Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 stomach always feel full and uncomfortable with eating a meal or on an empty stomach. Also my lower back hurts and I am short of breath all the time. A recent CT scan showed a parapelvic cyst. Is the cyst associated with my stomach  and breathing issues. ### REPLY: Thanks for posting you query to  .cyst are fluid filled structure cover with a membrane and occupy space whenever formed. A large cyst in abdominal cavity may cause compression of neighboring viscera and on stomach leads to discomfort in abdomen. This compressive produces pressure over diagram and produces shortness of breath.treatment of cyst is its complete surgical removal. Hope you would be satisfied with my answer.  Feel free to communicate if any 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: hello doctor my child is 1 month 8days. yesterday she was sleeping whole day with slight fever and taking mother milk in very little qty compared to previously. previously she was very active whole day . when visited doctor ,he prescribed polypod drops-cefpodoxime proxetil 12 drops twice daily and mefanorm suspension 2.5mg 3 times daily. Please tell me dr. is it safe for my baby. thanks rajesh ### REPLY: Hi, if the child has fever and has decreased oral acceptance, it could be due to sepsis. Child will require a course of antibiotic in form of Cefuroxime and a NSAID in form of Paracetamol or Metonymic acid. Metonymic acid like any other NSAID also has side effect in form of loose stools, gastritis, nausea, hepatitis. But it has no contraindication for a month-old child. I suggest you continue with the same prescription and see a pediatrician if condition gets worsened. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir,i wan to know how to come out from epilepsy,my husband is under treatment from past 5 years he is taking medicine valparin chrono 500 mg.but he is not taking medicine regularly he is having habit of smoking and drinking.and now in the brain brain blood clots are becoming more i wan to know next step what we have to do. ### REPLY: Hello, I understand your concernMedicines for epilepsy need to be taken regularly because skipping the medication can lead to generalized seizures or status epileptics. And he needs to quit smoking and .  Smoking is a strong risk factor for stroke (blood clots) in brain and Alcohol can lead to sever interactions with antiepileptic medications. I advise you to counsel your husband regarding strict adherence to medicines and quit alcohol and smoking. For that you can take help of a psychiatrist too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, I lately noticed a sharp decline in my memory. Let me tell you afew things about me. 1. I have a very hard time falling asleep and lately I felt very weak, so my doctor prescribed me Trazadone to help me fall asleep and it is helping me sleep/ 2. I am on Zoloft for the last 40 years. 3. I am 65 years old. 4. I Have very bad knees. I have an apt. for a knee replacement in July, but I am not sure I can wait so long, because the pain has gotten much worse lately. 5. I often take 2 motrins or 2 extra strength Tylenol for pain. I usually take it lately almost every day, once. Thank you very much for your help. I am waiting to hear from you soon. Gitel Jakobovics ### REPLY: Hi, I understand your concern and would explain that your symptoms could be related to depression and the lack of concentration. Trazodone can also influence in the memory problems.  For this reason, I recommend discussing with your doctor on the possibility of switching to Mirtazapine.  It is also necessary consulting with a neurologist for a physical exam, some cognitive tests and a brain MRI.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello I just got a severe pain that radiated from the bottom of my skull all the way through my head for about 15 seconds and now it s still kind of hurts this is the first time I ve ever felt it and it was incredibly painful probably like a six or seven on a scale to 10 ### REPLY: Hi, I am .  I have read your question with care and understand your concerns. Let me try to help you Question : What causes severe pain from the bottom of the skull to the head? Answer : The Most common causes are 1. Problems with your Radio Vertebral Junction 2. Problems in your Cervical Spine I would suggest that you take X-Rays / CT / MRI of these regions so that the issues can be identified at once. It is always easier to treat these disorders in their earlier stage Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is melvin. I had 4 small sores on my penis head after masturbating. Werent there when i started, but after I noticed them i got into the shower to wash up (thinking it was just irritation). They opened up I guess from washing a little hard. It didnt bleed or leak pus but left a sore. They didnt crust over but when they healed...they just went down smooth n thats it. There basically gone. Can you help me.? Ive looked at herpes,genital warts, and other photos. They dont look anything like them. ### REPLY: Hello, Sores on penis may be due to Atlantis or allergy or herpes infection etc. pimples or boil may can present like this. But masturbation itself won't cause lesions. Until examination is done it is difficult to say what is the cause for it. Anyway, it is healed know if they repeated means post a photograph. Maintain good hygiene. Use mupirocin ointment locally. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good morning doctor, I am 63 year old man. My problem is I got a chest pain as I urinate. I have a little burn during urination and more severely the chest pain. My urine is charged with E. coli so I am taking Nitrofurantoin for a week. My doctor suspect me with Prostate enlargement. So I am having PSA test with tumor marker as 69.7 ng/ml and tumor gland 27 gm ( via CT scan). DO i Need to go for surgery or chemotherapy. what is the reason behind my chest pain??? Please suggest me. ### REPLY: Brief Answer:You should go under prostate biopsy. You should be visited by a cardiologist. Detailed Answer:Dear Sir, Thank you for using . Now that you have detected this problem, you need to face and follow the diagnostic and treatment steps one by one. So first, you have to do the prostate biopsy, which is needed to make a sure diagnosis. Depending on its response you will consult with the oncologist (if it results to be a malign tumor) or urologist (if it is a benign enlargement of prostate). Regarding your chest pain, it may be caused by low blood pressure, and reflector tachycardia (high heart rate) stimulated by such actions such as urination, defecation, the change of the position etc.Also, the burn and difficulty on urination may cause tachycardia and chest pain.Nevertheless, you need to see a cardiologist to exclude more serious causes. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cut my knuckle with a handsaw about 2 months ago. I treated the cut with antiseptic and it didn t seem to get infected; the cut healed fine. But ever since then, that knuckle has been red and swollen and very tender and painful. I m wondering if I injured the bone or if its infected or what.... ### REPLY: Knucke area is peculiar in the sense that the knuckle joint is just beneath the skin. Therefore any seemingly superficial skin injury in the knuckles especially open wounds is of concern to us orthopedic surgeons' BEC there is a high likelihood that bacteria and other foreign body can easily penetrate the joint and be left there. This injury can be easily missed out and be treated as a superficial skin wound. Skin can heal but if there is continued swelling here are possible causes you have an infection of the tendonoryou have an infection of the join tor you have an infection of the boner lastly it can be an abscess BEC of retained bacteria just underneath the ski nits very less likely to injure a bone(fracture) via table saw injury...bones are strong against slicing forces so less likely. Bones are more often injured via bending twisting or crushing. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 aunt is suffering with malaria every after one month,when ever she is sick she is going to doctor, and the blood report is showing malaria positive, what should we do.instead of looking for local doctor planing to go to a specialist.which specialist we should consult for malaria treatment. ### REPLY: Hello, Suggestive of recurring malaria. Malaria is caused by four different species of parasites such as plasmodium falciparum, viva, malaria, and oval. Of these, plasmodium viva and oval are responsible for the relapsing attacks or recurrence because they can form dormant liver stages which can then re-enter the blood causing a relapse of malaria infection and a recurrence of symptoms. Your aunt needs to be examined by an infection diseases specialist who is an expert in the diagnosis and treatment of all kinds of infectious diseases including those caused by bacteria, viruses, fungi and parasites such as plasmodium. If your aunt has one of the relapsing kinds (P. Vivax or P. oval) then she needs to take a course of an additional . Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I woke up with a very tight jaw, limited motion, I thought from grinding in my sleep, and the next day a canker sore.  I just had surgery to remove a benign lump (last week) Wondering if there is any connection....  havent called my doc yet.  Just thought today, how odd.... ### REPLY: Thanks for your query. I have gone through your query. The soreness or ulcer could be an authors ulcer. The most common cause is stress or post surgical(removal of lump) or nutritional deficiency. Nothing to be panic, consult an oral physician and get it evaluated.Meanwhile, you can take symptomatic treatment like topical anesthetic like 2% lidocaine gel. Apply 3-4times daily. Consume nutritious food. Lead a stress-free life. I hope my answer will help you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: complaint history Gait- Unable to stand Tone nutrition normal Proximal girdle weakness motor evaluation right lower limb- hip-flexion/extension-grade-4 knee-flexion/extension-grade-4 ankle-flexion/extension-grade-4 palntars downwards bilateral knee jerk brisk bilateral knee jerk brisk After MRI & XRAYS Report (Dorsal spinal cord compression) (Pre and paravertebral Abscess) (Cord Edema) HPE REPORT- EVIDENCE OF TUBERCULOUS OSTEOMYLITIS (OPERATION NOTES) UNDEER ALL ASEPTIC PRECAUTIONS PAINTING & DRAPPING DONE. D6 TO L1 LEVELS MARKED & CHECKED UNDER C-ARM. MIDLINE EXPOSURE INCISION TAKEN & EXPOSUR DONE. D9 & D10 LEVEL DECOMPRESSED. D6 TO L1 PEDICLES MARKED & PREPARED. PEDICLES SCREWS PIT ON PEDICLES AT EACH LEVEL D TO D8 & D11 TO L1 ON LEFT SIDE & AT D6 , D8, D11, L1 ON RIGHT SIDE. RODS PLACED WITH TRANSVERSE CONNECTOR & SECURED. CLOSURE DONE IN LAYERS OVER NEGATIVE SUCTION DRAIN. DRESSING DONE.) ### REPLY: Hello, It looks from your details that you may be suffering from Potts spine or TB of spine. Your notes show that you are operated for same. If you are in recovery phase then you should wait for 3-6 months for your recovery. It takes time to recovery from such lesions.Meanwhile, your doctor will put you on anti-tubercular medicines & physiotherapy. This will help you in your gradual recovery. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I ve been having Hip pain, getting much worse through the month. NOw can t put weight on that leg. I went to ER Saturday. TOok X-ray, Dr treating me for BURSITIS, but said she doesn t know what it is. I can t get in to see the Orthopedic Dr until next week. DOes it sound like Bursitis? I felt ok this morning, now I m in severe pain. What should I be doing until I see Dr? thank you! ### REPLY: Dear patient one of the reason for acute hip pain may be bursitis, but better investigation is ultrasound of hip to diagnose bursitis. Treatment for bursitis is rest and anti-inflammatory medications like diclofenac 50 mg twice a day. Traction to involved leg is also advised with ankle traction belt. Antibiotic like definite 200 mg twice a day for 5 days should be taken. Visit to orthopedic surgeon is recommended.  MRI is very sensitive and specific for diagnosis of hip pathology. Hope this is useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Actuallu my mamma aged 65  recently took ESR test . Doctor told that it isincreased  and there is some infection nd gave some  medicines .After that she had a severe stomech pain.Actually what type of food she can take to balance the ESR level  in blood? ### REPLY: Hi, Looking at the clinical history, I expect the ESR to return to normal after treatment. ESR is not diagnostic of any condition and is only prognostic. So, if you want to reduce ESR, you need to find the cause of increased ESR. If it gas reduced, then it signifies, infection was cause. Diet cannot help. ESR is a marker for inflammation. If more clinical and laboratory data are available, I can help you further. Any further queries, happy to help again ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past 2 months I noticed that my periods have shortened from 4 days to 2. Usually i have 3 days of steady flow and a bit of spotting on the fourth day, but this time the flow was steady for 2 days only and almost no spotting on the third day. Im starting to get worried... Is everything fine with me? What can be the cause of that?Im 30 years old, havent given birth yet,not taking any contraceptive pills. Me and my husband have been trying to conceive for the past 3 months... ### REPLY: Hi, If everything else is normal, there is no need to worry about the shortening of the cycles. It happens with slight fluctuation in hormone levels. See a specialist if you fail to conceive after sincerely trying for at least 6 months. Please time your intercourse regularly around the ovulation period. You may also get your thyroid profile done to see if there is any deficiency that needs to be supplemented. Please maintain a healthy body weight and a healthy diet. Hope you find this information helpful. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m 31 yr male I went to get an ultrasound right test was 4x2 x 3.3 and left test was 3.8 x 2.2 x 3.8. Normal echogenicity of bilateral testicles noted right epididymis measures 1.2 x 1 x1 and left epididymis measures 1.5 x 0.9 x0.8 cm tiny calcification noted in bilateral testicles this is consistent with testicular microlithiasis Does this mean I have cancer plz let me know thank u and explain what can I do ### REPLY: Hi there, Testicular microlithiasis doesn't always means cancer. Though certain percentage of testicular cancer presents with Microcalcification they often associated with other risk factors like descended testis, radiation exposure etc. Few of the research works done correlating this possibility, but nothing conclusive and unique to individual case. Clinical examination then correlating Scan findings would be better.  So I suggest you to visit a general surgeon or Urologist for clinical examination, in doubt blood test for tumor markers like Alpha photo protein and beta  can be done which are raised in the presence of cancer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is ramesh age 27 and i am going to get married in two months and i have planed to have baby after one year but my fiance age is 26 an she has wheezing  problem rarely an she has polypystic  ovaries problem is that any problem in giving gap to baby because many of my friends told that girls will be healthy before 30 age so should get baby before 30 so i am in lot of confusion guid me please ### REPLY: Hii have gone through your complaints. Ya its true that having a baby before 30yrs of mother age is important. Pregnancy after 30yrs increases occurrence of high blood pressure and diabetes in mother during pregnancy that in turn increases occurrences of anomalies in babies and risk to mother during pregnancy and delivery. More ever your fiancé is having polycystic ovaries best is plan for one baby first. Its receives so much anxiety in you and thus avoiding so many problems.  Consult the . Thank regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI. I am just getting over the a very bad flu and I now have a large lump on the roof of my mouth. The lump is located towards the back of my mouth on the left hand side. It is very painful. It appeared two days ago and is about half the size of a dime. It is almost causing my entire mouth to be sore. (And I am pretty tough when it comes to pain. I have Pudendal Neuralgia!) What could it be?!? ### REPLY: Lump on roof of mouth can be there because of some trauma to the roof of mouth or can occur because of impingement of some sharp foodstuff there. It can also be a canker sore. Trauma to roof of mouth can lead to pain and soreness and can cause swelling which usually regresses on its own in some time. Sharp foodstuff impinging can also lead to pain and swelling of the area and after removal of impinging stuff, pain regresses. It can also be canker sores which are self limiting. Ibuprofen is an anti-inflammatory pain med and intake of the med must have provided a faster relief. As of now, you can continue with warm saline rinses. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to "pamper-me party" and recieved a bikini wax, and pedicure.  shortly after, I noticed a bump in the bikini area, that just peeled skin, (dark colored), along with hairloss to that area.  The toe area began to swell, also.  I began using fugi-cure, with relief of symyoms.  I also began using fungi cure to the bikini area, only to watch the hair return.  how do i know if i have a staff infection? ### REPLY: The only way to identify a staph infection is to take a culture from the affected area and see if the bacteria grow out. Staph infection on the skin can present in many ways, so you can't tell by just looking at it. You could get an abscess or a pimple-like lesion, or redness and tenderness of the skin, or a sore. Such lesions could be caused by other bacteria besides staph. If you suspect you might have a bacterial infection, be sure to keep it clean, and you can try antibiotic ointment. If it is becoming an obvious abscess, or a cellulitis where the skin gets red, inflamed, and hot to touch, that could indicate an infection that needs treatment. In that case you should see your doctor for the appropriate treatment. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 3 year old gets a rash on her left cheek.  it happens overnight and is really red in the morning then disappears by the end of the day.  Has been happening for a while and now is starting to scar her face.  Have tried hydrocortisone cream but doesnt really stop it from reoccuring. ### REPLY: Hi.... by what you Quote I feel that it could be eczema of the skin, or it could be an allergic reaction to particular clothing or bed linen which is being used for the baby at night. It could also be a form of contact dermatitis. But as you quote that it has started to scar the area I feel that it could be an eczema which is there for a long time. I suggest a pediatric Dermatologist for this meanwhile you can use hiatus lotion rather than using steroid cream like HY . Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, im pregnant and I went for a scan yesterday, the result shows that uterus is bulky in size. Cavity contains a gestational sac corresponding with 6 weeks 5 days cyesis. There is decidual reaction. Early intrauterine cyesis. I was asked to come back after one week to access fetal viability. Im a bit worried ### REPLY: Hello, and I hope I can help you today. The ultrasound you had just says that you have a normal pregnancy at about 6 weeks 5 days gestation.  It is normal to not see a fetal heartbeat before seven weeks, so the doctor just wants you to come back the next week to check for the heartbeat.  So there is nothing to worry about on the ultrasound you just had, and the follow-up visit is normal if they cannot see the heartbeat yet because the pregnancy is so early. I hope I was able to answer your question today and that this information was reassuring. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I gave up smoking about 11 years ago having been a very heavy smoker for about 12 years. I then took up running. It took a long time to get my lungs back in order (about two years) but I finally reached a decent level of fitness.What has always bothered me though is that I regularly cough up mucus/ phlegm. This happens throughout the day.When running, it is quite a problem as my throat feels constricted and I am coughing up phlegm even more.A running friend suggested I might be slightly asthmatic. Is this likely? My sister is asthmatic but there is no other family history that I am aware of. ### REPLY: You may be allergic to something if you have left smoking it is not likely to have effect after so many years but as age goes the immune system goes down and many allergens in environment start reacting with body and causing mucus and fleetly this avoids using mustard coconut walnut groundnut almonds and soda oils use olive for cooking and application take a lot of warm water in morning apply newsprint h eye ointment in nose based water .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a pecan sized lump appeared on the back lower right side of my head.  Its tender but not painful.  I had been having right upper abdomen pain and was recently diagnosed with erosive gastritis and ulcers.  Should I be concerned about this knot?  It is hard and immovable.  I also have been getting really bad headaches for the last few months.  They start midday and continue to get worse through out the rest of the day. ### REPLY: I, Dear,Good Morning, and Thanks for your query to my virtual Clinic At . I studied your query in depth and understood your concerns. Causes for lumps at the back of head are as follows-a-Mostly they are boils as they are painless. AS its infective origin and could be treated, Don't worry of this lump. Headaches with them -are not associated with them in reality, but may be due to the high BP which you may have simultaneously.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and . Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: It s probably nothing, but l ve worked myself up in to a little bit of a panic. Over the past 4 weeks l have had a few heart palpitations and a general heavy feeling in my chest. I do suffer from hayfever and can be prone to a heavy chest and it s not all the time, just now and again. I ve also discovered a white lump on my bikini line with 2 black dots in it. It id not painful and could very well be just ingrowing hairs. I m just looking for some reassyrance here. Could l simply have a mild chest infection and an ingrowing hair? I m 31and I do smoke but am generally healthy and vary rarely unwell ### REPLY: Hello! Welcome and thank you for asking on ! I read carefully your question and understand your concern. I would like to know if you have any other symptoms like fever or cough. Your symptoms may be related to anxiety, but I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and some lab tests: -complete blood count-inflammation tests (fibrinogen, PCR, sedimentation rate)-kidney and liver function tests-blood electrolytes-thyroid hormone levels-fasting glucose to exclude other causes related to your symptomatology. Respiratory function tests may be necessary to examine better your respiratory function (as you are an allergic person too). Regarding the lump on your bikini line, it may be not related to the heart and chest symptoms. A physical examination from your GP would be helpful. I would like to have some images, to give a better opinion. Hope to have been helpful! 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: my seven year old daughter has been complaining off and on of a stomache ache for the last few weeks. It improves with food. She also has some mild cold like symtoms, runny nose congestion, seems tired. last night, she has developed a cheek stain and it has persisted today. no fever. what is the best way to fix this? ### REPLY: Well, let us not try to "fix" anything! She is a human, not a leaky facet. Having said that, it appears that she has a virus that has affected her chest/respiratory system as well as her skin, and the gut. You should keep treating her symptomatically. Give her paracetamol for fever, Ben .  Allow her to decide her activity level. Neither force her to move nor to sleep. Encourage her to play and do interesting things to avoid getting her from being bored and tired. I hope this helps. Best wishes and praying for her 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: I had a miscarriage just over a fortnight ago ..my ChatDoctor went back to normal pretty much straight away ..lm niw experiencing heartburn , dizzy n light headiness sicky and period like cramps in my stomach but not as intense l have been having unprotected sex as my doctor told me l did not have to wait .......could l be pregnant again? ### REPLY: Hello. Thanks for writing to us. The symptoms that you are feeling are not likely to be related to pregnancy. These are more likely to be due to a mild gastric upset and is likely to subside in next few days after taking a supportive treatment. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering from heel pain for last around 8 months. I have taken treatment from orthopedics, who have prescribed several medicines with finally three nos of injection injected in the ankle with a interval of 15 days in between. But after all these effort the heel pain is still alive. In the morning when I wake up, the first few steps are very much painful. please advise a permanent resolution. ### REPLY: The symptoms and ensuing treatment you explained, suggests one thing, that you are suffering from PLANTAR FASCIITIS. In this, soft tissue and underlying fat pad at heel causes pain. Usually the injections in affected area reduce the pain or completely control it. In your case, as it has not helped, here are certain things you can do:1. Take NSAIDs prescribed by your orthopedics doctor.2. Contrast bath the painful area- 10 min of hot water fomentation, followed by 5 min of ice fomentation, followed by hot water again. Twice daily repeat the procedure.3. Use a medial arch support in your footwear. Throw away any heel pad, if prescribed (they actually worsen the condition).4. You can get a planter fascia injection again after a while. Make sure you get it from a Podiatrist, or a PMR physician ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 16 and had her gallbladder removed May 2012 after a long bout of delayed gastric emptying; gallbladder removal helped. Of course when she eats, she is immediately in the bathroom with diarrhea . Other than diet change, is there anything else she can do? Recently, she has had a few episodes of the delayed emptying again, but not anything like this time last year. ### REPLY: Hi, I do not see any indication to remove a normal gall bladder of a16 year old girl. Gall bladder is removed only if it contains stones which are causing symptoms not otherwise. As result of removal she has developed what is called postcholecystectomy diarrhea. The treatment for which is small multiple feeds with very less fat content till it settles accompanied by cholestyramine therapy till the symptoms disappear. 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 a 31 year old centrally obese female with PCOS . I have done HSG and found to have patent tubes . My husband s semen count is also good. I have been on, metformin , folic acid and siphene 50 mg for the last 6 months without any folliculometry done to detect if the dose was okay. Recently I changed my physician and he did a folliculometry on the 13th day of my last cycle only to found out that there was no sign of any egg formation. My periods are regular now (though it was very irregular before taking metformin and folic acid) at around 34 days cycle. My new doctor gave me 45 pills of ovares to take and then then to increase the dose of siphene to 100 mg for five days and go for another folliculometry. I am afraid as to whether I will ever be able to concieve or not.......I am very worried. Please help ### REPLY: Hi, PCOS responds very well to properly assessed treatment and so, do not worry. There are a few things you can do. Reduce your body weight by at least 5-10% as brings a significant improvement in your hormonal status. Do some regular daily exercise. Avoid fatty and fried foods; instead include more fruits and fresh vegetables in your menu. The dose of Camphene can be raised up to 150 mg. per day if lower doses do not induce ovulation. Proper monitoring of the cycle is necessary. Since you have regular periods after Metformin, you are likely to respond to Camphene alone. Please follow your doctors instructions. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a Melanesian female (48 yo). A week ago I started noticing swelling of lymph nodes in my groin area. In just four days, the lump grew and it is so painful to move my right leg and I had to limp everywhere and I only feel comfortable lying down. Also turning in bed is a nightmare. I have been prescribed aspirin and flucloxacillin. Could there be an infection in my leg or is it lymphoma? ### REPLY: Hi, thanks for using  Since the symptoms are acute, it is more likely an infection. Lymph nodes increase in size as a result of any inflammation in the area in which they .  The lymph nodes themselves can also become inflamed or infected. The use of the antibiotics and aspirin should help. There are some other anti-inflammatory painkillers available that may be helpful if the aspirin is not enough to help with the pain. EG Celebrex, naproxen, arcoxiaIf an abscess (collection of pus) is present then incision and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answher yoourt health queries right now ?  Please type your query here...  I have left side pain with cold chills low grade fever along with left side is hot.  Severe pain comes and goes. I have had this off in own in the last few months.   I had a hystorectomy back in july and had this before that. ### REPLY: Low grade fever with chills are symptoms of viral fever or malaria. For this you have to take tab definite 200 mg or tab .  If cough is there you have to take syrup embroils or syrup respital-p 2 SF three times daily. Also do cold sponging to reduce the temperature of your body and to get relief from fever. Complete the course of Tab Chloroquine 4 tab stat than 2 tab stat after 6-8 hours than 2 tab stat once daily for 2 consecutive days with heavy meal or milk. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 back right gum (where my wisdom tooth should be) hurts very bad to the finger touch or when I chew back there. I m 18, turn 19 exactly in one month, I m a guy. It started 3 days ago, pain hasn t seemed to get worse or better. If I take my index finger and press down it hurts very bad and if I chew something there it hurts extremley bad as well. A very sore black and blue type of pain. There is literally only gum there, the tooth hasn t even pricked up yet. Did I just injure my gum, or is the tooth trying to come up? ### REPLY: Hello and welcome to  The symptoms that you have mentioned are more suggestive of an erupting wisdom tooth. The age, site and character of pain favor a wisdom tooth. Vist your dentist for an x-ray. The X-ray will help the dentist to know whether the tooth is erupting straight or is twisted or turned. The wisdom tooth is known to be impacted or erupting is different directions. In case it is impacted it will have to be extracted surgically. You can take saline gargles for relief of the symptoms and avoid chewing from that side. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started having breathing problems a few months ago. My allergy doctor put me on a steroid inhaler and it seemed to work but Ive been having chest discomfort for a week or so. Now today the left side of my Adams apple starting hurting. I have an appointment in a week should I wait or do I need to go to Urgent Care? ### REPLY: HI, thanks for using  You may need to be seen sooner rather than later for the chest pain, this may be related to your asthma. If the pain in your throat is severe or not responding to painkillers this may also need early assessment. If it is not severe then you may want to try painkillers first. This would include pain medications such as ibuprofen, Catalan, aspirin, naproxen. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Suffer from a rash around my body and was diagnosed as chronic urticariaHe has conducted many tests including examinationCBCAnd rheumatism and examinations of the liver tests did not show any abnormal resultsBut the problem persists and treated with anti-histamine, but my body did not respondThe Kortizon addressed for 45 days on signing 60 mg per day, 30 mg am and 30 mg pmAnd softened by 5 mg dose every 5 daysAnd now stopped taking Kortizon on 05/03/2013But the symptoms reappeared, but slightly on the arms and abdomenPlease advise me because of such symptomsThank you ### REPLY: Hi, thanks for using  If possible you should have allergy testing done to determine what you are specifically allergic to. Allergy testing can be done as skin tests or as a blood test, they can check for allergens in your environment, foods, medications, chemicals. This would allow you to eliminate what is causing the allergic response. It is important to avoid mental stress, over tiredness, alcohol, tight clothing as all of these are thought to cause or worsen the rash. You may require long term treatment with a non . I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: clot has been occured in brain. right side has been affected. speech has been lost. brain is working properly and recogonising power is ok. 24 hours has been past. the patient was admitted immediately in the hospital. it the clot is recoverable through medicines and how much time it will take place. ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q : How long it will take cure after clot in brain? A : It depends on the size and location of the clot Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For several weeks now I keep getting this fluttery feeling in my chest. It almost feels like my heart is sluggish or something but I have had several EKGs and have worn a Holter monitor but nothing shows up. Ive been to a GI doctor and have had a stomach emptying study (appears to be slow in emptying) and have a EGD scheduled for next week. When I get these feelings it really scares me as I feel as though it is my heart. Along with the flutter feeling is a warm, burning feeling across my chest. Is it possible it is my heart or do you think it really is something going on in my GI tract? ### REPLY: Hi, Dear,Thanks for your query to . Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer frogger with Heart flutter from Esophagitis and Gastritis with accompanied ? EnteroColitis. Reasons-You need to rule out the various factors which create this complaint complex- and which is mostly due to-Outside-hotel/street food eating frequently, Excessive Tea, Coffee,smoking, alcohol intake. Spicy, fried food frequently. Stressful life/lac of sleep and rest for 8 hrs a day. Accompanying Medical conditions-like hyperthyroidism with thyroid storm, SVT,Atrial fibrillation, sliding hernia, etc. Neglect to stomach pains and mouth soreness, which accompanies these complaints and this lifestyle.EGD, may rule out esophageal/Gastric/duodenal causes for this complaint complex in you. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father in law aged 73 years undergone bypass in 2008 and cataract surgery in 2010 presently suffering from high urea and cretinine level. regularly on medicines such as zyrolic, doxobid, pan D, riconia g, dytor 10 mg and 20 mg and escorpin. what should we do. we are regularly consulting nephrologist and cardiologist. what more to do as he is facing problems as loss of apetite, loss of memory and swelling etc. ### REPLY: Hello! Welcome and thank you for asking on ! Your fathers symptoms are related to chronic renal failure. For this reason, if the medical treatment is ineffective in controlling his blood urea and creatinine levels, hemodialysis would be the next treatment option to consider. An optimization of his therapy (increasing diuretics) would help relieve the leg swelling. You should discuss with his doctor on the above issues. Kind 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 husband has been asked by the Dr to take Zerodol for his shoulder pains. After taking for 2 days he has loose motions . He is also taking Pan along with Zerodol. Is there a connection his tummy upset with his medication? Or is it because of some food he might have eaten? ### REPLY: Hello, Thank you for using  . I read your question and understood your concern. I think that the stomach upset that your husband is he's from taking these two medications. The first one is a non-steroidal anti-inflammatory medication and the second one is an analgesic. If you take both of them without any medication for stomach protection they may cause stomach upset. So I think your husband should take this medication alongside with omeprazole medication which is a stomach protection . The stomach upset has nothing to do with some food that he might have eaten. Please consult your doctor for the side effects of the medication. Wish your husband quick 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: Hello, My daughter is 5 yrs old yesterday morning around 5 am she woke me up saying her stomach was hurting my youngest daughter 2 yrs old was sick had some kinda stomach virus that included vomiting, fever, no appetites a cold the usual stuff it comes with so I assumed my 5 yr old got it as well she s having the same symptoms she keeps complaining about her stomach hurting bad, her arms hurting, itchy throat so I think she s meaning sore throat, she has a cough too the stomach pains come & go she ll be fine for awhile then all the sudden she s crying hurting again my youngest daughter wasn t completely feeling the way she does I ve been doing research to see what I could be I ve seen it could be a stomafluch flu the doctor office is closed today I know they say it has to play itself out I just wanna help her could you give me any advice of what it possibly could be & what I could do to help if I can.? ### REPLY: Hi... This looks like viral induced vomiting and diarrhea and pharyngitis. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I came off depot after 10 years (because of bad endo) in April 2012 because I want to have a baby and no periods as yet, had laparoscopy and dye test in my tubes - tubes patent, endo all gone but have congested pelvis . been given a 7 day course of Norethisterone which I finished last night - when can I expect a bleed and is this likely to jump start my ovaries back into action?? Next appointment not until end of May 2013 - feeling anxious! Any advice appreciated Emma ### REPLY: HelloThanks for your query. After Norethisterone, you should have a period within 2 - 3 days, but maximum within a week. After demo, you should be having regular periods within some months maximum. Norethisterone does not jump start your ovaries into action :)Fertility depends on the tubes of course, which are fine. However, endometriosis itself affects pelvic blood supply, quality of eggs produced and also your uterine lining. Plus, you have to consider your partners' semen analysis, and your ovulation. Please consult a reputed Infertility practitioner, get all investigations done, and consider ART (assisted reproductive technology) if you are 35 years or more. 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: 83 yo female, s/p angioplasty 4 days ago, w/ stents. No complications reported. Discharged home after 23 hr obs. Just transported to hospital with significant nausea, HR: 46. O2 sats: 92 on RA, BP: 132/78, responsive , denies abdominal pain, chest pain or Headaches. With this brady rate, and not seeing the monitor, not sure if in A-Fib/ Flutter or not. comorbids: type II diabetic , insulin dependent... BS unknown at present s/p CABG 20 yrs ago, with multiple caths and angioplasties since. + CVA , with freq. TIA s. Hypertension. Deconditioned. I am thinking several things for treatment: pacemaker, if a candidate. But again, not sure what is interfering with the heart s electrical system. Plus, not having a full knowledge of meds on board is also a minus. Your thoughts? ### REPLY: Hiwith so many complications at that age is really a pitiable state. Post angioplasty, post CABG, recurrent TIA & Diabetic, now with bradycardia & nausea looks like patient has been suffering from complete heart block. She is an ideal candidate for pacemaker. If the ECG shows arrhythmias & her left ventricular ejection fraction is low, pacemaker with ICD(intro cardiac defibrillator), is the treatment of choice. Pacemaker does not destroy the electrical system, but rather supports for improved functioning. All the best, 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 in a car accident last week and the seat belt or air bag left a big painful bruise on my right breast. I have not been to a Dr. about it but I wonder could this cause breast cancer or other problems. Should I go to my OB-GYN or get or take some kind of medicine for the soreness and bad bruise?Please tell me what to do. Thanks, Sue ### REPLY: Dear patient, trauma to the breast had not been found to cause any breast cancer. Instead, it may simply .  However, breast trauma can cause bruising over breast, hematoma (collection of blood) in the breast, which if it gets infected can change in to breast access. Long term rare complications of breast trauma is traumatic fat necrosis which presents as a hard immobile lump in the breast resembling clinically to breast cancer, but it is not a cancer. You can consult your doctor to see if there is no hematoma formation or any other deep injury in the breast and can at the same time take some painkiller and antibiotic provided you don't have any allergy to them.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is there any medicine for nefrotics syndrome in ayurveda to cure it comletely? can it reoccur again? My child 2.5 years now was suffering from this syndrome last year. was cured that time. But there are chances for relapse & no medicine in allopathy which can rule out the same in allopathy. So I wanted to know that is there anything in ayurvedy or homeopathy to rule out the same completely My mail id is YYYY@YYYY ### REPLY: Hello Bhūmi, welcome to , Yes, of course, It is permanently curable disease with homeopathy. There are so many cases of nephrotic syn .  There is no specific medicine for that, but to select proper medicine to cure it requires detail history and according to that homeopathic treatment is given. So don't worry and consult to good classical homeopath and take proper treatment for any further help contact me on subhashponkiya@gmail.comHave a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 43yrs and 30wks pregnant.i have nail patella syndrome and have 3+ protein in my urine .i have had protein with all previous pregnancies however i was alot younger then.i have been feeling lathargic and worn out for the last week and this came on suddenly i also tend to go slightly yellow during the day.is this due to my kidneys and what do you recommend? ### REPLY: Hi and welcome to . Congrats on your pregnancy. As you know 30 - 50 percent of people with NPS have proteinuria and some tend to develop kidney failure with time. I would definitely recommend that you have a blood test to loom at your liver and kidney functions, measure urine protein by doing 24 hour urine collection and regularly monitor your blood pressure. Your local physician/ GP/ Antenatal nurse/ Obstetrician might be able to help you organize the above tests. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has had this large hard lump on his balls sac for a long time. He has had a vasectomy and were not sure if that has something to do with it or not. Just within the past week or so it finally burst and lots of stinky whitish substance is coming out of it and it is really sore. Do you have any idea what it would be? ### REPLY: helloThanks for query. Based on the facts that you have posted the lump that your husband has since a long time which burst and . The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Give him antibiotics like Augmenting with anti-inflammatory medication like Diclofenac twice daily. It should heal up within a week. If persists even after taking antibiotics you will need to consult qualified General surgeon for evaluation and get it removed in Toto. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 son has had mucus in his stool for the past two weeks. The stool seems fine, the mucus is there when I wipe his bum, light brown in colour. This evening he went to move his bowels but didn t, I wiped his bum anyhow and there was mucus with a liitle bit of blood in it. He was sick the last couple of weeks with an upper respiratory viral & conjunctivitis. Could they be connected? Very worried after seeing the blood. ### REPLY: Hello, As you suspect, it might be related to respiratory infection, causes mucus production. Small kids airways are very small, it takes time to clear completely. Their intestine is also very narrow, so small amounts may be passed repeatedly, for a few days, but be vigilant if he has any abdominal discomfort, fever, pain better visit a pediatrician especially if frank blood noticed. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a headache that started last night after I had dinner - I had fish which was in fridge still in package, however it was thawed out from frozen over a week. Today I have a fever, which is better with cold showers and advil. I woke this morning and had normal breakfast, and was able to go to church and grocery shopping, but feel horrible again now, have been also going to the bathroom, trying to drink lots of water. no vomiting, but feel tired and no energy. ### REPLY: Hello, thank you for posting your question here. You seem to have a viral illness going on, with the headache, fever and loose stools. I would suggest the following:1. Continue taking fluids for the loose stools, make sure you have some electrolyte-rich ORS also2. Zinc for 14 days will reduce the duration of diarrhoea3. Paracetamol for the fever and headache. You should feel better in 2 or 3 days, once your immune system recovers from the virus. Keep having fluids and small amounts of food throughout the day to keep your energy levels up. Get well soon ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have SGOT and SGPT levels as 331 and 169 respectively.I had suffered from jaundice 4 times earlier. Doctor told it may be gilbert syndrome. I do not drink and do not smoke, and maitain normal diet.Can anybody suggest what is the remedy from this high SGOT/SGPT?I am 27 years of age and my weight is 70 Kg. My LDL cholesterol level came out as 131. ### REPLY: LIVER Enzymes and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. These are liver enzymes which suggest liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionally done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have sinus infections on and off, now I am having a post nasal drip, and very bad breath, the roof of my mouth is yellow and my throat has pink sores on it,my tongue is always white despite good oral hygiene, am using Listerine mouth wash but it does not help especially with the rotten meat breath, how do I stop it?I also have tonsil tones once in a while ### REPLY: Hello and Welcome to , Thanks for writing to us. It can be caused by variety of things including diet, medication, poor oral hygiene, and diseases or conditions such as diabetes, HERD, lactose intolerance, gum disease, and more.  Maintaining proper oral health can help reduce or eliminate bad breath. Brush at least twice a day with fluoride toothpaste, brush the teeth after meals, brush the tongue, replace your toothbrush every two to three months, use dental floss regularly, see your dentist at least twice a year. Hope this helps you. Wishing you good health... Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi .... i am 25 yrs old and in the past few months have noticed what seems to be blood in my semen when i ejaculate ... at first it was brownish and it went away for a few months .... last night i had sex after 2months of previous ejaculation and noticed it reddish and darker .... i wonder why this could happen .... does placing laptop on ur crotch area cause this ? ### REPLY: Hi, I suggest that you get the semen analyzed. This way, we can tell what the exact composition of the semen is and what the blood in it is all about. Blood in semen could be caused by excessive sexual activity or masturbation, an infection, a prostate disease, etc. However, I will want to think that excessive sexual activity is probably the cause. This will be confirmed by the absence of no other findings suggestive of an infection. In all, probably linked to excessive sexual activity. Semen analysis would help with this. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, its been a couple of days now & for a moment, I thought my breast were sore well I took a look at my nipple & saw a red bump in the areola area. Its been there for a couple of days & the pain would come & go buy today, its just been hurting. Its super painful, I cant even touch it. It feels like theres something under the bump. Any suggestions on what it might be? ### REPLY: Hello! Thank you for the query. As the pain is strong, and the redness is present, most probable reason of your symptoms is a small abscess in the nipple area. Don't know if you are male or female, but this can be due to gynecomastia, some skin infection, breastfeeding, or even an inflammatory type of cancer symptom. I suggest you to visit a surgeon with this issue. An ultrasound should be done at first. If it's an abscess, needle function or incision might be necessary. 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 sir, i am suffering from e coli for last 1 year. I have completed my antibiotic course for 3 times in this duration. but all in vain. I feel burning sensation, sometimes low and sometimes high. very rare but i feel pain while urinating. But there is no frequent urge to urinate. no any prob with my appetite and no sign of fever. please suggest me some useful and helpful home remedies and help me out of this problem. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Recurrent UTI or urinary tract infection should be investigated. You should do ultrasound examination of the abdomen particularly kidney to find out the obstructive causes of any UTI like stone and other. I also advice you to do urine culture and sensitivity testing. When you take the .  Please take the completed schedule of the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter was treated for bronchitus with wheezing 2 wks ago with amoxicillin and albuterol treatments. She now has a double ear infection and is wheezing and coughing again. Her dr gave her check up 1 wk ago and said wheezing was gone. I took her to The Little Clinic because her doctor is out of town. They said she has bilateral ear infection and is wheezing. Prescribed her cefdinir and albuterol and pulmicort neubilizor treatments.  Does this sound like a proper treatment? The nurse there said she may have asthma triggered by colds/infections.  Looking for some advice. ### REPLY: Hi thanks for contacting ... Noted here your daughter having ear infections with wheezing... So yes bronchoconstriction is present... It might be from bronchiolitis or asthma. It can be allergic infection....CBC done .it might show eosinophilic. So nebulization given is correct treatment for bronchodilator and relieve inflammation. If condition severe steroid shot might be needed. After recovery pulmonary function test done to rule out asthma. If present then she might need maintenance inhaler with steroid. Try to avoid exposure to cold, dust, pollen etc... You can discuss this with your doc. 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 was jumping over a fence eleven days ago and hit the top of the fence with his shin. It was a hard impact and when he discovered there was a bump he put ice on it. It looked as if he was hit in the leg with a softball. That was the size of the bump. It was white. Since then, he has iced and put heat and recently been soaking in epsom salts. He elevates it when he can. The bump is still there, but has gone down in size somewhat and is now black and blue and his leg is stiff when he tries to walk on the leg. Is this all a normal healing process for a hard impact to the shin? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has history of trauma and injury. He may have hematoma formation due to extravasation of blood. Furthermore, he should take analgesic plus anti inflammatory .  It will help to relieve pain and swelling. Choral forte is also useful. Don't worry much about that. It is normal healing process. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I have some sort of nerve inflammation near my knee. No redness or swelling, but when I kneel or brush over it it has a lot of surface type pain, almost like a stinging burn. Not on the kneecap, lower, more like the upper part of shin on right leg. There is one spot that triggers it ### REPLY: Hi... Your knee pains. Is due to inflammation of patellar tendon and bursitis... I suggest you to do. Lot if icing...frequency can be once in every 2 hours Do gentle massage over your front thigh muscles... Gentle stretching of front thigh muscle and calf. Do strengthen of gluteus...to support your knee. Avoid walking more on your toes... If you have any Anti-inflammatory medications prescribed to you previously have them. Take fluids... Hope this is helpful for you.Revert in case you need any further help... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took MRI and they gave result as degenerative changes in l3/l4 and l4/l5 discs with posterior disc bulges causing thecal sac indentation with pressure over right neural foramen at l3/l4 and bilateral neural foramen at l4/l5 levels kindly tell me remedy for this ### REPLY: Hi, By seeing your MRI report it confirms that you have intervertebral disc prolapse at L3/L4, L4/L5 which is causing compression to nerve roots which are emerging from vertebral foremen, you need to undergo discectomy surgery the earliest possible, before surgery limit your activity, take bed rest, continue with vitamin supplementation and analgesics. Consult neurosurgeon or orthopedic at earliest. 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: From past 3 months i am suffering from cold and cough, i undergone as per doctor advice and taken course. But if i stop mediciens then the cold and cough will start. I taken all the PFT test too and results looks good and also did all other tests lile Urine and bllod test too. But my reports says good. While cough i get lot of flume. Please advise how i need to control my cold and cough. ### REPLY: Hi thanks for asking question. Noted your pulmonary function test normal. You are suffering from repeated cold. CBC done to look for eosinophilic. Suggesting allergic infection... Antihistaminic taken for allergic infection. If needed prophylactic montelukast like . . Avoid exposure to allergen like dust, mite, pollen etc.... If you have acid reflux disease then it can lead cough by irritation... Dextromethorphan can be used for  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tooth in the front of my mouth I was knocked out and then I got a really bad toothache and came to a head on the top of my gum so I popped it and infection just came using out I mean just losing losing losing losing like I don t even know where it was all coming from but . then the next day I started getting sharp pains in the right side of my head above a bump it s there on the right side of my head above my ear they would only last about 3 seconds each time and it got more frequent drought the day no I m sad today I have strong urgency to pee a lot I mean frequently and I m wondering if there s a way all these are connected if it s some sort of infection or what ### REPLY: Hi, Good Morning, Thanks for your query to  online Clinic. I have read your query in details.-Dear In My opinion, the answer could be YES and needs detailed investigations from Physician/Neuro-physician as a team.-Causes-The dental trauma with toothache followed by infection and then urgency to pee frequently, may be due to secondary urinary infection after tooth infection / or may be due to bladder ulcers /pineal gland infections post upper jaw dental knock out- extractions.-Remedy -Consult a dentist or oral surgeon who would fix the issue with treatment accordingly.-Hope this would resolve your query. Wellcome for many more queries to  from your friends and you in time to come. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey......me hitesh malhotra......my sister suffering from multiple sclerosis disease from last 4 yrs.......this time she is not walking independent....nd feeling tiredness......me just know about the any succesfull treatments of multiple sclerosis........ ### REPLY: Hi, I am .  I have read your question and understand your concerns. Let me try to help you Question : any successful treatments of multiple sclerosis........ Answer : Yes. The latest Interferon Treatment is having high success rate Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr I had grey hair ,so I applied vasmol hair oil and it showed me too much of reaction.There was watery drops like a puss formation dropping from my scalp.my face got swollen.There is itching through the body.I took allergy tablets for that and it has been reduced.And very soon even on my face I have got allergy and too much itching.I have lot of dandruff on my head.so plz can u suggest wat is the treatment for my face.Its very dry and got full allergy. ### REPLY: Hi sir I will give you best medicine for grain of hairs and for your allergy. Use MAYA BHANGRA TAIL FROM Banach pharmacy it will not only stop grain of your hair but also rejuvenate your hail follicle for further growth and strength. As per your itching is concerned please use Banach Somali tail and apply over the affected part, you will get excellent results after using this. Hope I was helpful. Have a healthy day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.I am 36 years old femail ,have 2 kids.. I do have pain in my right side it hurt all side. When pressing pain goes to belly button. Doctor did a blood test and found H. pylori IgG ,Abs. I was on antibiotics for a 14 days. But now things got worse. I started to have more pain and about 2-3 days I am very thirsty.An the right side rely hurt. Sometimes is under my ribs,sometimes it is lover. Doctor sending me to Gastroenterolog, but appointment so far away and I do feel bad, and starting to panic that something rely bad is going on. Thank you for help ### REPLY: Hi, welcome to heart care magic family, from your history it seems you might have attached of acute appendicitis. Long course of antibiotic might suppress the symptoms, but now it is possible that pus is formed and localized to fix part, mostly underneath the appendix. There are all chances that there is rupture of appendix.  Of course, these are the possibilities I conclude from history.  Without waiting for appointment of gastroenterologist, you immediately consult surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 57 year old female diagnosed with mono April 3. Prior to that, I was very active, running 40 miles/week, and running for over 33 years. By April 6, my white blood cell count was back to normal. Since then, I have had periods of weeks when I felt relatively good, as well as periods, as i am in now, when I am fatigued, sore throat, sleep 10 hours/night, no activity, etc. I have had more blood work done to rule out thyroid, B vitamin deficiency, etc. I teach health, so feel confident is saying that I eat a relatively healthy diet high in fruits, vegetables, etc., take a daily multivitamin, B-12, and calcium.  I would have thought I would be better by now, but this current "relapse" has been the almost the worst, with the exception of not having a consistent sore throat. Is there anything I can do to help me recover from this frustrating malady besides the things I am doing now? ### REPLY: Hello, Welcome to , Infection with Epstein-Barr virus (ABV) is very common and usually occurs in childhood or early adulthood. ABV is a contagious infection that spreads from person to person.ABV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with ABV infection. Individuals with ABV infections requires1. Adequate rest 2. Plenty of Fluids3. Corticosteroids to treat significant swelling in the throat4. There is no specific medicine to treat ABV infections. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor my son is 3 years old and 3 months since 1 month we changed his milk from similac to nido but since 2 weeks he is having severe constipation and suffering too much .He had always refused vegetables and fruits but he never suffered that much from constipation. .is it possible that it can be from nido milk...? ### REPLY: Hi... Thank you for consulting in . I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ .  Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey! Im 18, and have had a stuffed nose since friday, accompanied by a cough. However, the past two days have also brought on nausea, weakness, fever, aches and pains, and tonight, thirst. Could this just be a bad case of the flu? The last time I had this it was malaria; which isnt possible in the USA...right? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of nausea, fever and pains/aches, stuffy nose which is due to upper respiratory tract infection leading to common cold infection. Chances of malaria are less than then you will have high grade fever. Steam inhalation is very effective for you. Take diet rich in vitamin B12. I would suggest you to consult pulmonologist/ ENT specialist and get blood test done. You should take antibiotics along with decongestants and bucolic agents. You should get an x-ray of the chest and pulmonary function tests done as well. Furthermore, you should avoid hot, sharp and spicy foods. Furthermore, you should take expectorants. Furthermore, you should use throat lozenges and go rinses with warm saline water. Furthermore, you should do tepid sponging if fever is of high intensity. Maintain basic hygiene to prevent any further infection. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END