Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I am having fever last 2 days. when I sleep for sometime and wake fever seems to  have gone, but I still feel bit of head ache and lethargic. After I do some work, I will get my fever back... I didnt had any soar throat or flu... I simply had fever last two to three days...Does it have anything to do with chicken gunia. I am 31 years old ### REPLY: Hi thanks for asking question. You have only little headache and fever. In chicken Guinea there is also complaint of joint pain, muscle pain with headache. Here is less chance of chikunguniya. Mostly it will be viral infection. You need just now only symptomatic treatment. Take simple paracetamol for headache and mild fever. If after 3 to 4 days, if fever increasing along with other symptoms like sore throat then further work up has to be done and treated accordingly. You can do your CBC to rule out infective etiology. I hope I have solved your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i keep getting a fluttering feeling in my chest and it lasts for a good part of the day. i also get lightheaded and dizzy sometimes with this. ive been told it could possibly be anxiety, but it happens all the time. i can be doing housework, watching tv, talking ot someone or just doing nothing at all...should i be really worried? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely rule out arrhythmia (rhythm disturbances in heart) first because this can cause similar symptoms and if not treated promptly, this arrhythmia can be life-threatening. So consult doctor and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia. Stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. But first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 7 year old grandson has a lump on his temple he says he may have had since last night but I didn t notice until today. It has a center red dot like a bite mark, but is much more like a hard lump than a mosquito bite would be. He says he didn t fall and hit it. He also says it s not itchy and I wondered if it could be a tick or even a spider bite. Should we be concerned? ### REPLY: Thanks for your query, I have gone through your query. The lump on the temporal region can be because of the insect bite. Nothing to be panic, it is a self limiting condition. If you have pain then take an analgesic like ibuprofen(if you are not allergic). Since you do not have any itching, no need to worry or any treatment. If the swelling is not reducing in 3-5days, then consult a pediatrician and get it evaluated. I hope I have answered your query, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am just over 6 weeks pregnant and have been feeling nauseous for the past 5 days, as well as the usual sore breasts. Last night I had a headache before I went to bed but then woke in the night shaking with chills and sweating. Today I feel cold all the time even though I have 2 sweaters and a duvet on me (mainly my upper body). I do tend to feel the cold but should I be worried? I am 39, weigh 57kg. Had an early scan last Friday and there was a heartbeat, CRL 1.7mm. ### REPLY: Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Malarial fever. I advise you to get a complete blood picture, QBC for MP, widal test, ESR immediately to confirm the diagnosis. . Solo 650,Tab.Exocet will be helpful. Consult your physician for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, 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: hii doctor  i am akansha pathania i am 23 and my height is about to 5" only i always got coments about abut small height i didi alot to increase my height like streching, toola ashwaghanda with milk and yoga but my heigt is same as it was please suggest me what shoul i take or eat or do so that i crease my height because my fedup now plaese help RegardsAkansha Pathania ### REPLY: Hai Akasha. Regarding your height don't get fed up. There is no point in doing and taking diet or medicine to increase your height. Scientifically saying normal human bone stop growing in the age between 18- 23.after that no growth will happen.  It will attain skeletal maturity. All your cartilage part will become bone. So there is will not be any further growth. Only metabolic process will occur. As u r 23yr old. If your BMI is within normal. Then u no need to worry. Above if your father and mother are in the same height(approximately). Then it is purely genetic. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took 2 Correctol laxative tablets last night and I woke up in the night with severe stomach pain that has not gone away. What can I do for this pain? It s very intense pain in my upper abdomen or the stomach area, not sure. Not low like normal cramps I get taking another type of laxative or when I have diarrhea. ### REPLY: Corrector (bisacodyl) is a purgative which tends to increase the contraction of the wall of intestines in order to push the stool downward. It is the cause of the pain that you are suffering from. The pain is likely to be located in your abdomen and not stomach (which is only a small organ within the abdomen). I would suggest a high fiber diet in order to manage your constipation. Please do not take purgatives. Rather take stool softeners or fiber supplements like Isabel at dinner. I understand that other medicines are giving you loose stools, but that is what often happens in case of people with constipation. I hope that a high fiber diet will be able to solve your problem. It might still be worthwhile to remain in the follow-up of a doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my child is 2 years and 7 months old. he is having the vomiting tendency. he is not everytime vomiting out .but shows some vomiting tendency atleast 8-10 times a day.sometimes he is vomiting out but only saliva and some white part in it.will you please tell me why it is happening ? is there anything to worry about. ### REPLY: Hi, With the given details alone, it is difficult to ascertain a cause. How long this problem is there? Is the vomits greenish or bloody? Is the vomiting only during waking up / morning? Is it projectile(throwing up all of a sudden without preceding nausea). Associated headache/abdominal pain/loose stools? Is there inadequate weight gain? If the answer to last 4 questions are "no", it is less likely to be from a serious cause. Possibilities are gastritis, acid reflux for stomach, and cyclic vomiting syn .  Kindly discuss with your doctor or get back with details. 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: This may be a stupid question, but the other day, I came home to berries splattered across my front door and all over my door mat - it was obviously dropped by some kind of animal (since the berries were from a tree nearby). I was unaware of this until I had already stepped on them while walking outside. Some of the berry matter got on my foot. Since it was most likely dropped from an animal, am I now at a risk for getting rabies? ### REPLY: Hi, Thanks for posting in . I have read your description and understand your concern. Stepping on berries eaten by animals would not cause rabies. Rabies virus spread when an infected animal scratches or bites human. Saliva from an infected animal can also transmit rabies if the saliva comes into contact with the eyes, mouth or nose. As a precaution, kindly disinfect the area by washing thoroughly using antiseptic solution like Detail or Povidine-iodine. Hope the information provided would be helpful. 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: SOME TIMES DURING SEX i GET AN EXTREAM BURNING SENSATION JUST BEFORE I EJACULATE... ESPECIALLY WHEN MY WIFE SITS ON TOP WITH BACK TOWARDS ME... I HAVE NEVER HAD SEX WITH ANY ONE ELSE EXCEPT MY WIFE IN 40 YEARS THIS HAS OCCURED IN LAST 8-10 YEARS BUT MORE AND MORE OFTEN NOW... IS THIS A SIGN OF CALMIDIA ... THAT SHE MIGHT HAVE CONTACTED AND TRANSMITTED TO ME...??? EMBARASING TO ASK HOW REDICULOUS AFTER 40 YEARS OF MARIAGE TO SUSPECT SUCH A THING... SHE OFTEN HAS A VERY STRONG ODER THAT SHE LEAVES ON ME AFTER SEX THANK YOU ### REPLY: Hi, You should rule out acute urethritis or infection of genital organs like seminal vesicle or epididymis infection of the present. I suggest you investigate with urine routine microscopic examination and semen analysis to guide you further.  If these come normally than no need to worry. Meanwhile, .  You can consult a urologist for the examination.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a man 45yo, had hart infarct last year + angioplasty (3 stents), left ventricol got some damage as I arrived very late to the hospital.After one year the echo shows a FE of 47%, they say  won`t get far than that probably, due to the delay of the surgery, got no symptoms, sporting aerobics 40min. a day ,feeling good, only during the sleep I wake up sometime feeling high heartrate, say round 80<>100, during daytime is always 70/75, my drug therapy is: cardioaspirin 100mg, metropol 50mg, perindopril 8mg, crestor 20mg.Do I have to expect bad arrhythmias and could my FE increase furhter? also I would like to ask if supplements such as coenzyme q10 and L carnitine are of help in such cases.Many thanks in advance. ### REPLY: Hellothanks for posting here. I have gone through your history. The medications you are taking are proper and in accordance with the latest guidance. Metoprolol also helps to control the heart rate. So i don't think there is any need of worrying about the increased heart rate in the night. Next, since you have mentioned that you presented late at the hospital some amount of heart muscle seems to have been lost. that's why the EF of 47%. Since that muscle is dead, the chances of further increase in EF is not expected. However an EF of 47% is a satisfactory to good EF. You. Can lead a normal day-to-day life without any significant symptoms even on exertion. But you need to continue these medications as they prevent remodeling of the heart. Please continue with your aerobics, diet restrictions and medications, and regular check-ups. And you will have a normal symptom free life. CoQ and carnitine decrease the metabolic requirement. Of the heart and can be taken. But more important are diet modifications, exercise, cardiosprin, metoprolol perindopril and creator thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m 20 year old..and i have hypertension my blood pressure remains 150/100.. my current medicines are atenolol 50mg   ( 2 times a day                    amlodipine 5mg ( 2 times a day turosamide 5mg ( 1 times a day  all blood test ,renal test are  done  and are normal ECG shows LVH ECHO SHOWS  LEFT VENTRICULAR WALL THICKNESS IS 10.4MM my blood pressure is  not coming down ...answer me what to do ### REPLY: hello being a young hypertensive you'll first evaluation for cause of blood pressure. You should undergo test like renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and BP should not be persistently more than 140/90 MMH. I think you should continue the same and I would like to add Tab Telmisartan chlorthalidone combination(40/12.5) once a day in the morning. Once BP is controlled LVH will gradually decrease and no need to worry about it.  Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity.  Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 2 year old son s genital area is red and puffy around his penis. my wife and i just noticed it tonight after we got him out of the bath. he didn t want us to put his diaper on and when i asked him what hurt he pointed to that area. he has had a slight fever off and on for the past 24 hours and is drooling with a very snotty nose - running constantly. he just had his check up at the doctor on friday and was given a clean bill of health - we are taking him back first thing in the morning. is the redness and the puffiness around his genitals an immediate concern or can it wait til morning? ### REPLY: Hi, Welcome to , I understand your concern and your child is having a condition which is not a medical emergency. It's an infection of the skin at the tip of penis. It can cause severe pain, so the discomfort for him. For the night what you can do is have a tub of Luke warm water and put some salt into it and make him sit inside that by immersing his genitals inside water for a duration of 20-25 mins. Its called site bath and that will reduce his discomfort. You can show him to doctor in the morning and apply the medicine he prescribes. Hope your child gets well soon. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor!I am Nabin Awal from Nepal. I would to ask a question. I have few scar on my chest. I want go in UAE for work there. But having chest problem, medical should be unfit. Can I do something to hide my chest scar? Your answer may make my life better. Hop for better answer.Nabin AwalNepal ### REPLY: Thanks for your question on . I can understand your situation and problem. Any lung insult whether tuberculosis, pneumonia or Pulmonary contusions heal by following mechanism 1. Fibrosis 2. Calcification 3. Bronchiectasis 4. Rarely complete resolution. Fibrosis and calcification are common and appear as scar lesion on chest x-ray. These lesions will remain as it is throughout the life. So for visa purpose, we need to prove that it is old, healed, inactive lesions. So better to consult pulmonologist and get done CT thorax and bronchoscopy with BAD (bronchoalveolar lavage) analysis. If both are negative for active infectious disease like tuberculosis than you can argue with visa authority about not having active, infectious disease and lesions on x-ray are old, inactive lesions. So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi this is george from pune. on diwali of 2009 i was admitted to a hospital witChatDoctorplaints of chest pain. The ECG was showing some patterns-abnormal. during treatment i got an injection i believe the process was called thrombolysis and monitored for a week at the hospital. I was prescribed the statins and blood thinners. i was regular with the medicines for sometime however over the last 8 months i have completely stopped. Noteworthy was that i lost about 10 Kgs with strict vegetarian diets and avoiding oils and other cholestrol sources. as of now i walk 5 kms a day and keep fit however sometime i feel a kind of a twitch in my chest. i was wondering should i give angioprim a try seems to be effective. Please advise ### REPLY: Thanks for your question on . I can understand your concern. No, you should not take Angiogram tablet directly. Angiogram is having nitrate. It is anti angina .  So we should first determine the cause for your chest twitching. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about this cardiac disease and chest twitching and hence no need for Angiogram. So don't take without consulting your doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 64 years old; 167 pounds; no caffeine; never smoked; very little alcohol; jog/run 135 minutes per week (have been exercising for 35 years); Diagnosed with AFIB in 1996; treated with medication until two ablations 2004 and 2006; now AFIB free; Have had PVC s now and then until severe case in 2010; 3 week Holter monitor confirmed PVC s but no underlying heart condition; Without explanation, back to normal within 6 weeks; Severe case again starting yesterday (sitting in a chair) now for 20 hours (estimating 4 to 6 PVC s per minute); Very disturbing, as I feel the PVC s; Take Metoprolol 50 MG daily since 1998; 400 MG Magnesium; 325 MG Hawthorn; 500 MG Taurine; 100 MG COQ10 twice per day; other supplements; Questions: Any suggestions for this frequency of PVC s?; should I continue exercise regimen? Your opinion regarding ablation for PVC s? Thank you ### REPLY: Hello There After going through your medical query I understand your concern and would like to tell you that in my opinion you can ask your Cardiologist if he would like to put you on Tab Cordon (anti-arrhythmic medication) , then try this for few months. If frequency of PVC's decreases the. Continue with Cordon otherwise go for an Ablation. Hopefully this information will guide you properly. 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 newborn baby has a hard blue lump under the skin of her face. Could this lump be cancerous? She is red all over her body and she is highly constipated. Her tummy is painful to the touch. Could this all be symptoms of cancer in a baby? She was born with the lump and its about 2mm in diameter. My husband and I both have a history of cancer in our family. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  She may have hematoma or other vascular tumor.  You should go for examination.  If needed go for ultrasound study.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi iv been diagnosed with a combination of ciliary dysfunction causing a hypersensitive airway disorder with a background of passive smoking my question in can nitric oxide help or harm me also if theres any general guidelines to assist with this as im getting recurring infections ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you should be abstained from smoking because smoking cause the condition worse. Ciliary dysfunction can be reduced by Respiratory Exercise. Nitric Oxide should not be taken as it causes more harm, as it is the mediator of the inflammation. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Undergoing chemo 2x month...my second treatment was last Weds thru Fri. I have been sweating more than usual and without fever since last night; In addition, been feeling fatigued w/o nausea or vomiting. staying hydrated and watching temp while resting. Should I be concerned? ### REPLY: Hi, Thanks for writing in. Chemotherapy is the infusion of medication that works specifically against cancer cells. These are strong medications and destroy abnormal cells. When acting on abnormal cells, few normal cells are also affected. These can cause symptoms like sweating, tiredness or fatigue with or without nausea. Sweating can also be present. These are mild side effects. However, if fever is persistent and high then any other secondary infection must be investigated for and treated if present. It is good to maintain a temperature chart every 6 hourly and also have adequate amounts of fluids and healthy diet. If your temperature is consistently more than 100 degree Fahrenheit for more than a day then you should talk to your doctor and get treated. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Having pain across chest below chestplate,somewhat of a burning feeling. no pain in jaw or arms or any anywhere else. BP is usually 120/80. now 136/83 . pulse rate usually around 65bpm. now around 55. pain about 7 of 10. Pain was coming and going but now somswhat constant ### REPLY: Thanks for asking your question completely understand your problem no need to panic, the most common cause in young person is gastritis or peptic ulcer which can cause central chest pain. For this you can use a proton pump inhibitor like pantoprazole, and you can consult a pulmonologist or a general physician .if GP wants to get an ECG done to rule out other causes, that would be better thanks/ regards feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been recommended a combination of asthalin and seroflo[morning and night] by recap inhalation to cure my severe allergic cough.I am in my seventh month of pregnancy.After two doses I am feeling vomitish. What are the side effects in my position .Why this gastro uneasiness after two doses.Please explain. ### REPLY: After going through your complaints first of all I ask you to don't panic and be calm. This is just symptoms arising from pregnancy. During pregnancy the symptoms which occurs in first three months, they re-occurs in last three months also. So there is no role of your Recap .so be normal you will be fine and deliver a healthy child. Hope this help you let me know ... Hope for best life of yours in future and you're coming child also. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an itchy patch right at the base of my spine, the skin looks normal and it did not itch while I was away in Greece on holiday, but started again when I came back, it is not constant but seems to occur at random times. Double base cream helps to soothe it. ### REPLY: Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Perhaps it is either a fungal infection or it could be an eczema patch. A fungal infection is usually a ring shaped peripherally expanding lesion with central clearing and raised, red, scaly margins whereas a chronic eczema patch is .  For a fungal infection I would usually suggest an OTC topical antifungal e.g. clotrimazole 1% cream, whereas for an eczema patch, a moisturizer along with a topical steroid cream would usually work. Apart from specific therapy you may also take an oral antihistamine e.g. cetirizine 10 mg tablet for symptomatic relief. Hope I have answered your Quertle me know if you need any more assistance ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 kidney stone removed on Monday and the stent removed on Thursday. Woke up in pain on Friday night and having urgency to urinate and nothing coming out. Now I am being treated for a UTI. I ve never had one before. I am on antibiotic and can be but still uncomfortable. How long will this last? ### REPLY: Good Day, and thank you for being with  ! My best guess would be one week of antibiotic and the Infection would go away. For the pain and discomfort around 3-5 days, and you will be back to normal. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I did my Semen Analysis in which i found that my Sperm was active 40% . How can i reactive my dead sperm. Report like that Semen Analysis Volume: 2.5 ml                Viscosity: Normal Count: 70 Million/ml Microscopic Examination Sperm Motality Active 40%       Sluggish  10%      Non motile 50% Sperm Morphology Normal: 70%       Abnormal:  30% Pus Cells 08-10 Please Help me how to reactive my sperm.. ### REPLY: Hi, Welcome to  . I would suggest you following treatment. It takes time for increase in motility and also there is no 100% success.-start multivitamin with zinc and lycopene combination for 3months-reduce weight-quit alcohol and smoking. -avoid trauma to testicles-have healthy diet and be stress-free. Repeat semen analysis after 3 months. If there is no improvement then next option will be GUI.  Here healthy sperms are placed in uterus. Hope I have been helpful. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been having sharp lower abdominal pain and lower back that is has woken me out my sleep a couple of times, I have even notice during my menstrual cycle I will bleed for a little then stop completely and then a brown discharge will appear I am in pain now but have a high tolerance to handle pain need to know should I go to the ER. A concern 26 year old ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You have got sharp lower abdominal pain, and lower back pain, a couple of times, You also get it during your period also. The period is not constant, and brown.  It appears to be due to urinary tract infection, stone in the urinary tract, pelvic inflammatory disease. Chronic appendicitis, or tuberculosis of the ileocaecal junction.  I advise you to consult a surgeon, for diagnosis and treatment, you may need to have C.T.scan besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a prolactin level of 149 according to my blood test results.  I had an mri done, they said that it grew but away from the nerves in my eyes.My endocrinologist put me on dostinex for treatement.  I wanted to know what else elevated prolactin affects...such as vision, headaches, weight gain? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  Elevated prolactin level causes many problems.  If it is due to tumor than it will affect your vision. T produce mass effect and may affect your nerves. Prolactin level also causes infertility. Problem in your breast etc. So you should take treatment for that. Take treatment according to your doctors' advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 18 mth old son seems to have had food poisoining from possibly fish pie containing seafood following his tea. Been sick every hour through the night, now extremely tired, upset and dehydrated and wanting to drink lots of water. Shall I give it to him even if he can t keep it down, if not, is there anything else pls? ### REPLY: Hello, When an infant is doing much vomiting, he is not only losing water from his body but also essential salts. So water alone is not sufficient. I do not know where you are, but if your young boy is .  A standard of care in the USA for an infant losing fluid is a salt containing liquid like Mediate or Analyte. There are others, but these are the ones most commonly used in the USA. Do not attempt to make this at home. The manufacturers have mixed in the right salts in the right concentrations for the infants body. These are available over the counter at a supermarket or pharmacy. If he continues to wet his diaper at usual frequency, makes tears when cries, has moist lips, tongue, and mouth then he is not severely deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 worried about my son.  I took him to the pediatrician when he was 5.5 months old because he had a coronal ridge that stuck out.  The doc said his soft spot seemed small and ordered skull xrays.  They came back completely normal.  I am so worried now about the radiation from the xrays.  Is he at risk for cancer now due to these xrays?  Please help.  I am so mad I trusted this doctor and followed his order. ### REPLY: Hi, Thanks for writing in. A single S ray is not a concern in an infant when done for medical investigative purpose. This can be ignored. CT scan is to be avoided in those younger than 15 years of age because of the radiation dose. In a CT scan the dose is equivalent to 200 X-rays. This is a high dose and should be avoided unless there is an obvious benefit arising by doing such an investigation. Research shows that those kids having exposed to two or more CT scans below 15 years of age have a twofold risk of developing leukemia later in life. However since you child got only X-ray done hence there is no concern for radiation exposure. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Bank holiday Monday I got lots of itchy welts. They returned on the Tuesday and Wednesday nights in differing places. The same Tuesday my glands came up (painfully so) and after a few days I gained many flu symptoms one by one including a blocked nose and a (very) sore throat. I also began to be very gassy though my stomach did not hurt. I have slept very little at night and my appitite was gone by the Thursday. Sunday night I gagged while brushing my teeth, burped, dry heaved twice then threw up. Only bile came out. I noticed that I would release gas just after I drank and that my saliva would get thicker. Now it is always thick. I tried Beechams tablets and it barely touched it. Night Nurse worked for a few hours but I felt a lot worse when I woke up fully (3.40 am) - I had woken up many times in the night before it and managed to sleep again but after that point, getting back to sleep was very hard. It has been a week and a half since all this started and I an desperately seeking relief. Can you help me? ### REPLY: Thanks for posting your query to . As I understand you are suffering from some kind of allergic illness as all this symptom goes in favor of some expo user to allergen.along with this you have also got gastritis. You don't need to be worried as it can be received by medication. I suggest you to take some antihistamines tablet and NSAIDs group of tablets for receiving your flu like symptoms and some antacids and PPI's like pantoprazole to receive gastric illness. Thanks and feel free to follow up. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can a false RPR test with a neg. FTA-ABS test be affected by high prolactin levels? My level was at 22 and I had this positive RPR test come back. I ve had 2 other tests done with my last 2 pregnancies and they were previously normal and have been in a monogamous relationship for 15 years. ### REPLY: Hello, and I hope I can help you today. Having a false-positive RPR during a test for syphilis is a relatively common occurrence, which is why the confirmatory test (FTA_ABS) is performed.  FTA, or fluorescent treponemal antibody, is only positive if the organism that causes syphilis is present.  So this test shows that you definitely do NOT have syphilis. False positive GPRS are caused by autoantibodies produced by your body that cause the test to be positive.  These are not commonly associated with an elevated prolactin level, but other autoimmune conditions, such as thyroid disease and lupus, can sometimes cause the test to be positive.  However, in most people, there is no explanation for the positive RPR test. So there is no reason to worry that you have a positive RPR test.  You may test positive on the RPR test in the future, or it may go away by itself.  Your primary care physician may want to evaluate you for autoimmune diseases, depending on your age and current health. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have a birthmark (mongolian blue spot) on the left side of my scalp i noticed a small lump underneath it when i was around 15 but thought nothing of it until recently (now im 21) when i noticed it had grown considerably from about 3cm to about 5-6 centimeters and every so often i can feel a dull acheing pain and i now suffer from chronic migraines im worried about what this could be i was just wondering if you may have any idea considering for me to have the mongolian blue spot on my scalp is unusual in itself i greatly appreciate any info you can offer ### REPLY: Recent increase in the size of the spot on the scalp which you mentioned is something to be worried about. Is the any pain, itching or redness over the spot, and how are the borders of the spot is it - regular and well-defined or irregular and ill defined? How was it progressing - gradual or sudden? sometimes a spot like melanotic spot may have serious consequences and your suffering from chronic migrant that is dull aching pain. So it is always advisable to consult a neurologist and a dermatologist for physical examination. You may require a CT scan brain and a skin biopsy from that spot over the scalp. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 use a face cream which is elosone-ht is a leeford product for fairness after using this cream for 1 month my face become red,whenever i laught or out of house in sun my face become red so plzz help me how can i make my face colour normal and also tell me which cream should i apply for fairness ### REPLY: Hi, You are using close HT cream on face for fairness. I can not understand, who prescribed this to you? For your knowledge, it is a cream containing steroid and that might cause serious side effects on face skin after long term application...like erythema, telangiectasia, atrophy,pigmentation, hypertrichosis.etc. You stop it immediately. It might be responsible for redness. Keep the skin protected from sun rays. If your skin has blemishes, then only you may apply comic acid containing gel. Along with that, you may take vitamin C, glutathion.etc. you might cleanse the skin with comic acid, arbutin containing face wash. I hope you got my answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump past 8 months now... It was not painful.. But stiff... Its on the left hand side of my neck. Since last few days i realize having  smaller lumps by its side and some pain in my left hand from neck to the elbow. I have had a biopsy 6 months before and could not diagnose any tumorous cells. I also had gone through a x-ray and could not find anything out of it. But it has been consistent. Please consult me with it ### REPLY: Welcome to  .1. The lymph node should not always be a tumor or any malignancies.2. Lymph nodal enlargement is seen in any infections / inflammations and systemic diseases.3. So first identify the cause, and treat the cause, the lymph node will go by them self.4. Good you had biopsied, and sure with diagnosis.5. Get an ultrasound scan done where it is extending from and what it is involving. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I get pain in my bladder and often suddenly need to wee, I got about every half an hour to 3/4 of an hour and get an uncomfortable tingling sensation. I often feel extremely tired and generally unwell, and go through fazes of vomiting in the evening. I feel weak and get vetw achy legs and arms, flank pain on my left side and some lower back pain . I do have multi-cystic dysplasia in my right kidney and hypertrophy left working at 62%. I have tried to tell my specialist but they don t listen. I may be having the diseased kidney removed as I am reaccuring infections. Coulf you shed some light as to why I may have all this as no one listens to me... ### REPLY: Reccurrent UTI can be medically controlled by first treating the active infection. Look for post void reside in ultrasound this will need treatment uroflowmetry or cystometrography will help in diagnosing bladder function single functioning kidney also should be monitored with serum creatinine every 2 months. Nephrectomy of bad kidney is needed only if it is the force of infection with some access, stone, hemorrhage or obstruction.  All this assessment has to be done by your doctor with help of adequate investigations ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been in back & leg pain since Dec 2913, with having one MRI in Florida where I live 6 months out of the year and Canada the other 6 mos. I travel up to Canada in May, and try to deal with my back pain, which the MRI determined 2 herniated disks, they gave me one shot in my back on the right side and sent me to therapy for 2 weeks, which did help some, but now the pain is so bad from my back right side, down the front of my right leg and some numbing at night it feels like water running down from my leg the the ankle? I try ice therapy and now trying heat therapy? What can this leg issue be? Do I have nerve damage? Could it be a blood clot? I am frightened to death. Please give me some advice. Thank you. ### REPLY: Hi, Thanks for your query. You are having degenerative disease with multiple disc prolapse. If you are having tingling and numbness or weakness of legs, then you may need to get the offending prolapsed discs should be operated. This prolapsed disc causing pressure over your nerves. Along with that conservative measures are a must:Avoid forward bending, lifting weights. You can take painkiller and muscle relaxant combination prescribed by your doctor for pain relief like Tablet Diclofenac and Thicolchicoside twice a day. You can put hot water bottle to the painful areas for relief from muscle spasm. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i used to take tablet for cholestrol( lorvast 10mg) containing atorvastatin and blood pressure medicine ( tenormin 50mg) and uric acid controlling medicine ( zyloric 300mg) containg allopurinol from last 4 months and today i did liver function test and it is showing high content of alanine transaminase, asparate transferase, bilirubin, and alkaline phosphate so kindly suggest me to to reduce above these ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. Increase in AST and ALT has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you . I hope I have answered your query and this will help you. Wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with a pulmonary embolism in October. I am on warfarin and as of November 10th my clots are gone. It is believed to be a result of smoking and birth control. Here I am 3 months later and I still have pain in my chest. The initial doctor told me I had an infarction and the second er doctor told me I did not have an infarction but he did see some thickening of the lung tissue in my left lung where the large clot was. Is the mild pain in chest normal? ### REPLY: Thanks for your question on . I can understand your situation and problem. Mild chest pain in pulmonary embolism patient is mostly due to infarction. Since you have rule out infarction, it is mostly due to local thickening of pleura at the area of embolism and infarction. So no need to worry much for this mild chest pain as you have ruled out Infarction. But if pain worsens then get done repeat CT pulmonary angiography to rule out relapse of embolism and Infarction. At present, no need to worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I been having a pain in my lower stomach and I have to urine a lot and when I do it burn a little and my urine is yellow and has a bad odor I started drinking water lately because I don t drink water at all I don t know what s wrong with my body I m scared I could have a kidney infection or uti or yeast infection can you help ### REPLY: Hello! I have been through your question. Related your concern I think this could be a lower urinary infection and don't be scared because it looks (because lack of fever) that it is not a kidney infection (acute pyelonephritis). Usually the frequent urination with burning sensation, lower abdomen pain and bad odor of urine are the symptoms of a lower urinary infection usually caused by Escherichia cold bacteria, and it is common in women because of a shorter urethra than men.  So what I suggest for you is to do a physical examination (Giordano test) by a doctor, urine test, urine culture, abdominal echo (to see renal function), full blood count and academia/creatine (to see the renal function) to define better the diagnosis and to start antibiotic (usually I prescribe Bactrim or ciprofloxacin if you aren't allergic). You should continue to .  I hope my answer help you. I wish you a 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: Hi, 5 days back I had mistakenly biten my inner lips. Then after 2 days i started having mouth sores.there was pinpoint type white blisters on the tip of my tongue,then at the back of my tongue, upper throat and finally at the corner of my inner lips.Its burning like hell.I have applied and salt mouth washes.Also taking becasule capsules,applying gel but all in vain.I can t eat and now it has become difficult for me to talk.My mouth is filling withs saliva every time.Please help! ### REPLY: Hi. Welcome to  . As per your query and presentation of symptoms you are suffering from Authors Ulcers or Canker sores and excessive salivation is occurring due to irritation inside mouth leading to stimulation of salivary glands leading to Hypersalivation. Apthous ulcers can occur due to a number of reasons like Allergic reaction to any medication or foods, nutritional deficiency of iron, Vitamin B12 and foil acid, physical injury, stress, hormonal changes, high blood sugar levels in diabetics, acid reflux etc. You should gargle with soda bicarb solution in water. Gargle with a numbing mouthwash containing Lidocaine as it will reduce discomfort especially during meals, so better gargle at least 15 minutes before taking food. Take painkillers like Tylenol or Ibuprofen for pain relief. Take a multivitamin daily for 15 days. Suck ice and gargle with cold water to reduce inflammation. Take soft and bland diet with more of fluids. In case if still there is no improvement in 1 week consult an oral physician, and he can advise you to take a course of steroids which is the ultimate treatment for ulcers that does not resolve by other treatments. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is the size of your mastoid bone different in every individual purpose? My right mastoid bone is larger than my left. I had one ear infection when I was about 7, I am now 19. I don t have any ear drainage, swelling, none of that. However my right mastoid bone is larger than my left, and most people in my family don t have a prominent mastoid bone like I do. ### REPLY: Hello, Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability. This is absolutely nothing to worry about.  It is relatively common to have some discrepancies in various parts of the body.  Some people have one leg longer than the other, some people have one shoulder higher than the other, et cetera.  Having one mastoid bone slightly larger than the other is relatively common.  Nothing to worry about.  I would ignore it is much as possible. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bilateral pulmonary emboli 3 months ago following an emergency colectomy. Since then I have been diagnosed with a genetic clotting disorder and I have small vessel cardiac disease. I am 65, female and like to smoke small amounts of marijuana for the anxiolitic effects. How safe/unsafe is this? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your genetic clotting disorder is there from long time.  It's just diagnosed because of pulmonary embolism.  And surgery is the risk factor for that. That is the reason why you have diagnosed at that time. Marijuana is not safe so try to avoid it. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 36 yrs old female , i have taken anti -tuberculous treatment 8 yrs back for pulmonary t.b , now i am having secondary infertility ,what test should i do , both my tubes are blocked .which test is reliable to confirm uterine tuberculosis & treatment for tubal block . ### REPLY: As you have secondary infertility and got treatment for tuberculosis 8 years back, had you done with HSG (hist salting graph) ? If not then first do this test.HSG is therapeutic procedure rather than diagnostic. It can help to reopen your fallopian tubes. 2 test to do ultrasound of pelvis. After SG tubes found block then you have to go for laparoscopy to diagnose the blockage in path. So consult a gynecologist and take his/her advises. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,I am 29 years old male. I have been experiencing some pain in my left abdomen. The pain aggravates in the morning when I get up. And only after an hour and going to washroom does it become manageable. I also feel my tummy full most of the time in the day and some kind of air accumulation near chest. There are increased instances of burps. Sir, could you please advise some corrective action and health related changes to get rid of this health related issue. Thanks in anticipation. ### REPLY: Welcome to  .1. History suggest me, some inflammatory / infective bowel pathology, gastritis can not be ruled out in your age.2. Suggest you to have basic diet for 2-3weeks, avoid spicy and junk food, alcohol, cigarette if you smoke. And see the change - if it is there then you have to minimize the habits.3. If not relived then needs an endoscopy and an ultrasound abdomen pelvis for better evaluation.4. Try the above if the pain and discomfort is manageable. If not then you have to get an appointment and get the needful tests done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 19 year old male college student. I feel that there is a strong possibility that I have ADHD. I am seeing a psychiatric nurse practitioner next month, but would like to know if the possibility is likely or not. My whole like I have always felt like my brain moves 10x faster than everyone else. I am always talking, thinking, or doing. In high school it was extremely difficult to concentrate in class, and now that I am in college it has only gotten worse. I did have speech issues when I was younger, as I was unable to pronounce certain sounds such as f . I also went through my elementary school report cards and found the teachers notes to comment on how they wished I would pay more attention in class. Now here is that last part that makes me think I might not have ADHD, I am a very good test-taker. During my first year of college, I missed a majority of my classes, but was able to teach myself the material THE NIGHT BEFORE the exam and somehow balance a 4.0 GPA. Opinions? ### REPLY: Dear, Welcome to ChatDoctorWe understand your concerns went through your details. You are already 19. Childhood ADHD most problem would have cleared by the time you reach the age of 15 or so. Adolescent ADHD usually do not have the problem of notable hyperactivity. But lacks concentration. Adult ADHD is also almost certainly lack concentration but without notable hyperactivity. The symptoms you gave here do points towards ADHD, but these cannot be taken into consideration fully. Mainly because there could be a bias in your symptom list. Once you think that you have ADHD, your version of symptom list will naturally have ADHD bias. Therefore, I suggest not to overly worry about the present symptoms. Consult a psychologist. Provide him all those symptoms you are facing. Please do not exaggerate or be biased towards ADHD. Let the psychologist assess your psychological disorder. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Happy New Year. 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 take Metformin for type 2 diabetes and I drink beer daily, and I would like to know how many beers per day are considered excessive?I am concerned about the condition of Lactic Acidosis and understand that excessive drinking can contribute to this condition. ### REPLY: Dear Friend, greetings from . I understand your concern... . . And as you told it may harm your health. You shall have to reduce the frequency and eat healthy nutritious food too. Because alcohol can cause deficiency of some important nutrients which are. Very much necessary for metabolic process . Definitely you cannot go more than 350/500 ml as you told metformin itself can rarely cause lactic acidosis . Noe in addition you may have more chances . Please do exercise daily at least walk 1 hour every day . Eat more of green leafy vegetables . Fruits and fiber rich diet .like its and miles. Whole grain will have more fibers . Hope I answered your question and do contact us for more queries, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: As my prematurely born baby is not taking my breastmilk properly, so please advise if I can continue giving Lactodex LBW feed along with little breast milk. Are there any side effects? Current age of my baby who was born in 33rd week, is 5.5 weeks. Thanks ### REPLY: Premature baby have difficulty in breastfeeding, you can express your milk and give by spoon. The advantage of this type of feeding is that your milk production will continue and when baby grow she will take directly from your breast. If your milk production is less than you can temperately give Lactose LBW. Do not forget to give calcium and it D supplement I like to have more information regarding the baby. What was her birth weight and present weight. Was she admitted at time of birth, if yes duration of admission and discharge weight. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 currently being tested for adult ADD. I am suspicious I have had it my entire life. I am working with psychologist to test and diagnose it (or not). His tests are broad. He has me on a schedule of 3, 45 minute appointments where he is testing with vocabulary tests, drawing test, routine math tests, and assembling shapes with puzzle pieces, memory tests to repeat back things he says to me. I do not have problems with the tests. I can focus for short periods of time. It s longer periods of focus on routine tasks that give me difficulty. My is does this sound like a industry standard way to diagnose ADD in an adult? I would like a second opinion as I have a small suspicion I may be just going through tests he can bill my insurance. Thank you! ### REPLY: DearWelome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. Every therapist know how to diagnose you. The diagnosis is basically based on your first-hand description. You have not mentioned your age here. But I see that you can speaking about attention span here. An adults' attention span is always less the minutes maximum at a stretch. While watching a movie that could go up to hours, if the movie is interesting. For ADD patients, they even show low attention span even when they watch an interesting move. If you fall in this category, you need those tests to confirm the depth of the problem. Otherwise, you do not have Added. If you want more of my help in this aspect, please post a direct question to me with as many details as possible. I shall provide some psychotherapy tips to overcome your current problem. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hello.  My father has been suffering from high blood pressure and two weeks ago his pulse was at 125 for a number of days.  This landed him in the hospital for about 10 days. He was diagnosed with atrial fibralation as well as anxiety and chronic fatigue.  Both he and the rest of my family have been taking care of my mother who is has a terminally ill with cancer.  He is on a number of medications now and is taking Lisinipril and cumodin and other meds.  His cumodin level was high this week.  He walked to the store the other day and had to ask for a ride back as he wasnt feeling well.  The hospice nurse took his blood pressure and pulse today: 153/100, pulse 50.  She said that he should get checked out again soon as something does not appear right with his meds.  Any advice you might be able to give would be appreciated.  My father is 79 years old.  Thank you.  Melinda ### REPLY: Hello, There are two issues in him, first his blood pressure is not under control so his BP medicine needs to be hiked up. Dose of lisinopril can be increased in multiple of 5 up to 40 mg. Blood pressure is not emergency you can get it optimized from your doctor.  Secondly, his pulse rate is low and pulse rate controlling med needs to be decreased. Like he must take some beta blockers like metoprolol or nebivolol, or other medicines like Verapamil or Diltiazem, dose of either med needs to be decreased.  Also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 minutes a day and 5 days a week. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Monitor INR regularly. 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: sir, i have urinary infection pus cells r numerous after treating with ofloxacin 200 i went again for uti checkup at that time epethilal cells 3-4 hpf if it is dangerous iam getting this infection 2 or 3 months intrevell. i have 4mm calculi in right kidney and 3 mm in left kidney is it cause kidney problem. my mail id YYYY@YYYY . pls advise me at the earliest ### REPLY: Hi Balkrishna, Thanks for writing your query. Recurrent urinary infection can be due to stones in the kidney. It is advisable that you consult a Nephrologist / Urologist for treatment of kidney stones and get Culture and Sensitivity report of your urine to know which antibiotic is suitable for your infection.  .  This will help you in both-kidney stone and urinary tract infection. If possible please mention or upload your urine report. I hope this is helpful to you. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m Ravi singh I had Fungal Infection around my pennies and my Skin is not going down as It was going before, it has become tight and also ram red spot occour on to my pennies head , Also I have to go to frequent Urine, i went to doc and he had done my sugar test in blood and RBS level was 88. he told me your sugar level is good and he gave me AUGMENTIN 625mg anti biotic and Neosprin cream, but that didn t cure my problem, which help me it only 60 percent but now when ever it sex problem again arrise. help me out please. ### REPLY: Hello, Thank you for your contact to us. We wish you a very best health at . If I am your treating doctor I would like to say that you had put a diagnosis fungal straight a way that means you had been diagnosed by the doctor. I suggest you to discuss fluconazole tablet with your doctor. It will cure you. Fungal Infection are common amongst immunocompromised people I suggest you should diagnose for the underlying cause. If you have anything else to ask. I will be very happy to help you. Thank you. ; Infectious Disease Specialist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 breast cancer and a double mastectomy no May 17th of this year.  I had to have seven nodes taken out and that has not healed yet.  I go to the hospital every Monday for wound care.  It is finally starting heal from the inside out.  What I am really worried about is my cancer Dr. Has never done ANYTHING at all.  He has never looked at my wound or giving me any cancer treatments.  I do not even know if they got all of the cancer.  What should I do??? ### REPLY: Hi and thank you so much for this query. I am sorry to hear about your battle with breast cancer and the healing wounds. I can only wish you the best of outcomes here. Back to your worry, I would suggest that you take an appointment and ask your doctor what the pathology readings from samples obtained during surgery showed. This is because, in cases of surgery for cancer, we send specimens to the lab of a more detailed reading that would help guide management. I very much hope this was done with you. Also, ask him what are the next plans about your treatment and when is that going to start. As for the wound care, surgeons don't really return to do routine wound care unless there is a complication. As for me, I am always updated on the progress and only called in to evaluate especially when something worrisome comes up. I strongly think that he has not come because you have not had anything which seems out of the normal that requires extra care. I hope this helps. Furthermore, I wish you the very best of possible outcomes. Thanks and feel free to return and ask you ore questions if you need arises. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 10 years old. she developed bad stomach ache on 15th may and on 16thmay she had loose motions 6 times . after this the doctor gave her antibiotics and other medicines. now the loose motions have stopped but she still has spasms in her tummy and feels nausea and goes to motion several times. she is also feeling irritated and tired.Please advise ### REPLY: Hi Ana, welcome to . I appreciate your concern towards your daughter. The antibiotics can have after effects in few people. Its natural that once we take medication for loose motion, there is a cure but also uneasy conditions for a while. Let her consume a lot of fluids and make her eat more of fruits and vegetables often than other processed foods. Her stomach needs to get back to a regular routine. So give her foods in regular and constant intervals everyday so that you can regulate the bowel movement. In spite of all these, if the condition persists for more than 4-5 days, please consult a doctor. Am sure she will do fine. Good luck!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi....my name is sania...my baby boy is 2weeks old ...when he was born he has quite red complexion of face....bt his hands and body is fair....bt now hiz face is getting dark....I m worried about his complexion...will he become fair or getting darker complexion..... ### REPLY: Hi. Before answering your query, I presume that your baby is otherwise doing well i.e. feeding well, gaining weight and is active. Newly born babies have thin skin, so they appear red. As baby grows, skin becomes thicker, so the complexion also changes, and they become darker. Generally speaking babies born to fair parents have fair skin. This is most important and it's determined by the genes the baby gets from parents.Also, other factors which modify skin color is surrounding weather, exposure to sunlight, diet, & pollution levels. EG Too much sun exposure can make people darker. This does not mean, you must prevent your baby from all exposure to sun as some sunlight exposure daily is necessary for good bone growth. Since many factors are there which determine skin color, It's difficult to predict what complexion the baby is going to get ultimately.Also, once your baby grows up, skin color may change depending on the factors I already mentioned. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell on Sunday and hurt my wrist and forearm.  I have a cut and now have bruising from my wrist to mid forearm and some swelling in my forearm, but very little pain.  Just some tenderness when touched where it is swollen.  Trying to decide if I need an xray. ### REPLY: Dear friend, hope you have applied antiseptic . As you have swelling and tenderness in the region of wrist to mid-forearm, the area very much pronto bony fracture due to even trivial trauma you should not neglect this condition. Instead you should go for an X-ray evaluation of the bony constituents of that part so that you can be sure of whether you have broken any bone. Also with X-ray as a physician we get an idea about the magnitude of local soft tissue damage in that area. So,X-ray is needed in this case.that you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I can not get up off the floor unless close enough to something to hold to. I am 69 and have never had anything like this. My legs and arms hurtI have stenosis of lower back and go to pain clinic every 4-5 months...thee treatments help the back but I honestly feel like almost an invalid as of late. Is there a specialist I should go to about the hurting legs and arms as well ? ### REPLY: Hi, Low back pain usually due to spinal compression on your lumbar or sacral vertebra you may need an MRI, x-rays, so I recommend a neurosurgeon or a spinal surgeon for better assessment of the degree of the disease and the choices of management you may need. You may begin with some topical NSAIDs gels with massaging, hot compresses, or even yoga is helpful in such cases. The use of pregabalin and B12 supplements with some muscle relaxants are recommended with your case, sometimes intramuscular injection of steroids to decrease inflammation around your spinal nerve roots are very effective. For more severe cases you may ask your specialist for further investigations or minor endoscopic interventions or even spinal surgeries. Hope the above information helps you. 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: ok....  Im female 53.... weight 145.... 54     alt was 52   and ast  32  had a ultrasound and the results are... the liver is diffusely increased in echotexture. no masses or intrahepatic biliary ductal dilatation.  visualized portions of he pancreas are unremarkable. no gallstones. no gallbladder wall thickening or pericholecstc fluid.  common bile duc measured 3mm. right kidney measured 10.0 cm in length and was unremarkable ... impression: fatty liver, stable no other significant findings.Im stressed out, and not sure how serious this is.... I eat normal and do have cocktails.... my email will not be posted correct ### REPLY: Thanks for your query. Taking you clinical history and imaging findings in to consideration, your BMI, is 24.8 (on the higher side). Fatty liver can arise due to a number of conditions - mainly alcoholic and non-alcoholic (diabetes and hypertriglyceridemia are common conditions). Your liver enzymes are within acceptable limits though, and you have no other gross abnormalities (no gallstone, normal CBD). Stage 1 fatty liver is reversible. You need a weight reduction (by a healthy regimen, crash dieting not advised as it may aggravate the condition) and reduce the fat content of your diet (mainly the saturated fat). If possible you need to avoid alcohol. I would also advise you to get your Fasting and Post radial blood sugar checked along with your lipid profile (if deranged may need medications)Weight reduction and fat restricted diet should be sufficient at this stage, you can get yourself retested in 6 months. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 health question is as per the details provided by me on the subject pls let me know whether i shud go for concurrent chemotherapies along with my radio therapy. are they actually required at my stage of epiglottic carcinoma. I m already in the mid of radiotherapy sessions? ### REPLY: The standard treatment for epiglottis carcinoma is radiotherapy with concurrent chemotherapy. This applies to all stages except the earliest (stage 1 where only radiotherapy suffices), and the locally advanced cancer where surgery is required. This chemotherapy is low dose and is given only to enhance the effect of radiotherapy and so has minimal side effects. Only in patients who cannot tolerate even this low dose like very old patients with several comorbidities, is chemotherapy omitted. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a swollen armpit for a couple of weeks and it seems to go up and down in size and is soft to touch, I have also noticed that just to the side of the breast looks more puffy than the other and i can feel slight discomfort, small ache. I am a male of 34 years and have no other symptoms, Like fever, I have been to the doctors and have a blood test booked next monday ### REPLY: It appears that you probably have a soft tissue infection in or around the areola with subsequent swelling of the lymph nodes . Your physician/PCP who has examined you would order a Mammogram to look for increase in the poly morphs and elevated ESR to confirm the infective process. You would need antibiotics and NSAIDs like Broken for the inflammation. The other possibility would be Benign Gynecomastia or swelling of the breast tissue. Malignancy in male gynecomastia is extremely rare but has been known to occur. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wife has wheezing from her childhood ( from age 8). She doesnt take continious medicine. she takes theozilin if she suffers.Now i want to take her to a doctor for diagnositics and treatment. Which specialist doctor should i visit. ENT or lung specialist. I am based at coimbatore.Thanks a lot ### REPLY: Thanks for your question on . I can understand your concern. You should consult pulmonologist (lung specialist) for your wife. She is mostly having asthma. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). 3. Chest x-ray. Chest x-ray is needed to rule other lung pathology.PFT is must for the diagnosis of asthma. It will also tell you about severity of the disease and treatment of asthma is based on severity only. She needs regular inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic .  So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been having severe lower abdomen pain for the past 3 months with fainting - dizziness. This happens exactly once each month after 10 - 13 days after my first day of period. Im an unmarried woman, 41 years. No children. Have history of ovarian cysts, endometriosis, polycyctic ovaries. ### REPLY: Hi. Thanks for your query. Read the history and understood the problems. Your history of IBS, Ovarian Cysts and endometriosis is self-explanatory and these are the reasons for your pain in lower abdomen. More pain 10 to 13 days after the first date of the menstrual periods is more suggestive of Endometriosis or Ovarian problems and occurs due to hormonal changes. I would suggest you the following;:Get a CT scan of the abdomen during the periods of pains to get a better idea. The best way is to have a diagnosis and treatment is Laparoscopic exploration, removal of any disease and send it for Histopathology. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 partner has high blood pressure & recently felt faint & a bit sick after exercise. I t passed in 10 mins or so with no noticeable longer term effects. He is getting himself checked out at the GP- but what is the best thing to do at the time if this happens again? ### REPLY: Welcome at  I have gone through your query and being your physician I completely understand your health concerns. What is his age? For how long he is suffering from it? Any other associated problem? Like diabetes?  What is his BP reading ? IS he is taking any ?  BCD regular exercise.  If he develops fainting, he needs to be examined by a doctor for proper workup since fainting attack in hypertensive patients should not be taken lightly.  He needs to get his RBS ECG ECHO LIPID PROFILE along with FBC for proper workup.  Meanwhile, stay calm and continue with your medications and avoid salt intake and meet your doctor Get well soon Hope your query is adequately ad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to his cardiologist yesterday and i wasn t able to go to ask questions. He had a heart attack 2 years ago with the placement of a stent. the doctor said that his arteries are clear but that the stress test showed that his heart was a little tight what does that mean ### REPLY: Hello, Thanks for writing to , I am . This word "tight" is not a scientific term as such but doctors in general use it after stress testing when there is an artery which has some blockage, usually this blockage is not significant to ask for a stenting, but it is significant to cause some ECG changes in the stress testing. You and your husband do not have to panic, this kind of arteries just need care, by care I mean taking regular medication, physical activity, keeping check at your diet and staying in contact with doctor and pay regular follow-up visits as advised by the doctor. This slight tightness will only get worse if care is not taken otherwise it will regress and things will keep getting better with time. I hope this answered your question, If you have more queries I am happy to answer you. Regards. ### END