Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 years old and when my penis is erect I cannot retract the foreskin fully, I can only get it just past the head of my penis.  I have no problems when the penis is flacid.  Could you please tell me what options are available to cure this problem.  Thank you. ### REPLY: Hello.welcome to  .1. Who Diagnosed it if fibrosis? If it is so. Circumcision - is the minor operative procedure which helps in your case.2. It needs to be treated as it will give infections and complications in long run.3. Visit your doctor, initially he will as you to try with some gel to retract, if it won't help then the go for procedure.4. Do not worry it's just a 5-10 minutes procedure. Hope helped. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have possible kidney stones and i am having morephine for the pain but today i was given Diclofenac aswell (anti enflamatries + pain relief) i am just wondering if it is ok to take them both together and also if the pain gets really bad maybee some parasetamol aswell. would that be ok? ### REPLY: Hello and welcome to . As a Urologist, I must advise you, to confirm, if you've kidney stones first. Kidney stones can be clearly seen on an ultrasound / CT scan. So no doubt should remain in your mind.You're advised to avoid taking morphine and diclofenac, without knowing what causes your pain.  Diclofenac also can cause damage to kidney. See a doctor and after examination, hell advise you to regard the scan. For my expert opinion on your scan and report, send it as a direct question. . Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: l have a tender lump on side of knee pain shooting through my kneecap with stinging sensation also keeps me awake at night feeling hot above into my femur too . though an X ray shows no bones out of place in my knee joint. THANKING YOU in anticipation Miss J Cook ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor or some cystic lesion.  It may be connected with joint space or outside. You should go for fine needle aspiration cytology of lump to know the cause.  You can go for MRI to know exact location and extent. Go for investigation.  Confirm the diagnosis and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i had a breast cancer 5 years ago.Id like to have a children,but i dont know if i should take duphaston and clostylbegyt.I would like to know if i should try this for a5 months or not .Can you tell me if there is any risk of developing a cancer.I have BCRA 1 ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You can conceive after treatment of the breast cancer. But you should not take external hormone therapy. You should try conceive naturally. External hormones can increase the risk of cancer recurrence. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good morning, I have had problems with my back and right leg for 6 weeks, the pain is now only from the knee down to my foot but I was wondering is it normal for it to last this long.I have only experienced  pain in my back until this last bout of Sciatica, My doctor has only given me painkillersThank you ### REPLY: Back pain after sciatica episode can last for weeks to months. Painkiller tablets which your doctor prescribed you are for short time benefits.  I would recommend you to go for physiotherapy.  They will teach you back muscles strengthening exercise.  The exercise may increase your pain initially but are good for long term pain relief.  You can also take warm shower.  Heat is also good for muscles spasm. You should also avoid weigh lifting and forward bending.  Tablet gabapentin and methylcobal are good for you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 10 months ago (July 2010) I noticed a small lump in my lower abdomen...I tried to get some insurance to go to the doctor, but was ineligible. 6 months ago (Nov. 2010) I went to a doctor who, thinking it was probably a hernia- sent me to have a ct scan which revealed that I have an ovarian cyst...So I was then sent to a surgergeon, Who told me Id either need to get some insurance or the surgery would cost me $5,000 (70% up front!), for his services alone- not to mention the hospitals costs, the anestesialogist etc.! I am trying all I can to get some insurance or money to get this taken care of, but I know the clock is ticking...My question is at what point is such a thing considered reason to go to the emergency room? Or will they even do anything for it? ### REPLY: Welcome to  .1. As your doctor has examined and said that its hernia.2. If it is hernia - you have to visit ER when a bowel loop gets stuck in the lump what you are seeing, sever pain as the bowel moment may stop.3. To confirm the hernia you need to get an ultrasound done which will also confirms the diagnosis other lumps if it's not hernia.4. Try the get at least the scan done, and plan accordingly. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a CBC recently as art of a physical. Everything was normal except the doc said I was severly anemic with microcytic cells. A subsequent test for iron levels found my iron to be normal at 47 (30-170 quoted as he normal range). I am 42 (female) so I think it would be odd that this could be thalassemia (the doc mentioned this as a possibility). I am now being referred to a hematologist. Thoughts about what this could be? My other symptoms include brittle splitting nails, pica (ice), fatigue, dizziness and breathlessness on exertion, pale inner eyelids and gums. Currently I also have a sore throat, I also have severe allergies and recurring sinus infections. ### REPLY: Based on your query and lab findings my opinion is1. Your symptoms of giddiness, fatigue, pica are all pointers for anemia. That does not necessarily mean you have thalassemia.2. Severe anemia with microcytic RBC's is commonly caused by iron deficiency. 3. Other causes of microcytic anemia are Chronic diseases/ thalassemia.4. In your case iron levels are normal but still on the lower limit of normal, so get iron stores, iron saturation and TBC done to rule out or confirm iron deficiency as cause of anemia.5. Thalassemia could be a possibility, which can be ruled out or confirmed by Hemoglobin electrophoresis. Hope this helps. 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: HI, I AM RESIDING AT ERODE,INDIA. MY DUGHTHER(22YRS)  IS MENTALLY RETARTED CAN SHE BE TREATED WITH STEM CELL? IF SO WILL BE ABLE TO CO-OPERATE WITH THE TREATMENT?WHAT ARE THE SIDE EFFECTS? WHCIH HOSPITAL IN CHENNAI OR COIMBATORE CARRYS OUT STEM CELL TREATMENT FOR MENTALLY RETARDED? WHAT WILL BE THE APPROXIMATE COST? ### REPLY: His understand your concern. Stem cell treatment is still under research in mental retardation. It has no such good outcome. Still in India I do not think, so any hospital carry out stem cell transplantation for mental retardation. You have to contact the best psychiatrist, and he will guide you further. Cost will different as per condition but still in India it is not possible. There are research for autism is also in research. Still have a query then feel free to ask. Thank you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,Im 48 years old female,I never had abdominal pain problem. In October last year I accidentally swallowed salmon bone and had an endoscopy, the doctor didnt find fish bone,the result was normal, but 2 days later I experienced bloated stomach with pains around my belly button and under my left and right ribs. ULTRASOUND was okay. I was tested for h pylori and was positive.  After my treatment with triple therapy for H pylori ON 12TH DAY  i started to experience  constant burping and filling something is stuck in my esophagus. H pylori was eradicated but now i have worse symptoms than h pylori FOR 6 MONTHS .Also I have occasional pains around my belly button on the right side and under the ribs. I dont have burning sensation. ### REPLY: Hi ! Good morning. I am  answering your query. If I were your doctor, I would advise you not to eat any food from outside if you do, specially fast, fried, oily and spicy food. Food from outside could bring on infections into your stomach which might become chronic and resistant to infection. So, I would advise you also for a routine stool test for ova and cyst, and treat it if positive. I would also try to rule out a chronic UTI (urinary tract infection) by a urine test (routine/microscopic/culture and sensitivity). If all these are negative, and you continue to have such kind of pain, I would advise you for a CT scan of abdomen, or for a diagnostic laparoscopy to rule out any intro abdominal pathology which might not have been picked up on ultrasound. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 12 years old and will be turning 13 in a couple of weeks. He has been complaining of headaches off and on since September. His pediatrician suggested that I keep a log of these headaches and nausea he has been having. I have and he just started complaining recently of these headaches and nausea symtoms and missed school yesterday because of it. How do I know if this is growing pains, because he is growing so tall so fast but he is losing weight, or something more serious? ### REPLY: Hi, By what you say I feel that your kid is experiencing pediatric migraine without aura. It is extremely common nowadays to have a headache like this because of stress or tension or a migraine. As of now, you can give him Ibuprofen at the appropriate dose and if still, the migraine is very frequent then he will require preventive medication. 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: Im 28 yrs old and suffered from jaundice at the time of my delivery.I was cured completely from jaundice after 1 month from delivery. the delivery was normal. Both my baby n me are healthy now. now my baby is 5th month. Shall I start sex ? how long should I take gap for sex after curing from jaundice? ### REPLY: Hi, Thanks for writing in. Sex and jaundice have no direct relation. It is important to know the cause of jaundice in you at the time of delivery. You may have sexual intercourse now, but please be sure to make it slow and gentle. Since you just delivered a baby, having rough sex might cause discomfort and pain. Use a lot of lubrication and also use protection because you have a very small child, and it is too early to have another one, and a lady can become pregnant as early as 6 weeks after delivery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 years old, i have been trying to conceive... recently i have been on drugs ... clomid , pregnacare conception ,,later i took fertomid but my menses came last three months and flew for 2 days only. i had pregnancy test , the result isn t clear and right now i noticed little liquid coming out from my breast.. please i want to know whelther am pregnant or not,, i need your answer pls ### REPLY: Hi, Thanks for the query. You wait for few more days and go for urine test or go for blood test for pregnancy now. If the result comes as negative, consult gynecologist once and get tested for prolactin levels. If the levels are elevated take treatment for that. After that you track the ovulation and plan unprotected intercourse around that time which will increase the possibility of pregnancy. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife of 63 had rotatory cuff repair operation two years ago. Last week she woke up with intense pain in her shoulder and a pocket of what seemed like fluid in it on top of the shoulder. Not like a blister under the skin but a bit deeper. As it persisted the shoulder became more red and painful. Antibiotics don t help and a sonar showed fluid in the soft tissue above the joint but none in the joint or tendon. She has severe pain and fever an no one knows what to do. The shoulder is now severely inflamed and swollen and no pain killers help any more. I have resorted to administering Morfeen orally to help her cope with the pain and it helps, but the second course of antibiotics finishes tomorrow and has had no effect. She was also not bitten by something. ### REPLY: Hello, Thanks for writing to us, There is possibility of internal muscle injury around shoulder. Shoulder problem should be diagnosed with MRI and arthroscopic repair if required will give good results. Physiotherapy will help for early recovery. Physiotherapy like USG and TENS will help. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently been diagnosed with Spinal Stenosis. My pain doctor had an mri done but was focused on my knee problems and never discussed anything other than that with me. I took the Mri info to my family doctor about six months ago. I saw her a couple of weeks ago but she didn t mention it even though I have complained about lower back pain and terrible leg pain. I was told to take tylenol up to 2000 mgs per day to see if that helped. it has not and I don t know what to do ### REPLY: Hello, As the MRI is suggestive of spinal canal stenosis we need to correlate with the clinical symptoms. If the symptoms aren't that bad than with pain medicine and physiotherapy you should do well.  The reason I feel that none commented much over the stenosis is that there might not be many symptoms which need to be taken into a serious platform.  The symptoms I meant to speak is about compression over the nerve and leading to paresis of the lower limbs. If that isn't there than we have to ignore the stenosis and go for physiotherapy for reducing pain and improving the muscle strength.  In case the symptoms of stenosis increases then surgery will be the choice to look for. But most stenosis isn't that much troubling, so it is left ignored. Kindly do physiotherapy along with painkillers, and you should do well. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my husband just told me he has for the past week he has been feeling a excitable feeling in the chest as if he is on a roller coaster. He says it doesnt hurt and that it feels that it takes a lil bit of your breath away like when your coming down from a roller coaster. He is diabetic but has been off metformin because his Dr. said that he was doing so well that he could get off the medication. My husband is a truck driver and doesnt sleep a whole lot maybe 5 or 6 hours.My husband is 48 maybe 170lb 58 ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should definitely rule out heart diseases like early heart failure and coronary artery disease (CAD) in his case because both of them can cause similar kind of symptoms. And since he is diabetic, he is at risk of heart diseases. So better to consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test). If all these are normal then no need to worry about major heart related diseases. Since he is truck .  This stress can also cause similar symptoms. So ask him to avoid stress and tension, be relaxed and calm. Take sound sleep of 6-8 hours in night. Don't worry, he will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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: So earlier today while I was minding my own buisness on the computer, this suddern day dream/flash back kinda thing happened. I was sat there and then all I could hear was the scream of a woman who sounded like she was being dragged away, and someone in my face who kept saying It s all going to be okay, I will all be fine, just stay there . This was all I could think about, I was wrapped in this thought that felt like a past experience, when I know nothing like this has ever happened to me before. This boilin hot feeling started happening on the inside of my chest, not painful, just extremely hot, and it kept happening. If I tried to hunk of something else, all I could hear was this screaming that brought me back. I was completely glazed over, i wasn t doing anything at all. And then I just cracked, I curled into a ball on my chair and just started crying, and couldn t stop, it was like I was hiding, I felt just petrified, curled up in a ball. After a few minutes, I got control again, and just put some music on and tried to forget about it, but it has been a shock to my system. I ve had minor panic attacks in the past, but non of them were this bad. ### REPLY: Hi, thanks for using . I have gone through your available history. Your symptoms are of panic attack only. Initial day . You should also rule out one very rare diagnosis of complex partial seizure. You should consult psychiatrist for the detailed evaluation and treatment. You can try breathing exercise, yoga and meditation and stress management. Avoid caffeine in excess. It may also cause panic attack.I hope you will be fine soon 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: Dear Sir My father is suffering from Diabetic foot gangerence and he gone through surgery where he lost his one thumb and 2 fingers of his toe he got small stones in both of this kidney and he is not eating results he is quit weekwhen ever he eat he vomits ,but now yesterday only he is being discharged after  dripping 3 units of bloodhe is eating abit but he is very weak ### REPLY: Hi, Thanks for writing in. An adult male requires 2000 kcal diet. This should contain balanced amount of proteins, carboy . Your father can follow a sample daily diet chart is as followsEarly Morning cup of tea/ milk with 2 biscuits of your choiceBreakfast2 Maratha with curd or 2 plain Otis with paneer or 2 idles with chutney/samba or 1 bowl of PMA or Fatimid mornings or a whole fruit (apple or guava)LunchSalad with Otis (2 to 3) or rice (1 bowl) with DAL/ samba and a cup of vegetable. Occasionally you can add some light fries in lunch. You can add two vegetables every day. AfternoonTea/ juice with 2 biscuitsDinnerSame as in lunch with slight variation. Dinner should be lighter than lunchtime after dinner He should take iron and vitamin supplement kidney stones are normal and there is no obstruction in the kidneys then there is no problem. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Bad breath wont go away. My teeth are clean my mouth is clean I brush so much now that my teeth hurt if I drink cold water. The tip of my toung is always white ????? After brushing my toung. Its still. White???  Whats wrong. Went to the dentesdt. ? She dont no either??????   Thanks. Frankie ### REPLY: Hi. Thanks for the query. Bad breath also known as Halitosis can occur due to a number of causes like poor oral hygiene, oral and dental infections, post nasal . . If you brush too much and for long duration then teeth can become sensitive, so it is advisable to brush your teeth twice a day only and that too not more that 2-3 minutes. You should consult an Oral Physician or an Otolaryngologies and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now you should start gargling with a flavored mouthwash twice a day. You should chew flavored sugar free chewing gum. Do warm saline gargles twice a day. Limit the intake of high aroma foods like onion and garlic. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I get alot of abdominal pains and feel like im so bloated and there is a constant dull, throbbing ache. I also have a lump down below but when doctor examined me he told me i had a lower bowel, but told me to have a smear to be on the safe side. Which i did... Then i got my results back within 8 days which was severe dyskaryosis. I have an appointment for a colposcopy in 5 days. Now im slightly worried because i have been to my doctor about these pains before and he told me they were stomache spasms. Ive also had problems with my hormones, they have been hitting through the roof, and i dont know if im coming or going??? Ontop of all this i had blood test on my hormones a few month ago to which they came back abnormal and that i wasnt fertile, then when taking again the next montChatDoctore back fine??? I have also had to have treatment for facial hair (which i had to pay hundred of pounds out of my own money for) which has layed heavy on my confidence.... I get constant back ache too, i feel my body is a complete mess right now and everytime i get these throbbing/dull ache pains (On a daily basis) i worry more incase these cells are spreading? Please can you give me some advice im only 23 years old and i know that my body doesnt right i feel. Much appreciated. thank you ### REPLY: Hi! Good evening. I am  answering your query. If I were your doctor, I after a clinical assessment of your abdomen would advise you for an ultrasound of the abdomen apart from the hormone analysis. With your symptoms of virilization and history of lump down, you might be having POD (polycystic ovarian disease) which is treated might give you relief in your symptoms. I would advise you to take appointment with a gynecologist and consult on your problem with all your reports. Till then, I could advise you for simple anti spasmodic only for relief of your pain in the abdomen. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 7 months daughter has been diagnosed positive for dengu (NS1) on wednesday. Her blood platellet count has been reducing from 186000 on wednesday to 131000 on friday. and we are getting blood platellet count tested everyday. Though the fever is under 101, but the platellet count is still reducing. What should i do. ### REPLY: Hi...in dengue fever, rather than platelet count...most important things are - 1. Swelling and water accumulation all over the body.2. Decreased urine output3. Respiratory distress4. Seizures5. Regarding lab tests - PCV or Hematocrit is more important than platelet count. If it is above 38 and the kid is not . What you need to do is - watch for the above danger signs and if they develop rush to the nearest emergency room. 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 fluttering sensation in my lower groin on the right side. I am female, 54 years young, 30 pounds over weight and am on my feet a lot at work. Started about 4 days ago. Not constant but more fluttering than not. I have made a Dr. appt. am I over reacting????? ### REPLY: Hi there. Fluttering sensation in that region needs a ruling out of any perineal infections like urinary tract infections and any STDs. Also, electrolyte imbalance can cause fluttering of the muscles in the body. Besides recent and ongoing stress in your life can contribute especially if you have been sleeping less lately. Eat plenty of fresh fruits and green leafy vegetables.  .  Get 6-8 hours of sound sleep. Perform deep breathing exercises and Yoga for stress relief. Try this for a week and if it does not subside you may need to get a consult by your Doctor to rule out the above problems. Wishing a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 30 years male and masturbating from 15 years of age, now the problem is low semen production. now when i masturbate second time in a day there is few drops or no semen comes out. kindly suggest me some homeopatChatDoctoredicines to overcome this problem.Thanks Sharad ### REPLY: Hi Shared, as the frequency of masturbation increases, there will be lesser and lesser amount of semen ejaculation. This is a known fact. It takes 72 hours to regenerate sperms and seminal fluid in adequate quantities. In fact there are no medicines as such to increase production of and quantity of semen. What you need to do is to slowly decrease the frequency of masturbation. Give sufficient time for your body to regenerate. Relax and be engaged to some work. That will automatically solve your problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from pain in teeth from last two three days. I am taking Mox 250 & Combiflam three times in a day. but still suffering pain. Pain is for few minutes, but it is very solid. If i take water in mouth, it is help me to some relief from pain.Regards, Jayesh joshi ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have pain in tooth can be due to tooth is carious or due to Pocket formation. For this you should consult dentist and go for investigations if pulp is exposed deep carious tooth then go for Root canal treatment and if it is due to periodontal problem then go for Scaling and Curettage. Do warm saline gargle two - three times a day Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m having a really, really, REALLY hard time breathing. Maybe it s because I m classified overweight or I have severe anxiety, but I don t believe this is the case. I ve been overweight since the end of elementary and my severe anxiety has been with me for almost two years, but these new problems have only appeared in the past year or so. Even at rest, if I don t focus all of my energy on breathing normally, I breathe like I just ran five miles. And exerting myself, even a little (like going upstairs, picking up something and moving it somewhere else), leaves me completely breathless for at least five minutes, normally longer. And it actually hurts to breathe. My lungs are always burning and my throat feels like someone s clawing at it from the inside. It just feels like I never have enough air around me to take in. ### REPLY: If you can focus your body into breathing normally and succeed, you do not have a problem with your lungs or your heart as if you did, you would never succeed without treatment. You could be having obstructive sleep apnea syn .  The upper airway collapses on breathing in and this causing excess snoring at night and lethargy and sleepiness in the daytime. You have no energy because you haven't slept well. The treatment is losing weight and nasal CPAP. A small surgery of the upper airway is also helpful. You need to get a test called polysomnography to diagnose this. If your chest and throat are burning, you might have a gastric reflux. Would suggest an endoscopy and pantoprazole/ coastal for 10 days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,my daughter is 9 months old.from last friday i.e from 16th nov she is having loose motion which mainly contains cough like substance.I consulted a Pediatrician in my locality. he prescribed ofloxacin and omidazole along with nutrolin b. still the condition is same.pls.advice ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics like ofloxacin and ornidazole unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yesterday afternoon I started with upper back aching.  I expected it to subside.  I didnt get much sleep last night due to the fact that I cannot find a position that brings relief.  I have never had a back injury.  Even today it is pretty uncomfortable and there doesnt seem to be any position that makes it better.  Any suggestions? ### REPLY: Hi, I understand your concern.  Back pain can be due to - - Muscular pain (sprain/ strain to muscles of back bring about pain in back. It will go with some painkillers/ muscle relaxants/ local muscle relaxant ointments.  - Bone pain-trauma/ money weakness (calcium / vitamin deficiency/ trauma/ degenerative changes in ribs, vertebrae, discs.)  - Chest infection causing cough, bronchitis, fever, * You should try with painkiller medicines available on counter after food/ hot pack/ muscle relaxant ointment... If there is no relief within couple of days consult your family doctor. He will examine you / get investigated & offer you specific treatment or refer you to expert for special advise.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been referred to the breast clinic at my local hospital as my GP found a lump and my breast is very painful. I have to wait for 2 weeks for an appointment but I am in alot of pain. Is there any way I can be seen sooner, either by going via A&E or by going to a different hospital for a breast check up? ### REPLY: Hi ! Good evening. I am  answering your query. This could be a breast abscess or a secondary infection on any kind of lump in the breast. I would advise you not to wait for 2 weeks and go to the nearest ER to have a clinical assessment with related investigations for further management. Till that, you could go for an anti-inflammatory . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a hepatiti-A 4 yrs ago but still sometimes I feel nausia whenever I take too much spicy food & also sometimes a little bit of burning in my eyes but although my LFT & other blood profile shows normal whenever I tested. The doctor said Im normal ### REPLY: Hi, Your symptom (nausea) may be due to underlying acid reflux disease especially if you are feeling heartburn or metallic taste in the mouth in the morning. Avoid overeating, coffee and fat-rich food, no alcohol and try to quit smoking, If you are a smoker, you may take Medium 20 mg once daily before breakfast for 2 to 4 weeks. If symptoms persist, visit a gastroenterologist or treating physician. Wish you good and sound health. Hope I have answered your query. Let me know if I can assist you further. D. Tanya Malik ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with SLE in October 2011. Since then, I am on a regular immunosuppressant medication with prednisone, HCQS, folitrax and folic acid. My ANA test and butterfly rash were considered as symptoms for the diagnosis. I did not have any complaint of joint or body pain. There were no other symptoms. But after having the prednisone, I was feeling more fatigued than usual.I recently read in an article that a positive ANA does not mean that one has SLE, although the butterfly rash was indeed a symptom. I wondering whether there is even a faint chance that I might not actually be suffering from SLE. Also, the year before that is from February 2010 to February 2011, I was taking a year-long course for homeopatChatDoctoredicine to improve my immunity against my allergy to cold and dust. I had chronic cough too, which got cured with the homeopathic treatment. Please advise me appropriately. ### REPLY: Most of the time it is SHE. However, it might be other autoimmune disorder in few cases. But butterfly rash is the symptom of SHE. There are many symptoms required for diagnosis. Total 4 out of 11 criteria is needed TK diagnosed as SHE.  Malay rash, butterfly rash, photosensitivity, hematological, neurological, renal, autoimmune etc. are the criteria.  If you have doubt then go for anti DS DNA and anti SM antibodies or immunofluorescence test. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 horse bit my bum cheek two weeks ago. The bruise was very big, possibly as big as my hand. After 24 hours the bruise turned purple, but remained normal in the centre. Now the bruise is starting to go, I have noticed a large flat lump (a little bigger than a 50p piece). Do you have any idea of what this could be? ### REPLY: Hello, Welcome to , Hello,Welcome to , As you were bitten by a horse over the bumps' region which has led to punctured wound and internal bleeding, horse is known to transmit rabies, which is 100 % fatal, but it is 100% preventable by proper and adequate treatment. As there was a bleeding from the site, according WHO categorization it is categorized into Cat III, Which requires following treatment.1. Wash the wound thoroughly with soap and water to wash out the rabies virus if it is present in and around the wound.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin in and around the wound.4. Inj TT, if you have not received in last five years.5. Oral Tab Augmenting, 625 mg, twice daily for five days. The aforementioned treatment will help to protect you against getting rabies. 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: sirI hv been dignosed fatty liver Grade 3, Doctor asked me to do regular exercise & balance diet with minimum fat.My weight reduced 7-8 kgs. in last 4 months.Doctor say that nothing to worry, but to change life stylebut I afraid of my health & feel fear factorplease guide me PVM, Delhi ### REPLY: For fatty liver diet and exercises are main stay of treatment even . If I were your treating doctor I would also ask you for the same. Weight loss is nothing to worry because obesity itself is a risk factor for fatty liver. So keep losing weight with regular exercises, low fatty diet, no junk food and no alcohol, take vitamins supplements, these things are best for your health. So don't worry about weight loss if weight loss is due to above measures. Hope I have answered your question. If you have any further questions I will be happy to help ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor ..actually i have problem of pores in my face .i had acne before n my face is oily...plez help me to reduce my pores it looks s0 aged on me.thanku ### REPLY: Hi reecho, to start with we have to determine whether you have just pores (dilated hair follicles) or you have developed acne scarring? You may consider sending m, e your pics on my email ID or may visit me personally if you are from Delhi or nearby. We have developed a specialized treatment protocol for acne scar management of different securities. If you are just having pores, start using derive MS gel once daily at night. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has copd and it has developed into very cronic copd in the last year. He s had it for 17 years. Today he mentioned that his right ankle was sore. He wears compression socks to control swelling as he develops water retention and takes a fluid pill for this. Upon taking his socks off we discovered that his ankle was somewhat swollen, and just above this was a big red blotch area of skin that was very red and sore to walk on or touch. He s a very tall man and has been walking a lot in our home to get exercise, as he can t go out. He s had a couple of bad exacerbations in the last year, and his doctor said that he could have small damage to his heart. Should be contact his physician or a health professional asap? What can we do in the meantime until we can contact his Doctor....(it s Sunday, wouldn t you know). Thanks for any help. ### REPLY: Hi therefore leads to increased Pulmonary vessel pressure which in turn will require the heart to function harder to help get enough blood into the lungs for oxygenation. The cardiac size in COPD patients is therefore usually enlarged as a compensation. Your husband is likely suffering from Congestive Cardiac Failure. His exercise should be done with a pulse monitor to make sure he is not over exerting himself. Other symptoms experience by CCF patients are PND(Paroxysmal nocturnal dyspnea) where the patients wake up at night for air, frequent urination and a decrease in the distance he is able to walk. Try propping his bed(Head side) up at night and having him raise his feet when he is not exercising. I would also revisit his medications and look at possible increasing the dosage of his diuretic(Fluid pill) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having lower abdominal pains most of the time and lower back pains sometimes. Its more like a slight burning sensation. My urine is foamy sometimes...but that could be from the vitamins that i take every day. The pain occurs mostly in my lower left abdominal early in the morning after i wake and a little while after i eat. what could cause this? ### REPLY: Bellflower back pain may be due to many reasons like musculoskeletal causes, pelvic pathology, genitourinary causes etc. You need proper clinical examination and routine investigations. Investigations include routine hologram, renal function test, urine RE/ME, ultrasound of abdomen. Ultrasound of abdomen is important in diagnosis and treatment. Proper treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 19 stomach. Pain /right side had camera in stomach filled with gas but all good they dais it could be just really bad period pains but was admitted to hospital they thought her appendits but because her pain was getting better the next day they didnt do anything can you help she is on depression tablet/ cholesterol tablet it was 8.5  and the pill for her period ### REPLY: Hello! Thank you for the query. Some part of appendicitis cases can be treated with antibiotic. So even if the pain is better or gone, this does not rule appendicitis out. It could be it and had gotten cured with antibiotic. It may also recur. If the pain is still present (I assume this is lower right abdominal pain), she should consult gynecologist. Ovarian torsion, cyst or inflammation can give a pain in such location. Urinalysis and pregnancy test should be also done. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am 25 years old, my height is 5.2, and my weight is 100lbs. I have a health situation I really don t know. I have been getting headaches mourning and day. I feel fatigue at times, not feeling of working out, my nose is always stuffed up in the mourning, coughing at times, dizziness in the day time, usually my right shoulder hurts, but now noticing my left one has it too, I have a lump behind my back of my head that iches so much and gives me headaches when i scratch it, i sometime have blood coming out of my mouth during brushing my teeth, i have pelvic pain at times, breast pains as well. that is it! ### REPLY: Hello, Your symptoms could be related to a sinus infection or chronic inflammation. For this reason, I recommend performing a sinus X-ray study and some blood lab tests (complete blood count, PCR, ESR, coagulation tests). An abdominal ultrasound would help investigate for possible causes underlying pelvic pain. Hope I have answered your query. Let me know if I can assist you further. Wishing you good health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had EGD with dilation yesterday. Today I hAve discomfort in my left side of chest behind my left breast. It is a sharp little pain that grAbs me every so often. Not constant. Also. Could be unrelated but my left side of neck and shoulder feel like I slept wrong on them. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having endoscopy related pain. EGD (esophagogastriduodenoscopy) is an invasive procedure. And minute internal trauma is likely to happen. This trauma can cause post procedure pain in center or left side of chest. So no need to worry much for this pain. It will resolve by its own with time. Your shoulder and neck pain is mostly due to bad sleeping posture. So you can apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For years now I have had random lower abdominal pains and throwing up. - pains on lower left side feels like a sharp ripping/ cramping. I have narrowed down a lot of the times when I do get sick - if I get hungry while doing something and don t eat I ll get really bad hot flashes then puke- if I don t eat I ll continue being sick. If I eat I ll be fine in about 20 minutes. Any help with what s wrong with me? ### REPLY: Howell come to ChatDoctorIf this is lower abdominal pain then this could be due to renal colic pain this can be well treated with the treatment given below some time this could be due to some infection, condition can be treated conservatively, if symptoms does not improve then condition need to be investigated, x-ray, and ultrasonography are advisable,1) Tab Dicyclomine with Acetaminophen three times in day 2) Tab Doxycycline 100 mg once in day for five days you have not given your age and gender else I would have thought something about in that way, hope this information helps, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had equlibration done and have had 2 treatments so far. The 2nd tx I noticed that my R ear would try to release pressure but couldn t. This would occur during swallowing. I am also experiencing lack of contact on the chewing surface. The teeth seem to be riding the cusps but are not hitting hard. How do I ask the MD to improve the contact. It is affecting my ability to speak and my teeth in the front are hitting on the bottom. Thank you for your help. ### REPLY: Hi. Thanks for your concern. As per your query it seems that your treatment is progressive and as the teeth moves they may come cusp to cusp, and you have difficulty in chewing but when the treatment will complete and teetChatDoctores in correct alignment you can very well chew of your teeth... When the teeth re-align they become tender and chewing may be painful and pressure in the ear may be due to pressure created by the elastics placed in your mouth to move your teeth... If your front teeth have started hitting the bottom visit your dentist and tell him the problem, he can very well solve your problem by raising the height of your teeth by overfilling your molars with filling materialYour problems can get solved but if you are still doubtful about your treatment you can visit an ORTHODONTIST for second opinion. Hope your treatment becomes a success. All the best. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend is in end of life stage with liver cancer. She was on diluadid in the hospital and she was good she dosed off but was coherent when she was awake. Now that we have brought her home they sent her with Oxycodone IR 80 mg and she immediately became a mental mess. She mumbles and is trying to pick up things that are not there and she can not answer anything. She is also on Morphine liquid and is to take a .25 on the syringe if she has pain in between the 4hr intervals of oxycodone. Anyway, I acted on my belief that she is over medicated or having a very bad reaction to oxycodone. Last night I did not give her the oxycodone but only gave her the morphine and gave it to her every 4 hrs. Before the 3rd dose would have been due it was like she woke up, she got out of bed went to the kitchen got something to drink and gave me very sensible intructions on what she wanted from the store. She has not been eating or drinking anything for a week and if she went to the bathroom it would take at least on hour just to get her down the hall because she would stop and try to pick up stuff that was not there. She made absolutely no sense at all. She couldn t hold a glass or eat. I asked her several times if she was in pain and she clearly replied no she was ok. So when her oxycodone was due again I gave it to her instead of morphine and she was once again out of her mind and not in this world. I do not want my friend in pain at all and I do understand that at this point, the point is to just make sure she is pain free. I want her pain free. I am aware that she will not be able to communicate before this is all over but I do not think this is the time. So, my question is what would cause her to have such a bad reaction to the oxycodone? Is it because her liver is not working right ? if that is it why don t the morphine mess her up like that? I just really believe she would not want to spend her last few months incapacitated if she didn t have to be. Please help me understand so maybe I can help her family to see she is not at that point yet. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She is in last stage of cancer. Morphine is the painkiller of choice in terminal stage cancer. Oxycodone is also a morphine derivative.  No need to worry about side effects.  Everything is fair in terminal stage illness.  If she is better without oxycodone and pain is tolerable then you can stop it. 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: Hello, i have a question. My grandmother has started to lose control of herself 2 days ago. I dont really know how to describe it but i think it s not too severe. The problem is she somehow can not open her eyes or not wanting to do so, and they look cloudy too. Aside from that she can t seem find her way around the house anymore which i assume is related to her eyes problem. We are going to get her checked out at a hospital soon when it s not too hot out side, and in the meantime i want to find out as much about this as i can. ### REPLY: Hi Forum. It appears that she had raised or lowered BP or sugar. She should be taken to hospital as early as possible. There she may have to go for blood sugar c.t scan and other tests for diagnosis.in the meanwhile give her glucose water{10 spoons in one glass of water. She must be shown to a neurologist for diagnosis. If she is able to eat give her semi-solid diet. First ask her then give anything to her. Never insist her to take anything if not in a position to take. 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: im 24 yrs old, my pain started a year ago and the hospital took my appendix out thinking it was them causing my pain but it turned out they where fine and i have continued to have major pain on right side in stomach/ groin area and sometimes upside the womb. i had a camera through my belly to find out what it was and they said they have found that i have some torn damage to my tubes to overies and that they are stickey and sticking to my pelvic area, ive just had my first prostap injection and have been taking HRTs nearly 2 weeks ago but it stopped my period stright away but a week lateri got servire pains and started bleeding alot and then it happened the next day but i continues to blled for few days alot of blood few clots and there was tissueing in there too. and to top it off i am finding i cant eat and when i do it comes out of either end and sometimes i fain but im not a small girl im a 14 and have always loved my food. is any of this normal??? ### REPLY: Hi, I read through the details with diligence. I am sorry for what is happening. It is unfortunate that you were misdiagnosed and had to undergo a surgery. I am unsure why you are on pros tap and HRT - ?endometriosis perhaps. If it's the reason, then probably the pain and the bleeding episodes might be related to this pelvic condition.  Any way since the bleeding restarted, I would suggest reporting back to your gynecologist. He/she can restart birth control pills to control the bleed and subject you to further tests to locate the actual cause. Vomiting and loose stool following a meal may not be related to pelvic problem. Perhaps consulting a gastroenterologist and getting GI endoscopies can provide us with clues as to the cause.  In brief, I am unable to relate your symptoms to a single clinical entity. I suspect that you could have a pelvic as well as gastrointestinal pathology. Hormone assessment such as thyroid disturbance also needs to be assessed. Hope this answers your query. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has been throwing up clear fluid with a little black in it. It started off with milk then it turned clear. Sometimes it has a lot of flem in it. Do you know what this could be? He is 2 month old boy. weighs 9.5 lbs and is around 21 inches long He has been healthy and eating and pooping great. Last night and today he has not peed and has not pooped for a couple of days. ### REPLY: Hi, Welcome to , Vomiting in your son seems to be very significant. Having gone through details would have given, it sounds to me like a surgical problem. One of the possibilities I can think of is hypertrophic pyloric stenosis which is a condition where one of the ends of stomach gets thickened and thus closes, so food doesn't pass down appropriately. If I were your pediatrician, I would refer you to a pediatric surgeon and get an ultrasound abdomen. I wish your son a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am on my second month of my jolessa pack (which I have been on for several years) and have been prescribed antibiotics. I know they make regular pills less effective, but I am wondering if it will only effect me for a month or if I should use a back up method for the remainder of the three month pack? ### REPLY: Hello dairy understand your concernEffectiveness will not reduce by the all the antibiotics. Following antibiotics decrease the effectiveness of Odessa pill:Rifampicine, Amoxicillin, ampicillin, griseofulvin, metronidazole, tetracycline penicillin, sulfamethoxazole/trimethoprim (Bactrim), minocycline and nitrofurantoin. It will increase the metabolism the pill and decrease the circulating hormone levels. It will only affect for the that particular month only. You can use barrier contraception for back up method for that month if you are on the above antibiotics. No need to take back up method for reminder of the three months. Avoid stress, take healthy diet, . Hope this may help noncontact  for further health query 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 ve had problems with a swollen thyroid gland and a swollen area above right collar bone. The pain shoots to my shoulder. My tonsils also where hurting. I m thinking it s a broken tooth but I havnt had alot of pain coming from there. This has been going on for a month now. Tonsils and thyroid gland are going back to normal but still have pain above collar bone. ### REPLY: Hellman and swelling in collar bone area may be due to thyroid pathology or enlarged lymph node. It needs clinical examination and investigations. Area around collar bone is common site of lymph node enlargement. Since you have enlarged tonsil, it may be an enlarged lymph node. You may need ultrasound of neck region. Ultrasound is very helpful in assessing its origin and management. Treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was at a party on Sat where the little boy had fifths disease rash the previous Mon. I WAS just about 1 ms. pregnant. I am a recent Cancer survivor with previous low immunity, but have only had 1 case of the flu & 1 case of strep in the last 4 1/2 ms since my thyroidectomy. By Sun, afternoon I had lost the pregnancy. By Tues afternoon I had a Rash bright red at the bottoms of my feet & now there is a rash all under my pubic hair. Is it possible this is 5ths ? Could it have been living on surfaces in that house ? They had a younger child who did not yet come down with it who was 4. I have been very heat intolerant all day. ### REPLY: Hi, Usually by the time a child develop fifth disease rash he is no longer contagious. He spread the disease to others before the rash develops.  When he is having runny nose, sore throat, cough and few days before he develops those symptoms. So it is unlikely he infects you with the virus. Also, to develop the 5th disease it would take 4 to 14 days after contacting an infectious person. So it is unlikely your miscarriage on Sunday is due to the infection you contacted on Saturday. Other thing is adults don't develop a distinctive rash as child .  Most importantly feet and palms are spared in fifth disease. What I can say is it unlikely you have developed 5th disease or miscarried due to that.  You might have developed some other viral fever with rash. Hope this helps. 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 a lump on the left side of my neck. It is painless and does not seen to get bigger or smaller. I first noticed it about 18 months ago. 18 months ago i was into sleeping on my stomach (which I later found out could really strain your neck). After consistently sleeping on my stomach and therefore straining my neck, I started feeling pain and swelling on the left side of the neck (where the lump is now). Ever since then, i started sleeping normally and the pain is gone but the lump has remained. I am not sure if this is related but i think it is. The lump is painless and between my hairline and trapezius. It is also about an inch in length and width. I can only feel it when I bend my neck down and run my fingers through the area to massage it. It only moves when I massage it and lastly, whenever I would strain my back, it seemed to get worse for some reason. Should I be concerned??? Is there any possible treatments i could do to treat it??? Please help I am so desperate. ### REPLY: Welcome to  .1. First thing, lying on the stomach will not cause lumps in the neck, it may strain the muscles and cause pain. 2. The most possible cause is lymph nodal enlargement. (could be due to recent infection / underlying medical conditions and systemic causes)3. If you are my patient I would have examined and ask for an ultrasound neck to confirm the nature of the lump, its origin and extensions.4. Depending on the findings an FNAC - fine needle aspiration cytology will help in definitive diagnosis.5. And if any systemic causes - first treat the cause. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my last periods on December 15. Thereafter on December 21, I and my boyfriend got close. We had our clothes on. He sucked my nipples and I sucked his penis . He smudged his semen on my nipples and rubbed it. Little semen spill on my shirt. He did NOT finger my vagina . I took an unwanted 72 within 48 hours. My periods are generally regular. But this time around i have not been in periods and it is already 20th of January. This was the fourth time i had taken an emergency pill. Is it due to the pill or are there any chances of pregnancy. From Jan 1 i am on my exam leave and therefore did not have a hectic lifestyle in this month. ### REPLY: Hello, As your boyfriend sucked your nipples, and you sucked his penis and his semen was smudged on your nipples and not into your vagina, even your boyfriend does not insert his penis into your vagina, and he only wipes his hand on your nipples pored with semen, if he puts his finger even after wiping the semen, evener than pregnancy is not possible, because pregnancy is possible only after intercourse completed and proper sperm motility into the vagina and Fallopian tubes and by reaching the sperm into the ovaries which are too faraway from Vagina in your body.  So you don't worry about your pregnancy, which is not at all possible as you described the situation in between you and your boyfriend. So you definitely forget the fear of pregnancy 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: My brother had DBS surgery for Parkinson s 5 months ago. As a result he is getting more tremors - like nothing he had before. He saw a doctor today who feels the DBS may have sparked a underlying essential tremor condition (our father had essential tremors). Have you ever heard of anything like this? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your brother has Parkinson disease. DBS(deep brain stimulation) is approved in treatment of Parkinson and essential tremor. There is also the potential for neuropsychiatric side effects, including apathy, hallucinations, compulsive gambling, hypersexuality, cognitive dysfunction, and depression. However, these may be temporary and related to correct placement and calibration of the stimulator and so are potentially reversible.However, increasing of essential tremor is not known side effects. He should check the electrode placement also. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. 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: hello doctor..... my son is 1yr 10 months old now.when he was 4 mnths it was observed havin TB, so we gave an ATT course of 6 mnths to him,after that his reports were ok. But since then he continuously develop fever,cold & cough within a duration 0f 1 or 1& 1/2 months. what may be the cause, my doctor is saying he is allergic reaction,he is suggesting to keep him on inhaler but i dont want to......please tell me wat i should do. ### REPLY: Welcome to the ChatDoctorI completely understand your concerns but don't worry. The most likely reason for sucChatDoctorplaints are recurrent viral infections which are usually self limiting and improve gradually over time. The frequency increases after tuberculosis due to low immunity. Allergic coughs are not usually associated with fever spikes. Use of inhaler therapy is purely guided by lung functions and clinical examination. So, I would recommend you the following measures to help him out:1. Maintain a proper record of signs and symptoms and response to treatment.2. You may check him for immunity by CBC3. Also go for pulmonary function test if he suffers from recurrent wheeze and coughs.4. For symptomatic treatment give Spy. Chlorpheniramine or Ben . 5. Ensure a good healthy diet and plenty of fluids. Hopefully this will help you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My abdominal still hurts after a salpingectomy surgery.The same kind of pain before the surgery and doctor suggested that it was a Inflammation.What causes this?Is there any prevention measures?Is there any exercise that could help proper recovery? ### REPLY: Hithanks for asking as your history you have given is very short and there is also no investigation report...............please mention where exactly in the abdomen hurts and is there any associated fever................I would like to advise you to do some basic tests like full blood count and urine RE and ultrasound abdomen and pelvis.............and consult the doctor who has performed the salpingectomy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,my name is Nafisah 29yrs i went for an ultrasound cos i missed my peroid the radios report shows that there is a single intact gestational sac no embryonic echoes is seen and a solitary intra mural fibroid nodule at the posterior aspect of the uterine body measuring 23.9*17.2mm in size. pls what does that means and what do ido? ### REPLY: Welcome to ChatDoctorRead your prob, the choice of treatment of fibroid is surgical removal of uterus but if you want to conceive then you should take medicine which can reduce the size of fibroid, not subside it. Its medical treatment is hormonal replacement therapy. It helps you in getting pregnant. Complication of fibroid in pregnancy is abortion n premature delivery, so consult with your doc n start treatment as per advise of your doc. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had an endoscopy done about a month ago and I am experiencing pain/discomfort in my stomach area to the left, approximately 2 inches from belly button. It is a steady pain that doesnt go away and the area is sore to the touch, kind of like a bruise would be sore to the touch. Only the pain is under the skin and deeper inside. ### REPLY: Hi ! Good evening. I am  answering your query. If I were your doctor, I would go for an ultrasound scanning of your upper abdomen to rule out any collection though unlikely. It could just be a co incidental muscular pain, which would be relieved with a course of anti-inflammatory . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother is not feeling well and just received lab reports where is sgot and sgpt levels are extremely high i.e. AST (SGOT) is 48 Range 5-34 ALT (SGPT) is 117 Range 0-55 He does not drink alcohol,take heavy tylenol. He also high creatine levels, been losing weight etc.. everything I read leans toward Hepatitis or some type of poisoning. He also shows signs of Hyperthryoid and has been losing weight even with increase eating. I am concerned he has been exposed to some type of chemical, poison or could it be related to the something else. Should docs test him for Hepatitis? Please let me know other tests they should be running with with these results. 54 year old male, very athletic and lean. A Ultrasound has been scheduled of his Thyroid too. Other symptoms, heart palpitations, dry skin, hair loss throughout top part of hair, evenly and mood swings. Thanks of any help on this. ### REPLY: Thanks for your consultation at  : I have gone through your case history thoroughly. Your brother has got deranged liver functions and signs and symptoms of hyperthyroidism.  As far as liver is concerned, he should be screened for any liver pathology which is causing derangement in Lots... As u mentioned that he is not alcoholic, but there are still other causes which can affect liver like viral infections < had, HBO, CV > AUTOIMMUNE DISORDERS, metabolic disorders and last but not the least is FATTY LIVER DISEASE.TYLENOL may cause deranges Lots if taken in large doses... You should consult hepatologist so that exact cause of deranged liver function can be sort out.  Secondly, for the symptoms of HYPERTHYROIDISM he should have his THYROID FUNCTION TESTS done along with TSH levels... Apart from this THYROID scan should be done. Consult endocrinologist regarding this issue... Hope you have got your answer if u have got any quarries feel free to ask anytime REGARDS .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My fathering 84 and was diagnosed with COPD. He sleeps about 15 hours a day and is beginning to be confused about daily things such as what day it is, where he is supposed to be going etc. He is also continuously cold and has tingling in his hands. His doctor says he doesnt need oxygen but it sounds like CO2 retention to me. An advice? ### REPLY: Hello I have gone through your question and understand your concern. COPD patients often suffer with hypercarbia that is CO2 retention. Let me explain to you the cause of symptoms in brief for better understanding. Due to decreased alveolar function (lung function) from COPD carbon dioxide is retained in body leading to increased CO2 in blood. Once the CO2 levels increases, blood starts binding more to CO2 than oxygen and thus pH of blood changes to acidic leading to respiratory acidosis. Decreased oxygenation to tissue leads to poor tissue function causing mental confusion, tremors, slow breathing and eventually causes permanent damage to vital tissues like brain. This may lead to coma or sudden death due to respiratory failure. Oxygenation along with monitoring of vitals with regular arterial blood gas test is necessary for patients going into symptoms of CO2 retention. Kindly seek medical help, you may even consider setting up oxygen line and supply at home for patients with COPD. Good luck. Hope your concern is answered. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a female, who is going throw, a very bad time, this has been going on for four years now, well longer, but i didnt live here with some other things going on, so i thought if I moved else where things would go better for me, but it hasnt, it has seem to get worse, I really like where I live, but I just cant seem to get what ever it is to leave me along, I hear singing all the time, and it sounds like preaching, it  will stop for a little while, then start out again, but its like it knows when I really want to sleep, or just have a little quiteness, the voice sounds like German, some thing i can understand, and others I cant, the singing is going on now, then at times it has a sound like the music is on wholed, but it still got a sound going, then some times, there is a radio going, I have also seen visions, they have woke me up, I just dont understand what is going on, I have talk to my brother, and some other so called friends, they look at me like I have lost my mind, I know what I hear and see, but it is getting to the point I dont know how much more I can take, I have even told my doctor about all this, he sent me to have a MIR, the MIR came back fine,he put me on Quetiapine Fumarate 25 mg, its doing nothing for me, If their is anything, to help me with this I would appreciate to know what it is, or what I can do to stop thisIt want let me be in peaces, Thank You, so much. ### REPLY: Hello thanks for asking from ChatDoctorI have read your query and I can understand your concern. You have complaints of hearing voices and noise and others are not hearing these. These sounds are causing loss of sleep and resulted in shift of place. Even on changing the place the sounds persisted. Most likely these sounds are due to auditory hallucinations. Hallucinations are perception without stimulus and occurs in a number of psychiatric disorders. The MRI came normal. Aquitaine is an antipsychotic .  I usually prescribe 50-200 mg doses to my patient. If symptoms are persisting consult your psychiatrist again for dose increase if required. Other medicines like Risperidone, Olanzapine are also good antipsychotics and can help you. Thanks, hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a rice sized lump under a stretch mark about an inch under my left breast. it is painful to touch. i had a baby two years ago and i did get a lot of stretch marks but this one is the only one that high. should i be worried? i am 21 im 57 and im about 15 pounds over weight i have just recently lost 90 pounds as well. no history of cancer or any skin disease. ### REPLY: Hi, Dear,Thanks for the query to . I went through your query and understood your health concerns. In My opinion-that lump under your breast stretch mark is a-friction keloid/ scar or it could be due to fibroadenomas ? Your main worry is for the cancerous lump in the breast. For which you need to consult and check with your family doctor. Still with the data given in your query, I opine as above. Hope this would help to resolve your worrisome query on your next visit with your family GP doctor. Wellcome for further query to  in this regard. Wishing you fast recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My lower abdominal on my left side hurts , but im realizing the pain is starting to spread. I also realize that when i push down on my stomach it hurts and somtimes i feel a sharp pain in my chest. Its so weird because when i get my period my cramps are horrible and my vagina gets this stabing pain. (im a virgin so i know its no std ) please help. ovarian cancer runs in my family so im pretty scared. ### REPLY: Hello! Thank you for the query. Lower left abdominal pain can be caused by diverticulitis, urinary tract infection, ovarian cyst. Ovarian cancer can also give such symptom as well as ovarian cyst. Stomach pain seems to be caused by stomach disease like peptic ulcers or acid reflux disease. Sharp pain in the chest can appear due to rib nerves irritation. But most likely your stomach pain and sharp chest pain is caused by stress (as you have admitted being scared about cancer, this can trigger such symptoms). If an ovarian cancer runs in your family (and maybe breast cancer?) you should consult oncologist as some of such hereditary cancers are caused by genes mutations. You should have checked BRCA1/BRCA2 mutations. Ca-125 level and transvaginal ultrasound should be also performed. Lower abdominal pain should be consulted with gastroenterologist and some blood tests and urine tests should be performed. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor My husband has been to see a consultant today regarding his chest pain which he has had for six months, on CT scan it showing what appears to look like someone has flicked white paint all over his lungs, she did mention what she thought it may be and we did not catch the name, it began with S and she said it attached to the lymph notes in the bottom of the lungs, he has to have breathing tests and has had bloods and may have to have a biopsy tissue from his lungs, otherwise he appears well although his eyesight sometimes is not quite in focus and he gets quite hot a night time, he has always watched his weight and is/was a keen walker climber, sometimes he gets out of breath on walking up a slope but not on flat. Thank you ### REPLY: Thanks for your question on . I can understand your husbands situation and problem. By your history and description, possibility of acidosis is more in his case. It is granulators disease affecting lungs and mediastinal lymph nodes. It can cause ground glass appearance of lungs on CT scan (white paint like as you mentioned). Furthermore, it also causes breathlessness on exertion. And hence PFT (Pulmonary Function Test) and blood reports like complete blood count, serum calcium level, ACE level etc. are needed. The most confirmatory test is lung biopsy. Acidosis can also affect retina and hence eyesight problem he is having can also be due to acidosis. So get done PFT and blood reports, follow your doctor s advice and if needed also get done lung biopsy. Hope I have solved your query. Wish you good health. Thanks. ### END