Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, My tailbone has been killing me for the past few months. The pain is a heavy - pressure kind of pain. My MD had X-rays taken, this showed nothing. I saw him the other day and told him I still have this pain. He said he is not sure what else he can do for me other than use a donut when sitting. I sit at home on a nice soft leather recliner, my tailbone still kills me. I end up leaning on my side when I sit, but when I get up, the pressure/pain is terrible. I notice the pain/pressure even when I walk. Hurts when I sleep, especially turning over. I do want to mention that I had a colon resection back in 2005. I had a tumor in my rectum. The surgeon could feel my tumor, that is how low it was. I am worried I may have another tumor. PLease give me some advise what I need to do. THANK YOU FOR YOUR TIME! ### REPLY: Hello! I read your question and understand your concern. In my opinion the pain you have may be related to a sacral bone problem. I would like to know if you have fever or problems with the stools. These problems may be caused by a tumor infiltration the sacral and cochineal bones, by an infection of this region like an abscess or osteomyelitis, or by irritated nerves of the region from radiotherapy. Your past medical history is very concerning. You didn't mention radio or chemotherapy. So I would recommend a good physical by your GP, a full blood work for infection and a CT scan or MRI of the pelvic region to exclude these causes. Hope to have been helpful! Best wishes  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a female.I am 17 years old.Since more than a year back,when i used to see a countrys name(e.g-in a newspaper,a billboard or hear it from a person),i felt like it brought some sort of message for me.At first it seemed like i had some sort of telepathic power n i was happy..but gradually it got too frequent.I started asking illogical questions...n found answers from those names on TV or newspaper or back of some car..One day i was surfing the net n i got to know these are some symptoms of delusional disorder.now i am pretty confused.What should i do? ### REPLY: Hi, I went through your query and can understand what you must be going through with such symptoms. You are right in mentioning that the experiences that you have mentioned are suggestive of delusion. It is termed as delusion of reference where one feels that others are tying to refer to him/her through various means. I would suggest that you should seek a psychiatric consultation for complete evaluation. Self diagnosis is often wrong, and a detailed interview will help the psychiatrist determine what you are suffering from and initiate treatment accordingly. I do hope that I was able to answer your query. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m a 20 yr old college lacrosse player. Slipped in game while cutting and had instant hip pain. I have been PTing for 10 days. Today went live and when I went to cut to the left experienced sharp pain again. Forward movement and to the right is fine. No pain at rest or during PT. Only feel pain when pushin off on left side ### REPLY: Hi, The location and movement of a pain give clues as to what is going on. Localized pain is a localized irritation of the structures. It could be a bruise/tear or more serious injury to the edge of the cartilage and would require a lot of rest. Or an inflamed tendon which would also require a lot of rest but is close to guaranteed to improve.  My dancing instructor has the latter but due to other issues his is extremely fragile, and he has PT to support the area, increase flexibility, and is on borrowed time. MRIs would show the problem. 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: Doctor Im at the extreme stage of masturbation every day i masturbates 4-7 times one day i masturbates 11 times Im very addicted to porn sites.i couldnt stop it it is affecting my studies.....im trying to quit but im failing again & again my body becomes slim,i dont have appetite....these are the problems i face i know the aftereffects of too much masturbation.i would like to quit........masturbation ### REPLY: Hi greetings. You are absolutely normal. no, after effects of masturbation. But to enjoy anything you shouldn't be having it daily. What ever chocolate you like, taking it daily will be boring. Similarly you will be able to enjoy masturbation when done on alternate days or once in three days. Watching porn also to be limited to 5 to 10 min.Anything in moderation is enjoyable. You can always divert your mind to any hobbies or some sort of exercises daily. It will help your physique and increase your self-esteem. You can join some gym also. Another way of diverting your mind is to learn meditation .hope you are convinced. 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: When I am sitting or standing, at any time, I sometimes get a very strong irregular heartbeat for about 2 minutes and then it returns to normal. During the irregularity, I feel a slightly tighter sensation and my actual pulse in my throat, it only happens about once a month and I ve had it since I was a small child, I have no clue what it is, I don t have anxiety or any other medical problems. I can see my rib cage moving to my pulse during these, I have no idea what they are and was wondering if you could help, thanks x ### REPLY: Hello! Thank you for asking on ! Facing with the fact that you are experiencing those irregular heart beats episodes from your childhood it is highly recommended you perform a cardiac check up (physical exam, resting ECG, cardiac ultrasound and eventual ambulatory ECG monitoring0 to rule out any structural heart diseases responsible for arrhythmia triggering, or any pre-excitation syn .  Some blood tests are necessary to exclude any causes like anemia, thyroid dysfunction, etc. Hope to have been helpful to you. 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: NAME :AKASHSEX: MALEAGE:21SIR I HAVE AN INFECTION IN MY THROAT AND TOUNGUE THE WAX IN MY EAR IN BECOMING WHITEAND I HAVE PROBLEM IN BREATHING MY JAWS SEEM TO HAVE STUCK THEY PAIN SIDE WAYS AND I AM HAVING SEVARE INFECTION AND NOSE ARE BLOCKED SOME TIMES WHEN I SLEEP ### REPLY: Welcome to  Akash. The symptoms that you are describing are classic for upper respiratory tract infection. Upper respiratory tract infections can become chronic and cause all the symptoms that you are describing. It could be sinusitis, enlarged glands in the neck or both. It is necessary to seek medical care for these problems as they can adversely affect your quality of life. I would recommend visiting your physician so that proper investigations can be done. Thank you for giving us the opportunity for helping you. Please feel free to ask if you have any questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 26 weeks pregnant and was in a car accident yesterday. I went to the er and they said everything was fine. I went to sleep and around 2am I woke up and vomitted. Now I cant stop throwing up, I cant even hold bread or water down. My stomach is sore from constantly vomiting. What do I do to make this stop? Im miserable. ### REPLY: Hallow Dear, This vomiting does not seem to be related to pregnancy; it seems to be related to accident. Did you have any injury to your head? In that case you need to undergo MRI (X-ray of the skull would not be advisable during pregnancy). Sometimes, in certain injuries, delayed bleeding is noted inside the skull giving rise to uncontrollable vomiting. In such case, you would find rigidity in the neck and inequality in the pupils. Please report to ER or neurosurgeon again and explain about continuous uncontrollable vomiting. If you have any severe pain anywhere after the accident, that also can give rise to vomiting. Please do not ignore the matter and report to neurosurgeon ASAP.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 weeks 5 days pregnant I had USG today which said that every thing is ok and its showing single living intrauterin fetus is seen , associate with a tiney subserous fibroid is seen in anterior wall of body of uterus . Then also doc suggested Susten VT 200 (once a day for 4 weeks). My question is that is fibroid? and is there any problem?? ### REPLY: Hello, You are carrying 6wk plus pregnancy with subserous fibroid. It is one type of fibroid and more common. It is not harmful to baby. If size is small, then need not be much worried. Follow advice of your doctor and check up as per schedule. Alarming sign is unusual heavy bleeding during delivery if fibroid size is large. So be careful about that. Take healthy diet, proper rest and avoid heavy work. Be well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi... Ive got toothache and Ive tried using clove oil, mouthwash, and garlic but nothing helped me ease the pain... I still hve 10 hours more before my appointment to the dentist. Any idea what to do? Last thing I took was rapidus. (Took it right before I type his message) please help ### REPLY: Greetings from  members, I can understand your concern regarding toothache. Most of the time toothache occur from inflammation of pulp tissue called "pulpits" (which is central part of tooth containing blood vessels and nerves). This is primarily caused by tooth decay, trauma and infection. There could be other reasons of pain as well which include gum disease, cracked teeth, poorly placed fillings or crowns, failing or leaking restorations etc. So, proper treatment has to be undertaken after detailed clinical and radiographic examination of the affected tooth or teeth. For temporary relief, over-the-counter pain medications such as acetaminophen (Tylenol), ibuprofen (Advil) or Diclofenac potassium (Rapids) may be used. Also, avoid hot or cold foods and chewing from the affected side because this may make the pain worse. Hope this answer is helpful. If you have any further followup questions, please do not hesitate to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Cant figure out whatsit wrong With my dads back  Its in his upper right back. It dosent hurt when its touched. Its not red or abnormal in shape. He says its hurts when he coughs and when he takes a deep breath. He says the pain is a 6 and it is sudden. He its not peeing blood. He has not lost his appetite. He is not having a hard time breathing. And he says  it happens at random times. ### REPLY: Hello, I have studied your case. There is possibility of osteoporosis and associated infection. I will advise you to do MRI thoracic spine, HRC [CHEST]] and Till time, avoid lifting weights, Sit with support to back. You can use supportive brace. I will advise checking your it B12 and it D3 level. 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: Ive been having a sharp pain radiating from from my tooth up to my ear when I drink anything that is cold.I looked at my tooth and I noticed that I have what looks like a white vein on my back wisdom tooth. Is there anything that I could do for the pain> ### REPLY: Thanks for your query, I have gone through your query. If it is sensitivity then there can be an abraded tooth or decay in the tooth. If it is pain it could be because of the tooth infection or gum infection surrounding the wisdom tooth. The kind of pain what you are telling will be seen in case of impacted tooth. Consult your oral physician and get the radiograph done for that tooth and rule out the above said condition. You can take a course of antibiotics like penicillin and analgesics like diclofenac if you are not allergic. According treat by extracting the tooth or by restoring the tooth. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 43 years old, female, and over the past year was dieting and lost about 20 pounds (now about 120 pounds).  Two months ago I started to get severe gas and then about ten days ago started to get diarrhea but only after dinner.  Diarhea has stopped but now having abdominal pain--at lower part o abdomin, like intestinal pain.  help! ### REPLY: Hi. The most probable treatment for such an Abdominal Pain with Diarrhea, a waterborne disease can be a course of an antibiotic, Metronidazole, Tablets against worms, antispasmodics, Probiotics and supportive therapy. If there is no relief within a few days you can go for consultation of a Surgical Gastroenterologist and Investigations like that of stool, blood, urine, ultrasonography and CT scan of the abdomen. There is a possibility of Gastrointestinal Cancer that has to be ruled out. Colonoscopy or Upper GI Endoscopy can be planned according to the CT scan report for diagnosis, biopsy and treatment plan. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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.Gopi, I am a 27 yrs old IT employee and have been suffering from left chest pain which spreads across to the hand and my left upper back. This has been on and off for two months nearly but lately it has increased followed by heaviness in breathing. I am frustrated with continuos pain killer, pain killing injections and acidity tablets nothing is working out. The pain is even when I cough and laugh. This is irritating and I get too much of angry. Can u please help me? ### REPLY: Thanks for your question on . I can understand your concern. Left sided chest pain, radiating pain to left arm with back, breathing difficulty etc. are characteristic symptoms of heart diseases. Heart diseases do occur in young patients. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). Also get done blood reports for diabetes and cholesterol. You may cardiac supportive .  Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 30 yr old son has Mersa really bad, it is confined to his right elbow area. I have been with him and I am beginning to get same looking bumps and feel so bad. Should I see my doctor? what kind of test will they do? I can t seem to find any pix of Mersa on line could I get some pix to compare mine to photo? Will this go away without treatment? What are the dangers of Mersa ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that there is nothing to worry about MRSA. It can be treated though it is resistant to routinely prescribed antibiotics. Antibiotic sensitivity testing is required to get tested, because appropriate antibiotic is must cure and eradicate the MRSA. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 24 yrs old.Previous 2 days i am suffering with the feelings of bomiting but nothing is coming out and also fall in fever but it has recovered just one medicine.Then today i visit nearest physician and after blood test the report is as follows.... BILIRUBIN TOTAL: 1.0 mg/dl BILIRUBIN DIRECT: 0.34 mg/dl.The doctor has suggested me that its an initial stage of Jaundice .Is it true? ### REPLY: Hi pal, Welcome to  ! Your liver function test does support the diagnosis of jaundice, although you have not told the GOT/SGPT Report-if they are also normal then probably you don't have hepatitis also. But if is the liver enzymes are raised then your doctor is right that is the initial phase of jaundice. Your fever and jaundice(if it is there really) are symptoms of the disease and not the disease itself. You may be having hepatotropic viral infection, malaria, cholangitis, enteric fever as a cause behind the syn . You need a physical examination by your physician and get baseline investigations like Chest X-Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Repeat Liver Function Test, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem, so a definite treatment could be started. I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter, about to be 10 years now, is down with fever for last 3 days, 100 - 101 degrees ,giving crocin syrup 12ml thrice daily, today complaining for head ache and cough/cold symtome, what medicine to give. we are in delhi where the outside weather is cold today ### REPLY: Child .  Cronin contains paracetamol and needs to be given to control the temperature. It should also help in relieving the headache. If headache is not relieved, you may safely double the dose. Paracetamol acts as an analgesic in double the dose of that required to bring down temperature. It is a safe medicine, and you need not worry. Do not do this round the clock, rather it should be as and when required. You may also give some antiallergic like levocetirizine 1 tablet once daily for 3-4 days. Steam inhalation should be helpful. Antibiotics are not effective in viral infections and need not be given. Get the blood checked for malaria, in case you are residing in a malaria prone region. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had two teeth extracted last week last the first one top left and fine no pain the second the following day (Monday) was awful the dentist wasnt very pleasant on our first meeting and hed cancelled my appointment on the Monday knowing the pain I was in so I called up the same day and got an appointment half an hour before my original with the same dentist, it seemed to me as he didnt want to do the extraction he said if I have a drink it could come out of my nose which I found unusual and many other things it took him 25 mins to get the tooth out and he kept taking breaks about half an hour after Id left the dentist the pain I got was crippling I was screaming in pain and it wouldnt stop I had to go back to get another injection which seemed to help a little bit the pain was awful the whole was huge and its been a week today and the side of my tooth the one next to the tooth that was removed I push my younger up and the gum is spilt in half it pulls away from the tooth is this normal and I have what looks like a long price of tootChatDoctorming out the side of my gum ### REPLY: Hello, If it is a week, the gum must have got attached to the tooth and also the pain must have reduced. You should consult an oral surgeon to get checked it there is any .  Also, you should get an x-ray done to check if the tooth that is pulled has removed completely or is it still having some portion left in the extraction socket that is causing pain. For now, you should take soft meals, do warm saline gargles and take painkillers as and when necessary. 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: Hi, I am a 40 yr old woman, am getting fever almost everyday for the past 5 weeks or so. Got blood test and found iron deficiency. Doctor has put me on  iron and B12 injections. I already have two doses. But still fever persists. its not high, just 37.2-37.4. in past 5 weeks only 344 times, it went upto 37.8. I feel very weak in enrgy and legs. dont feel like doing any house work . joined a new job 5 weeks before only and since then its like this. Cant take time off as new job. please help me.Thanks ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have iron deficiency anemia. You should take treatment with iron as prescribed by your doctor.  But iron deficiency has no relation with fever.  Your fever may be due to some viral infection or other cause like malaria & typhoid.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old daughter is running a 106.9 temp. We just found out that she has a thyroid problem is waiting to be seen by a specialist next week. I have given her motrin, cool bath, liquids no clothing and cant seem to get her temp below 104. I took her to Urgent Care earlier in the day and they just advised me to keep doing what Im doing but her fever at that point was only 103.8. Do I need to take her to an ER? ### REPLY: Hi.... looks like viral illness. Please do not panic. What you are doing is perfect. To make you more comfortable, I will explain to you how a viral illness behaves. Fever of 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. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having dark circles around the eyes for long time, almost 5 years. Last month, I visited a dermatologist and he prescribed me BAN A TAN cream to be used in the night, Sunban Forte Cream in the morning and AHA GLOW face wash to be used before using the creams. Could you please let me know that the treatment will give me improvement as since two weeks there is no much improvement. Moreover, should I make some changes in my lifestyle? Please let me have your opinion to solve this issue. ### REPLY: Hi, thank you for your query. The periorbital skin(skin around eyes) is very thin and hence any small imbalance also causes decreased blood supply and discoloration most common causes are-1. Stress is the most common cause2.anemia - The lack of nutrients in the diet, or the lack of a balanced diet, can contribute to the discoloration of the area under the eyes.3. Any medications that cause blood vessels to dilate can cause circles under the eyes to darken.4.fatigue due to irregular sleep cycles also causes dark circles id suggest these simple steps to treat them.you can follow these see results soon-1.eat a balanced diet and regularly2.take adequate fluids (min. 2ltrs per day) to improve circulation3.follow regular sleep cycle4.home remedies include using cucumber slices, potato skins on the eyes. Hence continue with your creams and also follow these tips. You should definitely see a change in a month or so if you follow these steps. Thank you, and you can contact me for further queries ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir/ Madam, My mom aged 46 was asked to go for the tests such as EEG , NCS and CT scan last week.... Once got the reports, He said her EEG was abnormal and has seizure disorder.... a neurologist prescribed her to take Encorate Chrono 300 two times a day, Frisium 5 and 1/2 Gabantin Forte in the night.... She is taking these medicines for the past one week..... But she is not feeling comfortable as she is suffering from severe head ache, nausea, vomiting, loose stools and feels weak too....! I cant see her suffering like that.....! And also she is developing mental stress on the same..... She has iron deficiency and also her hemoglobin level is already low..... What can we do now....? Is it good to continue these medicines....? or have to consult some other doctor....?And why she is developing these much problems suddenly...? Is these are the side effects caused by those medicines...? we are helpless....! Can you plz suggest us...? Thank You.... ### REPLY: HIT hank for asking to ChatDoctorI rally appreciate your concern if your mother does not have any episode of seizure then no need to give this medicine which is given for this, if I would be her doctor then I would treat her with the following medicines,1) Tab Diazepam 5 mg at bed times 2) Tab chlorpromazine three times in day3) Tab Ciprofloxacin 500 mg twice in day for 5 days hope this information helps you have nice day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell down my wooden steps hit my forearm and my lower back. what should i expect? My back is extremely sore. It hurts to just barely touch it. When I touch it slightly my eyes start to tear up. I also hit my forearm. My forearm is bruised and is very tender. My back is very tender but no mark of any sort. ### REPLY: Hello, As history is not mentioning any disc injury in the lumbar spine this will be a muscle spasm.  But for a safety side an x-ray for the elbow and the lower back is advised. If fracture is found than a complete bed rest is advised. If the elbow is fractured than immobilizing it in the case is good. If the x-ray turns normal than it's a bony hurt and muscle spasm. Do stabilize the part and take proper bed rest. Using hot water fermentation will help reduce the inflammation.  Have painkillers if the pain is unbearable. Once the pain levels .  Hope I have answered your query. Let me know if I can assist you further. Take care Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9yr old son was experiencing slight chest pains while in class. We brought him to the emergency room and the Dr. asked about a heart murmur. He sees his pediatrician regularly and has never said anything about a murmur. We are trying to get an appointment with a Cardiologist right now to see what is going on. Should he be experiencing chest pains? The ER DR. didn t seem very concerned about it, but should we be? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, it seems nothing serious for your sons' chest pain. But better to rule out congenital heart disease as a cause for his chest pain. So consult pediatric cardiologist and get done1. ECG2. 2d photo rule out congenital heart disease. If both of the above tests are normal then no need to worry much for cardiac cause. Do don't worry much for his chest pain. But better to rule out cardiac cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was in a car accident on Oct 15..Went to the hospital to check my injuries and now it seems that they are progressively getting worse and not better..I have hurneated disc in my neck..I have nauseu, vomiting , headaches, dizziness , vertigo , and cannot drive or be the passenger because it makes me so sick..It doesn t take much for whole balance to be thrown off..Even the motion of sweeping can trigger the motion sickness feeling..Or by even drying my back with a towel..I feel like I have motion sickness most of the day..It feels like my whole balance system is totally off..I am seeing my Neuro doc tomorrow and I sure hope he has some answers for me..I just can t function this way and its getting worse not better..They ve done all different test-MRI of Neck-brain-lower back,,:Everything is okay except for one membrane function test that came back abnormal..Multiple CT Scans to check for bleeding..I need to find some answers now..What could this be? . ### REPLY: Hi, Thank you for posting your query. Most likely, it could be benign positional paroxysmal vertigo (BPPV). In this condition, you would have dizziness, and imbalance, which gets precipitated with sudden head and neck movements. Symptoms are transient and would stop on its own in a few seconds to minutes. Treatment includes use of medications such as betahistine tablets, the usual dose being 16 mg three times daily (please check with your doctor before taking it). In addition, vestibular adaptation exercises are also helpful. Normal MRI and CT scans exclude any serious internal brain injury. I hope it helps. Please get back if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have consistently taken my estelle pill for at least the last six months.. on tuesday night i think i accidently took the pill twice ( i think i was getting ready for bed, took one pill, then got distracted and then finished getting ready for bed and accidently took a second pill), so i did not take any pill on wednesday night, thursday night i forgot to take my pill, so i took it friday morning, i took my friday night pill, and then had un protected sex on saturday morning, i took my saturday night pill.. could i be pregnant ???? thanks ### REPLY: Hi, Since you have managed to adjust the dosages, there should be no reason to worry. Yet, it would be better to use an extra means of contraception in this cycle as protection cannot be predicted due to the disturbance in the intake that happened. Wait for your period and test for pregnancy at least 3 days later if you miss it. If you wish for an earlier confirmation, you may take the blood test around the last week before your expected date. Please contact your doctor for further advice. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a cold about two months ago and I went to the doctor. She said it was allergies. I had a fever, runny nose, scratchy throat, and lots fluid in my ears. They gave me zyrtec d and got a little better but never finished the dosages. A few weeks ago I started having inner ear problems, and a swollen lymph node on the same side of my neck as the infected ear, it s still bothering me a bit and the swollen node is still there. Is it due to the cold? What medicine should I take? When will it go away?(my allergies are still bothering me) ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that this could be allergic condition and the exact cause of allergy is difficult to find out only the symptomatic medicine alone would give best results and that is only can be taken in seven condition otherwise this is self limiting and would come around on its own, hope this information helps you, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister was diagnosed with stage 4 adenocarcinoma of the lung and has had several chemo treatments. Prior to beginning chemo. she experienced severe pain in her feet, then lower legs and now knees. She is taking a low dose of Prednisone which the doctor was hesitant to give her due to side effects but she finds a slight relief from it. She does not communicate well with her oncologist and her husband of 40 years appears to be in shock. She is suffering a great deal and her oncologist has prescribed Dilaudid which she takes at night but it does not address any real issue. Do you have any ideas which might offer her some relief? ### REPLY: Hello, I will suggest you to increase the dose of diluted. If still problem persists she can be offered nerve block for lower limb. Other than that you should work upon the exact cause of pain in her lower limb like you can do venous and arterial Doppler of lower limb and CPK levels. Once these tests and Doppler studies are done we can . 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: Hi, may I answer your health queries right now ? Please type your query here...I have just found a worm in the toilet after my 3 year old had passed urine only. it was about 3 to 4 inches in length and very thin not even a milimetre. it was black in colour. She hasn t shown any signs of troubles going to the toilet and with her tummy. Thanks ### REPLY: Hi, It is quite unlikely for worms come out of urine. I guess your kid is a girl-in girls, worms coming out of anus can crawl in and around to reach vulval area, which is then flushed out while passing urine. This can happen in boys also, though more uncommon. It would be more helpful if you can send a picture of the worm. I suggest you to give albendazole tab 400 mg at night once(or 10ml of suspension) if not given in past 6 months. There is a type of worm infesting bladder, but usually we can't see them with naked eyes. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on Celebrex for a long time (years). I am a 70 year old lady. In January, my Doctor doubled the dose from 100 mg once a day to 100mg twice a day. I have had arthritis since age 25. Doctor didn t say why so I ASSUMED my blood tests warranted the increase. I have Asthma , Had pneumonia February (2013). Had the flu three times since October, 2012. I have high BP and take med. with a fluid reducer which FR was discontinued. My thyroid med. was 0.088 but was reduced now to 0.075. I have Celiac disease . Also, some other problems. ### REPLY: These are indications of food allergy and one of the food may be from milk wheat potato Chaney rice egg nuts all symptoms are effecting other systems normally the allergic aspect is forgotten and patient is labeled as arthritis you can get blood test check for food specific antibodies after test go for elimination of food and all systems will recover till then take 2-5 mg twice-weekly dose of methotrexate which help TP reduce all organ systems ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 grandpa had a stroke around 6 months ago and the night before last he was taken into hospital as he had, had a seizure, which consisted of his whole body shaking and it was very painful. He has not yet seen a Dr in the hospital even though he has been there over 24 hours. Can you advise what this might be? ### REPLY: Hi, Thank you for posting your query. I have noted your grandfathers' history. This is suggestive of post-stroke seizure. It is common for people with stroke in the past to present with seizure, due to scar formation in the brain. The diagnosis can be confirmed by doing an MRI of brain and EEG. There is no need to worry as it responds well to usual anti-epileptic . I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sister came home today and said the dr told her he seen blotches on her teeth and that it could be bonne cancer . This is tuff and scary to deal with he wants to look again .She has to follow up with him in a wk for the second go round to see if its for sure. Just want to know what kind of cancer if it is she looking forward to? ### REPLY: Dear friend. Thanks for sharing your concern. To detect any type of cancer certain biopsies are done and mere glancing at a lesion cannot confirm a lesion to be cancer.Therefore, please donor be worried. Also give us complete history and symptoms so that we can arrive at a conclusion. Does she have any pain, bleeding,tumor like growth in gum or jaw? Does she find difficulty eating or swallowing? IF any habits, please mention. Answer these queries to help you better. Thanks. Wish you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, i am having pain in stomach . Pain comes sudden with high intensity and go for get freshed but excreta released in small amt . Its happens  5  to  6 time in day specially in morning. I got ultrasound reoprt it shows LIVER IS MILDLY ENLARGED WITH INCREASED ECHOGENECITY SUGGESTIVE OF HEPATOMEGALY WITH FATTY LIVER GRADE -I. AND BORDER LINE SPLEEM ### REPLY: Hi and welcome to . Thank you for your quarry. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. This is only the first stage and completely reversible condition, so you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated .  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. Also, if stomach pain persists you should do gastrostomy to verify is there some stomach disorders such as gastritis, HERD or hiatus hernia. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: There is a lump on my shin and seems its attached to the bone and is very hard. It has been there for a couple months and was painful in the first week or two but now i dont have much feeling there. Im a teenager if thats needed. Thanks in advance :) ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some bone tumor. It may be stood Osceola or osteoclatoma or something else.  Or you may have some soft tissue tumor. You should go for ct scan to search the exact location and plane of lesion. If needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is suffering from nephrostic syndrom from past 2 years. Still her albumin level is 3+ she had taken styroid fo 5mg daily. what will we do for fully recoverd from the disaese. please give food for control the creatine level and for the cure the disease. murali from pondicherry ### REPLY: Hi Muralidharan, Welcome to  Forum. Treatment for nephrotic syn .  Kindly have Patience, as it will take some time for complete recovery. See to it that she sticks to her treatment plan and take her for regular follow up. In addition to this, Reduce the amount of fat and cholesterol in her diet. She should be eating Less Protein, Less Calcium and Less Salt diet. You can seek a help of a Dietitian for this. I Wish her 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: Hello there, Im 23 years old and have a 3 year old, me and my partner have been trying to get pregnant for about 2 years now, i miscarried about 6 months ago. Since then i have been testing whenever i feel like i could be pregnant again, i had 10 home strip tests and over a period of 3 weeks or so i have been using them every other day because i have been getting pregnancy symptoms, but all 9 came back negetive. I did my last one yesterday and that was posistive. Im tired all the time and im very very late on my period. all the signs are pointing to me being pregnant, but im worried because of losing the baby before. The result line was faint but absolutly there and clear. Im going to go doctors ASAP but id like to know what the possibiltys are of pregnancy and if what im feeling in my body is real. I have sore breasts, bloated uncomftable stomache, missed period, and i can barely keep my eyes open by around 6 in the evening. help! ### REPLY: Hello and welcome to . The symptoms that you have portrayed definitely do point towards pregnancy. Single episode of miscarriage does carry a slightly higher chance of miscarriage in subsequent pregnancies, but this risk is negligible and usually ignored in practice. My opinion is that there is minimal risk to your baby. Visit your gynecologist to confirm that you are pregnant. I would like to have few more details like-the date of the first day of your last menstrual period and after how many months of pregnancy did you undergo the miscarriage 6 months back etc. to give you a more specific answer to your question regarding the risk to your current pregnancy. Hope I have answered you question to your satisfaction. Please do get back if you need any clarification of this answer or any more queries that 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: hello. recently I have been doing and hearing and even seeing strange things. sometimes confusing things for what they really are. Like thinking a dog is a demon or a tree for a husky. I hear voices telling me to do things and if i dont they will kill me. and ive been taping my foot and staring at objects constantly just waiting for them to move without me touching them ### REPLY: Hi, thanks for the query. May I know what is your age, gender & whether you have recently started using any substance like cannabis (marijuana), amphetamine, opiates, cocaine etc. or have you recently suffered any accident with head injury or loss of consciousness? At present, based on information provided, there are few possibilities including excessive fears or anxiety about some events which is making you act in aforementioned manner. Is it the case? Have you been stressed out recently or are not able to sleep properly since last few days? Last possibility is that of suffering from a Psychotic episode where hallucinatory experiences are known to occur. Hence, I would first suggest you to talk about these experiences with a family member or a significant other followed by consultation with a Psychiatrist where based upon assessment & diagnosis medications &/or lifestyle changes can be prescribed to help you recover. Good Luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have bloating , tenderness in the lower right quadrant. I went to the ER center, where I had blood and urine test done. I don t have a fever. The results show no infection and no sign of appendicitis . The doctors checked for hernia and failed to locate one. This has been going on for 2 months. I am 29 years old male. Thanks ### REPLY: Hello and welcome, Thanks for your query. It is a good thing appendicitis and hernia were ruled out, but hopefully through both a physical examination and an ultrasound investigation. As you have not mentioned an ultrasound investigation, I would advise you to go through with one, it is not painful at all, and can greatly help in visualizing any source, that could be causing your tenderness. The bloating could also be due to an irregular diet and unhealthy eating habits. Are you experiencing other symptoms like vomiting, or meal related pains (i.e. pain increases after a meal, or is relieved by a meal)? Has your stool changed in color or consistency? I understand we can only provide limited help to you without being able to directly communicate with you, I hope I have helped in some way or the other. You can always write back to us for further clarifications, and with more information. In the meantime, you could get an ultrasound done. Wishing you good health and lots of luck. Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on my back that feels like a bubble of gas or water, about the size a baseball. It moves around a bit when I put presure on it, or when I lie down. It does not hurt much and it is under my left shoulder blade...What is it. I am 50 years old in general good health. ### REPLY: Hello and welcome to , A mobile lump which feels like gas, or fluid filled like can be a cyst. However, certain investigations are required before management can be planned. Imaging preferably an ultrasound of the back is required to assess the site and origin of the lesion. After assessing the site and origin, an aspiration cytology can be planned. In this investigation, cells are aspirated using a needle, stained and examined microscopically. Management/ treatment can be planned after investigations. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor bansal as u suggested me to use EUMOSONE-M i m using since 2 month i feel good but whn i left for 1 day my problems again attack on face ncuts nose joints and ear joints.i am takeing heamup  tablets everyday but there is no changes on my dark face. ### REPLY: Hello, Thanks for the query. This hyperpigmentation can be removed by using skin lightening creams. Various creams are available like Melanie XL, lookalike, Bungalow etc. You can take any of them. This will help in getting a fairer together following should be procedure to use it.1. Wash your face in evening around 7.2.  . 3. Keep it for one hour.4. Wash face again.5. Apply some moisturizing cream and sleep.6. In morning apply a sunscreen with SPF at least 30. Do this for a month, you will see the results. Let me know if you have any other doubts. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, This is Hareesh from bangalore my friend is suffering from a very rare kind of skin allergy .Red rashes appear on the body at one place after some time disappear and then occurs at other part of body with continous etching until now we have met seven doctors including skin specialists nobody is able to treat it properly its becoming unstoppable.I am hoping for a solution from you at least. ### REPLY: Hi, your friend seems to suffer from chronic urticaria. There are many causes. ... Like infection, allergy, heat, cold, pressure, physical, .  Sometime no cause may be found, then it is labeled as chronic idiopathic urticaria. Consult nearby dermatologist for perfect treatment after investigation. Fexofenadine, or levocetirizine or desloratidine may give good result after long term treatment. Short course of steroid in tampering dose may be helpful for control. Treat the cause, if found ... Ok ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 have a tongue infection to the best of my knowledge,it has been one and a half year from which i am dealing with it. i am 20yr old male and i have treated this problem from 12 different doctors including veds and all. whenever i eat something solid it cuts very badly and get red scars on upper side and gets all red even toothpaste acts like paining somewhere on tongue..one thing i remember that i went to delhi one and a half yr back and there we were in hostel the last day when we were coming back home, i opened that water filter and i saw the filters were rusting very badly and we all were drinking that water for 5 months..doctor please help me it has been very long time suffering from thisyash nadheriaadd:-2/54 kala kuwa alwar(rajasthan)mob:-0000 ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have tongue infection which is causing red sores is due to poor immunity of your body which is leading to glossies. I t could be due to nutritional deficiencies as well.  I would suggest you to maintain proper oral hygiene. You should chew vitamin C pellets daily. Apply McCoppin gel on these red sores. You should consult oral pathologist for proper examination and rule out causes like lichen plans and geographic tongue and also ENT surgeon for proper treatment.  .  Take multivitamins in diet. Avoid any hot and spicy food and take diet rich in soft food. You should take anti-oxidant syrup as well. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 18 yrs old .i am suffering from severe hairfall during these 4 months.my hair became thinner.i consulted a doctor.he prescribed me to take amexidil soln.now i am taking that.i feel a very small pain on my scalp when i touch.what should i do?i have no credit card.answer me without money. ### REPLY: Hi, It may be halogen effluvium. Consult the dermatologist for the perfect diagnosis and proper treatment. There may be some cause of hair fall. After a thorough examination and investigations, your dermatologist might know the exact cause of your hair fall. Anemia, thyroid dysfunction, post enteric, nutritional deficiencies, vitamin deficiencies, stress, worries, heavy exercise, sleeplessness, starvation, any other internal diseases... etc. might lead to halogen effluvium. Tab. Biotin, vitamin E cap, tab. Zinc sulfate... etc. and other nutrients may be taken for a long time. Apply minoxidil solution. Use mild herbal shampoo. Avoid stress and worries. Treatment of underlying disease may be taken. 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: No question doctor,Marion is still in hospital .She has nearly cleared the Jaundice and seems to be coming along very slowly.She has a feed of vitamins and a suction to remove it afterwards as she had an ulcer .They are putting in a dye on Monday to see if she has any leakage internally .Then if all is well it is the recovery.She looks pretty well and is very alert and well looking but very tired ### REPLY: Hello there, In Jaundice the body is overtly tired due to the liver being out of action. Easily tired, loss of appetite, inability to tolerate loud noises or bright lights are all symptoms. To recover from this1) Have plenty of fluids -at least 3 liters of water a day.2) Have foods rich in simple sugars-Juices, fruits.3) Avoid anything with oil or high protein as this would make her have cramps and vomit. 4) Carboy . 5) Avoid anything processed like ready to eat food or takeout food. This will increase the stress on her liver and make her have cramps.6) Strictly avoid alcohol and use ain killers judiciously.7) Multivitamin can be taken Hope this helps, Thank you for your query, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: YES I HOPE YOU CAN HELP.MY GRANSON 13 YEARS OLD,RAN FEVER 101.3 ALL WEEKEND.MY DAUGHTER BROUGHT HIM TO PEDIATRICIAN WHICH RAN STREP SCREEN AND FLU SWAP.WHICH WERE BOTH NEGATIVE.HIS SYMTOMS ARE QUEESY STOMACH,A LITTLE DIAREAH.NO APPETITE AND TIREDNESS.AT HIS SCHOOL 2 CHILDREN HAD MONO SO SHE WANTS TO WAIT A FEW DAYS TO DRAW BOLLD TO SEE IF HE HAS MONO.SHE ALSO PUT HIM ON ANTIBIOTIS DUE TO HIS SINUSES CONGESTED AND A SORE THROAT.HOW WORRIED SHOULD WE BEI AM A REGESTERED RESPIRATORY THERAPIST AND WORK IN A CRITICAL CARE SETTING AND AS A GRANNIE I WORRY THANK YOU! ### REPLY: Hi... Thank you for consulting in . Fever of 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. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am 17 years old, female and a smoker. I dont usually suffer with coughing, but recently i have developed a very chesty cough along with a blocked nose. I am coughing up dark yellow + brown mucus. I have had this cough for around 4 weeks now, and it seems to be getting worse. what could it be? ### REPLY: Hello and thank you for asking in ChatDoctorYou explain that you have cough with yellow phlegm since 4 weeks. And given the fact that you are a smoker it would be better to do some blood tests to rule out any infection of the lungs, and a Spirometry. Hole blood counterpart, ASTChest X Ray Ray of the sinuses these tests are positive you should have a medication antibiotic mucositis some vitamins and symptomatic, and you should be better. I strongly recommend you to stop smoking. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My BP currently is around 160/100 even after taking Nebicard-5 and diurestic lasilactone, since last few days....my local doc who is simply an MBBS not a specialist.....has asked me to continue with the same medication adding one more diurestic. What should I do? Pl. Advise. ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. You have not mentioned which diuretic has been added by your doctor. Lasilactone is combination . In your case a proper choice would be an ACE inhibitor or ARB or a calcium channel blocker. Before adding any other medication additional information regarding your medical history and previous investigations are required. I suggest you consult a physician who would take a complete medical history and do a medication review with 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 fallen twice in the last month and injured the right side of my right knee. There is a good sized knot there now with some numbness and pain only if I try to kneel or twist. Otherwise I can walk fine again. Will it just heal by itself? I have no health insurance. ### REPLY: Hi, You seem to have injured your knee ligaments on the right side with possibility of some injury to the meniscus which is a cartilage disc inside the knee. Avoid any strain on the knee like kneeling, carrying heavy weights, and climbing more than one flight of stairs. Walking on level ground is fine. There is a good chance that it will heal provided you take the above precautions. Meanwhile, please do knee exercises to maintain the range of movement, strengthening exercises for the qua .  Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hi i have looking on the internet of the effcets a cannabis vaporizer would have on a person with copd and other respiratory problems, i have found out using a vaporizer can significantly lower symptoms but that is it, would you be able to shed any more light on this subject for me. Thankyou ### REPLY: Thanks for your question on . I can understand your concern. Cannabis is centrally acting (acts on brain) abusive substance. It causes depression of brain centers including respiratory center. Respiratory is main part who regulates breathing. So when someone takes Cannabis, his breathing becomes slow. This is therefore reason why COPD patients feel good after taking Cannabis. But this is life-threatening in long term use. Long term Cannabis intake can cause respiratory depression (no breathing) and ultimately death. It is also habit-forming agent. So better not to use Cannabis in COPD patients. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,I am a male 35 years. I recently get my LFT done and my SGPT is high to 69 ... i was on medication for last 40 days "LIV52 DS" as suggested by my doctor as my last LFT hd both SGOT at 47 and SGPT at 92 on 28th Feb but even after my medication for almost 40 days my SGPT has not become normal surely it has reduced.. Plz suggest sir ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. Increase in SGPT levels has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you . I hope I have answered your query and this will help you. Wish you a 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: so ever since my boyfriend has left my house from a visit, (We are in college and on summer break see each other every two weeks) I have been very emotional just at night breaking down about everything self confidence stuff and all that. and I break down every night atleast once ### REPLY: Hi, You seem to be under stress due to some reason involving you and your boyfriend which is resulting in your current symptoms. You need to overcome whatever has happened or is going in your mind. You can consider seeking a psychiatric consultation. Furthermore, you may find supportive therapy sessions helpful which will help you let out your emotions and de-stress yourself. Relaxation exercises like deep breathing and meditation would also help. If still the symptoms persist, consider treatment with anti-depressant medications like Escitalopram which will help you overcome your symptoms. I do hope that I was able to answer your query. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor , i had irregular periods which got corrected by taking Unkei Toh...a japanese herbal medicine for 3 months but now no ovulation for 2 months....trying to conceive...doctor advised clomid to take in the 5th day of the next cycle up to 9th day....what are the chances of becoming pregnant on clomid? ### REPLY: Hi, You have irregular period. It is important to find out cause of irregular period. It could be due to POD, thyroid dysfunction, adenomyosis, endometriosis. I would suggest consulting gynecologist and undergo vaginal examination, reproductive hormone analysis, USG scan and ovarian follicle study to confirm cause. Specific treatment depend on cause. Closed cause induction of ovulation in 80% case, and it increases fertility in 50% cases. But it should be taken after proper evaluation. After taking, it consult a gynecologist and undergo ovarian follicle study to know maturation of follicle. If ovarian follicle size will be 18-21 mm then it has high chance of pregnancy. You can also ask for progesterone pill in second half of period, metformin and oviduct NC. All will help you to become pregnant. Avoid stress, take healthy diet, . 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 ve been on omeprazole for a dozen years (reflux) and developed microscopic colitis about two years ago. No pain with the colitis, but very soft stool and occasionally diarrhea. Nothing has helped: I ve tried Entocort, laiada, bismuth, probiotics, lactose free diet (for about a month). Because the omeprazole may contribute to the colitis, I ve been urged to substitute pantoperazole or lanoperazole for the omeprazole. I ve been told that the former may be less likely to trigger the colitis than the omeprazole. Any suggestions? ### REPLY: Hi, Based on the history colitis seems to be due an important side effect of proton pump inhibitor omeprazole. Colitis seems to be due to bacterial infection which occurs due to suppression stomach acid production by proton pump inhibitors. All the proton pump inhibitors are known to cause colitis or diarrhea. I suggest you to take and H2-receptor blocker like famotidine for your reflux disease. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old was running or way when a 10 year old came running around the corner and they collided. She feel backwards hitting her the side walk. She cried for a few minutes and had a good size knot on the back of her head. She has been acting ok otherwise although is tired but had been playing outside all day. Does she need to be seen by the e.r. or doctor? ### REPLY: Hi... Thank you for consulting in . I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15 mg/kg/dose(max ceiling dose 500 mg) every 4-6th hourly.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a patient of tuberclosis.. i have an small plueral effusion in my left side lung .. nd ive completed 8 months medicine course but im not alrite rite now .. telme what shud i do?? isnt dangerous 4 me??? ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* The level of current condition has to be co related with - condition at the beginning of the treatment - current symptoms - clinical signs at present - co relation of previous reports with present investigations - fresh laboratory results - general systemic condition evaluation of the patient - current consumption of smoking - others.* So it is the detailed case study that decides the outline of management. Hope this makes it clear.Awaiting your response. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on blood pressure meds. sence 2012. First , Alvalide. had serious Charlie horse cramps and then low angle glaucoma. My ins. switched the prescription to irbesartan/hctz 300 12.5mg 1 per day. Then I had a bad kidney function reading. I quit taking the med. and my blood test became better. With no med, my blood pressure is now in the 155 - 165 over 100+ . Is there blood pressure med that wont make you blind or have you in dylasis. also since stopping the meds. I m gaining weight like crazy even though I ve started walking 2 - 3 miles per day. Also take senthroid 1.25 and fenofibric 135 caps ### REPLY: Hello and welcome to ChatDoctorI have read your query hope this will helping blood pressure is a common problem in renal failure patients...ALKALINE is not a good choice in patients like you because it can fatal electrolyte imbalance... Your haven't mentioned whether you are on regular dialysis or not and what was your last lab report of RENAL FUNCTION TESTS.However, as far as your blood pressure control is concerned. You need to control it and AMLODIPINE is the best choice to do that. Start with low dose of mg and then slowly increase the dose according to the response. Try to control your weight gain... I would advise you to consult your physician. If renal functions are not much deranged(serum creatinine levels 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 63 yrs old. I have frequent cold & cough since 2-3 years. watery eyes with irritation and red in colour. sniffing generally in the morning minimum 4 to 5 in one go. either of Nostril is blocked. it affects normal breathing. Family dr treats for allergy. relief is for short time.your suggestion please. ### REPLY: Hi sir/madam, Thanks for your question on .allergic cold and cough can be treated best in Ayurveda.I will tell you some diets to be followed:-1. Take Light food, lukewarm water, Kafka Nashua foods like little spicy food, Sandra salt, legumes, soups etc.2. Avoid heavy food, fermented food, congestive food, too hot or too cold food, soar food, non-vegetarian food, sweets, banana, curd, yogurt, ice creams, desserts, cakes, yellow grams, etc.3. Avoid Alcohol and cold beverages. Lifestyle improvement:-Use mask while . Always take warm water bath. Do not expose to hot Sundays. Regularly take inhalation of steam. Regularly go for morning walk in warm weather. Do sufficient exercise. Do not reside in dark or dump places. Get fresh air. Do not get sleep at daytime or immediate after dinner. Take sufficient rest. Yoga to be done for these allergic condition:-1. Ardha Chan ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father had staph infection, suspected to infective endocarditis of post mitral vulve replace ment, and treated with iv antibiotics for 28 days but he had the fever regulerly still now, doctor says to wait and mentain reguler fever chart, he was treated with paracitamol, he last cbc report shows wbc 5400 rbc 1.83 lakh himoglobin 5.60 neutrophil 22% lymphcyte 74% ### REPLY: I warmly Welcome you! Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. His WBC count is pretty much in the normal range showing no leftover infection. That's why they asked you to maintain the chart. Sometimes patient feel fever, but it's just a subjective feeling. You check with thermometer and nothing comes out. I will appreciate if you please give me detailed chart of his fever thermometer readings and I will be in a better position to help you. Hope it helped you today. If you need further, detailed and quick assistance related to any health issues, feel free to ask me a question directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to attachments@ChatDoctor .com with the Subject as, Attention:  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 28 year old female.  I had my 4th child July 27, 2010.  3 days after his birth I was hospitalized for post partum pre-eclymasia and pulminary embolisim.  I was tested for everything in the book.  All tests came back negative for any genetic blood clotting disease, so the high blood pressure and PE were related to the delivery of my son.  My blood was thinned in the hospital with Heparin and I was sent home to give myself lovenox shots and put on cumadin for 6 months.  I finished my 6th month treament of coumadin and was taken off of it December 17th 2010.  My question is...  I had another ddimer test yesterday and the results were 1.02.  I am Rh- ... could my Rh factor have anything to do with a slightly elevated Ddimer result? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your have Rh negative blood group. But it has nothing to do with your elevated d dimer. If your fetus is Rh positive then it can lead problem in baby at time of delivery. But as far as d dimer is concern, it has nothing to do with your Rh negative blood group. So don't worry about that. 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: DEAR DOCTOR , IN MY PENNIS FORSKIN AFTER SOME WHITE PATCHES IS THERE ,I M VERY WONDERING ABOUT IT .EVEN I M NOT MARRIED AND THIS MATTER ALSO BLOCK MY MARRIAGE IDEA.PLEASE ADVISE ME.OR CAN I TAKE PUVA TREATMENT OR IF IT S GIVE ANY SIDE EFFECT TO MY PENNIS.PLEASE ADVISE ME... THANK YOU ### REPLY: Hi...dear Thanks for choosing ., White patches on foreskin of the penis.... It is called ...VITILIGO of Prosthesis.(Leucoderma)., It is due to Persistent irritation of infection..., i.e....STDs, FUNGAL, PSYCHOLOGICAL (itching), CHEMICAL...etc., Beat Advise is...,1) Remove foreskin by doing CIRCUMCISION....2) Application of Clobetasol, Fluconazole and gentamicin cream...,3) Tab Diaries.(Camisole 150 mg).,4) Tab Fluconazole 150 mg weekly once for 4 weeks.,5) Frequent washes with SALT WATER., Itching is combat by using Cetirizine tabs., 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: Loose motions for months. Living in India. Stool sample showing liquid stools, acidic 6.0, pus cells 0.1, no ova but e.histolyica cyst. Candica buds. Heavy infection of E. coli. Pain is worsening with lower and upper abdominal pain. Pain in right shoulder. No appetite for months. Losing weight. ### REPLY: Hi, Thank you for your query. I can understand your concerns. You are suffering from Travelers diarrhea (TD) caused by enterotoxigenic Escherichia coli (ETC). You are also having protozoal infection like meiosis, common coinfection in tropics. Mere presence of candida buds in stool may not mean an infection. A complete course (7-10 days) of suitable antibiotic e.g. quinoline group of . g. In niacin for E. coli. And metronidazole/tinidazole for meiosis will help. Since candida buds are also seen in stool, you may undergo serological test for HIV infection. 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 am having problems in my chest area and I can feel the pain in my upper back area as well but there feels like air is in my esophagus. When I try to burp it hurts really bad trying to come up and the burp never makes it. When breathing I feel this in my chest area hurting really bad ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) related symptoms is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of burning, gaseous feeling, chest and back pain, breathing difficulty etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. 2. Avoid stress and tension, be relaxed and calm. 3. Avoid large meals, instead take frequent small meals. Avoid junk food. 4. Take pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END