Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 44 years old woman. In my last check up my blood test came back with some liver enzymes in a high level: Alkaline phosphatase 136 u/l, ALT 42 u/l and Bilirubin 1.4 mg/dl . My cholesterol was 222, my Non HDL cholesterol 161 mg/dl and my triglycerides 245.. My height is 5.7 and I was 154 pounds at the time of the test. I am eating a more healthy diet now and my weight went down to 143. My goal is to reach 135. Tomorrow I am having a sonogram of the abdomen area to check for gallbladder stones since a lot of people in my family has this condition. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your cholesterol levels are not much higher. Still if you want to reduce it then you should take low fat diet with high amount of polyunsaturated fatty acids. You can take .  But it is prescription medicine, so you should consult your physician and take it according to his advice. 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 have been on nuristerate for 6months now.i have an 8month old baby now as i fell pregnant on the pill by skiping a few..i havent skipped any of my injections and have heard that there is a chance that u can fall pregnant even when on nuristerate..how can i know if im pregnant or not.i have had my period monthly even on nuristerate which i know is normal.but if i skip a period would that be because im pregnant? Just very causious.dont want another baby right now as i am only 18. ### REPLY: Hallow Dear, Nuristerate is a progesterone birth control pill. If you are consuming the pills regularly, there is very little possibility of pregnancy. Last time your pregnancy resulted due to .  If this time you are regular, you should not have stress of pregnancy. As it is, you have not missed your period. So I should say, being worried about pregnancy is much ado bout nothing. However, if at all you miss your period, you have the following options to detect pregnancy:1. 8-10 days after missing a period, perform pregnancy test on the overnight first morning urine sample. These tests done earlier may give false negative results. 2. Beta  test is very sensitive and specific. It gives reliable results even few days before missing a period. 3. Ultrasonography done after 10 days of missed period will give you the direct visual evidence of pregnancy status.4. Clinical examination by Gynecologist 10 days after missed period. I am repeating, if you are so regular in taking Nuristerate pills, you should not be worried about pregnancy. Stress itself may delay the menses. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my ultrasound says prominence of the pelvicalyceal system is seen at right kidney .what does it mean & what is the risk factor for my kidney.is there any serious abnormality.bilateral nephrolithiasis since 2008.eswl done twice.but multiple stones were noted in both the kidney at all the poles on 02.10.2012 by ultrasound. serum urea-20,serum creatinine-0.8, urine microscopy-leucosites-1 to 2,epith cells-1 to 2.but the pelvicalyceal system is normal in left kidney but the same is seen in right YYYY@YYYY -e mail id ### REPLY: Hi Mr/ms shanty, you have multiple small kidney stones on both sides, and mild fullness of PCS on right side.  It may be a normal finding, it may also be due to small stone on its way out in right kidney tube, or a recent passage of stone from right kidney. If you have no pain, maybe a repeat sonography can be done after 7 days. A X-ray pub (morning, fasting stomach) will give exact size of kidney stones and if any stone is stuck in ureter. Usually stones smaller than 6 mm will pass. Take lots of fluids. I suggest you get a stone metabolic workup done to know why you are forming multiple stones. Follow up with your urologist regularly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 severe pain from somewhere around the stomach, it feels like hard stabbing that will lasts for about 2minutes off and on, I had a scope put into the stomach the doctors could not find anything in the stomach, do you think I should inquire about the pancreas and if so what kinds of test would I need to have done? At times I am afraid and think I am having a heart attack...HELP!!! ### REPLY: HI. As you have a suspicion get EKG done. The cause of such severe stabbing pain in abdomen can be due to pancreatitis, intestinal obstruction ureteric colic. The best way is to get a CT scan of the abdomen as it will also show the reasons that the ultrasonography will miss. Also go for blood tests like lipase and amylase. Go to ER get admitted, go for standing x-ray of the abdomen to see for intestinal obstruction. Diagnosis done this way will lead to further proper management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 weight on my chest for some time and experiencing tightness in the chest like heartburn but had ecg and blood test for heart. Had this for 5 weeks or so thought it was stress have dry mouth feel like I have phlegm on chest, but nothing to bring up. ### REPLY: Thanks for your question on . I can understand your situation and problem. Since your ECG is normal, no need to worry about heart diseases. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more in your case. You are also having stressful life and stress is the biggest risk factor for HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central burning chest pain. So avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic .  Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a sixty eight year old male who has been in reasonably good health all my life and I am extremely active. I am not overweight and do not smoke. I had a prostetectamy due to prostate cancer in 2005. I have had cold symptoms for several weeks and I can t seem to shake them. I am also unusually tired all day. I saw my doctor last week and he prescribed an antibiotic for me, but it didn t seem to make any difference. I had mononucleosis when I was young. Could I have it again? Or, could it be something else. I can t get in to see my doctor until 7/29/2014. Should I try to see someone in urgent care? ### REPLY: Thanks for your question on . I can understand your situation and problem. Since you had prostate cancer and mononucleosis in the past, your present symptoms of cold and tiredness can be due to following conditions. 1. Recurrence of infectious mononucleosis. 2. Upper respiratory tract infection (URI). 3. Lower respiratory tract infection (LETI - pneumonia). 4. Lung metastasis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray. If x-ray is normal then possibility of URI is more. So better to start antihistamines and anti-inflammatory .  Avoid oily and spicy food.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: As of tomorrow evening it will have been an entire week that i have had hives and swelling. It started last thursday, about two to three hrs after eatining various fish fry samples and two different samples of soup that I later found out had crayfish and lobster pieces in it. By friday evening (the next night) it had gotten worse (even though I took loratidine and a few doses of hydroxyzine ). I should note that Ive never had a seafood allergy so I didn t think anything of associating eating it with the problem. However I had started dicyclomine for a different issue 3 days prior to the onset of symptoms, which I discontinued immediately assuming it was the source of reaction... So that friday at dinner I didn t think it would be a big deal to eat steak and 3 shrimp. Within 2-3 i hrs my lips/face swelled up significantly. Took more hydroxyzine, the face swelling went down a bit by morning, but throughout that day, saturday, my hands and feet swelled up before my eyes to the point that making a fist hurt and became impossible, and when walking the bottoms of my feet hurt like I had bruises. That evening I switched to benadryl , added zantac , and began zyrtec instead of loratadine the next morning. Finally on Sunday went to urgent care as swelling/hives/itching was intolerable. Was prescribed 5 days of 60 mg of prednisone and advised to continue antihistamine regiment, and given a epipen rx to keep on hand if breathing became difficult. Tomorrow will be 5th day on prednisone but still wake up with hives, severe itching and mild swelling. I almost used the epipen on Monday because I thought my chest was tight but after taking my dose of prednisone it eventually subsided. What do I do? Prednisone helps but relief is mild and seems to be short lived, lasting a few hrs to 12 hrs max. I can t take it anymore. Why would I still have reaction if it was the seafood? I have never had food allergy, only hives and mild swelling when taking various antibiotics. I did have a retreatment of a root canal by an endodontist on a molar the friday afternoon prior to the reaction (almost an entire week went by with no hives, just mild swelling on cheek near tooth). Sorry for so many details but I need help! Am I going to end up needing longer prednisone therapy? Why hasn t it helped more by now? Is that typical? Any advice on what to do and expect? I am a 27 yr old female, and am allergic to at least 10 antibiotics. Lastly, am in anatomy and have been working with a human cadaver and dissecting cats twice a week for several weeks, and earlierly on the day this all started I dissected a cow eye, but wore latex free gloves of course. I can t pinpoint the source so maybe I m still being exposed? Im clearly going to have to go back to the doctor but I d like to know what to expect... Thanks in advance! ### REPLY: Hello, You are clearly in distress with the acute generalized urticaria and angioedema episode and not helped by the fact that even prednisolone is taking its time. It is unlikely seafood allergy as the reaction does not proceed for so long even though all of us think of an event as the trigger. Most allergists though would like to ensure you have a blood test against the food panel that you had on the day and of course, shrimp crab lobster etc. by a specific IGE blood test. Skin testing would be required at a later stage (if blood tests are negative) and you are off all antihistamines for 2 weeks. Saying that, I think all of them will be negative (i.e., no allergy) and at the same time you ought to get a blood test for CBC, LFT, creatinine, Mast cell treatise, IGE, TSH TPO antibodies as the urticaria may have an autoimmune component. Prednisolone is reserved for the end if antihistamines do not work, but ultimately all will work once this acute phase is over. If you have required 30-40 mg for more than 10 days, it is best you slowly taper it down and stop at 6 weeks. By then, fexofenadine 180 mg and HY .  20% do not respond to several antihistamines, and would need steroid sparing agents that must be discussed in detail with your doctor. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Tiffany, I am 30 years old. 172cm tall and weigh 56kg. I have two children 2 and 4 years old. We have been trying for our third child with no luck so far. My two children were conceived instantly so wondering why now we would be struggling. My husband (40) had a minor heart attack last year and has been on heart medication such as ismo, rampil, cardicor and trepiline. Would that affect sperm quality, quantity etc? Also how would I confirm whether I am ovulating or not? My cycle is around 26 days. Thank-you ### REPLY: Hi, Welcome to  . As age advance chances of infertility increases. This medication are less likely to cause reduction in sperm count. I would suggest you to get done semen analysis of your husband.  If any problem is there treatment may be initiated accordingly. To know you are ovulating or not you should undergo follicular study.  Here serial ultrasound is done on various days of cycle to know you are ovulating or not. Also, advice your husband to quit smoking and alcohol, reduce weight. Hope I have been helpful. 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 sinus infection for about 1 month.  I had a tooth removed that had gotten infected which went in to my sinus.  I am having twitching below my eye and the sinus infection has not gone away.  I am finishing my third antibiotic.  Do you think the eye twitching is from the sinus infection? ### REPLY: Hello dear, Sinus infection following tooth extraction indicates communication between your oral cavity and maxillary sinus(oro-antral fistula). Usually, most of such fistula are small, and heals with supportive treatment with antibiotics, antihistaminics and good oral hygiene. But here, it persists even after three course of antibiotics. So there is chance of a persisting communication, which may need surgical closure. You please see your maxilla facial/ENT surgeon to see what is going on.Meanwhile, keep a fairly good oral hygiene. Eye twitching may not be related to sinus infection(unless it is very advanced to cause per orbital inflammation). Wishing a faster recovery. 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, i am from india ! ..i want to kill myself with as low pain as possible ! might sound wierd ! and stupid i am consulting a psychiatrist and counselor ...and suffering from tinnitus ! ...better to suggest a good way then telling me or making me understand that it is not the right thing to do as i have many people telling me that..but they dont know what i go thru...before i jump in front of some stupid trains and scatter myself into pieces :( "( ### REPLY: Hello dear, I am also from India. I want to advice you to take some antidepressants first to get some better feeling after consulting your doctor. You deserve help no matter what. I advise counselling as counselling will focus on your immediate difficulties and help you with problem-solving skills. You must see a counselled once a week at very short period. Along with counselling psychotherapy, cognitive behavioral therapies also have good impact to treat you. You are very brave and that's great to hear that you are searching for treatment by yourself as you want to be normal soon.Don't be panic for anything think about your future and your family as there is a lot in front of you. And we in our India we have lots and lots of places to visit. You can always spend some time with your loved ones to get your mind some relaxation. All the best for your life and may god bless you with his love. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: . I have a hip pain in right side of my hip & the pain propagates through my thigh & lower part of my right leg. 15 years back I had a similar problem & doctor gave me nurobin tab. & problem was resolved.I have also observed the pain increases if I sit in arm chairs. Any suggestion to come out from the problem? ### REPLY: Hello, I have studied your case. As per your history there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head [AVN]. I will advise you do X-ray of hip again, and you can consult me with reports or with your doctor. After clinical examination IF AVN is suspected then you will need MRI. Till time take analgesic and cartilage protecting medication like glucosamine sulfate. For hip arthritis joint flexion, extension and rotation exercises will help. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given. Diet rich in calcium and protein will help. 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: Hi doctor,My husband is 30 years old and diagnosed with jaundice 8 days back.... His prior report says dir bilirubin 3.9 and indirect 3.0 and tot mill His sgot and sgot both was around 3500 and now his today s report says dir bilirubin says 12 and indirect 9 and total 3 and sgot is 745 and sgpt 141 please advice. Now we are taking Ayurvedic medicine since last 4 days ### REPLY: Good morning Sorry to hear about the ill health of your dear husbandFirst of all I would like to strongly advise you to stop ayurvedic medicines. He is suffering from hepatitis and I believe it could be due to viral illness. He needs to be investigated for the gamete downward trend of his GOT and SGPT were encouraging The bilirubin level has increased, with a change in the fraction of predominant direct bilirubin fraction (initially) to indirect bilirubin fraction (later). It may indicate that his red blood cells must be getting destroyed early which could be secondary to ayurvedic medicines or viral illness itself. I would like you to please recheck the repeat bilirubin (including direct and indirect fractions) along witChatDoctorplete blood counts, reticulocyte counts, prothrombin time. I would also like to advise you to get serum ceruloplasmin to diagnose copper related storage diseases which can cause this combination of symptoms and lab reports. Hope I had answered your question I would be happy to answer any further queries Wish him a speedy 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, i get manic sometimes, which causes me to start a project and keep going until my body can t take it. I even forget to eat sometimes; i get really depressed when i finish my project . People think that i tend to over react all the time and that my emotions are out of control, sometimes i m really sad or really happy for no reason. My friends think that i m bipolar, i don t think i am. Thank you for reading ### REPLY: Hello and welcome to . Thanks for your query. Having alternating periods of "mania" and "depression" can be indicative of a Bipolar disorder. However, there can also be other possible psychological causes for such mood fluctuations, like certain types of personality disorders, etc. A detailed history and psychological assessment is required to make a definitive diagnosis. Ince your problems seem to be causing you a lot of distress, I would suggest that you have a detailed evaluation by a psychiatrist, so that appropriate treatment can be initiated. Wish you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: in November I was diagnosed with bacterial and fungal lung infection. have crohns disease and was told it was from taking cimzia. took 10 days of antibiotics and now I am sick again. my chest hurts really bad. I started another round of antibiotics, Bactrim. question is how long does It take to get rid of these infections. ### REPLY: Thanks for your question on . I can understand your concern. The best treatment of lung Infection is to identify the causative organism and then start appropriate treatment. So in your case better to get done sputum culture report to identify the causative organism. Then get done sensitivity report for guidance about effective antibiotic treatment. By this we can avoid unnecessary use of antibiotic and fasten the recovery. So consult pulmonologist and discuss all these. Get done sputum culture and sensitivity report. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. When eat really salty food or drink too much coffee in one day I get shortness of breath, my body becomes numb, and my eyes kind of black out. Is this at all normal? And for the 2nd time in my life I got a wave of numbness throughout my body today. It wasn t low blood sugar, because I ate what I normally eat in the mornings. ### REPLY: Hello! Thank you for asking on ! I understand your concern. Your symptoms seem to be caused by anxiety and an excessive intake of coffee. I would like to explain that coffee contains caffeine, which induces an increase of catecholamines in the blood, causing cardiac and nervous system excitation. This would lead to high blood pressure, tachycardia and ectopic beats, anxiety and other autonomic nervous system symptoms (sweating, numbness, blurring vision, etc.).  I would recommend performing some tests like a routine blood test, kidney and liver function tests, thyroid hormone levels, blood electrolytes and an ECG to exclude other causes of these symptoms. I would advise you to avoid .  Hope to have been of help! Greetings!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 49yr women who started not feeling well this afternoon. I am very healthy and have never had any major health issues. But I started having severe upper back pain in between my shoulder blades and chest pain, along with a deep sore throat. Pain in my neck also, and feeling very tired. I am breathing fine, not feeling any miny signs of a stroke but I wasn t fore sure. ### REPLY: Hi, From history it seems that there might be having acute upper respiratory tract infection giving generalized body ache, malaise giving this problem. Go for one course of antibiotic like Azithromycin course for 3-5 days. Take ibuprofen for symptomatic relief from pain and body ache. But many a time this short pain might be due to some cardiac ailment like angina. So to be on safe side go for EKG to rule out any cardiac ailment. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir all of a sudden i got more pimples on my face ... what should i do now......? i was exposed to sun from past 4 days.. is this this the reason.... what precautions should i take now..? ### REPLY: Hi.dear Abhinav., Thanks for choosing ., Pimples suddenly appears in Your age., It is commonly seen in teenage and young adults., due to hyperactivity of Hormones., Sun exposure only irritate the lesions., increase the further activity of sebaceous glands., inturn increase the problem., So do.,1) Frequent washes with Low pH soaps...(Triclosan-Acnil).,2) Tab Isotretinoin 20 mg for 2 months.,3) Topically use 1% Clindamycin 2 times daily.,4) Take plenty of vegetables and fresh fruits., ok.good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have allergy asthma during the hay fever season but recently I have been wheezy and coughing up clear jelly in the shape of small tube like shape or a large grain of rice. It feels like it comes from my chest and when I ve coughed one up my chest isn t so wheezy. If I squeeze the clear tubes they return back to their tube like shape. ### REPLY: Thanks for query on . Asthma is always due to some allergy exposure. Coughing and wheezing is response of allergic episodes. You have to take montelukast and levocetrizine for 7 to 10 days during episodes. Long course of montelukast will be helpful to reduce recurrent episodes. Inhalation therapy is the most useful treatment for it. Inhalation by rota haler with bronchodilator rota caps or inhalation by nebulizer will be helpful. Antibiotic is only needed if you have fever due to secondary infection. Do deep breathing exercise regularly. Try to avoid triggering factor. Keep in touch with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I fell down about 7 wood stairs 3 days ago and landed on my right knee. Immediately a bruise appeared towards the inside of my knee along with some swelling. I have been putting ice on and off in 20 minute increments, keeping it elevated as much as I can at work and taking anti-inflammatories but the swelling has gotten worse and I am in a good deal of pain. Should I wait it out another day to see if it gets better on its own, is there something else I should be doing or should I just go to a doctor? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint as you have fallen from stairs leading to landing on the right knee and in case if you are able to put weight over your leg while walking then one thing is clear that there does not seem to be bony fracture and is most probably soft tissue injury. The swelling can be due to accumulation of inflammatory fluid at the injury site due to soft tissue inflammation secondary to injury. Other causes of severe pain and discomfort can be due to injury to Anterior Cruciate ligament [ACL injury] or Meniscus tear. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and x-ray as well as MRI can help in diagnosis and treatment can be planned accordingly. In case soft tissue injury without any tear of meniscus or ligaments you can be advised to continue taking anti-inflammatory painkillers like Ibuprofen or Naproxen, continue icing and elevation and limit movement. In case if there is meniscus or ligament tear you can be advised to apply an analgesic ointment and brace it with a knee cap or crape bandage. In case of fractures or extensive wear and tear immobilization by placing a cast can help. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I have a possible liver and right kidney twisted inside my body just got tested for creastinine and sometimes have blood in urine also just had a hernia in my right rib cage as well as on my left lung and my spiter broke got 40 plus staples taken out not to long ago ### REPLY: Hi, Thanks for writing in. A twisted liver and kidney is unlikely to occur in a human being. The liver and kidney are fixed with ligaments and supports. They have a capsule and also surrounded by fat in some areas. This holds them in place, and it cannot get displaced spontaneously. Bowel is a tubular structure and might get twisted or displaced through a hernia which is a defect in the abdominal wall or inside. There is a history of hernia in your right rib cage and this needs to be evaluated in detail for any complications. An X-ray chest and if required a CT scan chest might be done to know completely on it. 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: We used dettol to wipe the furniture, after a few minutes, a 5-year-old child started to feel itchy and eye redness, after a few hours, the redess started to spread on his body. 1. Is he allergy on Dettol? 2. We commonly know Dettol is mild and useful on wound, but is it not apply to everyone and every situation? ### REPLY: Hi and thanks for the query, Its but certain that the child certainly reacted to something, an allergen off course. But attributing this reaction to Detail is a possibility, but not actually conclusive. Wiping furniture means mobilizing but, and they child instead be reacting to other dust particles or some other allergen that was released during the wiping process. Detail could be allergic to some people for people s make-ups are actually different. Proving the child reacts to Detail deserves an allergenic challenge test, which done under very special test by an allergist or allergologist. I suggest you book an appointment with an allergist for a proper evaluation. Thanks and best regards. Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the last two days, whenever i sleep on my Left side, i wake up with severe pain in my gums right behind my last left molar nd around it.  The appearance is swollen and this morning, the top part of the "gum" area behind my molar looked bruised.  After i woke up, i tried to move my mouth in efery direction thinking maybe i did something in my sleep to two nights in a row but i couldnt reproduce the pain. That area is still sore.  After i would wake up in pain and go to sleep on the other side, the pain on the left would slowly ease down. What do you think is going on? ### REPLY: Thanks for using . Read your query. Erupting wisdom tooth or impacted wisdom tooth(if there is no place for it to come out) usually present with the pain and swelling along with difficulty of opening the mouth and many other symptoms. For the pain ibuprofen (if you are not allergic to any medicine can be taken). I would advise you to visit your oral and maxillofacial surgeon and have a radiograph done. If impacted you can have it extracted and if erupting with the normal position, wait till it is completely erupted. Antibiotics like amoxicillin on prescription may be needed. Do salt water gargling. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am having this feeling choking up when I lie down Fromm the last seven day I am 23 weeks pregnant. My O&G tried me on Nexium but thats not helping. I am also taking Claratyne. I also start coughing up when this problem starts. I am also using pillows but nothing helps. ### REPLY: Hi, I have gone through your problem. Are all your blood reports within normal limits as might have been explained to you by your Oust.& Gone. Doctor. It is advisable not to lay down straight while lying down, instead try to lie on your sides, left side is preferable during pregnancy as lying down straight puts pressure on underlying vessels. Sometimes low hemoglobin level may cause difficulty in breathing. It will be advisable to consult a chest physician to exclude any respiratory problem. You can do steam inhalation two-three times a day, avoid cold .  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 doctor how are you today hope you all doing well .lets get started i have allergetic problems for past five years (i am 26 now) i taking a tablets per day (cetrizine hcl10mg) doctor how do i can identyfy my allergens? may i stop taking medicine or might you can suggest a better medicine for me .your suggetions will be appriciated thanks ### REPLY: Hello. Thank you for asking at . It is very important to know what kind of allergy problems you have, i.e., nose symptoms, skin symptoms, food allergies, etc. However, I assume you are having nose allergies. (it is the most common form of allergy). I would suggest you to take montelukast and levocetirizine. For identification of allergens, I would suggest you to consult an Allergist-Immunologist who will ask you in very detail and may suggest you allergy testing. Most nose allergies are due to allergens (allergens in air), so it is not so easy to identify them. The common aeroallergens are house dust mite, molds, pollen, animal dander, cockroach and other insect allergens, etc. As general, avoidance of dusts, smoke and air pollutants will help you improve your nasal allergies over a long run. Hope this will be helpful to you. Wish you the best of the health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor i am suffering from  umblical problem.in my belly button coming smelly yellow colour pis with blood.in side my belly button i can see red colour cord that come little bit out.i have pain while sitting or when given stress to that belly button area.this same kind of problem came 5months before and i just prefere only antibacterial sprinkling powder for cure it with in 3 days it cured.now it came again.yesterday i visit my near by doctor.he said that it may me umblical sepsis or umblical granuloma.he prafered me antibiotic injection and some tablets and oilment for affected area.he said that if it not cured in three days after taking medicine needed operation.doctor im very afraid.how does normal belly button look like in adults???? if it have any red colour cord inside???because im so afraid that red colour something inside my belly button. ### REPLY: Hi. Nothing to worry so much. This has healed once, so it may heal again and take antibiotics and apply Betadine lotion for 7 to 10 days. Ask your Doctor if he has copper sulfate to apply locally. If this gets OK, you really need to take care and clean the umbilical inside daily and keep it .  Secondly if this is a granuloma, this is a small surgery.  Only very rarely you need a bit bigger surgery if the pus is like urine or stool (feces). So the operation is needed only if the medicines do not 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 am 25 yrs old and have been diagnosed with sinusitis and gross DNS. My PNS X-Ray shows nasal septum deviated to right. I have been suffering with blocked nose and allergy for 8 yrs and was on prescription medicaction(tablets and sprays). Doctor advised me to undergo DNS surgery this week. I want know, whether DNS surgery cure this problem permanently, or  still I will face problems(block nose and allergy) in future. I have been spending sleepless nights due to blocked nose. please reply in details. Thanks so much for your help. ### REPLY: Hello. Thank you for asking at . I went through your history. From your history, my opinion is as follows:1. Allergies are due to some abnormal functioning of immune system and DNS (deviated nasal septum) is a physical/structural abnormality. Both are entirely different.2. Nasal symptoms such as nasal obstruction can be caused by both DNS and long-standing allergic rhinitis. Sinusitis can be caused by both DNS and long-standing allergic rhinitis.3. Mild DNS usually does not cause severe nose symptoms. Gross DNS (as in your case) can cause severe nose symptoms.4. So surgical correction of gross DNS can improve your nose and sinus symptoms greatly, especially nasal obstructive symptoms. But it cannot cure allergies. To summarize in brief, as both are contributing to your symptoms, correction of one can improve your symptoms, but I can not say DNS surgery can permanently cure allergies. Allergies are entirely different. For nose allergies, I would suggest you to consult an Allergist-Immunologist who will advise you allergy testing. This will help you to know what substances you are allergic to and how to avoid them. An Allergist may also suggest you Allergen Specific Immunotherapy which works on your immune system to improve allergic symptoms on long term basis. An ENT surgeon is the best person to say how much improvement you can expect (it depends upon your severity of DNS as well as nasal examination) with DNS surgery. Hope above answer will be helpful to you. Should you have any further query, please feel free to ask at . Wish you 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: I am 40 years old and have c ontracted Hand foot and mouth disease fromm my 3 year old.  Do I break the blisters on my hands and in my mouth or not??  Is there any other treatment besides rest and Tylenol for fever?  What is the duration ofthe disease in adults? ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern.HFMD is self limiting infection. It usually does not require any treatment. Antibiotics can be given to prevent secondary infection from the scab. Only Tylenol and plenty of fluid is sufficient to cure the disease. It will be cured in a two to three weeks. Please take care of any CNS symptoms. Some case may receive complication of encephalitis. If you sound some symptoms than immediately contact the ER. Please maintain hygiene, cleaning antibiotic cream application can help improve the condition. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ .  Thank you, ChatDoctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a few violent sneezes about 3 days ago as I suffer from allergies and I always sneeze every morning when I get up and they are continuous like one right after another and so on for almost 5 sometimes 10 minutes. Anyways, after it happened 3 days ago, I got this really sharp pain in the left side of my neck near my Adam s Apple and have also lost a bit of my voice. Also, when I swallow it hurts and when I sneeze I get a really sharp pain in that same spot. I am also only a 33 yr. old male and an occasional smoker (2 to 3 cigarettes/day). Should I go and see my family physician about this problem or is there a way that I can treat it myself. ### REPLY: Hi there. Thanks for the query. Since you have severe sneezing, you may have damaged your throat lining a bit due to the violent sneezing. Since this occurs in the early morning, it is quite typical is Allergic rhinitis. Allergy is mainly due to cold temperature, pollen, certain food, .  The only way to avoid such attacks is to prevent the allergens as mentioned. Hence, if you get in early morning it means you may also be allergic to cool temperature of early morning. Keep warm throughout the day and nigh with proper clothing and blankets respectively. Kindly stop smoking otherwise you have higher chance for getting infection and delayed recovery. Kindly avoid hot fluids and hard food. Keep well HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a man of 34 age. From many years I have been facing a problem that I can t digest all food like milk, milk related food, fried rice etc. I went to many doctors but my problem didn t solved completely. Can you help me please? Regards ### REPLY: Hello. Thank you for asking at . I went through your history and would like to make following suggestions for you:1. I would suggest you to go for allergy testing for the foods causing problems to you, especially milk & rice. If reports suggest you have allergies, the best strategy would be avoidance of the foods you are allergic to.2. If your investigations are not suggestive of food allergy, I would think of digestion abnormality rather than allergy. In such patients, I usually suggest them to avoid the foods causing problems to them for 3 months and take probiotics and multivitamin-multimineral supplements during that period.Thereafter, I advise them to gradually introduce the foods which were withheld. Hope above suggestions will be helpful to you. Should you have further queried, please feel free to ask at . Wish you 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: I m experiencing lower back pain on my left side. It started approx. 3 hrs ago. If I move around a little it will eventually go away but not completely. However, when I sit and stand back up the pain returns. Also, when I stand up straight it s painful. It fills as though someone has a fist in my back and causing pressure. Again, lower left side. ### REPLY: Your symptom suggest that you have sever spasm of gluteal and lower lumber muscles that causes pain on standing. You need not worry a lot. Start analgesic such as ibuprofen, muscle relaxants and hot fomentation over painful area. Take some rest. If pain does not subside in 48 hours or increases even after analgesic then consult to your physician. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. 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: i was not looking ahead of me and ran my hip/pelvis into the doorknob and got it sort of hooked on her but i kept running intill i fell on the floor in pain but I cant tolerate pain pretty well so I got over it in a minute. Now it has been a week or two later and there is this hard ball/lump in the place where I hit myself beside the hip. It is probably the size of a eraser on top of a pencil and is really hard. It hurts in some places and doesnt move around. What is it and is it bad for me or will it go away? ### REPLY: Hi, Thanks for the query. I really worry about your concern for the same. In my opinion, You need to keep watch for a wk more, and revert for more help. You need not worry and appears to be localized induration-post-trauma? With blood clot in tissue. You can take medicines from your doctor, if you don't get relief and get fever / pain which is increasing type. Thnks for using . Wellcome to . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, i m 23 years old and from past 2-3 years i am being troubled by my thoughts. They are out of control of my mind at many times. I fear for my family every time . I dont know how can i tell you but let me try: If i am doing any work and some thoughts like fictitious problem (which has no meaning) regarding my family comes to my mind then i repeat the work which i was doing...be it opening the fridge or climbing the stairs or writing in a page. I tear away a number of pages while doing work just because of this problem. This may be anything from putting a glass down to opening or closing a gate or opening my tv. 3-4 years ago in there were some arguments with someone and there was a fight but even after 4 years if his thoughts come to then if i am writing something i tear that page and write it again. Sir, i want to tell you that approx 3 years ago for some months i was indulged in smoking and drinking too but i quit after some months totally and from past 3 years i am not doing any kind of such activity but i have developed this fear problem. I am not relaxed at any time even at the time of masturbation i am in continuous resistance from my mind and it is my mindset that just after ejaculation i have to think good and if just after ejaculation i have bad thoughts then again i try to masturbate and if i cant then i leave it for another time to do it correctly. actually just after doing a work my mind wonders to think something fearful or horrorful so that i have to do the work again. I also want to tell you that after quitting alcohol and cigarettes i started a fascination towards masturbation and a fantasy for other s aunts etc. It was a bad thing though but i think this also may be one of the cause for my problems. Some times i am really frustrated with this world and just want to leave it as people are just going after money and leisure and the same time it is fearful also to leave everything. Sir, please help me out currently i am studying and have to do much study to achieve. Please help me out.I want you to help me whether it is medicine or exercise or whatever but currently i want to study and live like a normal person. ### REPLY: Degree understand your concerns went through your details. The duty of your mind is to think.  You cannot stop it from thinking except when you are deep in sleep. Instead, you learn to divert thinking towards more creative and productive tasks. You are 23. You must be having other duties like education or career. Divert your thoughts towards these tasks. Obsessive talks cannot be controlled, but can be managed through diversion and creativity. You need to struggle initially, but then it will be automatic. 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: Hi, I went to see my GP re a bony lump on my shoulder, which I ve noticed for about the last 2yrs, but was aggrevated by falling on it 8 weeks ago, the lump got bigger but has now reduced, however sleeping on that shoulder is still painful. The GP has referred me for plain X-rays, but thinks I may have aggrevated a subluxed clavacle/AC joint. What is this and what are my alternatives if he is correct? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have some dislocation in acromioclavicular joint according to him. You should consult orthopedic surgeon and need correction of that. Or you may have some other bony lump. SO consult orthopedic doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Am 29 years old. Last year i had an abortion and after this i am suffering from frequent leg pain. I am on ayurvedic medicines now. Recently i had a blood test and my TSH is 6.81 and ESR is 64mm/hr. My doc prescribed me Eltroxin 25 mcg. Now i am planing a pregnancy. Is there anything wrong with getting pregnant when my ESR level is this high. what should i do to bring my ESR to a normal level? will Eltroxin do any harm to my baby if i get pregnant?? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. ESR level of 64 mm/hr is high and requires evaluation. Frequent leg pain maybe the cause of high ESR. Need investigations to identify cause. Repeat ESR after correction of thyroid hormone once to evaluate for other causes.2. Pregnancy is not contraindicated and you can go ahead. 3. No Elton won't harm the baby. It's a regular thyroid hormone. If you discontinue Elton, it could harm the baby. Make sure your thyroid hormone profile is normal, before your have a baby. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A few months back, I felt a small bump, under my skin near my forearm- close to the bend on my elbow. There was no pain at that time. I have since noticed the lump is getting bigger and is sometimes painful to the touch. Is this something I should be concerned about? I am without insurance, so its not easy for me to be seen. Thank you. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. 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 have been taken Zeffix for more than five year. Last PCR done in Germany show zero value with very small signals. I still take Zeffiex for more that 12 months after last metioned PCR. my wife also has Hepatitus b but she didnt take Zeffix. And we had sex this month.My Question is I should stop zeffix. And do I need to repeat PCR after stopping several times.Thanks ### REPLY: Hi, Welcome to . I understand that you have to repeat PCR frequently, but it is necessary, and it will indicate the viral load of hepatitis B which will denote your response to Suffix. Zeffix is an antiviral lamivudine which is quite effective for Hepatitis B. If your spouse is also suffering from hepatitis B infection, she should also be treated as soon as possible as there are chances of her infecting you during intercourse. I suggest you get a PCR done now before stopping Suffix, if vital load is 20,000 IU, then you do not need to repeat it. I hope I have cleared your doubts. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking olazapine for the past couple of years. I have not been diagnosed bipolar or schizophrenia but I do have some bouts of depression and the dosage is 5mg every night. I have really bad night sweats and I am thinking that maybe it is caused by the olazapine and I have also been spilling proteine in my Urine, I have not brout this up with my docotor, but I think its the medication. Give me your thoughts. Gabrielle ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Olanzapine can cause increased night sweats, but it is a very rare adverse .  There could be many other common causes as well. The fact that the olanzapine is causing it or not will be determined by following the temporal relation of taking the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Im worried about my daughter,she is 6years old and she has a fever of 102 she is also vomiting alot and says her throat hurts. i have no way to get to the hospital..im keeping her in bed and making sure she has plenty of water..is there anything more i can do ### REPLY: Hi, As per your query your daughter have symptoms of vomiting and fever which is due to compromised immunity of body and electrolyte imbalance. Need not worry. I would suggest you to visit pediatrician once and get it examined.  Start treatment after thorough examination. You should take proper course of antibiotics to fight against infection.  .  If not taking any antibiotic start Norfloxacin for 5 to 7 days.  Avoid intake of outside food.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 My girl aged 4 is sufferring from snoring for the past 2 yrs and now little more noisy with sleep disturbance and occasional breathlessness. our Peadiatrician has prescribed Flohale 50,Flomist spray .But no relief even after giving Levolin spray additionally and montek LC KId Tablet in th evening . Please advice what to do next. ### REPLY: Hello, Large adenoids and tonsils are the usual cause of a children snoring. Because you mention disturbance of sleep and breathlessness, obstructive sleep apnea, which is another cause of snoring, should be considered. Signs of this disorder include:- Breath pauses while sleeping(10-15seconds at a time)- Restless sleeper, tossing and turning in bed-Awakes in morning tired-Remains fatigued during the day-Frequently occurs with obesity and high blood pressure suggest that she be evaluated by a sleep medicine physician as well as an ENT doctor both of whom see patients in a child . 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: Hello Dr, im vishakha... want to ur help... im married in last year... i m facing some problem... a tumor are ssing on my husbant penis from last month... it is increasing size day by day.... i feel that, some liquid in that tumor ... may be it is harmful for my husbant... if penis will cut for any reason, which problem we will facing or it is dangourous to my husbant life... plz dr. suggest me ### REPLY: Hello, Your mentioned symptoms suggestive of some growing lesion over the penis. However, without seeing the image of the lesion, the specific comment cannot be possible.  If needed than for reaching diagnosis we can plan to go for biopsy for a histopathology examination. According to cause specific management plan decided. 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: my husband has a hard mass in the jaw he is going for a biopsy this monday took a cat scan today showed the mass and no jaw bone of were it is as it has attached itself to the bone and ate its way through and is now spreading what could it be we are very scared ### REPLY: Hello, The biopsy will disclose the pathology and give you a diagnosis. You will have to meet with your surgeon to discuss options. Evidence of bone loss indicates a lesion such as a tumor or cyst. Usually a surgical removal will be required with additional treatment dependent on the pathology. It can be benign or malignant. You have taken the correct steps. Try to relax and wait for the reports.  I do not have enough information to make a reasonable diagnosis. Thank you for your inquiry. I am sorry that you have to wait for more information on this condition and know it is difficult to know of a problem and not have an immediate diagnosis with a plan for treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, I am 18 yr old and i have been masturbating since 2 yrs i think excessively. Now since 10-12 days i have developed a lower back pain. Its not very severe but it is a constant pain. Please help know about the remedies or cure of the problem and also is over-masturbation the real cause of the pain. ### REPLY: Hello, Thanks for your query. Lower back pain is not related to masturbation. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the last two days the inside of my mouth has been itching. It started on upper roof of mouth near the hard palate I have not eating anything hot or spicy or any citric fruits. Now Im having a issue with my tongue irritating and my upper lips is very chapped it looks like a rash but not signs of sores. What could it be? ### REPLY: Hello, You may have an oral fungal infection. Try some acidophilus and continue to avoid acidic and spicy foods. Rinse your mouth with warm salt water to soothe and cleanse. If you do not get relief or feel your condition is worse, see your dentist for an evaluation. A prescription antifungal medication, Statin, may be required to treat a yeast infection. Other possibilities include viral infections will take time to heal. You should continue to avoid all irritants including smoking and alcohol. Consider your sleeping habits and congestion causing you to breath through your mouth. Any sinus concerns? This can .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 obgyne told me I have an inverted ovaries. She said it would be difficult for me to get pregnant, is this true and why? I had three artificial insemination already and all failed. I dont know what to do anymore and I really want to get pregnant and have my own baby someday. Pls answer my question. Thank you. Maei ### REPLY: Hi, Thanks for writing to . You will conceive soon. Be stress-free. There is no condition like inverted ovary. There is condition inverted uterus. There may be ovarian torsion which cause severe abdominal pain. So I suggest kindly review to your doctor and confirm what condition exactly you are having. If your tubal patency is normal which can be diagnosed by hysterosalpingo graph.  Then you can try GUI for 6 cycles. If you are more than 28yrs and desperate for child the next option is IVF (In vitro fertilization). Here fertilization is done outside and 4 to 5 embryo are placed back into uterus thus increasing chances of pregnancy. Hope I have been helpful . 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: Afternoon. I have just had my 3rd pass over the course of 1.5 years, going back in time, the first episode was on a early morning flight, I may have logged 5 hours max. sleep prior to the 5 hour flight. The 2nd episode came upon me on a late Sunday afternoon prior to my weekly hockey. The third and most significate was this past Friday around 930 am. to which I lost complete consciousness, fell and crack the back of my head requiring several stiches. In all cases, it is initiated with a loss of hearing, sweat like systems and a loss of balance. I am and work in a family owned and operated business to which we have 137 staff, I don t know if its stress related, hearing related, food allergies... please advise your thought by return emal ### REPLY: Hello, Further evaluation is necessary to find the cause of your symptoms. Conditions to consider include sudden changes in blood pressure, cardiac arrhythmia, seizures, etc. Getting evaluated by your primary care Doctor, wearing a Holder monitor for 24-48 hours, and an EEG are necessary to get a correct understanding. If these conditions will be excluded after such examinations, then we can say it is stress related. 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 got a soft and moveable knot on my forehead last wek it started on right side then went and made my eye swell doctor put me on infection meds took it all and last nite a knot came up on left side took allergy meds but I am concerned about it because I dont know what it is and how to get better I am scared too I just want answer on what it is. I havent fell or hurt my self and it is not a zit Please help me ### REPLY: It looks like pimple which is pus filled and is increasing due to heat and hotcake cap doxycycline 100 mg BD for 10 days this is the fastest pus clearer of skin take basting 10 mg night liquid antacid and warm water apply clindamycin gel sand calamine lotion on skin when you go outtake 3 wk avoid non-oily non greedy non-fatty and non-spicy food avoid toxic soaps shampoo oils and stop body application material applying on body ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good morning doctor. i am having stomach pain sometimes at midnight. just below the chest. consulted doctor last week and my sgpt level was 170 u/l and the doctor prescribed me some medicines to take and diet and exercises. but now also am having little stomac pain. suggest me some easy remedy ### REPLY: Hi. It looks you have Hepatitis. Get your other tests of kidney function, repeat liver function tests, ultrasonography of the abdomen to determine the status of the liver, gall bladder and pancreas and other organs. You need active treatment as the pain could have been due to stretch over the liver capsule. The diet has to be soft and bland, and really dies not need a .  Bed rest is a must. Consult a Gastroenterologist for further care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a aching in the top of my right shoulder were it joins to my neck. i can feel it when sitting normally but it becomes uncomfortable when i take a deep breath in. i am a smoker of about 10-15 a day, i drink every other weekend and i am 18 years old and female. ### REPLY: Hello, As the symptoms, you described guides me towards the condition called as Trapeziums. Due to inflammation of the Trapezius, there will pain anywhere between the tip of the shoulder to the neck and upper back region. I will advise you to get help from a Physiotherapist who can help you assist with therapeutic ultrasound therapy to reduce inflammation and TENS therapy to reduce pain. Also, IA STM, myofascial release, gentle kneading massage, hot water fermentation will help further. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Noticed today I felt a small lump popping under my jaw on the left side wondering what it is? I recently got over a cold could it be mucus? Or inflamed tissue? It doesn t hurt it s just a nuisance but I m a singer by occupation and I don t want it to ruin my career. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have history of infection. So you may have some reactive hyperplasia of lymph node. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. 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 have had a stroke. Within 24 hours i had recovered from the entire right side of my body being paralized. My gen. doctor thinks I had a tai, my neurologist thinks I had a stroke and a hospital in California where my son took all my records thinks I had a stroke, buy of a different type. How do I find out who is correct? ### REPLY: You are a lucky person to recover from TH paralysis you suffered for 1 day. Medically, you have had a TIA which in colloquial terms means a stroke which recovered within 24 hours. Affection of brain function due to loss of blood supply means a stroke which could be transient or full. I think it is more important the treatment is better understood as the TIA can progress to a full stroke if not careful. TIA is a warning and keeping healthy would be a good idea to concentrate on now. Wish you all the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is AAAAAA. I took the depo shot for atleast 4-5 month but stoped taking it about 3  monthsago, and my worry now is if I can get pregnant. I have already taken a pregnancy test, but it came out negative; although I have been feeling really upset for the last couple of days. I have not been able to eat many meals due to my disgust in food by that I mean, every time I imagine food or even smell certain food I feel like vomiting. It worrys me a little because not to long ago I had a misscairage, and I dont think me being pregnant so soon is a good idea. What can be wrong with me? ### REPLY: Hello, I would be happy to help you with your question. It is not unusual to have some significant cycle irregularity when you have recently been on the demo shot.  What you are describing is related to this, and the symptoms that you are describing might just be related to the resumption of your cycles.  My guess is that you will get your period within the next 2 weeks based on the symptoms you are describing. I hope that this helps and 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 have been having kind of a tingling feeling in my left arm and leg through to my toes lately. And today my jaw started to feel kind of funny. I have relapse remitting MS and have been told its normal with the tingling. But my 42 yr old boyfriend had a heart attach this past Sunday ### REPLY: Hi, This left arm pain and tingling may be a part of multiple sclerosis or cervical spondylosis with radiculopathy or myocardial infarction etc. Until examination is done it is difficult to say what it is. use tablet Pregabalin once daily for five days.  Use tablet Methylcobalamine once a day for five days. If symptoms not improved please consult your Cardiologist/ neurophysician they will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what is the best treatment for allergic rhinosinusitis.how can i get rid of it completely.my sense of smell had been reduced.i have started using flomist nasal spray last few days.but also i feel heaviness in my nose.pls give detailed description of this. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint the first thing that has to be taken care of in case of Allergic Rhinosinusitis is that you should get ruled out for the exact cause for allergic reaction and once it is ruled out the first thing that you should do is t avoid exposure to the allergen. Other thing is that the allergist can instill an Immunotherapy to reduce the severity of allergic symptoms. As of now you can take oral antiallergics like Fexofenadine [Allegra] or levocetrizine, take oral and nasal steroids, saline nasal sprays and steam inhalations. Avoid exposure to dust and pollen as these are common causes of allergic rhinosinusitis. Hope this information helps. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has 102 fever under armpits. We have Crocin, then 3 hours later metal p, again after 5 hours metal p. His temp came down a bit but has been consistently above 100. What should we do? He has could and cough. Has hardly eaten anything in last 24 hours. Vommited twice. Age 3yr 10 ### REPLY: Hello. Well my first advise to you is tried to use ibuprofen to alternate Cronin or other form of paracetamol. Give to your child plenty of water, healthy food and fruits to increase his immunity. To help with the temp you can do warm baths or wear wet clothes because it helps. For the cough you may try to use aerosol therapy with NaCl as it helps in this age.  In case this situation goes on for more than 3 days without feed back than you should see a doctor. Hope my advises are helpful to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello Samuel, i am a 23 year old lady, in the past i have been taking morning after pills as an added contraception with using condoms , like last year i took it six times in the year. does this have any after effect on my fertility in future? what kind of contraception can i use, the one that will not interfere with my hormones, if any? ### REPLY: Hi, Thanks for your query. I have read your query & I understand your concerns. Following is my reply: 1) Morning after pills should not be taken regularly. They do have side effect. 2) If you feel that you are not adequately protected by condoms alone, please start on regular pack of oral contraceptive pills for 21 days each cycle. They are safe and effective. I hope I answered your query. I will be available for any followup queries you have.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir today all of the sudden my father felt like fitts and went for a doctor and took an MRI and after the reports he said that nothing from MRI side and givven LIVIPIL500mg to use daily morning and evening and there was a surgery of liver transplantaion done on 04-10-2012 and all the reports were normal and this is the first time he got this ### REPLY: Hi, Thanks for using , It seems that your father got fits, but it is good that his MRI report is normal. He is being given anticonvulsant Living which is Levetiracetam this should continue regularly as per advise of your treating doctor. AS he is already undergone liver transplant care must be taken to monitor his liver functions regularly as the . One can get fits with normal MRI as there are so many causes for it please consult a Neurophysician regarding this. An EEG can be very useful to know the type of fits he got. Hope this helps. Take care. Good Luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My mother(age 47) is diagnosed with Chronic Kidney disease in September 2012 and hence been taking Haemo dialysis twice a week. Doctor has suggested for renal transplantation, but how to go about that ? What is the best process to identify the donor among our family members and convince them for organ donation ? Meanwhile is it advisable to go for peritoneal dialysis and does it have any extra complications(infections etc.) compared to haemo ? ### REPLY: The benefits of Peritoneal Dialysis are usually based on lifestyle - freedom of schedule and ability to do it at home.  The medical benefits from peritoneal dialysis related to long term outcomes is more or less the same.  There is some evidence of benefit by preservation of residual renal function, more so if the patient is not a diabetic.  If a diabetic, peritoneal dialysis may pose a problem for glycemic control and weight gain.  Long term survival is more or less the same. Regarding kidney transplantation, the first step would be to determine is she would be a suitable transplant candidate.  If her nephrologist has already indicated so, then I would search within your state for a local transplant center.  Contact the transplant center directly and ask for information on transplant.  She will be screened via a questionable, insurance verification and review of her records as well as possibly a consultation with a physician.  Regarding potential donors, the transplant program will guide you and assist in testing those that are interested in donating.  Regarding how to "convince" someone - it is purely a personal decision and the done should be willing to proceed without hesitation otherwise if there is a bump along the way, they may regret their decision.  FYI extensive psychologic evolution of the done and recipient will be done by a center before proceeding with transplant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 teeth and gums hurt after i eat on the right side of my mouth. The dentist checked me when i had my cleaning and said maybe it was a si us infection or a netve was infected. If it is not a sinus infection i will need a root canaldoes this make sense. I am 66 years old and i see the doctor on Wednesday. ### REPLY: Hiwelcome to ChatDoctoras you mentioned your teeth and gums hurts after you eat indicates periodontitis i.e. inflammation of periodontal ligament along with pocket formation and treatment of that is good scaling along with curettage. According to your doctor, it could be sinus or root canal infection and to clarify that you need to have OPG X-ray done which will reveal status of your situation. If you can consult another dentist. Hope it will help you thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am on the jadelle contraceptive. I had unprotected intercourse in January, (after having the jadelle in 3 weeks) then got my period 2 days later. I did not have intercourse for a month, then got cramps when I was due to have my next period, however it never came. I had unprotected sex after this, however he did not cum inside, then a condom was used. Since then I have had severe cramps twice, and I thought I was getting my period but havent. it is about 20 days late and I am beginning to panic that I am pregnant :/ could I be? If I did get pregnant in January then I would be almost 3 months and would show other signs? Please help :( ### REPLY: Hi and thank you so much for this query. It would be highly unlikely that you are pregnant. It is not uncommon to have missed periods while on these pills. However, it would all sort itself as the months get by. If it should still prove difficult even after 3 months of continued use, then I will suggest that you get evaluated for any other possible causes. This is for sure not pregnancy considering all the information you have provided. Stay calm and relaxed. I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more information or clarification 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: My son is 3 years 2 months and is suffering from high fever now and taking parasitimol syrup ( Metacin) for the last 5 days, including today. He is also having abundant worms. Can I give him Noworm - Albendazole oral suspension today along with metacin for fever ### REPLY: Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days.  So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END