Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Nissen Fundoplication 4 years ago, whenever I get a stomach bug I am ill for 1 week, At the moment I have been poorly for 5 days. I had been on holiday to Lanzarote and was back for 36 hours when I started with intense nauseau, diarrhoea, fever , palpitations and initially a dull ache in my right side. For the first 24 hours I thought I may have had appendicitis although the ache in the right side eased off and did not become any worse, I felt too ill to get out of bed. Since then I feel weak, nauseaus, headache , no appetite , when I do eat I feel sick again, I have no energy, I am now tolerating fluids but still feel really ill and I need to get better to return to work, help! ### REPLY: Hi Karen, Thanks for writing in. I think what you suffered from was infectious diarrhea, and you are definitely on your way to getting better. As of now, you'd be better if you take plenty of fluids (particularly oral rely . Eating small amounts at small intervals will help. Also, a course of antibiotics like ciprofloxacin would greatly help. Please speak with your physician about this. You don't need any other treatment as of now and I think you should be back on your feet with this in 1-2 days. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO SIR, MY DAD HAS GONE THROUGH A SPINE SURGERY 6MTHS BEFORE DUE TO THE REASON THAT HE COULD NOT URINATE NORMALLY. AFTER A LONG TIME NOW HE CAN URINATE BUT WITH BURNING SENSATION. HIS CURRENT BLOOD TEST SHOWS THAT CREATININE LEVEL IS 1.6MG & UREA IS @ 36 PLEASE GUIDE ME FURTHER WHAT CAN BE DONE TO LOWER DOWN HIS UREA LEVEL ### REPLY: Hi and welcome to . I am not sure why most questions are asked to male doctors only??? There are a lot of good female nephrologists and other specialists who might take offense if you guys keep ad . ..... You have only given me a small bite of information which is insufficient to give any opinion. Only careful study of your dads previous investigations and post op investigations will help us advise you the best course of action. Most importantly I need to know how well the bladder is emptying now which can be assessed by a bladder ultrasound scan pre- and post-void of urine. This is just one of the tests that will help me in giving you advice. Best wishes, RB ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump, on the left side of my neck thats been causing pain in my ear, and below it but the lump itself does not hurt, it can be pushed and has like a hard knot, but soft at the same time and its gotton bigger. Ive had it for about 2 months, is it Non- Hodgkin? ### REPLY: Hi! Good evening. I am  answering your query. The pathology of the enlarged node might not be possible to confirm only clinically without a FNAC (fine needle aspiration cytology) or a biopsy. The pain to the ear might be due to involvement/pressure of sensory nerve supplying the ear due to the enlargement of the nearby lymph node. Till the diagnosis is confirmed, I would advise you to go for an anti-inflammatory .  However, I would also advise you to get it assessed by a general surgeon at your earliest. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has fever since last saturday. Last sunday I took him to the doctor who said he had engine and so gave antibiotics and paracetamol. But the fever still goes on. He has red eyes and had up to 103.4 fever. I took him to a per, he did some blood test to see if this was mononucleosis, the test came negative. He says this might be a virus, added that he might have infection in the blood. He still hes fever. When I give him ibuprofen and paracetamol the fever goes down. I am really worried. The doctor wants to do some more tests. How long a fever can go on like this in a viral disease? ### REPLY: Hellos per your description I would explain this situation as a probable case of Viral fever; if so, it usually takes a 7-10 days to recover. No other medicines but Paracetamol is the best choice. If Your treating doctor suspect an infection in the blood, then a Blood culture test to be done to rule out the probability. Allow rest, plenty of water and visit a physician for further evaluation and management. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My. Dad will be 94 in 2 weeks. He was diagnosed with CHF in July 2012. He is on diuretics n Pradax, K, n BP pill. He has Gilberts synd. so his bilirubin is always elevated . For past 6 months it hs been elevated . He is jaundiced. This has caused severe itching of body. During the nite he  accidentally itched ,, his leg n has reoccuring. Blisters on left leg for 6 months. We have been to primary mid, dermatologist, and now he is getting leg wrapped by PT at a lymphadema clinic. The blisters healed after 3 weeks n we stopped wrapping n in 2 days  blisters reoccur n we resume wrapping? We had them cultured  2 days ago as even PT is puzzled? Yes he has edema of both legs from CHF. He is very alert n with it mentally. If you can give any suggestions we would love it! ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that it is not a rare finding when chronic limbs' edema complicates with skin irritation and superimposed infection. Besides the advices given by dermatologist, I would recommend to promptly treat the predisposing substrate; that is edema (it leads to inadequate blood circulation to the surface tissues, predisposing to more readily skin inflammation). I would recommend adjusting CHF therapy; especially loop diuretics. At least an intravenous root of administration would be preferred, to decrease congestion as soon a possible, and an appropriate oral maintenance dose should follow. A comprehensive clinical evaluation; physical examination, coupled with cardiac ultrasound conclusions, liver and renal function tests, blood electrolytes, chest X-rays would better guide optimization of CHF therapy. You need to discuss with his cardiologist to review these data and make the best decision. Hope to have been helpful. Greetings!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter 4 month old . totally on breast milk. Passing greenish semisolid stools. Fat globules seen in significant number & sizes. Epithelial cells- 2-4/hpf. pus cells- 3-6/hpf. Mucus & undigested food material seen. Since 15 days. No fever. Wt-7.5 kg. Birth wt 3.22 kg. Taking feeds normally. Passing stools 4-5 times/day associated with froth in stool. T/t- nitrofuraxamine & oflox combination taken for 5 days. still same stools. ### REPLY: Hi I went through your question. Your concern is valid but passing 4-5 semisolid stools is normal in a four month baby provided baby is active, no fever, passing urine adequately , gaining weight adequately. If I were your treating pediatrician I will like to assure you that your baby is gaining weight properly, color of stool does not matter unless there is presence of blood in it, baby is feeding well, there is no cause of concern. This problem (actually it is normal) will remove at age of 6 months when semisolid are introduced. You need to be concerned if baby is dull, accepting less feed, not passing urine at least 4-6 times in 24 hours, passing large watery stools, there is presence of blood in stools, not gaining weight. 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 had a lumbar discetomy of L4-L5 11/12 and still have major back pain. My MRI suggest discitis so I have done 3 disc aspirations and blood work all showing negative. Referred to ohio state spine institute had 4th MRI X-rays and blood work. Still negative but with inflamation present on the MRI. I have yet to receive a diagnosis because the results are always negative for infection but still no progress. Please HELP! Dont know what to do ### REPLY: Hello. Thanks for writing to us. The persistent inflammation in the area of the disc can be relieved with the help of local steroid injections. The treatment is done according to the severity of the symptoms. Till then take mils anti-inflammatory medicines for relief. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just received a copy of my blood report in the mail. My LDL Cholesterol was high (110) which I hadn t had previously but, what I became extremely anxious about was a Low Neutrophils (38) and High Lymphs (50). II looked this up online and I m now in a state of panic. My doctor is not available by phone right now. Can you please help me out with some information and advice? Karen ### REPLY: Hi, For better interpretation of test results I want to know-1) Age & Gender. 2) Height & weight, presence of diabetes.3) Family history of Diabetes, high blood pressure, cholesterol problem. 4) For what purpose blood tests done just as routine check up or any special indications.5) Any symptoms like cough, cold, fever, bleeding from any site.6) Other parameters in blood tests like hemoglobin, total white cell (leukocytes) count, platelet count, blood cell morphology, HDL cholesterol, triglycerides, total cholesterol. If you don't have any symptoms then you should not worry about neutrophil and lymphocytes count and repeat complete blood count after 1 week. If symptoms like fever, cough, cold usually low neutrophils and high lymphocytes count may indicate viral infection. If there are other symptoms like fever, chronic cough, bleeding from any site, soft tissue swelling (lymph nodes) over body in that case there might be need for more detailed evaluation. Regarding LDL cholesterol of 110: in the absence of diabetes, obesity, heart problem, it won't require any medicines but requires changes in diet (low calorie & fat intake), regular exercise, weight reduction. (But other parameters like HDL cholesterol, triglycerides, total cholesterol are also important). ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 really bad cough for four weeks now. It started with long coughing fits in the day and these have reduced but have been added to by coughing fits at night which feel like they go on for ever. Also during these I cannot breathe in which initially caused me to panic but I found I could breathe in if I calmed down but this took some time. Chemist gave me a Ventolin inhaler to open airways during attack which helped a bit. Also I have an almost constant tickling sensation in the back of my throat and at night for the last week my chest has felt tight - ventolin inhaler has helped relieve this. Finally I feel like something is stuck in the right hand side of my throat but cant normally cough it up as cough is generally unproductive, except first thing in the morning when I am able to cough up some clear phlegm but also tend to vomit as well. Occasional dry mouth at night doesnt help. Really getting fed up with this now - went to doctors two weeks ago who thought I had the after effects of a viral chest infection and thought it would all clear up within a week - now two weeks on there is no sign of this. Can you advise? Thanks ### REPLY: Hi and thank you for choosing  to post your health concern. I read carefully your question and my opinion is as follows:From what you describe it seems to me that all these paroxysms of intense coughing lasting up to several minutes, the tendency to vomit after cough(possessive vomiting) and the duration of cough(4 weeks) match with the clinical presentation of pertussis infection. I don't know about your vaccination status (incomplete or absent pertussis vaccination)Pertussis is a respiratory infection that lasts about six weeks, starting with a catarrh phase followed by a paroxysmal phase and convalescent phase. Vaccinated adults usually develop only prolonged bronchitis. Treatment usually involves an antibiotic, but it only helps if administered in the first or second week of symptoms. In your situation Ventolin inhaler that your doctor prescribed helps to reduce the paroxysms and would help also if you start antitussives such as dextrometorphan, codeine.another less possibility of your health problems is even the beginning of an asthma since very frequently it can be precipitated from a viral infection. It would help me to support this if I would have a well given medical history(allergies, familiar history of asthma)and physical examination Spirometry is useful for diagnosis and the treatment need to be guided by its value. I hope my opinion is help to you. Wish you good health. 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 uncle was just told by his doctor that he has an aneurysm in the artery that is conneccted to the kindeys.  The doctor told him that he has two options, one is to wait and see what happens, and two to have surgery to repair what has happened.  My uncle is in his 50s and is very over weight and has diabities and has a very poor diet.  Could you tell me how long can an aneurysm last until it bursts and if it does burst what can happen to the body? ### REPLY: Dear User, aneurysms may have a very slow progression or may rapidly give a rupture, which in the case of renal artery may be lethal. Much depends on diameters of the dilatation. I suppose that it is a mild dilatation, since your doctor recommended following it during the time. But, if it is over 7-10 mm, I recommend being evaluated by a surgeon, also to understand more of its position, etiology, etc. 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: Recently i broke a bottom back tooth . Got it filled thar day even though I wasnt in pain. Two weeks later i went back to dentist as i has terrible pain in my jaw beside my ear and shooting pain out my ear.not to mention the headaches . Was given antibiotics and diclac. Everything was goi.ng great as the dentist had taken xrays and said the tootb and nerve lokked normal.then 3 days after i finished the antibiotic the pain camw back while i was in bed and was horrific. No pain in the toith only in jaw and ear. What is going on? ### REPLY: Hi and welcome to , As you have got your tooth filled there are no chances of pain and infection since the tooth is filled only after complete excavation of the decayed material to prevent deeper progress of the caries. Since your tooth got broken, I can suspect some periodontal damage to the underlying tissue or infection that is radiating pain to the adjacent ear and jaw bone. Pain in the jaw and ear is clear indication of infection, I suggest you get an OPG radiograph done for your jaws, which will show bigger picture of all the teeth, bone support, jaws, adjacent vital structures and the underlying lesion if any, accordingly treatment can be carried out.I hope this will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The kidney transplantation operation is going to take place to my brother(age 26) soon.My mother(age 46) is the donor for him. What will be his routine after the operation for both. How long they could take the rejection tablet ,or any other alternatives for the tablet. ### REPLY: Hi, .....first congrats to you and your brother for getting a kidney transplant soon...well, as far as anti rejection tablets or as they are better known as immunosuppressive therapy has to be taken life long...initially they have to be taken at a higher dose which can probably be decreased a bit as time goes and only if the transplanted kidney works well...don't ever think of stopping it or even not taking them for a single dose too....or else you might end up losing your transplanted kidneys. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am having frequent chestpains....if i pressed it, it doesnt hurt....to relieve it i just put pressure on the area...most of the time it happens to the left side...until it radiates....its like a stabbing pain...i had undergone ECG...and the result was normal.....they say...they are giving me pain killers...but it wont work....doctors say, they cant hear any murmur or anything unusual....next week ill be going to a cardiologist..i just wanna know whats wrong...even if its not a heart problem...doctors arent convinced that it is a heart problem....they always say,em too young and i look healthy....by the way em 18 and female... ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. Your pain is relieved by applying pressure, this is characteristic of musculoskeletal pain. Cardiac pain will not subside by this. Your ECG is also normal. So possibility of heart related pain is low. But better to consult cardiologist and get done stress test. If this is normal then you are not having heart pain for sure. Sometimes stress and anxiety can also cause left sided chest pain. So if you have stress and anxiety, then avoid them, be relaxed and calm. Apply warm water pad on affected areas. Along with painkiller, also take muscle relaxant .  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: yesterday, i jumped over a rope that was about half my height (im 5.7) and i landed on my head and back. it was a padded floor. yesterday, after it happen, my head hurt, i was dizzy, i was seeing some spots, my neck hurt and my back. today, im still seeing spots, my back is hurting and so is my neck. it hurts to look side to side and pretty much, my back is always hurting. what is going on? ### REPLY: Hifall on head is quite dangerous casing blunt trauma to the important parts you might have hit your neck or cervicalspineplease check for your blood pressure, heart rate check out for x-ray cervical neck spine or an MRI C-SPINEimmobilise the neck until the investigations are done by then you can take painkillers for pain relieforthopaedic surgeon or neurosurgeon will help you out with this problem ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have someone here that all of the sudden started having sharp pains beneath his ribs, his lips startedd going numb and he says he feels like he cant get enuff oxygen his breathing is irregular also. he is coherent but says its making him lightheaded and nauseated. mouth & lips are extremely dry having to take a wet washcloth to wet his lips and drop h2o into his mouth can u tell me what is going on please ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, he should rule out cardiac event for his symptoms. So better to take him to cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test. If all these are normal then no need to worry much. Hope I have solved your query. I will be happy to help you further. Wishing him 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 had a stomach flu (I thought) that came on suddenly in the middle of the night - I was fine at bedtime, then at 3am woke up severely nauseas, but when I got up I fainted and fell to the floor, then many seconds later woke up on the floor vomiting violently. It was terrifying. After making it to the bathroom and getting rid of what I thought was everything in my stomach, shaking and sweating, I made it back to bed. Then about 1 1/2 hours later it happened again, but this time I crawled to the bathroom. But didn t make it, passed out on the bath floor, hit my head - but regained consciousness almost immediately. More sleep and more vomiting about 4 hours later, then none after that. It took a day before I could keep anything down, and another day of recovery and back to work, feeling fine. Now, 3 days later I am experiencing dizzyness and lightheadedness off and on. So do you think this was a stomach flu or food poisoning? (I had chicken soup that was homemade and previously frozen). And isnt that weird that I actually passed out? it has never happened to me before. And is the dizzyness I m getting now part of that or do you think there might be something else going on? ### REPLY: Hi welcome to  forum.  Thanks for calling . F.  According to your description it appears to be due to vertigo, it could be due to hypertension, hypotension, diabetes, internal ear infection etc. among them internal ear effect is most likely cause.  It may not be of gastric origin because no motions, and it has recurred after 3 days and no symptoms in between.  I advise you to consult an E.N.T.surgeon for diagnosis and treatment. You may have to take M.R.I. besides other routine tests for confirmation.  Wishing for a quick recovery, and no recurrence.  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: Hi,I take ovranette as a contraceptive pill.  Earlier in the week (Wednesday) I missed a pill and then took two on the Thursday.  However the missed pill and the pill for Thursday was taken late (although it was less than 12 hours from when I normally take it.  Today (Sunday) I took my pill late over 12 hours late because I was away and forgot to take it with me.  I am in the last week of my pack, would you recommend using an emergency contraceptive pill in the morning? ### REPLY: Hi, Based on the information provided it seem that you are on oral contraceptive pill and keeps on forgetting to take them often. And wanting to know is it necessary for you to take an emergency contraceptive pill in the morning.  First of you should not take 2 pills in a day even if you forgot to take it previous night.  Now about the emergency contraceptive pill is not needed unless you are around 12-16 day after your cycle and had unprotected sexual intercourse.  Advice:- You keep forgetting to take the medication is not a good way to have a contraception, and in turn you are created an imbalance in your hormonal imbalance in the body.  I would recommend to start using condoms, or copper -T (intrauterine device which works up to 5 yrs straight with our much care.) 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 fiance is bipolar and back in november she was given prozac. not saying prozac could be the cause,but she is passing out. been to hospital twice. 1st time we spent 4 days there running all kind of tests. nothing revealed the cause. the 2nd time the E R just sent us back home telling us that they previously ran tests to identify the problem on our 1st stay. passing out daily is what is occuring. ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. It seems your fiancée is suffering from conversion disorder along with the bipolar mood disorder. This co-morbidity occurs very frequently. Along with the Prozac she will further need intensive psychotherapy. Cognitive behavioral therapy and brief psychodynamic psychotherapy are the two options which need to be considered for the treatment in these cases. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor .I m 21 year old girl and I have skin problem since when I was 15 .I have to much pimple white head black heads on my face . Ill. Do any thing but nothing works my height is 4.9 and my weight is 45 kg . Plzzzzzz help how can I get rid of it ### REPLY: Hello. Thanks for the query. Acne treatment needs a combination of approach. Please follow this regimen.1. Apply Lepidus cream in night keep it for an hour and wash your face.2. Apply dew soft moisturizer and sleep.3. In early morning apply clinic gel.4. After bath apply sun cote gel. Carry on with this regimen for a month you will get improvement. Let me know if you have any other doubts. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have numerous lumps in the epigastric area of my stomach, I have bloating and nausea. I also have this feeling that is in the center of my chest that feels like pressure into the back until I feel like I cant breathe. When this happens I feel uncomfortable sitting. I have not gained weight but have gained mass. I feel best if I don t eat but then feel starving. When I eat even a little or have a cup of tea it can start back up. Im 5 8 and now up to about 200 lbs. While I know I need to lose weight but would this all be from just being fat? and how do people stand it. I am at my wits end ### REPLY: HiT hanks for your query. Based on your query, my opinion is1. The lumps on your abdomen in epigastric region are probably just subcutaneous fatty tissue being prominent or lipoma. 2. Your weight is on the higher side, which is causing this.3. Chest and abdominal discomfort is due to gastritis or HERD (gastroesophageal reflux disorder) as the gastroesophageal reflux will be more in obese individuals causing chest pain/ discomfort.4. Do not lie down immediately after having food. Try to reduce weight as obesity is the cause of most of your problems and in the long term it can lead to hypertension/ diabetes/ cardiovascular diseases.5. Have a healthy lifestyle, make dietary changes. Hope this helpsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,im a female. i used to use betnovate-n cream on my face(alomost 3+ yrs) only at night, in minimum quantity for pigmentation problem on my face well it did give out good results but later i got to know that its steroidal cream and i should stop using tht cream. Thank God that it didnt spoil my skin tht badly after i stopped using it..its been 1 and half yr tht i stooped using it however my skin on the face i not very even toned. n i do see very light pigmentation on the face(well its not very dark but its there) could u plz suggest wht cream i sud use? however i have been using kojiglo n yugard cream(suggested by the oliva clinic dermatolagist) on the face every alternate night. plz let me know which the best non-steriodal cream for pigmentation and plz let me know if kojiglo n yugard are good creams. ### REPLY: Hiwelcome to .betnovate-n cream over face is not good.it's a potent steroid, and it has many side effects special over the facial skin. Acne, thinning of skin, rosacea etc. may happen due to it.I have seen many cases who damaged their skin completely due to renovate use.it should not be stopped suddenly.it should be gradually tapered. As you have asked about Kongo and guard, these are good. You can use them without those side effects.it may take long time to have the effect.don't loose hope. Apply regularly under supervision of your dermatologist.don't work. 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: Sir,    My blood preasure is high in winters as compare to the summer season. What is the reason and what should i do to maintain good blood preasure during winters. (I am already taking 1 tab. of Telmisartan+Amlopres tables in morning). Thank you ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. You should not worry about. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. During summer and high temperature our body experiences vascular dilatation of arteries, meaning that the arterial lumen become bigger and as it normal happened in a tubular structure the pressure decreases. In winter, because of low temperatures our body experiences peripheral vascular constriction, meaning a smaller diameter of arterial lumen leading to higher pressure. This is normal and happens to all people. Sometimes we recommend patients to lower medical dosage during summer. If you have higher values during winter than you can try to rise your medical dosage through this period. You can also discuss with your doctor adding another medical class if you are on maximal dosage your current treatment. Hope I was helpful. Best regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My son (30 months) vomited early Saturday morning (twice, but second time I think was because he had some milk within an hour of being sick). Fine, but tired Saturday and back to normal Sunday. My daughter (4 1/2) was then sick once on Monday evening (quite a lot but one bout only) and complained of sore throat and aches. Was fine Tuesday, gave her plain foods and normal drinks. Today back to normal. This evening both of them have done poo which is solid but pale yellow in colour! Neither are complaining of feeling poorly or having tummy ache and there is no temperature! Is this the stomach bug making its way through their system or another bug? Thank you ### REPLY: Hi, I had gone through your question and understand your concerns. The most common cause of pale stool is biliary dyskinetic is a bad passage of the bile ducts. The bile ducts carry bile from the liver and gallbladder through the pancreas to the small intestine. Child .  It seems he has gastroenteritis, it caused by infection. Try to follow the following guidelines:1. Nitrofurantoin 1 tablet 3 times for 7 days.2. Darolac 1 capsule once a day for 1 month for normal intestinal flora.3. Domstal syrup you can use for prophylaxis of vomiting.4. Charcoal 1 tablet daily for absorption of toxins.5.ORS6. Lozenges-sualin 1 tablet 4 times for sore throat. Start on these remedies and get back to me in 5 to 7 days. Wish your baby good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 25 years old and i dont see my period every month as it is to be and i have been trying to get pregnant for a long time so my docter recomend that i use microgynon ed and ferrous fumarate family planning pills so that it will come regular and he also sed with in that three months i will get pregnant so i was wondering if that will realy happen ### REPLY: Hello...thanks for trusting the  doctors for your health related queries. I guess your concern is about.will u conceive after taking microgynon ed and ferrous numerate pills...right.well my answer is...YES. It can help u in getting pregnancy. As u told that u have irregular menses, that's why your treating doctor gives u this pills(microgynon ed n ferrous numerate).right. Once your menses will regular, then it will help u in getting pregnancy. With irregular menses women usually facing difficulty in conceiving. that's why your treating doctor wants first to regularize your menses, so it made easier to u in getting pregnancy. So RELAX...just follow your treating doctor advices. It will be very helpful for u.with the above discussion u can try out my suggestions-1.try to do coitus during fertile period(it is from 10th to 16th day of menses) during this period chances of getting pregnancy is high. So try to do coitus as much than possible during this period.2.feel free to ask your treating doctor regarding this matter. He/she can help u.3. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- . .RELAX.KEEP PATIENCE. I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 what I think is a cyst on my butt that is very painful never gos away and when it does it comes back like two weeks later in the same spot its little on the surface but it has like a swollen tunnel to the anal Benn going on like this for about a year ### REPLY: Welcome to . 1. The most possible thing is - hair follicle infection / inflammation with collection of pus within. 2. In this case first thing do not disturb the lump in any manner, maintain local hygiene. 3. Clean the area with antiseptic liquid and avoid cloths which gives constant irritation.4. If it is on going, means complicated - which might need a small incision and . 5. I would recommend seeing your GP and get examined and treated accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: whole body and head sorei am 23 years old 56 115lb i have asthma, last night i could not sleep i kept having major chest pains i couldnt breath right and i had a really bad migraine i am still having these symptoms right now and my body is aching i feel real weak. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are having worsening of asthma due to viral infection. Viral infection is the most common cause for worsening of asthma, and it is likely cause for your body ache and weakness. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will diagnose the severity of worsening of asthma. On the basis of severity, you will need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic .  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 having Heart Palpitations from last 3 or 4 months. Already have all the Tests done. Blood Tests were normal, ECG has been done thrice but normal, Stress Management Test was noraml and even I had this Holter meter up for 24 hours but everything was normal. I want to mention here that I am having Nasal Polyps which sometimes prevent me to breathe from nose (sinusitis). I do smoke as well. Any suggestions. ### REPLY: Hello, Nasal polyps could be related to the tachycardia, especially if you have sleep apnea. For this reason, I would recommend performing respiratory function tests for possible obstruction, an arterial blood gas analysis, and a polysomnogram to exclude possible sleep apnea. In such case, you should consult with the ENT specialist in order to undergo surgery. I would also recommend checking thyroid hormone levels for possible thyroid dysfunction. 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: Hey Doc,  I believe I have a chest infection.  It feels kind of bubbly as I breath.  I sometimes have intense coughing fits where I cough up dark green, thick, mucous that almost like a booger.  Other than this, I have no other symptoms of fever, sore throat, or anything like that (although I did have a sinus infection a couple weeks ago, which is where this started I think).  Its been about a month at this point.  I smoke between 3 and 6 cigarettes a day on average.  Given that its just in my chest, and I have no other symptoms now, do I need to see a doctor and get anti-biotics?Phil ### REPLY: HI, thanks for using  If there is no fever, it is possible that the infection is viral despite the presence of green sputum. In that case, you can consider the following: (1) use of Multics to help break up the mucus e.g. bipolar, Mucomyst, guaifenesin(2)a lot of water/fluids to help break up the thickness as wellie there is no change or worsening, then you would need to see your doctor. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Why can I feel my spine through my abdomen?I had a ct scan to verify that its my spine but still have no answers.I am 5ft 3 146lbsI am 28 years old I was born with bilateral clubbed feetMy left leg went numb last november and I have been diagnosed with foot drop and fibromyaltia. I hav mid and lower burnigback pain all the time and weakness.I have been having unexplained abdominal pain. ### REPLY: Hi. Thanks for your query and an elucidated history. Your history is so clear. It looks that you have a serious problem with your lower spinal column. There may be kyphoscoliosis which is giving you a chance to touch your spine through abdomen. This is the reason to have foot . What you need is as follows::MRI study of the whole spine. This will the perfect diagnosis, and an evaluation by a Neurologist for nerve conduction studies, and Neurosurgeon to see the possibility of surgical correction so that your problems can be reduced or solved ... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 22 years old male. I have been having chest pains for the past 6 years every now and then and i always discarded it as gas. but for he past 6 months its been happening very frequently and stays for a longer duration then normal. I have been loosing weight too for the past 6 months.. close to 5 kgs. And plus for the past few days my left hand starts shivering mildly when i hold somethings like a glass or spoon or cup etc.  And i feel very sleepy most of the time inspite of getting a good 8 hour sleep.  I was just wondering what this could be?.. any thing major? .. i havnt got this checked yet. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more likely. But better to first rule out heart diseases. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. 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. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I recently injured my shoulder - rotator cuff partial tear with bursitis. I had a cortisone injection. Settled for about a week and a half. Then pain and limited movement came back. Now about four week later my shoulder is just as bad as it was. Noticed unusual swelling underarm and in back -trunk area. I have been told its is lymphedema and I am booked for another ultra sound to try and see why I have developed this. I would like to know if the cortisone injection could have caused the lymphedema or is the lymphedema a sign of something else being wrong. ### REPLY: HIIT couldn't be due to cortisone. Since there was bursitis too, refilling of bursae around shoulder may be one of other possibilities, although, if your doctor says lymphedema, he may have examined you to know the real picture. Blocking of lymphatics, although rare, is a possibility, due to swollen bursae producing pressure and blockade in lymphatic channels. Anyway, ultrasound/MRI may be necessary to identify the cause and its location. Swollen lympadenitis (inflammation of lymph nodes may also be blocking cause of lymphatic channels.Let's wait what your doctor comes out with after tests ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, for the past few days I have experienced a dull ache in the lower abdominal area and around the groin. I have slight feelings of nausea and there is slight discomfort when urinating - no blood is being passed. Is this an accurate description of kidney stones or a urine infection? ### REPLY: Hi, I had gone through your question and understand your concerns. You have already mentioned the two possible causes for your symptoms1. Urinary tract infection is the common among the two but in UTI you will have fever also. If you were my patient I will suggest you to take plenty of water and syrup.catwalk but at the same time I will ask you to have urinalysis done to rule out infection and start antibiotic accordingly.2. If you have stone also you will have similar symptoms as you are not having fever. I suggest you to take a XRAY-KUB to rule out the stone but if you have stone the pain will be severe mostly like a colic. Hope this answers 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: my daughter is 4 in half mths old she started with a cough last week no other symptoms now she is congested in her nose and sounds like she has a lot of phlem I can hear it when she coughs and she gags because of the phlem I scheduled her an appt for Friday she is having a hard time drinking her milk as well. do you think she should be seen asap or it can wait until Friday? my concern is because she is so small. ### REPLY: Thanks for asking on . Chil .  It can often be complicated with secondary bacterial infections. I would insist that you try to see a doctor ASAP rather than waiting for your appointment especially because the child is not feeding well. It would be good if you can give the child steam inhalation for the time being. Just sit with the baby in your lap and put a source of the steam before you. The water vapor will be in the air and automatically the child will breathe it in. It will help by diluting the cough/phlegm. Hope that helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my mom is in remission from nhl stage 1, it s been. 1 year. Today she feels a tiny lump behind the neck and it pains when touched very hard, is it some cold symptom or a relapse, what should I do, her next routine check up is in a month, would a pet scan be needed ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have a relapse with neck node mostly. FNAC biopsy under PET scan would resolve the issue. Pain in neck -node is due to the tumor necrosis.Don't guess more. I would advise ER Surgeon Consultation to avoid further complications with it. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 light headedness , pain in my left side under my ribs and sometimes in my back. also have tingling in my hands sometimes. went to the er had blood tests done and ekg. also had a heart monitor on. they said everything looked fine. told me to get a stress test . what could be wrong with me? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely get done stress test (trade mill test). You're resting ECG is coming normal. But you are still having left sided chest pain, back pain and lightheadedness. All these symptoms favor heart diseases more. So stress test is needed. Stress test will tell you if heart diseases like coronary heart disease is present or not. In this you need to run on trade mill and continuous ECG is recorded. So if any heart disease is there then it can be picked up. If stress test is normal then no need to worry about heart diseases as a cause for your symptoms. Sometimes musculoskeletal pain can be the cause. So get done stress test to rule out heart diseases. 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: hello doctoe i am charan and i am 18 years old doctor the problen is i am forgetting every thing even small things i am forgetting forex i am forgetting wheather i locked the door.When i open my books i am getting distracted and i am thinking some thing else.So pls doctor suggest me some medicines by which i can improve my memory power and i can contrate well.Thank u doctor. ### REPLY: If you are heatedly checking if you had done something such as closing the doors it is a syn tom of obsessive compulsive disorder an anxiety based disorder. But if is happening just because you are doing it without appropriate attention and concentration then it can be a stress sealed problems again induced by stress and anxiety. Systematic study patterns can help you to get attention concentration and memory in issues related to academics. However consulting a clinical psychologist will help you to identify your problems its causes and also get effective solutions R. ManojClinical Psycholgistrmanojcp@gmail.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 either when im laying down sitting sometimes standing up and I take a deep breath my left side under my rib cage makes a pop or clicking sound?started today maybe lastnight I had a family crisis lastnight can stress have anything to do with it also I really haven t ate the past 2 days maybe one meal related also I heard it could be guess it doesn t really hurt but more of a weird feeling but when I sit it feels uncomfortable also I do smoke cigarettes maybe 5 a day at most ### REPLY: Hello there ~ The popping sound that you hear is possibly the same mechanism as when you pop your knuckles.  Yes, there are joints in your rib cage too.  If you feel like stress may be adding to it, I suggest that you try relaxation and deep breathing exercises, as an alternative to cigarettes.  It may also be helpful to get a chest X-ray just to clear any doubts about any rib-cage problems.  If you are still not satisfied, please consult a doctor.  Take care and have a stress-free day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have a problem with my penis. On occasion, more recently, more often than not.. my penis becomes dry and flaky and over time it has developed some kind of scale or shine.. the tip of the foreskin is normally red and gets sore very easily. There is no discharge or itchiness. I can pull my foreskin back but when i do i notice it is very tight as if the foreskin has become smaller or more restricted. When this happens, after sexual intercourse the skin usually splits especially if the foreskin is slightly dry before sex.. i get about 4/6 paper like cuts on the foreskin and this normally takes a few days to heal. Very rarely there is slight burning on passing urine ### REPLY: Thanks for asking in  forum In short: You may be having balanoposthitis(infection of glans and foreskin)Explanation: Your symptoms of .  So, you can start oral antibiotics with local antibiotic ointment like tobramycin for some days which can help you to get relief from this problem.  Please visit a doctor so that you can get yourself examined and can also go for urine test to rule out Urinary tract infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Baby wakes up with welt on legs,red about 1/2 inch. During the day They turn a yellow color, then ooze and scab. Happened about three times in last month. First two times only one, last week three on same leg. Took her to doctor first time, told us could be bug bite and gave her Benadryl. Cleaned room, sheets, everything, second one about a week later. This time a couple of weeks between. Any suggestions? ### REPLY: Hi... I feel that your doctor is 100% right. This looks like an insect bite allergy only. Anti-allergic medication like Ben .  Once this starts there can be a phenomenon called second crop where in the allergy may manifest again with 1-2 weeks time. But the ooze which you are describing is due to secondary bacterial infection which your kid is getting. She might require an oral antibiotic like Cephalexin or Clindamycin. I suggest you to consult your doctor for this prescription after he feels this suggestion is right. 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 my mother has parkinson disease/ dementia and heart failure she has recently been complaining of a spongy feeling under foot. Also she has had at least four occasions in which she struggles to breath turns blue around the lips becomes very weak and wets herself. I have reported this to our local GP and her mental health team all of whom seem puzzled she is due to see her neurologist next month but today she has said she is getting a very cold feeling down her body and a feeling of fluid trickling in her head ### REPLY: His understand your concern. Blue lips mean cyanosis and cyanosis need to evaluate in detail. Blue lips plus she struggles in breathing then respiratory illness or obstruction is most likely. Cynosis require immediate medical assistance. It is occurred due to decrease oxygen saturation in blood. So do consultation to physician as early as possible and get help. Take neurologist or psychiatrist opinion there after but 1st priority is to consult physician for medical problems. I hope I have answered your query. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have a hernia in the groin it started to hurt very bad two days ago i went to the immediate care went for a ct scan and now have to wiat 5 days for the results,but dont think i can wait that long why does it hurt down to the knee the meds are not doign the job should i go to the emergancy ### REPLY: Hi, thank you for providing the brief history of you. I think you are mentioning inguinal hernia here and have done CT for the same for the diagnosis. Kindly wait till the reports come as it may help understand the soft tissues better. Inguinal hernia may lead to symptom of having pain in the knee, since due to hernia there will be pain in the groin region and the muscles of the front of thigh arise from the BASIS and go down the thigh-bone called femur. And due to the inflammation at the inguinal region there will be excess load happening at the knee joint leading to gait disturbances and pain. As you are already under the pain medication I will advise you to undergo physical therapy like therapeutic ultrasound therapy and TENS therapy which will help reduce the pain in the location of inguinal area as well as the referred pain in the knee joint too. Once the pain come under control there will be little of stretching and strengthening of the muscles to avoid the hernia localized and referred pain as well. In my clinical practice, physical therapy is helpful for patients with inguinal hernia for pain which is localized and even referred. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I am 30 Years old(Male) . I am suffering from Back pain. I did MRI and as per MRI report below : ( Impression: The Suggestive of degenerative changes in lumbosseral spine with lumbarization of S1. Postero-lateral disc herniations at L4-L5, L5-S1 and S1-S2 are compressing the thecal sac, couda equina nurve roots and both neurals foramina. There is secondary central canal stenosis at L5-S1 and S1-S2 with border line central canal stenosis at L4-L5. ). As per Neoro surgeon  in Kolkata, it requires operation. Please suggest where is the best place to make operation of this. Please suggest ### REPLY: Hi, Welcome to . YOU ARE SUFFERING FROM PROLAPSED DISC. Primary treatment of this is bed rest, analgesics (Diclofenac sodium50mg three times a day) methlcobalmine one tablet daily, but it takes longer time to relief. If one develop neurological symptoms then operation is required. This operation is everywhere in India. In my opinion you should have done it locally because frequent follow up will be required so get operated by orthopedic surgeon of your choice. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Any idea the cause and/or solution of my terrible penile & testicular odor?  Washing helps, but smell returns sometimes even before i can get dressed.  Some days smell is there immediately after my shower and persists all day, some days I can work up a sweat all day outside and not have it smell at all.  I have a history of persistent sinus infections, so maybe an infection or some kind, fungal or bacterial?  Ideas? ### REPLY: Hello, When too much Sega builds up underneath your foreskin and because you sweat a lot or don't wash your penis regularly the possibility of odor is common. It can create smelly white chunks that can cause bacteria to grow. If left untreated, your penis can become inflamed or infected. Wash your penis daily and keep it neat and clean and .  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, -My last period was June 24th and my cycle is 28 days very regular. -I had intercourse July 11th and 12th.-I had a strange headache July 18th and 19th-My period was suppose to come yesterdayI am wondering if I could do a pregnancy home test today and get reliable answer? ### REPLY: Hi, I have read your query and feel your concern is valid. The egg release takes place 14 days prior to next expected menses. Your next menses were expected on 22 July. So the egg release was expected around 8th July. The egg has got a life of 24 hours while sperms are active for 3 days. Hence, a week around day of egg release is considered as fertile period. Your intercourse does fall in this period. So, there is a possibility of pregnancy. I would not consider headache for pregnancy possibility. The urine pregnancy test and ultrasonography give reliable results 8-10 days after missed period. So please wait for that period and if you do not get menses by that time, get either or both of these tests done. Beta  tests are more specific and sensitive, hence they give reliable results even after 2-3 days of missed period. I hope you are guided properly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 9 years old daughter and now my husband and i have been trying to conseive with out luck.i went to see a guene who told me i have cycsts and i had them removed and started to take fertomids but still nothing and now i was told that i have polycystic ovarian syndrome and im taking Gluconorm 850 does this mean im diabatic or it will assist me in ovulation. ### REPLY: Hello welcome to  regarding your query, you are suffering from PCs(poly cystic ovarian syn . .factoids(clonidine citrate) is used to induce ovulation...gluconate(repaglinide) is also used for induction of ovulation so that you can be pregnant again.some patients of PCs also suffer from diabetes and for this reason your doctor also prescribes gluconate.gluconate not only decreases glucose levels in the blood but also induce ovulation.regular consultation with your doctor is necessary.hope you understand my suggestion and answer. Hope you become pregnant again,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 so exhausted, very fatigued, sweating a lot and a cough I have had for months. Had night sweats, now just sweating at different times of the day.The fatigue is overpowering and I have not lost weight, but my stomach feels bloated a lot, but I also have IBS. Very stressed and do not sleep well at night. ### REPLY: Hello, As per your history and description, possibility of stress and anxiety related symptoms are more likely. So, it is better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will also need anxiolytic .  Once your stress and anxiety are controlled, all your symptoms will subside. For IBS (Irritable Bowel Syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yeast infection help?I started having sypmtoms of a yeast infection 3 days ago. Very mild itching and burning. Now my symptoms are just slight irritation when I pee. So I bought 1-day from the makers of Monistat. Should I use this or should I let the symptoms clear up on its own? Additional DetailsIve read bad reviews for this product, thats the main concern I have. Also I consulted a nurse and she said definate yeast infection. ### REPLY: HI, thanks for using  The symptoms are not likely to clear on their own. Vaginal yeast infections can be treated using topical creams such as the monist at or oral medications such as rifleman. One dose of rifleman is used to treat vaginal yeast infections. In terms of the effectiveness of monist at 1, it varies from one person to the next. It will not cause any harm, so you can try it to see if it relieves your symptoms. If it does not then you can visit your doctor to get a prescription for another medication. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have smelly urine, frequent urination and feel like I am not gonna make it to the bathroom on time, I have pain in my lower region massive pain in lower abdomen when I ejaculate, I had uncontrollable high blood pressure and had a ultra sound they discovered something that they wanted to check out had a ct scan with the dye given all three ways.. I am over weight and my doctor said it will probably come back just as a fatty tissue, but I am worried since 4 grandparents, mother, father and oldest sibling all died of cancer and none of them were lung cancer. ### REPLY: Thanks for your consultation at !  I have gone through your case but haven't mentioned your age? As far as my diagnosis is concerned you gave got Urinary tract infection.  UTI has got a lot of causes, If u have got enlarged prostate then it might be the cause... Other probability is that you might have got any bladder stone which is giving you UTI along with other symptoms.last but not the least is your sexual partner she should also be examined in order to reach diagnosis.  You should also be looked for Prostatitis.you may need to Urinalysis, full blood count, Aerodynamic studies, Cystoscopy, and semen analysis. Do visit the Urologist, and it will help you in diagnosing your case after proper history examination and investigations... Coming towards the high blood pressure they probably were looking at your . .  Hope your question has been answered appropriately but if. U still got one feel free to ask.  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: FOR THE PAST TEN DAY I HAVE BEEN EXPERIENCING A HEAVINESS IN MY HEAD AND A TINGLING IN MY FACE. CAN YOU PLEASE HELP ME. I WENT TO THE DOCTOR TODAY AND HE CHECK MY BLOOD PRESSURE, MY EARS, MY EYES AND SOME BALANCE TECHNIQUES AND HE SAID EVERYTHING SEEMS TO BE FINE. HELP. ### REPLY: Hello, Did your doctor run lab tests looking for anomalies in either your thyroid hormones (TSH, FT4), nutritional elements (It. B12, folate, It. D, homocysteine, methylmalonic acid), or other hormonal imbalances (testosterone and FREE testosterone if male, cortisol)?  If not, then, I would ask that your doctor run the above tests and if It. B12 is Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am currently fostering kittens. One has bitten my index finger today around 6:30 PM where it completely punctured it through the other side. It was bleeding for about 45 minutes and now it has stopped. I cleaned it with peroxide and alcohol then but antibacterial cream on it. Also, I had taken amoxicillin that was left over from another issue a while back not pertaining to a cat bite. My index finger is extremely swollen, hard, red, numb, and painful. The pain is not moving to the other parts of my body. Also I have other scratches on my other hand from the same kitten. I rather not be sent to the ER if it is not infected because I can not pay for my medical bills at this point. I am very very worried since the swelling is not going down. I do not want to lose my finger and I am very worried. Please advise and let me know what actions I should be taking. I am very scared. ### REPLY: Hello, Welcome to , Rabies is a 100% fatal disease but 100% preventable by proper and adequate treatment. Dog is the known reservoir of rabies virus and can transmit rabies by biting. As you were bitten by the cat following which there was bleeding and swelling of the index finger. You need to take In TT, active immunization with anti rabies vaccine and passive immunization with equine rabies immunoglobulin (ERIC) around the wound.ERIC is advised as there is bleeding from the site of bite. In addition to this you need a course of antibiotics like Tab Augmenting for five days and NSAIDs like Tab Ibuprofen. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my all of my wisdom teeth out about 3 weeks ago. I did everything they told me to do, and I was doing great until today, when I was flushing out the bottom areas with salt water, when I noticed a pimple looking thing where one of the teeth was extracted. I thought it might be some food, so I brushed my teeth right after, and it popped! now I m just sore..is it an infection? ### REPLY: Hello.read through your query .accordingly I feel that it might be clotted which was filling the socket got dislodged...but don't worry...don't do too hard spitting after washing your mouth.do it softly BCO dislodging clot can cause delay in healing. .do salt water gargle...take antibiotics and analgesics prescribed by dentist.don't touch extraction area with tongue finger or brush...follow soft diet for few days...don't bit with that area...and after few days still if pain comes get an appointment of an oral surgeon and get treatment...hope your benefitted something with this reply.have a healthy day!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctor ,My orthopedic surgeon says both my knees are worn out and the findings are that reduced joint spaces with osteophytes noted, suggestive of moderate osteo arthritis and he has advised for replacement . how safe are these surgeries because i am a diabetic patient, suffered asthma attacks earlier, Should I continue  with medication or should i go in for surgery. please advise.Philomena ### REPLY: Hello, Thank you for your question. I think if your Diabetes is under control and level of sugar in blood is normal then surgery is safer. Of course after the surgery because of the stress the Diabetes may disbalance, so you should be careful to check often especially in the first weeks after the surgery for the wound to heal without infection. The same is with asthma. If it is under control with medication it is not a reason to stop the surgery. 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: Dr my wife had diagnosed abdominal TB she had moderate fluid in her abdomen area fluid was extracted and culture report was positive fort TB  now she had completed her course for nine months she took akt 4 for two months and akt3 for seven months her liver function test at the end of course was normal although she is normal but she oftenly has a lot of gastric and burning problem in her stomach and loss of  appetite too  is it normal due to side effect of TB medicines or something else please advice meThanksMukul ### REPLY: HelloThanks for writing to ChatDoctorShe can take proton pump inhibitors like pantoprazole(40 mg once daily) for gastric burning. Gastritis may occur after such prolonged treatment. She also needs follow-up Ultrasound of abdomen so that treatment response can be assessed. As liver function test is normal after treatment, nothing to be worried. Her appetite will become normal with time. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 31 year old woman and i have an 19 month old son. I have had diorreah for over a year now, i have lost 2 stone on 8 months, now 7 st 11lbs, i have severe night sweats, fevers, tiny red dots appearing all over my body, a web like rash, itching on my face, tummy etc(no rash) in the evenings, swollen lymph node in neck, oral thrush for 2 months, tummy pain, joint pain, organ pain, headaches, heart palpitations, tachycardia with pulse at 150bpm, feel ill a lot. Had lots of tests, wbc has been rising and is now over the normal range, esr rate 1. My doctor seems baffled! Any ideas, i m really worried ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, we should first rule out hyperthyroidism. So get done serum TSH, Free T3 and free T4 for the evaluation of hyperthyroidism. If all these are normal then no need to worry about hyperthyroidism. Sometimes uncontrolled stress, anxiety and panic disorder can also cause similar symptoms. So 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. Avoid stress and tension, be relaxed and calm. 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 boyfriend is 21. He recently landed his first job and as part of routine, he had to undergo ECG, drug test and the whole works. His ECG report stated consider inferior ischemia. I googled it of course and it seems to be disturbing, I also came across some articles where theyve said just consider inferior ischemia can be misleading and that sometimes its probably nothing. My bf is due for an appointment with a cardiologist next week, but I wanted to know what the situation could be. His blood sugar level and cholesterol level is normal. Please help. ### REPLY: Hello! Myocardial ischemia is caused by coronary artery disease. Coronary arteries are the blood vessels of the heart muscle, if they are partially occluded cause ischemia, and if they are totally occluded cause infarction. Untreated ischemia leads to infarction. Nowadays, coronary artery disease, myocardial ischemia and infarction are more frequent in young adults (younger than 45) than before. The causes which may lead to ischemia are atheromas coronary disease (hypertrigliceridemia, low HDL, with risk factors smoking, obesity and lack of physic activity), non-atheromatous coronary disease (congenital coronary anomalies, artery dissection, heart valve infection), hypercoagulable states (antiphospholipid syn .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 24 years old and since around last 5-6 months I have developed dark spot on my both cheeks. Doctors called it melasma and prescribed hydroquinone solution which actually burned the skin even more. I changed the doctor and now he has presriped Ban a Tan cream and Kojivit gel. Does the combination works and approximately how long it can take to remove the spot? I am fair in complexion and never had any skin problem. ...thanks ### REPLY: Hello, Welcome to . I understand from your query that you are having plasma. Melasma occurs in predisposed individuals and factors which could make it worse include sunlight, oral contraceptive pills and thyroid abnormalities. Ban - A - tan and Bolivia gel are both good creams for the treatment of plasma. In addition to these, I would suggest you to use a good, broad spectrum sunscreen. Apply the sunscreen every 3-4 hours even i rainy cold weather. Also, physically cover yourself with a scarf or carry an umbrella while outdoors. You could also discuss with your dermatologist about chemical peels for better improvement. Have a healthy diet with a lot of anti-oxidant rich foods like fruits and vegetables. Hope this helps you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.  My son had an appendectomy within the passed 24 hours.  Previous to that he had been sick with stomach virus type symptoms for 5 days.  He now has had two loose bowel movements within the past four hours that has blood in them.  Is this to be expected or do I need to take him back to the ER?  Ive called the Dr.s answering service and am awaiting a response. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Yes, you need to visit to the doctor immediately. It is not the virus, but it is bacterial infection. I advise you to kindly do culture and sensitivity of the stool. This will guide us possible bacteria and its sensitivity pattern. Once you start treatment according to report you will be cured rapidly. Please take curd in the diet as it replaces gut bacteria and helps you to recover the diarrhea. Please do good hand hygiene as it is equally important in maintaining the good health, and it also supports the treatment. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Ashish,My Small Brother of age 21 coincidentaly his name is ashish..He is not behaving properly from last two years and he was suffering from fever after that suddenly he bahves liked that.We have consulted with Psychiatric he told that becuase of mental fever he is behaving as so.After consultion From last 1 year he is working fine but suddenly he is not behaving properly .he is not able to sleep in the night and crying also.Talking arogantly and shouting. Can you please let me know to whom i should consult so atleast i get a proper cure of this.Thanks,Abhinay Sutrakar ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. His change in behavior is difficult to comment on with such small information available, but it is probably due to depression. Depression can occur due to an earlier fever and needs treatment with anti-depressants such as fluoxetine or Escitalopram or mirtazapine etc. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 18 year old daughter was recently treated for strep with a Z pac.  Two days later she began to feel a pain in her back (right above bra strap next to her shoulder blade) and she describes it as feeling like a bruise, and says she can feel it from inside.  I cant feel it from outside other than possibly a small swelling.  Any ideas or suggestion on what type of doctor to go see?   Thanks. ### REPLY: Hi, Thanks for your query. After going through your query I came to know that your daughter is having backache. She feels like it from inside. You should consult General Physical for it. Analgesic such as diclofenac will be helpful in pain relief. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END