I used a netti pot about 3 weeks ago with warm, non sterile water from faucet. I feel constantly buzzed . Not so much dizzy but just out of it My question is could my symptom be from a parasite via the Nettie pot? If it s not labyrinthitis what else could it be? Thank you Steve ### REPLY: Hi, Thanks for your question on ChatDoctorI do understand your pain and discomforts per your history is concerned your problem is due to virus only but not parasite as mentioned by you which causes inflammation of your inner ear. Your second question was if it is not labyrinthine then what it may be, my answer is dizziness can be due to various pathological causes among them for your case BPV, Vestibular neuritis, and anemia can not be ruled out. So Take cinnarazine tablets for dizziness and check your hemoglobin level if low take iron caps, Add a multivitamin capsules every day at bedtime. Hope that helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m overweight 93 kg ht173 I have fatty liver 2/3 & liver enlarged I want to lose wt I have abnormality in cholesterol levels I take METADOXIN 500 daily 1 & ATORSAVE 20 daily 1 My main problem that I want to lose 25kg wt please advise YYYY@YYYY Mob:0000 india mumbai ### REPLY: Hi thanks for asking question in . Noted you have fatty liver and high cholesterol with overweight.... To reduce weight along with less fatty diet you have to burn calories .... Every day do one hour swimming or running... Take less fried food. Fruits more ... Cheese, burger, pizza, meat like trans fat avoided..... Use less oil in cooking .... Avoid sedentary lifestyle..... You will get benefit by above measures... Take care.... .  ### END