Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Husband had spinal surgery 2007, doctors say it was succesful, I been taking him to emergency and to the doctor on a monthly to weekly appointments for cordozoine shots. Nothing helps, his pain is fron the left or right side of his neck from the should up to the head, some times it appear to be a vain sticking out . He can not turn his head. Pain pills ,pacthes donot work. ### REPLY: Hi, Thank you for posting your query. I have noted your husbands symptoms. Based on the information, it appears to me that the spinal surgery has not helped him, contrary to his doctors' opinion. In any case, second surgery is not an option. He would benefit from taking neuropathic pain medications such as pregabalin, gabapentin or duloxetine capsules. In addition, physiotherapy with IT, ultrasound and neck extension exercises would help. In some cases, epidural injections could also help. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. Two month old baby has developed red spots on his arms and legs varying in size. Some do have a white spot in the middle. These spots started on his cheeks and then disappeared, but they developed in the shoulder area, then arms and legs. He had a slight fever of 99.3. Any ideas? Thank you. ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. But.... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I am currently on nuvaring birth control and mistakenly took it out a week early the. My regular schedule.Once I realized I was early in removing the ring I put it back in with in a 24 hr period but beyond the 3 hour limit.  I did have unprotected sex during the time of when the Nuvaring was removed. Do I need to take emergency contraception pill or let the nuvaring release the hormones during 7 days to regulate my hormones again? ### REPLY: Hello, Thanks for trusting us with your health concern. I have gone through the query and understood your concern. In the current scenario, you need to use other back up method of contraception until the ring is inside continuously for seven days after the reinsertion to allow the hormones to work. If you cannot leave the nearing inside for seven days, you have to use emergency contraception. Reinsertion should always be done after washing the ring with lukewarm water. Hope you find this information useful. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was wondering if you could help? I ve been unwell this past week constantly feeling sick with stomach pains and headaches, I now have these stomach pains and head aches all day my head feels really heavy, I to dizzy and I keep seeing yellow spots that take up bear enough my hole vision I do wear glasses have done since a toddler but never had anything like this. I ll be going the doctors in the morning just looking for some more insight? ### REPLY: Hi. Thanks for your query and an elucidated history. Yes, we can always help you if you provide the full and detailed history. Since you are not well for more than a week, have sickness, headache and stomach pains with yellow blobs in vision, I would advise you the following:Get blood tests for CBC, Tidal for typhoid, blood culture and sensitivity.; urine and stool tests. Anyway, you are going to the Doctor, get vitals like pulse, BP and temperature, abdomen for liver and spleen checked., This will give us an idea about the disease you are having. You also need to be seen and examined by an Ophthalmologist. Proper diagnosis will give us the perfect plan for treatment. Till then have bed-rest, plenty of fluids orally. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 please can you give me some advice my 4 year old son and 7 year old daughter have red spots on there side of there face.My son was sweating last night so i stripped him down to cool him.Could it be a heat rash? or chicken pox son has one behind his ear and daughter has afew with yellow dots. Thankyou miss pyke. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have tender and red spots on face which could be due to allergic reactions to substances causing irritation of the skin, excessive exposure to sunlight, contact dermatitis, such as when you come in contact with poison ivy or cold sores, dermatitis, or eczema. Need not worry. I would suggest you to apply cold compresses on them, take antihistamine like Ben .  You can apply combination of topical Darlene + nadifloxacin gel at night. If condition doesn't get better than consult dermatologist for proper examination and rule out cause like chicken pox and bulbous pemphigoid. Doctor may prescribe corticosteroid or antibiotics course. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a strange rash at 3-4 places around the abdomen. Very itchy at times and fine at others. There is a burn like crust on 3 of them. I m worried that this could be scabies or other bugs? The pa thinks it may be an allergic reaction to something I wore but I don t really agree.She s prescribed desoximetaone 0.25% for it. ### REPLY: Hi. Itchy rashes can be most probably due to allergic reaction however it can also be due to Edematous Dermatitis. So my suggestion is to consult a Dermatologist and get evaluated and a clinical examination and investigations like allergy test can be done for confirmation. For now, you can take antihistamine Luke Levocetrizine or Ben .  Apply a combination of steroid, antibacterial and antifungal ointment like Renovate GM for relief. After appropriate diagnosis further treatment can be advised. Hope I have answered your query. Please let me know if I can assist you further. 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: Yes I just found out my mom is diabetic we eat the same foods because we live together I go to the doctor January 13th Im a little afraid to find out if Im diabetic what glucose level is too high that can make me diabetic so I can change my eating habits Im so nervous? ### REPLY: Hello! Welcome to  !  I understand your concern. Diabetes may develop due to various factors. The general mechanism is that isle cells of pancreas are not producing insulin which helps in keeping your glucose levels in check or insulin produced isn't acting on the glucose to keep levels controlled. I would suspect diabetes if the random blood glucose levels are anywhere about more than 180 mg/DL and would advise a fasting sugar test and glucose tolerance to conclude for diabetes. Eating healthy and keeping physically active helps delay the onset or keeps it at bay. Hope this clarifies your concern. Thank you for the query. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a buzzing in my left upper groin area. Feels like blood rushing through a vein or a cell phone buzz. Lasts for 2 seconds and happens about every 15 minutes, all day. I looked at my inner thigh this morning and I can see a prominent vein running to the area. The identical vein on the other leg is recessed and not easily visible. Just started a month ago and is getting progressively more often. Any ideas? ### REPLY: Hello, Based on your description of complaints. What I can infer is that you may be having a left groin strain. Although you have not mentioned you age and other details what I can tell you is that it commonly occurs after a strenuous activity. The vein that is prominently seen may be due to inflammation. I would suggest you to wait for a few more days and consult your physician who can advise you on the appropriate management after clinical examination. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor my so is six years old, he is having cold and cough always ,some times it become wheezing.although he is taking medice lie ,bronchopane,bronclyne,mucolite , it may get few days relief and attacking agian to him. can you give me proper advice on this matter ### REPLY: Hi... Thank you for consulting in . Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 25, 177cm and 113kg and i have had a cold now for around three years. I have been to doctors and taken antibiotics but nothing works. My lungs make a LOUD fizzing sound when i exhale. It prevents myself and my partner from sleeping it is so loud. It feels like my lungs are full of half hard fiberglass and someone has tipped in some bi carb and vinegar. Its truly horrible. Can you tell me what this is and how to fix it? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, this fishing sound is mostly wheezing. Wheezing is whistling sound caused by bronchospasm, and it is more commonly seen in exhalation. So you are mostly having bronchospasm. You are also having cold since 2-3 years. So possibility of allergy related disease is more. Allergy can cause asthma and similar symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) .  Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 41 had two ablations for afib been normal rate for almost two years.have had several test on gastro side normal with gerd they say but lately have pains in left arm and chest that comes and goes with head aches bad sometimes pains last mins to hours my heart rate at rest is 65 blood pressure 137/81 ### REPLY: Thanks for your question on . I can understand your concern. Your blood pressure and heart rate are normal, but since you are having history of atrial fibrillation and ablation, better to first rule out coronary artery disease as a cause for your left arm and Chest pain. So first get done 2d echo, stress test (trade mill test) and coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Musculoskeletal pain can also cause similar symptoms. So avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Don't worry, you will be alright. 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 have been experiencing lower back and hip pain when I try to sleep. I also have been experiencing nerve pain down the front of my thigh. Occasionally if I have been sitting for a long time I will feel the pain during the day, but it primarily happens when I lay down. Is this sciatica? What could be the cause? Thanks. ### REPLY: Hi, It can be sciatica or spine related problems like a disc prolapse. As a first line management, you can take analgesics like Tramadol or Gabapentin, both of them are very much effective for neuropathic pain as in your case. If pain persists, better to consult a neurologist and be evaluated. You may need an MRI scan for further evaluation. 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: my mom is constantly talking to herself. its a fast mutter constantly. she could be talking to herself about me when im right next to her. her head starts to shake, and i start to hear a constant wisper coming from her. she does it in public, in her car (by herself), as if no one is there to hear or notice her. i know this isnt normal. but i would like some clarity. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The condition could be schizophrenia. People with Schizoid type disorder ignores circumstances. Rather, they don't seem to recognize circumstances or the present world around them. They live in a world of their own. As you said, talk to themselves, indulge in activities without considering others views etc. You should take your mother to a psychiatrist for diagnosis and proper treatment. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. I recently lost my daughter to neonatal death she was born at 23weeks 4days, i found out that i had chorioamnionitis a severe ascending genital tract infection which was the cause of my premature labour. I have just recently found out I m pregnant again, 9 weeks but I m scared that its going to happen again as i believe that the chorioamnionitis was group b strep which i had after giving birth to my first daughter who is perfectly fine. I have been told that once carrying group b strep u are then prone to it during every pregnancy. Is there a chance this can happen again. What should happen through this pregnancy as in antenatal care. please help Becky ### REPLY: Hello, I have gone through your query and understood the concern. Even though you have tested positive for Group B streptococcus (GBS), you need not worry about the fetal outcome. 1 in 200 of untreated babies and 1 in 4000 of treated babies get infected. It is true that you are in the high risk group having lost a baby due to the infection previously. Yet, regular monitoring, prophylaxis with intravenous antibiotics during labor and proper handling of the newborn help to overcome the problem. If you have been tested once during this pregnancy and reported positive, there is no need to get tested again. Otherwise, you need to be tested between 35-37 weeks. A course of antibiotics may also be given during pregnancy since you had the infection antenatal in the past, to arrest the infection temporarily. 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 had sharp n constant severe pain now in my tummy for 3 weeks,I am 32 weeks pregnant I cannot sit or stand without a strong abdominal belt and even that only gives me 2 min.my doctor says maybe pain from c section scar but the pain is getting worse n worsen n not going away with rest ### REPLY: HI. It is difficult to say unless you have mentioned whether the pain is all over abdomen or is pinpointed to a particular are. The most probable reason for pain in abdomen during pregnancy of 32 weeks is as follows ;intestinal obstruction / appendicitis/ pain due to retro-placental hemorrhage, You need to urgently see a Gynecologist and a General Surgeon also. Get a clinical examination done and ultrasonography to be done. The treatment may be antibiotic if there is any evidence of 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: Hi, I had unprotected sex with my boyfriend on my first day of period .i.e 28th of Feb. I took ipill on 2nd of March before 48 hours from the time of sex. I had extended period of 10 days after taking ipill. Now, my regular menstrual cycle is delayed, and it is almost a week delay I am expecting my period. Please help me with suggestion whether I have any chances of getting pregnant?? ### REPLY: Hello mam, thanks for trusting  doctors for your health related queries.I guess your concern is possible to get pregnant inspire of taking I pill within 48hours...right??? I got the picture.my straight forward answer is-NO.NO.NO.well mam let's discuss with the info u have given to us...took I pill within 48 hours:correct method of taking it...Jen a woman takes I pill it alters the hormonal status in her.this altered hormonal status is not favorable for pregnancy...n it takes time to revert from altered hormonal status to normal status,thereby delay in next month menses....this delay will be usually 4-5 days,,,,but in your case u have told it's been a week....n u haven't shared whether your periods are regularly happening every month...with these I can't say you're not 100% pregnant.but don't worry chances are less though...well with ABV small discussion u can try out my suggestions:-1.get urinary pregnancy test done.it's available at your medical stores at affordable prices.buy it n do it ourself.if negative you are not pregnant,if positive then you are pregnant.....this is temporary relief for u2.I strongly recommend u to visit a nearby gynecologist to discuss the matter to doctor that u haven't got periods till now.y am I suggesting gynecologist is CZ they have sound knowledge of anatomy of female body n how it normally n abnormally functions...if pregnancy is there doctor can help how to solve problem,if pregnancy not there she can find what other causes may be present that is causing delay in menses, ...tats dual advantage.3.next time use condoms...condom has result(u won't b pregnant)but no side effects...I pill has result(u won't b pregnant)but of course along with side effects hope this was informative enough, helpful,useful for your query.regards- . (having regular healthy sex lifestyle Bowen couples is very good and advisable too...but a small presence of mind, u can use condom n can make girl free of medicine side effect n boy from being in psychological tension whether his GF has become pregnant) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: please, Dr i have a case of heavy growth of E coli and the medical report says that my sperm motility is not up to the required percentage and oxflocism tabs was giving to me for a week. Does it mean that i can not impregnate a woman again.Is there treatment to cure it. symtoms. stomach ace, bloating , erectile weakness, headache . ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that your semé analysis has revealed Ecol infection with Asthenospermia. Please get semen culture done to find out the appropriate antibiotics to which they are sensitive to so that the infection can be controlled. As regards Asthenospermia and other varied symptoms Following measure will help you to boost up your confidence, improve your general health and improve sperm motility to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. There is no reason why you should not impregnate your wife. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 third degree burns on my left upper thigh and left arm in 1994. I just recently started having some sharp stabbing almost electric feeling in my thigh where the graft was done. I was just wanting to know why now after so many years and is there anything that can be done to relieve it. Thanks ### REPLY: Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. If d old injury had an underlying nerve. .then its quiet possible that u may get symptoms after many years too.it might be swelling or inflammation of nerves. Apply ice packs.  Take analgesics and anti-inflammatory tablets rest. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.  Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age is 29, i have phimosis (Tight Foreskin). can you please tell me the treatment and how much time it will take and wht is the cost and how soon i will able to have sex with my partner as i m getting married in next 3 months. Please mail me at  YYYY@YYYY I will be thankful to you. ### REPLY: HelloThanks for query. The only best treatment option for Mitosis is to get circumcised. This is a simple surgery done under local anesthesia as about patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. It will cost you roughly 7-10 thousand Indian Rupees. It takes 3 weeks for complete healing of the wound. You can have routine satisfactory sexual life after getting married after 3 months.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Chronic insomnia , fatigue for almost a year. Stress for several years.Foggy thinking. My doctor tested me for Lupus and my ANA came back negative. Rashes , painful joints, just recent ER visit for dizzy spell that I felt my legs weaken...I didnt fall. Brain MR done with and without contrast shows no evidence of intracranial mass,hemorrhage,or acute infarction . Second Impression shows :Non specific white matter (FLAIR)signal abnormalities. These are commonly seen and have been described in migraines, and other infectious and inflamatory and ischemic disorders. Clinical correlation and follow up is advised . So the ER doctor refered me to a Neurologist. Im now experiencing burning in my lower back, with the tingling in my hands and feet. I did experience a stiff neck this morning as well. Could this be MS? All my blood work came back normal and my magnesium was low so they gave me Magnesium by IV 2 grams. Could I have MS Im really scared. My name is Concetta ### REPLY: Hi Concetta. Welcome to , and thanks for your query. It is very unlikely that you could have Multiple Sclerosis when your MRI brain scan is within normal limits. MRI brain scan has a very high predictive value for MS and is alone sufficient to make this diagnosis. Your chronic symptoms could be a manifestation of an underlying depressive / anxiety disorder also. I think that it would be worthwhile to consult a psychiatrist for a detailed assessment. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, i am 43 years old, 59 kg and 1.61m 2 weeks ago the doctor measured the GT level in blood, which was fully normal. All other tests (kidneys, cholesterin, hemoglobin, CRP) were normal. Last week I had a mild cold and some digestion problems (feeling full after eating). For a routine cardiologic check the doctor measured GOT and GPT which proved to be double than the normal. Never hadelevated liver enzymes. What can this be? ### REPLY: Hi, Welcome to  forum.  It appears that they were elevated due to the alcohol habit, or hepatitis, fatty liver, etc. You may need to have ultrasound for diagnosis and treatment of the liver problem. Other liver function tests are to be done to pinpoint the diagnosis.  E.C.G, and echocardiogram are to be done to exclude the cardiac involvement.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods for good health of the liver.  Wishing for a quick and complete recovery. 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 a few problems that I have been dealing with ever since I began my sexual endeavors. I am a 22 year old male.  And, I seem to ejaculate really fast, a lot of the times during foreplay before the sexual encounters even happen.  Also I wake up in the middle of the night with semen in my underwear.  It is becoming a huge problem, for i feel like i am not properly pleasing my partner.  Also, I get erect extremely easily, like simply from a long hug from a female.  I need some serious help please and thank you. ### REPLY: Thanks for contacting ChatDoctorI am sorry to hear that you are having problems with premature ejaculations. This is a common problem and can be treated with medication. In my practice I usually start using a low dose of Prozac. Prozac is an antidepressant but as a side effect it causes men to take longer to ejaculate. This would help you maintain and remain erect for regular intercourse. If that does not work there are beta blockers which are blood pressure medications but they maybe too powerful and completely stop erections. In summary1. Premature ejaculations common2. Treatment Prozac or other SSRI antidepressants3. If failed on Prozac try beta blockers like propranolol. I hope I answered your question. Please contact us again with any of your medical concerns or questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my name is frank Im 23 years old. I have a red/purple lump on my stomach. Sticks out almost as big as a marble. Its like discolored with red and purple. Doesnt hurt at all. I cant really think of any side effects whats so ever. Maybe that when I sit down and drive for too long I have pain in my testicles but Im have no idea if its due to the lump. Ive had this lump for so long Im just scared to see a doctor Im afraid of what they might say. Like cancer or anything serious. Like I said its red and purple about the size of a marble. Any IDE what this could be? Doesnt hurt at all if I touch it or push it. Its been about 3 year I think Ive had it. Thank you very much! ### REPLY: Hi and welcome to . If this is there for 3 years the nit won't be malignant. It sounds to me like haemangioma or any other subcutaneous lesion such as lipoma, fibroma or cyst. It can be surgically removed.  Pain in testicles shouldn't be related to it. It can result from hernia or infection including STD. You can do ultrasounds of both to evaluate the exact diagnosis. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I have been getting a sharp stabbing pain in my right calf.... it only last a few seconds but can go on all day and night then it goes away for weeks or months. There is no swelling and no pain to tough it.... but the pain when it happens is very intense. I spent all of last night away with this happening every few minutes. ### REPLY: Hi, Thanks for your query. It seems that you are having pain in your calves specially after walking. It can happen due to-1. Calf muscle strain and tear - Usually due to overwork and overstretching of the muscles. Recent increase in leg exercises may cause these. Gradual increase in exercise and painkillers with mild anti-inflammatory . 2. Muscle ischemia- associated with diabetes usually. There is acute pain associated with it.3. Deep vein thrombosis-comes last among the list of probable diagnosis. You may get the initial physical examination, relevant tests and treatment done under care of Orthopaedician. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 12 day old grand daughter has very pronounced clicking in the tmj bilaterally, it is not only when she eats, and no one seems to know what is causing it, I feel it may be loose ligaments because it does not seem to be causing pain yet, she seems to have control of face muscles, and her face does not seems to be malformed, however her skull protrudes at the back, we are told that this is because she was delivered by c section, but as far as I can see this is the only thing that I would consider to be out of the ordinary, you can feel the click in the back of the skull so at the least it does reverberate back there. do you have any thoughts on this? ### REPLY: Hi. Thanks for the query. As per your complaint it seems that clicking sound on TMJ bilaterally can be due to Temporomandibular joint dysfunction syn . . I would suggest you to consult an Oral Physician and get her evaluated and along with it get a Panoramic x-ray done. Treatment will depend on the exact cause. She can be advised night guards, physiotherapy etc. Along with it avoid excessive mouth opening and chewing very hard foods. Hope this helps. Take care! 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 doctor,I and my hubby have been ttc for a year.so we had an appointment with the gynae who adviced my hubbto go for semen analysis .based on the results of d test,my husby has low sperm motily.and so he was referred to a Urologist who confirmed that he has varicocele .and only a surgery wud correct it.I want to kno if after cthe surgery?I would get pregnant for sure?? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that your husband has varicocele and his semen analysis has revealed Asthanospermia, (Low sperm motility). But you have not posted semen analysis report in details I would like to state that varicocele can not because of low sperm motility. As regards improvement in sperm motility after varicocele surgery one can not assure you to improve sperm motility after surgery. There are 30 % chances of improvement in sperm count.Hence, it is very difficult to predict that you will conceive after surgery. Please consult qualified Infertility specialist for further guidance and explore possibility of pregnancy with the help of new assisted reproductive techniques like IVF or CSI. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 around 5 weeks I have had a bulge behind my right collar bone.  When my arm is relaxed by my side the bulge is not very noticable and seems to be inside the gap between my collar bone and the muscle from my shoulder to my neck.  But when I bring my arm up the bulge appears clearly and becomes much firmer.  It does not cause any pain, but I do notice slight twinges in that area.  My only other symptoms are an off balance feeling that I have had for around 5 months now, which started after a flu like illness. ### REPLY: HI, Welcome with your query to . Based on the facts of your query, you seem to have Lymph amenities post Flu like illness 5 myths back and which has caused this bump behind the collar bone. Possibility Reactive amenities/ or TB amenities with focus in throat or in the lungs around need to be examined.FNAC biopsy with homeopath study would give you the exact cause of it. Hope this would help you to plan treatment with your doctor. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at . Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on a regular excercise routine now for about a month.  After my time in the gym, I always have excruciating menstrual-like cramps, but its definitely not time for my period.  It keeps me up at night, and its usually just after my day in the gym...any ideas what may going on? ### REPLY: Hi. Thanks for your query. Pains in the abdomen after a day in the gym definitely suggests the muscular cause. Due to the already ailing muscles being subjected to the strains and sprains of the exercises, it never gets rests enough to regains its normalcy.Hence, this is something like a repetitive stress injury of that particular part of the muscles which when strained gives you menstrual like cramps. But, to be sage you have to undergo an ultrasonography of the abdomen and the abdominal wall just to see there are no other causes like ovarian cyst getting twisted or PID getting exacerbated and so on. I would suggest you to be seen by a Surgeon for physical examination of the abdominal wall for the muscular problem or a hernia and to get an order for ultrasonography and a prescription for the anti-inflammatory medicine with a painkiller property. No exercises till you get alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sirI have a problem called transverse myelitisCan u help me in this??Please revert me in detail about this.I am on wheelchair now with one sacral bedsore.My affected area is d3-d7 (ie dorsal spine)I am very upset because all of this. Please help meRegardsDeepak ### REPLY: Hello! Welcome on ! I am sorry to hear about your medical condition. This is a serious medical condition that can be caused by different causes: - viral infection- declination- an autoimmune reaction to an external agent, etc. So, further tests are needed to investigate for this reason, including lumbar puncture and different blood lab tests. High doses of steroids coupled with long time of physiotherapy may be helpful. 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: I dont really like talking about my problems, however I feel like I am going to have a breakdown. I am constantly crying for no reason and once I start crying I cant stop. Im having a really hard time focusing, paying attention, and I just want to stay in bed. I have to get up at 7am to take my child to school come home feed animals, household chores, then get ready for work which my shift is 2-11 and then back home to do it all over again. I work usually 6 days a week and I am ready to just walk away from everything. I feel like if someone is to upset me, I am going to loose it ( not physically but definitely in a verbal outburst of some sort). If you knew me you would understand I am the polar opposite. I am always in a great mood always smiling and go with the flow type I am very mellow and laid back. I dont understand why I am feeling like this but this is about the 6 month I have felt this way. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the given symptoms, it feels that you are depressed. But diagnosis without proper face to face contact with a psychologist is not advisable. This situation may also arise due to disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am about 6 weeks pregnant, and i went for an ultrasound on November 2,2010 and they said they could not see the heart beating. The doctor informed me that i could have just been early or it would be a miscarrage. I have to wait and go back next friday, and i cant get it off my mind. I havent had any symptoms of a miscarrage, but i am worried. I read online that they should be able to see the heart beat at 5 weeks.... so dose that mean its most likely a miscarrage since there was no heart beat? ### REPLY: Hi, Sometimes ovulation occurs later, and the pregnancy may be mistimed because of that. Usually fetal heart is seen after 6 weeks. If a fetal pole is seen, and it is 7 mm in size, a fetal heart is seen. If it is less than 7 mm, we advise the patient to wait for 7-10 days to identify the heart. So it is best for you to wait without any anxiety as stress and anxiety can also affect you. Be positive and continue folic acid till your next scan. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been experiencing bouts of severe abdominal pain over the past 7 months and admitted to the hospital four times. I ve been given different diagnoses of diverticulitis , irritable bowel , typhlitis and colities. The pain initially presented on my right side and also intermittently included back pain. The stomach pain on a scale of 1-10 is usually 7-8. I ve had an ultrasound, a abdominal CT scan with and without contrast, an EGD, a HIDA scan and most recently a colonoscopy and I m scheduled for a CT scan with and without contrast with a pancreatic window. My History: 49 year old African American female, 5 2 , 220lbs (lost 30 pounds in the last 6 months). I currently take cardizem cd 120mg, losartan 50mg, ferrous sulfate 325 twice a day, protonix 40mg, singulair at night and just finished 500mg of levoquin after my last hospital stay July 21-23. I had H Pylori back in 1989, had my gall bladder removed in 2006, had ovarian masses/tumors removed in 2008 along with a complete historectomy. I also have a mass and cysts on my right kidney (which I was informed was perfectly harmless--been there since 2008). My last 2 hospital stays were because of hypertension, heart palpitations, tightness in my chest, headaches, sweats, pains in the left arm, lightheaded/dizziness. Tests showed a normal EKG, but some tachycardia. The EGD showed a hiatal hernia and a growth that was sent out for a biopsy. Lab reports showed among other things, anemia. The ct scan showed typhlitis , whatever that is. The colonoscopy showed stenotic ileocecal valve. The doctors have come to a concensus...they don t know what it is. Here are the majority of the pieces of the puzzle, any light you can shed would be greatly appreciated. ### REPLY: Hi MEANS, Welcome to  ! Your problem is really very complex. So many possible causes are there. Two of your medicines need to be switched, Singular needs to be stopped you can take other inhalations anti-asthmatic which are equally effective, You are taking excessive doses of iron- I would suggest 100 mg thrice a day after meals, which is most tolerated dose. You might have post-surgical bands which result in intermittent obstruction and pain, that is more so a case if you are totally well in between the episodes. Another prominent possibilities is tuberculosis of abdomen. If your problem does not get resolved soon please review with your gastro-surgeon, and possibly you would need an exploratory laparotomy for a diagnosis and intraoperative intervention if possible. You need a physical examination by your physician and get baseline investigations like Chest X-Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Liver Function Test, Fasting and Postprandial Blood Sugar, Thyroid Profile, Lipid Profile, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem, so a definite treatment could be started.  I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Recently my husband was diagoned positive for Colon cancer. We have had a very healthy life style. Eat healthy - no MSGs, no canned or prepacked food, everything made fresh from scratch, and work out everyday with 1/2 marathons couple times a year. Only thing we have had proceesed for 1-2 yrs is a drink with L-Glutamate and I wish we were not introduced to it:( and I read that glutamate can cause and fuel cancer calls:( ### REPLY: There is no concrete evidence to say conclusively that L-Glutamate causes cancer, although there is emerging data in favor of the same. However, people will healthy life-styles and good eating habits can also develop colon cancer, although their chances are much less. This can be ascribed to environmental pollution and bad genes. But mostly, there is no reason and one shouldn't waste time looking for it. Of course, from now on you should avoid these .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sacrum under my tailbone hurts when I run sit down walk and bend over do you have any treatment ideas. That are quick and will take the pain away This happened at a park I was swinging and I jumped off and my feet slipped and I landed on it i weigh 170 pounds it hurt for a while then went away then when football started after the first week the pain came back ### REPLY: Hi, Thanks for your query. The pain in the coccyx that you have described can be related to coccydynia. You need to do hot site bath to decrease the inflammation in those joints. Do hot fomentation over sacrum. It will take weeks to months to subside. Use ring cushion and take site bath [sitting in lukewarm water for 10 min]Take analgesic like Nicosia 90 once daily along with tab methylcobalamine 1500 mcg once daily. If not relieved with all these methods then local injection may be required. You can take this consulting your doctor. Clinically spinal origin of pain needs to be ruled out, if required MRI spine can be done. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small lump under my armpit which gets bigger and painful before my period. I do have very painful breasts premenstruation anyway but this lump does not completly disappear. It feels like a thickened area that i seem to rub onto my rib! Have seen gp who says to go back when it is at its worst..even tho she felt it now. ### REPLY: Hi, dairy have gone through your question.  I can understand your concern.  Slight tenderness and fullness in breast is common at time of menstruation.  If you feel lump in axillary region or breast then it can be fibroadenomas. You should go for mammography once.  It will give you exact idea whether you have lump or not.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi  doctormy ct scan are( both kidneys are normal in size, shape and position. normal excretion of contrast medium is noted from both kidneys . no obstructive lesion identified. normal urinary bladder wall thickness , no ston/ mass is seen.rest of abdomen is unremarkable.  mild dilatation of the calyceal system with delayed pyelogram is appreciable)- i go to the bathroom many time in the day- i dont have any bain in kidney- my blood test is normal- bun 5.5        2.5-6.4  mmo1/l- crea 95       53-115  umo1/l-k     4.2         3.5-5.1 mmo1/l-c1  101        98-107 mmo1/l-na   153    132-145   mmo1/lphos 1.62    0.81-1.58  mmo1/l-urca   42    34-50     umo1/lwhat is wrong with me doctor ?why is mild dilatation of calyceal in both kidnys? ### REPLY: Hi and welcome to . Thank you for your query. Nothing is wrong with you. This is common finding and as it says this is just mild dilatation. It means that there is some minor obstruction of your urogenital tract. This is most common in prostate or ureterocystic junction. You need to do prostate ultrasound first to evaluate this. ALso, there could be some stone which passed, and it could cause cancel dilatation. There is no treatment necessary at this point but taking enough liquids. You just need to do frequent check-ups.Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i have affected by polio at the age of 1.5 year. Now my age is 31ys. I can walk without any help but my gait is not proper.Is stem cell therapy proved strength and provide muscle mass to improve my life style.My email address is YYYY@YYYY ### REPLY: Dear patient Polio virus affects anterior horn cells of spinal cord and leads to permanent damage to them and as a result there is atrophy of lower limb muscles. This wasting and atrophy is permanent.  As patient grows he learns to walk with hand to knee gait and can walk without support.  This damage to lower limb muscles is permanent and cannot be reversed. Although strength of muscles can be increased with exercise. If you want to make your leg straight it can be done, but then you have to use caliper and support may be required. You should visit expert orthopedic surgeon nearby you and get yourself examined and opined. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi dr. I have a severe mood swings. i am not experiencing Delusions nor hallucinations but most of the time im feeling hopeless, sad, or empty, Irritable, Physical and mental sluggish, Sleep problems, Concentration and memory problems, Feelings of worthlessness or guilt. Please help me and What are/is the best medication for this mood changes. ### REPLY: Dear Madam/Sir Your symptoms are compatible with that of depression if it is persistent and pervasive for weeks together and require medication(Antidepressant). Best medication for this can only be decided after detail symptom profile and severity, family history, your age and gender, occupation, support etc. Please consult qualified psychiatrist and take treatment immediately. Hope you will recover soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recurring brown angioma on my scrotum. Is that also considered highly vacuolar skin area..more so than as with breasts as per previous thread? Is that why they seem to persist in the very same spots? What can I do to stop them? Is there an effective "home remedy" ? -i have limited income and no insurance...Once I was told a 100 dollar prescription.. ### REPLY: Hello, Thanks for the query to . Forum. How can you say that this is Angola? If, Angola, have you taken treatment for this? ULTRASOUND scrotum with color Doppler will reveal the exact nature of disease. So the best way is to consult a surgeon and take treatment accordingly. Most important question is that recurring site is same than it is a cause of concern. Physical examination by a surgeon will diagnose the disease. Hope I have answered your query. If further any question I will help. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been under some stress this week. Yesterday I was having some soreness in my left shoulder area. Today I seem to have a lump in the area of my bra strap and it is very tender. Could it be a blood clot. My blood presurre is 116/64 cholesteral is within limits? ### REPLY: Hi, Dear,Thanks for your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based on the facts of your query, You with stressed shoulder, seems to suffer from-friction induced bruised lump inline of the bra strap. Take care with your doctor, before it complicates in to infected swelling leading to abscess. Possibility of blood clot is very less, as its in tender stage after the friction, suggesting acute inflammation with ? Local infection at the frictioned area. Hope this reply would satisfy you and would help you to plan further treatment with your doctor there. Welcome any further query in this regard, which would be replied in next session. Will appreciate YOU, to write your excellent review feedback comments of this service experience, to help the needy patient visitors like YOU, at  services. Good Day!!  . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 7.5 months pregnant, and about a 2 weeks ago started having burning after i went to the bathroom, i had a urine test and the quick test came back negative along with the growth on the urine was also negative, im still having the burning after i go to the bathroom, what else could it be? ### REPLY: Hallow Dear, Most of the time, burning urination during later half of pregnancy could be due to infection and/or passage of crystals in the urine. Strip test may not be useful to detect the cause. Better submit your urine for microscopic examination to the laboratory. Since your culture test is negative, the chances of crystals in the urine are high. After microscopic examination, you will realize which crystals are being passed and then accordingly, you will have to modify your diet. Whichever the crystal, please .  An Ayurvedic medicine named Cyst one may prove to be useful in such problems. Any vaginal infective discharge also is responsible for burning urination when the terminal urine  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 psychotherapist.  I work in a crisis clinic.  Recently a 50 year old Mexican National woman had a psychotic episode after her father (99 years old) died of natural causes.  She has no family or personal hx of psychiatric illness and has worked and been basically healthy up to now.  She stopped menstrating 2 months ago. ### REPLY: Hi, thanks for the query. Considering that you are well aware of the symptoms of psychosis such as reality distortion, delusions, hallucinations, formal thought disorder, behavioral disorganization etc. & presuming that the psychotic episode has occurred in response to stressor (loss of loved one); I would like to inquire whether the lady has fluctuating symptoms varying in intensity & severity over a day to day-hour to hour basis & whether there are predominant affective symptoms like emotional turmoil? I am suspecting this to be acute & transient psychotic disorder & for first episode of Psychosis; Risperidone/Olanzapine shall be my preference presuming there are no contraindications of health, lifestyle. Benzodiazepine group .  Can be used as adjuvants to reduce agitation. She should respond as early as within 1 week & may require  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im having an issue with tightening under my right side rib cage feels like a rubber band pulling. It will end up n pain thru to my back and I cant take n a breath with out hurting it used to happen on occasion now its numerous times daily. I cant lay on my back or it will automatically trigger. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description possibility of musculoskeletal pain due to pulled muscle is more. But better to rule out internal lung pathology first. So get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). If all these are normal then no need to worry about major lung diseases. Musculoskeletal pain is more likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Start painkiller and muscle relaxant .  Apply warm water pad on affected areas. Don't worry, you will be alright. 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 for no reason, my right knee gave out, where lower bone meet the knee joint. I did not fall, but my leg was weak and pain radiated down to my ankle. It doesn t feel like the joint, more like my lower leg is being twisted, but it isn t. Last week I got sunburned on my legs and feet. I have changed shoes but that didn t help. I have had tick bites but not noticed any bulls eyes, infections or rashes. Ive had low grade fever of and on, and at times my breathing is shallow. weird!! Ive also had an allergic reaction to the rubber in some Tommy Copper knee wraps I have to wear at work and the elastic in my sock. And ive had an allergic reaction to some laundry detergent. That was last week, but I randomly run across something washed in it, and I have allergies like never before. ### REPLY: Hi, You may have knee instability due to rupture of knee ligaments mostly anterior cruciate ligament. Minor twisting in just may be reason for rupture which may be unnoticed.  Diagnosis needs to be confirmed by doing MRI of the involved knee. Meanwhile, wear long knee extension brace while walking. Visit to orthopedic surgeon for detailed clinical Examination is recommended.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I Have Had Left Sided Back Pain For A Yr And A Half With A Loss Of appetite. I Have A Positive ANa 1:640 Homogenous Pattern And Now A Enlarged Spleen Measures17Cm. So Far My Cbc Is Normal. My Weight Has Been Steady But Lots Of Left Sided Back Pain And Never Hungry. I Am Just Lost What Could Cause This. I Have Also Been Told Possible Fatty Liver But Never Been A Drinker. ### REPLY: Hello, I have studied your case. Your Ana title suggests autoimmune disease. Back pain and joint pain are common symptoms of autoimmune diseased also check your it B12 and it D3 level.HLA B 27 blood test with RA test may rule out spondylitis. Medication like methylcobalamine and analgesic will reduce pain. You can do yoga exercises and focus on spine extension exercises. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. Hope this helps. Wish you a speedy recovery.  Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor i have a question my little brother has problems breathing.His chest gets tight and isnt able to get the full breather then gets scared and panics.We took him to the hospital he got xrays and all the doctors say hes fine but it still happends 3 times a week to 4 and im still kind of worried.Any advice? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out asthma in your brothers' case because asthma can cause chest tightness, breathing difficulty and chest x-ray is normal in asthma. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is showing obstructive defect then asthma is more likely. If PFT is also normal then no need to worry about asthma. Sometimes anxiety and panic disorder can also cause similar symptoms. So first rule out asthma in his case. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. 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 face has been red and warm for two days. I dont have a fever or any other symptoms. My ears have strange spots that appeared on the bottoms of my earlobes. It looks like blood has risen to the surface of the skin. I havent done anything to cause it to happen. help! ### REPLY: Hi Dear, Understanding your concern. Well the symptoms you mention in query is a condition known as flushed face. It usually occur when person is showing extreme emotions, it is a temporary phase which goes away after the person become normal. But if it persists for longer duration it needs medical attention. There can be many reasons for such symptoms like high blood pressure, allergic reaction, side effect of any .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last year i was diagnosed with severe fibromyalgia and was put on vicodin 5/500 for pain and it helped. I just recently lost my job and cannot afford to go to my drs and they wont write a prescription for my vicodin unless i make an appointment....which i cant afford. Not sure what to do or where to turn next. Im back in severe pain once again! ### REPLY: HIT hank for asking to ChatDoctorI appreciate your concern fibromyalgia is psychological disease may aggravate with the environment factor and functional elements, I generally advised NAIAD to my patients if ever comes with such disease, and the best option are" Tab Acetaminophen with Diclofenac and Tab Chlorodiazepoxide three times in day no need to take any potent analgesic, try to bear the pain as hard as you can this could give natural effects of analgesic, hope this information helps you, have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife is having very bad health problems low blood pressure high blood pressure gets dizzy a lot to were she almost passes out she is right now in a different country we are working on visa to get her to USA. We have not had a relationship for almost 10 months. The Drs in her country say it s because she has not had a relationship and also because of depression from being apart from one another she is 39 years old. Is it true what they tell her? She has been on many medications that I believe have weakened her immune system. I wait to get her to the U.S. and have her check out throughly I also be leave once we are together she will be strong. I hope there is nothing seriously wrong the Dr s in her country I do not trust what can I do to help ### REPLY: There are many medical conditions that may produce blood pressure variation. They are fortunately rare at your wives. In my experience, such symptoms are often related to severe emotional stress. This may be the source of her physicians comments. If they have found no major illness at cause then efforts to relieve that stress are the right intervention. Also, while true that many medicines may have side effects that are harmful, be sure that none of the medicines that she is avoiding are necessary to maintain her health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY DAUGHTER IS 2 MONTHS AND 20 DAYS OLDER FROM LAST 3 DAYS SHE IS HAVING MOTION AFTER EVERY FEEDING AND HER MOTIONS ARE GREENY AND STICKY TYPE. HER DOCTOR ADVICED US TO GIVE HER TAXIM 0 SYRUP 3 ml THRICE A DAY SHOULD I CONTINUE WITH THIS MEDICINE OR ANY OTHER TREATMENT OR MEDICINE IS REQUIRED ### REPLY: Hi... Thank you for consulting in . What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. PLEASE DO NOT USE ANTIBIOTICS LIKE MAXIMO AT THIS AGE WITHOUT PROPER EVALUATION. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father has been diagnosed with end stage congestive heart failure. He has a big problem...mostly in the late afternoon or evening hours...when he gets a painful build up of excess gas and belches a lot.  Is there a connection between the heart disease and excessive belching and gas? ### REPLY: Hello. I read your question carefully, and I understand your concern. Although rare, they may be connected. In late stage congestive heart failures (CHF), due to heart pump failure, every organ system suffers from not enough blood delivered by the failing heart. My opinion is that it is a slight symptom, in this big picture. I recommend a diet with restricted salt and taking all the CHF medications regularly. I hope I was helpful. Good day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I almost always feel like i cant catch my breath and that im not getting enough air. Even if i amnot doing any physical activites. I could be sitting on my couch watching tv, and i would get this feeling. It also does happen when i am doing physical activities too. I also noticed that it gets a little worse after i consume caffine. I also experience a pain in my chest too. It feels like pressure and like my airways are closed. I am starting to become more and more alarmed every day. I have been to the ER for this problem and i was told that it may be asthma or anxiety . I feel as if it is not anxiety though. I am not really anxious that often. I also have some stomach problems too. After any type of food i eat, my stomach hurts. I also constantly feel fatigued a lot of the time. ### REPLY: Hi friendWelcome to  You have enumerated too many complaints, but have not said anything else! - you did not mention even your age, or gender; habits or family history and so on.... The complaint also needs further descriptions to suggest the line of approach. From you say, only wild guess is possible!  You have to investigate your heart, lungs, stomach and nervousness. ECG, routine and exercise / X-ray chest and spirometry (lung function test) / endoscopy - are some things to be done - to exclude or confirm the suspicion. Instead of Emergency, you should see an Internist.  He will be able to guide you with the best approach and treatment. Take tarnishing you speedy recovery God bless 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: is there a treatment for ganglion other than surgery (even with surgery what are the chances it won t reoccur). I have one that is growing in the inner side of my right wrist. I have been taking ayurveda medicines for two months but no help. I am also insulin dependent diabetic. Does Ayurveda cause sugar levels to go up (I find that since I started the ayurveda treatment my sugar levels have also gone up). I am also keloidal so if I have to go for surgery what surgery is possible (pin hole?) I live in New Delhi ### REPLY: Hi, dairy have gone through your question. I can understand your concern. No, any medical treatment is there for ganglion cyst.  You may try aspiration to reduce swelling but its temporary. Permanent treatment is surgical excision.  You should go for complete excision of ganglion cyst. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello Doctors,my father is about 74 years. he was having itching whole body since long time and past 10 years it was little bit significant. he consulted "N" number of Allopathy, Homepathy, Ayurvedic doctors but there is no progress and no one confirmed/ diaganised exact problem why itching is occuring frequently. this winter, itching is tremandously increased and he is suffering a lot. please guide me what to do. thanks ### REPLY: Hello, Thank you for the question and welcome to  ! In order to help you more I will need some more information about your fathers condition like where is the itching located?is the itching area has any boil/discharge/ulcer/redness? Does he suffer from any chronic disease? From the limited information from the question it seems your father can be suffering from atomic dermatitis which is seasonal. As this is a chronic condition, there is no permanent cure. It is managed by diet by including less of sour food and any cloth or climate area. Medicines include episodic antihistamines. For reply to my questions message me back to help you better. Takecare! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 female 23 with a history of depression. i got attacked in september and have been taking 8 doses of solpadol to relieve the pian, only 8 months later i cant stop taking them. recently the last 2 months ive had a terrible pain where i have recently found a lump and am very worried as its painful. its directly underneath my chest in the center of my rib cage, its very painful, what could it be? ### REPLY: HI, Dear,Thanks for your query to  virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the Cause of itchy painful lump on your shin. Cause of the Painful lump under chest near ribcage-You had a history of attack/assault 8 myths back, due to which this pain started and still recurs, and for this reason you need to take Tab Salvador.-Since 2 months, you have found a lump with terrible pain near the center of your rib cage under the chest. With this history, it seems that you suffer from -Epigastric Hernia with obstructed contents, mostly pre-peritoneal fat with necrosis, causing sever pain.ALERTS/Caution-AS this Lump would complicate to recurrent obstructions going in to strangulation and would cause more serious pain and abdominal emergency, I would suggest you to consult ER Surgeon, who would give his Second opinion also and would treat it accordingly. This Epigastric hernia occurs in your case due to the trauma 8 myths back, which has increased the silent weakness or hole. Since last 2 myths you noticed this lump, by chance, when its contents got obstructed and only by severe pain you are worried about it now.-As the with very small duration, I would suggest you to Consult an ER Surgeon and get the physical examination and his Second Opinion on it. This would help you to plan treatment with your ER surgeon. Hope this reply would satisfy your query and worry with ITF you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to . Welcome for any further query in this regard to . Have a good day. With . N.M.S. Genl-CVTS, Senior Surgical Specialist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am from PAKISTAN. My mother is having hole in her left ear and gets infection every month. she visited many ent specialists they give medicines to eat and drops to put into ears. but after some time again water starts coming out. today she has again infection in her ear. she cant hear when we speak normally. and uses hearing aid. but when gets infection she stops using hearing instrument as she says i feel uncomfortable. please tell some remedy and drops which can work for her. she puts cotton full of vaseline into ears while taking bath sothat wayer couldnt enter into ear but even then she gets infection. ### REPLY: Hi, From history it seems that she might be having chronic middle ear infection producing perforation in her ear . Go for culture and sensitivity test of ear discharge. This will give information about organisms causing this infection and antibiotic medicine very effective against this organism. After report your doctor will prescribe long course of specific antibiotic medicine. There might be having healing of ear  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 period wasdue today ( or yesterday) but hasnt arrived. My cycle is usually 28 days. I have had slight queasiness for a few days, burping a lot. White discharge. Had slight cramps yesterday and was sure my period was coming... but no bleeding. I am 43 years old. Have 2 young children. Miscarried last November. I would like another child. The reading was false on the pregnancy test I did this afternoon. Could I still be pregnant? ### REPLY: Halloween you have regular cycles and miss your periods there is every possibility of pregnancy. You can repeat the urine pregnancy test after 3 days.  For a very definite result you can do a serum beta . It is more useful in such an early period. Since you are already 43, I would advise you to plan for the next pregnancy at the earliest as increasing maternal age has relatively more maternal and fetal complication. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 biggest drawback of doctors or health care professionals in general is that they focus on curative aspects, rather than preventive. If theres a heart problem, they say ok well cut u up and correct the defect. But its my personal experience that they dont provide health education on how to prevent the heart problem in the first place. I know - I have faced it with a couple of my close friends who underwent surgeries. Life style related illnesses are largely the fault of the people - and the health professionals as well. Your take on this? Age: 38 yrs, female, 5 feet 3 inches tall, 57kg weight ### REPLY: Hi Ma'am With all due respect I want to say we all are living in 21st century which is an era of modernized and educated society with well-educated people. A person comes to a doctor only when he or she falls sick. I want to ask your good self that how many times have you visited your doctor in your good health just to take health education to avoid yourself from getting sick? Do u believe it's possible for a doctor to go to every household and teach every single person how to stay healthy. So please don't say that doctors or health care professionals are solely responsible. Let me tell me from my experience I have patients who have undergone bypass surgeries/ angioplasties whom I have spent hours of counselling with to tell them to stop smoking as it is not good for them, but they never listen. So was do u think who's fault is this? You are telling doctors just cut up, Ma'am let us imagine a scenario; Say you are coming to a doctor with severe chest pain what do you seek that time A treatment or a health education lecture ? Please do answers before you point a finger at someone do understand the gravity of the scenario. Thanks and Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 22 year old healthy female. I am fit and exercise whenever time permits. For the past few months I periodically experience chest pains. It sometimes starts in the jaw area and moves down to my back and chest. I am known to be a worrier and have been diagnosed with anxiety problems. Could this be a side effect or is it more serious? ### REPLY: Hello, I need to know more about the symptoms, like precipitating factors, factors that increase pain etc. Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks.  However, considering your age, It's less likely to be a cardiac or any other serious cause. Still you should get one ECG done during the episode. ### END