Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Polio when I was young I m now 70 and have been going through a lot of pain in the back my right side had an operation on my back shots nothing helps when I had polio it was from the waist down and this is where all this pain is coming from I m on oxicoden for a long time and I m still going through this pain I m so tired of pain and hurting I don t know what to do and nothing seems to help I don t think any one understands this polio business it is always over looked on me. ### REPLY: Polio causes severe weakness of the muscle which are helpful in walking and making posture. Due to weakness of these muscles more strains develops on the spine to correct posture, and it causes pain. There may be advanced grade degenerative changes in your spine. You should start with hot fomentation of back and back strengthening exercises with help of you physiotherapist.  It will give you relief from pain and may decrease dose of analgesics. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor , I am 25yrs old female, doctor please tell me whthr it is safe to remove hair from pubic area by using hair remover as boyfrnd doesnt like it he always say that i should clean shave the pubic hair ... ### REPLY: Hair removers are chemicals, and has same side effects on your body what ever site u use. If the same brand that dost harm u on places other than pubic region, there is possible no harm in using there, but take care that it dost touch your vaginal or urethral region it may cause irritation. For safety use small amount in very small area for trial to rule out reaction to skin, if no reaction in half an hour, proceed safely. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dull ache on my waistline on the rt. side about 7 ins. rt. of my navel. I have had irritable bowel for 5 years with sev. yrs. of burping and gas and lose bowel from 4 movements a day to diahrrea On occasion I would have this ache also. I had all the testing down to CAT and the Gastro doc said it is very common not to be able to find the cause and has had me on Immodium all this time and it is the only thing to hold back the many movements. Not that i like that but he said he has had people on it for years and it will not harm me. I tweaked it to 2 times a day because AM was not enough. I did find that Red wine in the evening can cause this dull ache but even without the wine I have the ache. We have had a great stressor hit our family which has me so beside myself and I can only be thankful for our health because the stressor is a huge 2nd. The stressor has no way out other at this time. Our family consists of daughter and myself. I am worried about it being something physically serious. What might I check out with my doctor or what is in that area? Can stress cause all of this? Sincerely, Karen ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, your doctor is true in saying that no tests can be found to be abnormal with irritable bowel, still I would recommend you stay more calm and relax, as stress is a major reason for exaggeration of symptoms, regular meditation will surely help you also you can take help of any yoga teacher in your locality, as many yogic exercises have good effect of this condition and thus can reduce the need for .  If your want any more clarification, contact me back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having a strange body odour For almost 4 years! No doctor could find anything ... just recently i was diagnosed with PERNICIOUS ANEMIA. I have read that this disorder causes body odour. Will this body odor go away once I begin treatment? How long does it rakes? My doctor diagnosed me 2 months ago but have not given me b12. I dont think he knows much about this..please Help me ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Pernicious anemia is due to intrinsic factor deficiency, which leads to vitamin B12 deficiency.2. It B12 can be taken in injectables form, and it should show response within 15 days. 3. Due to increased activity due to anemia, you might be sweating a lot. This could be the possible cause of body odor.4. Take It b12 in injection form and followup. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I was bitten by a dog in July of 2008.I took injection of tetanus 26 or 27 hrs latter then i was injected with anti rabis about 27 days latter but i always feel inflation around bitten area.Sir, am i needed further treatment? please suggest me sir i live in tension. ### REPLY: Hi, I had gone through your query and understand your concern. Please do not worry. You were treated with proper medications earlier. The cause of feeling inflation around the bitten area may be due to fibrosis and scarring during wound healing. It will not cause any health problems, and you do not need any further treatment for this. If you find signs of inflammation like redness, swelling,raised local temperature, pain etc., then please contact with your local doctor because it needs physicians attention to confirm the diagnosis and for proper management. Hope this reliefs your tension. If you have further queries, please ask us any time. Wish you peaceful life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a sixteen year old male i am about 5 6 and 120 pounds.  think I have a chest cold? I dont know for a little while now mainly when i lay down to sleep I have shortness of breath or the feeling of holding my breath for a quick second. But also My heart begins to beat really fast. I do have aniexty and I am just starting to take my medication. Is this a chest cold or aniexty what should I do? ### REPLY: Hi welcome to the  According to history it seems more like stress induce panic attack is the reason Continue to take antianxiety medications and do yoga daily Exercise and meditation will be beneficial Still here cardiac cause and PNH like causes has to be ruled out Work up done by... -EKG -Auscultation-Blood pressure measurement -PS examination etc. According to cause further specific treatment given Take care Consult physician for examination ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 friend tripped and fell on my leg about a week ago, i noticed the bruise and it turned into a small bump on my lower leg near my calf. I looked on google and it says it could be a hematoma but its nothing to worry about and should go away in a few weeks. Is this true snd if so can you tell me what a hematoma is. Thank you ### REPLY: Hello, Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability. It sounds as though you might be correct.  It is possibly a small hematoma and over time this should resolve spontaneously.  If you have some stiffness in the area, then I would apply some local heat.  Do not worry about it, as I think it will probably resolve in due course. If your symptoms worsen or the swelling starts to increase in size, then I would certainly pay a visit to your primary care physician. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A few yeas back a drill bit broke off and impacted in my liver area, For days I struggled to breathe really thought i was going to die. Externally the bruising was from my liver chest and down my right arm. Since then I get recurring excrutiating  pain in my back right hand side which puts me to bed for a few days. I have requested a cat scan what tests could I have? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition.  Stones are seen more commonly in obese people and those with diabetes. You need to change your dietary habits first.  Need to avoid fried food, carbonated .  You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleuordinia and should be considered if gallbladder stones are ruled out. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Iam 54 yr old female . Now i have been diagonised for fatty and enlarged liver.Iam an indian with clean habits and vegetarian. kindly suggest diet and excersie scheduel. iam weighing 63 kilos and ht 157 cm. can i do cross ramp.kindly suggest.Regards and thanksRajisrikar ### REPLY: Thank you for posting your query. Increase in the level of liver enzymes reflect an INJURY to the Liver. Medically, the condition is known as "Hepatitis". Though your diagnosed with Fatty liver but you're also advised to test for Herb & C serology. Further advice:- abstinence from "Alcohol and . - Moreover, (no sports)but you may walk daily for around 30 to 40minutes. Cross ramp is not contraindicated - use lemon juice (lemonade) once in a day-recheck liver enzymes after 4 to 6 weeks.- violin  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 turned 30 in April( just a couple months ago) and since I remember Ive had very regular periods, but its been about 2.5 months that I havent got any, the las time I got my period was July 22nd and since then nothingIm not pregnant got my blood work done everything was absolutely normal and after that I got another blood work to check for my hormones it came back normal.I lost a little bit of weight in the past couple months npbut nothing major and I work out 3-5 times a week( its been about 6 years that Ive been working out regularly).Ive been married for 8 years and never tried to make babies but now with all this missing periods thing getting worried!Should I be worried at all or is it normal to miss some periods,when should I be worrie? ### REPLY: Hello, Missed period for 2.5 months is not normal. There are several reasons of missed period like ovarian cyst or PCs, hormonal imbalance, mental stress or depression, taking psychiatric medication, over weight, pelvic infection, anemia, improper diet habit etc. Here, I suggest you to undergo some investigations like pelvic ultrasound scan, hormone test (thyroid, LH/ FSH, testosterone), blood HBO & sugar level etc. These will help to make a diagnosis and give proper treatment. You can consult with your gynecologist for proper guidance. You need to control or reduce body wt by regular physical exercise, avoid mental stress, take low carboy . Hope, it helps for you. 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: Yes. I am experiencing abdominal pain, diarrhea on a daily basis. Originally, it was just in the morning, once or twice bowel movements. Then, four times a morning; now all day and evening. I cannot digest anything (liquid or solid) without incident. I am 76 years of age and a female. ### REPLY: Hi. Thanks for your query. Read and understood your concerns, regarding increased frequency of passing motion and inability to digest anything. I would advise you in such a case the following.First, get the stool tests done. Blood tests including that for sugar thyroid function testsWhen required a course of an antibiotic, metronidazole, probiotics, symptomatic and supportive treatment can be done. If no complete relief, further tests of Colonoscopy and CT scan may be needed to find the cause and get treated accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, began the pill Microgynon 30 on Tuesday which was the 5th day of my period. My doctor said I would be protected imediatly. So the day after I had unprotected sex, which I know was stupid of me to do, but by then i had taken 2 pills and was under the impression that i was protected. I was on top and i told my boyfriend to pull out but he didn t do it fast enough. I went to the toilet straight after and most of it came out and then there was only a little bit remaining the morning after. The BBC website and NHS website also say that if you take it on the 5th day you are protected unless you have a short ovulation cycle but my periods are irregular usually so i didn t know if i was in that category and many sites seem to be skeptical about it working imediatly on the 5th day . I recently read that if you take 4 Microgynon tablets within 120 hours of having sex and then 4, 12 hours later that is can act as emergency contraception . Being paranoid and panicking about the possibility of getting pregnant I took 4 tablets and i don t know whether to take another 4 in the morning because that would mean only having 7 pills left in my pill pack. And if i do that should i take the 8 pills out of the second pack and then bleed or should i just bleed when i ve finished my first pack. Everyone just told me to take my pills as normal but i couldn t stand the waiting. Please help!! ### REPLY: Welcome to .First you had unprotected sex on 5th day, and it is not the fertile period, so there are no any chances of pregnancy. The day you started pill is the right day and no need to worry, you have to continue it till complete pack. It will definitely protect you to become conceive. Now wait for next cycle without any worry and if you miss the cycle than go for urine pregnancy test and consult your gynecologist for further guidance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 almost no iron in my blood. Had cancer treatment for a year. Morgellons for 9years. The chemo enraged the m and biofilm can out on top of face. Unreal creatures purging. No iron now. I am trying hard to kil biofilm. If this is you, you are cute. Jonna thanks ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have severe anemia. Treatment depends on cause of anemia.  As you say you have iron deficiency anemia. You should go for complete blood count and peripheral smear examination as well as anemia profile.  It will give you exact diagnosis. You should take oral or injectable iron.  Oral iron is available as ferrous sulfate or ferrous fumarate tablet form.  Iron sucrose or iron extra is available in injectable form.  Consult your doctor and take treatment accordingly. You should also take iron rich food like dates, green leafy vegetables, .  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing pain in my left side above my hip and in the left side of my back.  I have no idea what brought it on or made it go away.  But now I have a slight stabbing pain in my pelvic area on the left side.  Im clueless...what is causing all this pain? ### REPLY: Hello, I have studied your case. Pelvic pain can be from hip joint or from lumbar spine area. You may need clinical examination to confirm origin of pain. When such patient comes to our hospital we advise x-ray and if required MRI spine and SOS MRI hip. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took an Ipill after 72 hours. I would say it was at the 73rd /74th hour of having unprotected sex. Is there a high chance of getting pregnant? If yes, then is there any way to find out if I am already? My periods are due for 11th july. And If i am then is there a way to abort it other than abortion? ### REPLY: HI. Taking i-pill after 72 hours may not work well. It is recommended to be taken within 72 hrs. And I tell you earlier the better. But there is still a chance of protection, if you get Cu-T inserted within 5 days of unprotected intercourse then also it will work. So, go ahead. To know if you are pregnant or not before you miss your period is to get blood test for  levels after 3rd week of your LMP. If you still be positive for pregnancy, then you can take pills for medical termination under the supervision of a .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Kid 2years 6 months old is having fever thats goes up to 104 F and then goes down on giving fever tables (calpol) and antibiotic(Adventis). He is also showing red rashes all over his legs and hands since morning . Can you please advise what it could be? ### REPLY: Hi dear, I understand your concerns sudden onset high grade fever along with rash is most likely a viral illness. If he does not have any other symptoms, is playful when fever comes down, and taking feeds, just give him paracetamol 3-4 times a day. Let him take rest and .  If the rash is itchy, apply calamine lotion over there 2-3 times a day. If bothersome, I used to give antihistamines like HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi! i have this extreme pain in my left flank and has undergone ultrasound. I just got my result and it says that I have Left mild pelviectasis. Also, it say that they found gallbladder polyps. Is this something serious. And what should be my next course? your answer will be of great help. Thank You! ### REPLY: Hi. Pelvicalectasis can cause sever pain in the same side of the flank. The incidental finding of gall bladder polyps needs removal of gall bladder for removing the disease and have a biopsy report too. Nowadays the gall bladder (GB) is removed by Laparoscopy routinely wherein the GB is removed through 3 to 4 small incisions, and you can go home by 2nd or 3rd day and go to work very early. You need to undergo further investigations and treatment as suggested by Surgical Urologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Samuel my friend is 53 years old, female mother to 7 children aged 32 down to 13 years old, no health problems physically non smoker not a heavy drinker ,haveing a hard time with an x husband, now she was out to lunch today and cant remember the last few days as of now her friend rang me and is on the way to me with her im going to take her into the hospital which is beside my house, when she arrives, ### REPLY: Hello She is 53 years old and is otherwise healthy, and she had a traumatic past. She suddenly failed to remember last few days. As there is no history of trauma, unconsciousness, hypertension so most likely the problem of memory loss is due to some Conversion Disorder. Conversion Disorder occurs due to some unresolved conflict in mind and a lot of complaints are seen. Other possibility is some Dementia, but sudden onset memory loss is not seen in dementia. In dementias gradual progressive memory loss is seen. I would advise you to please visit a good Psychiatrist for expert opinion. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my endometrium thickness is 9.2mm can i get pregnant easily plz help me ### REPLY: Hi, Welcome to . The information provided by you is not at all sufficient. When was your last period, what day of your cycle was the endometrial thickness 9.2 MMS., what is the size of the dominant follicle in the ovary, semen analysis report of your husband etc. All these factors having bearing on your possibility of conceiving. Endometrium alone is not the factor deciding possibility of becoming pregnant.  Endometrium between 6 MMS. To 12 MMS. Is adequate for conceiving, provided it has increased in thickness during the cycle and has not remained constant in thickness, along with triple line sign on ultrasound examination, which states that the endometrial thickening is favorable. 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: Just back from Punta Cana 2 days ago and I started feeling sick the last 2 days while I was there.  Since, it isnt constant but it persists, especially in the evenings:  body ach, kidneys dont feel good, cramps, sweating, diarrhea, feeling that I want to vomit, no energy.  Im not used to that at all.  Im afraid I might have malaria even though I never left the resort.  I have a prescription in my hands:  novo chloroquine, I know I should have started to take it prior to departure but I elected not too ...  So would it be smart to start using it as of now? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have body ache, cramps, diarrhea, nausea and weakness. You may have malaria, viral fever or some other infection. You should go for complete blood count and test for malaria parasite. If your tests for malaria parasites comes positive then you should take treatment. Otherwise antimalarial treatment will not help. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My doctor found a nodular mass in my annual exam yesterday. it is in the cul de sac between the uterus and colon. Although I have not had pain, when she preseed on it, it was very tender and uncomfortable. She indicated that I should have an ultrasound and blood work. I am 49 and have had mini-cycles twice this year (14 days and 15 days after a regular cycle). However, she did not schedule the blood work or untrasound yesterday and her assistant did not call today, so I don t think this is urgent. My question is: what percent of masses in this area are cancer? ### REPLY: Hi.not all nodular masses found between your uterus and colon are cancerous. The percentage of which being malignant, depends on the tumor lesion type that is present. It is best if you consult with a doctor, preferably a gynecologist, is best for physical examination and clinical evaluation. Diagnostics, such as ultrasound and a biopsy or a tissue diagnosis may be recommended. Management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. 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: Every time I defecate I pass a few drops of brown blood from my penis.  My semen has also been brown coloured on a few occasions.  I have had a blood test and this has shown me to be negative of sexual diseases including HIV/aids.  I await a PSA test and an echograph (?) scan in a months time.  Any clues please as to what might be the problem? ### REPLY: Hello, As per your history, it may be due to urinary tract infection. For further assessment you may require ultrasound abdomen, complete hologram, urinalysis after physician consultation. Treatment mainly depends upon the underlying condition. Till that for pain you can take tablet acetaminophen. Keep your self HY .  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am curious on whether weathering not I have paranoia or something more serious, so Im going to explain to you what I have been going through for the past year. I am constantly thinking someone is watching me. I have trouble getting out of my shower because I believe that people can float out of their bodies and watch me. Also when I sit on the bus I am always having to change what Im thinking about because I believe people can read my mind. And most times when Im alone I will act as if a real life person is there with me, I talk to them and interact, I cant see them by I imagine they are there. I always think that if I do something embarrassing people will find out. And I always think people are looking at me judging me. I cant go into stores with my mom often because Im scared people will judge me. Even when Im in the car I cant help but think people are trying to take me. Its affecting me because now all I wear is big bulky sweat shirts and baggy shorts because I think Im fat and not attractive. I even had a hard time giving you my email because  I think this is something fake or that it will hook up with my Facebook and every one will see the question I asked. Sorry it was so long. ### REPLY: Hi, Feeling all the time that someone is watching you, or feeling that people are following you or that they can read your mind are all features of a referential thinking process. They are seen in psychotic illnesses, but given the insight you have in your problem, I do not think you have one. So if it's not psychosis, then what it is? It can be seen in social phobias, but as you have mentioned in the last few lines about feeling fat and not attractive, is this what is actually bothering you? It is common amongst adolescents and young adults to find such disturbances of body image, and they do cause a lot of trouble to the sufferer. Please visit a psychiatrist and discuss the matter with him/her in detail. There are ways to tackle such dysfunctional mental schema like cognitive behavior therapy, in which the professional works towards re-framing the thought process for good. Please do not hesitate in seeking help. 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: 1. A fairly large mixed echogenic area measuring 10.9*9.0 cm is noted in upper and mid pole of right kidney causing distortion of parenchymal architecture and pc sysrem.2. diabetic (10.5)please give suggestion.......................Best Regardssubash chanChatDoctor(age-63) ### REPLY: Hello Thanks for writing to ChatDoctorYou have large echogenic area in upper and mid-pole of right kidney. Mass is causing distortion of parenchymal architecture and plevicalyceal system of right kidney. It may be due to many reasons. It is important to know your clinical details. You need few investigations like routine hologram, RBS,Renal function test, urine RE/ME, Contrast CT scan of abdomen. CT Scan is very important in exact diagnosis. Treatment depend upon findings. Hope I have answered your query. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, my age 30 yrs and waight is 67 kg n hight is 5.5 fits.My problem is that my penice is not erected too much during the sex and due to which im unable to intercouse properly.I have lost my mental confidence n strainght.tel me plz how can I improve my sexual strainght and cofidance? ### REPLY: Hi and welcome to . Thank you for your query. I understand your concerns and I will try to help you as much as I can. Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss oxblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress.  .  The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and include avoiding tobacco and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had severe altitude sickness over the weekend in Breckenridge Colorado. Had to be rushed to the ER. My oxygen level reached low 80 s and I m a two time heart attack victom on blood thinners and 10 stents. I tried to go to the gym today and do my usual workout. Had to stop after 10 minutes my legs feel weird! Like weak and wobbly! Been back in Ft Worth for three days now. How long before I feel normal again. ? ### REPLY: Hi, I had gone through your question and understand your concerns. You probably developed high altitude pulmonary edema that is a moderate to severe complication of altitude sickness. Mild to moderate symptoms of altitude sickness reverse about in 3-4 days after turning back to normal highs. Severe complications need few weeks before you get to normal state. So in my opinion there is need to avoid efforts for a couple of weeks before getting back to gym. Hope this helps. If you have further questions feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my 18 week ultrasound on Monday. The tech had written that the umbilical cord was uncoiled. My doctor didn t seem upset. He even said he wasn t sure what that had to do with anything. Since reading online I ve seen many scary scenarios. Should I be concerned? ### REPLY: Hello dear, I understand your concern. In my opinion the uncoiling of umbilical cord might not be significant. It does not have to do anything and I agree with your doctor regarding this. True knots and false knots are also seen in umbilical cord and that is also not significant. The only thing which matters are loop of cord around the fetal neck at term pregnancy. There can be tight loop or loose loop. The loose loop might not cause any problem, but the tight loop might prevent the decent of fetus during the labor. And tight loop might be the cause of failure of progress of labor in that case and Caesarion is advised. So from the above explanation it is clear that uncoiling is not significant. Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: in january of this year i woke up one morning and i noticed my chest was hurting right away then i starting developing a large almost knot feeling or a lump on my right breast plate it was very tender i couldnt even hug people because it hurt so bad now ive noticed im having chest pains alot more often and at time the lump isnt very vissible and doesnt hurt but other times it sticks out of my skin so bad that its vissible without even having to touch it and it when it becomes larger thats when i start having the bad chest pains. im not sure that it would be a cyst because it isnt squishy at all and it doesnt move it has stayed in the same place for 6 months. what could it be? ### REPLY: Hello, I have gone through your query. Thanks for using . Your description of pain and lump in right breasts needs evaluation .you must consult a surgeon for physical examination. We need to find out whether it is cyst or a mass.local examination gives a lot of information of its size, consistency etc. Then you may need mammography to establish diagnosis and mat need further tissue diagnosis. I request you to go for early check up. My best wishes .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i had bunion op 2 weeks ago and doctor put me on fragmin injections for 42 days.ive never had blood clots, but my mum died of them. my belly is covered in large bruises, AND my tongue is furry. should i have these jabs for so long without testing my blood? ### REPLY: Hi, Usually, we keep pt on frag min post surgically for 31 days, that too in cases which limit the mobility of the pt or affect the blood flow in lower limbs. In case your doctor started you on frag min there is some definite indication for it apart from your surgery that you are not aware of. Hence, it is better to revisit your doctor and get yourself screened again. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 38 weeks pregnant, I am on day 7 of the most intense headache I can remember having in a very long time. I was seeing spots. I have been to labor and delivery 2 times, blood pressure is normal for me (117/68), there were no proteins in my urine, my blood work was fine. 1000mg of tylonel did nothing at all to releive the pain. What else could this be? ### REPLY: Hi. Headaches during pregnancy are common and associated with hormonal imbalances, in your case this could be the cause, or it could be a migraine headache. I would think that a hormonal cause is more likely, and if that is the case then we cannot really do much about it until you deliver. I am sure you already know that we cannot really prescribe pain medication for you, and as you are close to your term you should be rid of them really soon. Wishing you loads of luck and congratulations in advance. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter aged 3 yeats and 9 months have been advised two sets of Inhaler s (Asthalin and budecort 200) no other enzymes or medicines to cure a cough that has been failed to be cured in 2 months .Now after 2 days of administration of this inhaler s her cough has reduced a lot but last night she started Vomiting a lot . My concern is can it be coz of the inhalers she is getting indigestion issues ? Please advsie if I need to start any anti acid for my kid .... I am a single father and a bit concern about my kido ### REPLY: Budecort is an inhalation corticosteroid(ICS), its side effects include local candidiasis and Dysphonia(hoarse voice). To reduce its side effects, ask the child to rinse her mouth after its use with swish and spit technique. Usually all steroid can cause acute gastritis and vomiting, but the chances with ICS is rare. Stalin has not been known to cause such side effects. Give your child a three-day course of Tab Landon junior 15 mg, one tablet daily empty stomach in the morning. Also give an anti-emetic like Spy Ondansetron SOS to relieve her of symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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   Hi   I am 68 years of age and a diabetic patients for the last 25 years. I am controlling my diet and every month doing my blood analysis. My SGPT and SGOT has never been above 26 and 23 for the last many month .This month it is showing SGPT as 53 and SGOT as 49  I am little worried how suddenly it has increased and what could be the cause and remedy ?  Thanks   A.M Chanda   E mail   YYYY@YYYY ### REPLY: Dear AM Chandra, Hi and Welcome. I appreciate your concern for the raised liver enzymes. The findings are suggestive of some sort of liver injury/disease. In addition to intake of alcohol or alcohol containing beverages, diseases of the liver, gall bladder or pancreas can also increase the level of these enzymes. To ascertain the exact cause in your case, you are advised to consult a physician for proper evaluation and workup to rule out the above diseases, you may need to undergo lab tests, abdominal ultrasound, etc. Meanwhile, avoid taking alcohol (if you happened to be taking), take a healthy balanced diet preferable home cooked food, vegetables and fruits. Hope the suggestion given above could be useful in detecting the exact cause of the raised enzymes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 randomly getting these red bumps, almost looks like a bug bite, with white puss in the middle all over my body. From my legs to my stomach & now my arms. They itch really bad. But they seem to pop up at random times. At home, at work. What could it be? ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having multiple pustules. Pustules are pus filled blisters. Pustules are seen in1. Diabetes 2. Patient with poor immunity 3. Connective tissue disease (CTD) etc. So better to consult dermatologist and get done 1. Sugar estimation to rule out diabetes. 2. Immunoglobulin levels to rule out immunocompromised States. 3. Serum ANA level and full ANA profile to rule out CTD. You need to first diagnose yourself and then start appropriate treatment. You need antibiotics, antihistamines and anti-inflammatory .  So first consult dermatologist and discuss all 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: i have just read read about the 1o signs of liver damage and i have about 5 of them and now begin to worry. the biggest sign is that after being slim all my life and after my 3rd child i am now 44 and have looked 6 months pregnant now for about 2 years, regards reta. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have liver damage. You should go for complete liver function test and ultrasound abdomen. Increase in AST & ALT level is suggestive of liver damage. There are many causes of liver damage. Viral hepatitis, alcohol, toxin, .  You should investigate first. Search the cause and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...my husband has been having a n ache in his chest and anxiety/flutter feelings. his pulse has always been slow but it has been irregular on and off for 2/52 now. skiping beats etc. should i been cncerned? ### REPLY: Thanks for your question on . I can understand your concern. Anxiety can cause fluttering sensations in chest. But he is also having irregular heart beats, so we should first rule out arrhythmia (rhythm disturbances in heart) for his fluttering see sensations. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart disease. Consult psychiatrist for anxiety. Counseling sessions along with anxiolytic . Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi... my face has become dark due to pigmentation... and its not turning back to its original colour.... my friend suggested me to use COSMELITE cream... but there r no good comments about that cream online.... so can u please direct me if its safe to use this cream? or is there any other cream which might help me? ### REPLY: Hello, Thank you for posting on ChatDoctorComplexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You should avoid use of Carmelite cream as it contains steroid and other ingredients which harms the skin if used without medical advice. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray . Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the depo since February of this year. I use to be on it last year in march was my last shot. I received it again in the beginning of may I also had unprotected sex that same day then five days after ever since I had sex a week later I was nauseous had headaches, back pain I dont get a period so I dont know if Im pregnant ### REPLY: Hi and thank you so much for this query.  If am so sorry to hear about this troubling thought of possible pregnancy going through your mind right now. Deprovera, like every other contraceptive is not 100% effective at preventing pregnancy.  Having unprotected sex on the same day after receiving this .  Considering all of this and the above symptoms, I will suggest that you stay at least 2 weeks for the day of last intercourse and get a pregnancy test done. This will tell whether you are pregnant or not. Please, Demo may prevent against pregnancy but not diseases, always consider using a protection during intercourse to avoid contracting STDs. I hope this answers your query fully. Please feel free to return with more questions if need be. I 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: My partner has developed a solid lump about 2cm on the INSIDE of his left buttock close to his anal passage.  Hes in absolute agony with it. What could it be?  This is the fourth day hes had it now and its just gotten more painful.  He does a lot of driving, could this be the reason why? ### REPLY: Hi, From history it seems that there might be having developing abscess over that region. This can be due to ingrown hair follicle infection and part remained more wet due to perspiration and less airy. Her might require one course of antibiotic and anti-inflammatory medicine course for 5 days. Once abscess is formed, it might require incision and . With antibiotic medicine there are all chances of clearing the infection. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Am 40 ys old after my 3d delivery bz of ceserian i got palpitTionn i tuk ecg n scan my heart is norml datday my gas nt went out after going am normal dat time pulse went 160 like dat now kid 2 nhalf yr old agAin am getting such problem bt pulse normal doctor says its anzity dnt worry abt anything n gvn ivabrD n some drotil sleeping dose pl advice me how to cm out frm dis problem i ve 3small kids n i wanna to live is there any risk bz of ds palpitation plz advice doctor ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart diseases because your ECG was normal both the times when you had palpitations. So heart diseases are unlikely in your case. Possibility of uncontrolled stress and anxiety is more. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Counselling plays very important role in control of anxiety along with  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pain between my breasts, on the surface. Feels like a muscle just beneath skin. No other symptoms (except panic.) I have controlled high bp, always test normal with meds, am otherwise healthy though overweight and 59. I am active and try to exercise regularly. Last physical 4 months ago, everything fine. Father had an angio after 70, mothers side no history of heart problems. ### REPLY: Welcome to  I have gone through your query and understand your concern. It is likely to be muscular pain. You can take analgesic such as ibuprofen for pain relief. No need of panic but you can get your heart function test to rule out heart disease. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my hand has been shaking for a while now. Every time I play tennis and hit a few shots it starts to shake vigorously. I can t hold anything for a while and there is pain in my arm and where my elbow is. The trembling usually stops 30 min after I stop playing tennis. How can I prevent shaking and pain from happening again when I play tennis? ### REPLY: Hello, As these symptoms sound to be examined by the physician on a clinical basis. Because having pain in elbow could be because of the tennis elbow. Like inflammation of the origin of the common extensors. Or it may be because of the nerve entrapment at the cervical spine. After a clinical examination, the therapy can be initiated. For now, I will advise doing icing and use tennis elbow brace and see if this is helping you avoid the pain. If so then we suspect it to be a tennis elbow and will be treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I AM VENUGOPAL AGE 40 .60KG 5.4 ",HAVING CHEST PAIN SINCE 1 MONTH ALOPATHY INFORMED PAIN IS DUE TO PUS FORMATION IN CHEST AND ADVISED MONOCEF 200 BD ,MTS LINCTUSE CODINE SYP5ML TID,NAPROSIN 40MG AND DOXYCYCLIN 400MG 1/2 TAB TID FOR 5 DAYS AFTER COMPLETION OF THE COURSE ALSO I COULD NOT GET ANY RELIF  KINDLY HELP ME ### REPLY: Thanks for your question on . I can understand your concern. Pus formation in lungs is mostly due to tuberculosis or anaerobic infection. And best treatment is 1. Removal of all pus through intercostal .  Pus culture and sensitivity report. Culture will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. So better not to take haphazard antibiotics. Consult pulmonologist and get done ICD tube insertion, remove all pus and start appropriate antibiotics according to sensitivity report. This will improve your infection rapidly. Don't worry, you will be alright with appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish 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 noticed recently my vessels along the bottom sides of my tongue are darker but one side, my left is like a huge cluster and plum color. What could this be an indication of? I hate going to the dentist, more recently because I had a dentist ruin two teeth the same day, now they sit in my mouth, broke because I dread knowing they now have to be pulled, theres no other option ### REPLY: Thanks for your query, I have gone through your query. The vessels along the floor of the mouth or below the tongue could be a varicose vein or dilated sublingual vein. Nothing to worry it is benign condition, I will not harm you. If there is any change in the size then consult an oral physician and get an MRI done to rule out arteriovenous malformation. If it is a dilated vessel then no need of any treatment. If it is an arteriovenous malformation, then it has to be treated with sclerosis agents. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am having a serious problem of heartburn, palpitations and belching since two years. The palpitation and chest pain is so prominent that I dont get sleep in the night sometimes.  A glass of cold mild calms me down for short time. Two years ago I was diagonised with GERD and was on medicine for two months. Things were fine while I was on medication, but worsened later on. I consulted many doctors, but all they used to do is give a short medicinal course. Things would be fine while under medication, but would get worse later on. I am just 26 years old and have made several changes in my diet right from avoiding caffeine, alcohol, sour and spicy foods etc. upto no avail. Please guide me on what diet I need to follow to get rid of my condition. ### REPLY: DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN. You're SUFFERING FROM FEES THAT CAN BE CONTROLLED BY CERTAIN Lifestyle MODIFICATIONS SUGGEST YOU TO START WITH1) TAB TABLET DSR ONCE DAILY BEFORE BREAKFAST FOR 1 MONTH2) AVOID SPICY FOOD AND HOT BEVERAGES LIKE TEA, COFFEE 3) USE AT LEAST 2 CUSHIONS DURING BED TIME4) EAT LEAFY VEGETABLES AND BLAND DIET AS FAR AS POSSIBLE5) BRISK WALKING EXERCISE FOR 20MIN6) HOME MEASURES LIKE CURD, MILK CAN HELP7) YOGA AND PANAMA CAN HELP.HOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is samina, i wanted to ask about my lower abdominal pain i keep getting for a couple of months everytime me and my husband have intercourse, but all tests have come back negative the pelvic inflammatory disease, chlamidya and urinary tract infection i have also taken a full course of antibiotics, but no solution, i only get this pain during sex and while im urinating when being on my menses other wise  dont relise i have this pain i.m normal ca you please help me, im confused! ### REPLY: Hi! Good evening. I am  answering your query. As all the tests mentioned by you came out to be normal, if I were your doctor, I would advise you in addition an ultrasound of the abdomen to rule out chances of any endometrial deposits outside the uterus which might give you such discomfort during menses and urination. Also, a urine culture and sensitivity report could be helpful in deciding on the appropriate antibiotics. The management of endometriosis (if positive) would need a consultation with a gynecologist, and so I would advise you to fix an appointment accordingly. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 6 yr old son has live blood cells in urine. it is painfull when he goes to the bathroom. no signs of infection and no growth on his urine culture. very concerend of what could be wrong. this has gone on now for over a week, and we are waiting to see a specialist next week. any ideas? ### REPLY: Red colored urine is not always pathological or disease associated. There are causes like ingestion of various . In your case, there is one of the following common possibilities.-glomerulonephritis-UTI (urinary tract infection)-traumatic cause-meatal stenosis to rule out causes, you had to consult nephrologist. Do some basic investigation like complete blood count, urine microscopy and culture, renal function test, blood urea nitrogen, ultrasonography abdomen and pelvis. Special attention should be given to blood pressure and check for edema, abdominal mass, headache and various symptoms.meanwhile you should give plenty of fluid to him and start antibiotic according to your consulted doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO, GREETINGS FROM CAMEROON, I AM CALLED, ENNI QUODENSIA TINYIH AND MY SONS NAME IS AGWE JEDIDIAH NJIH BORNE ON THE 4TH OF FEBUARY 2011. I WAS BROWSING OVER THE NET IN SEARCH FOR A SOLUTION TO A PROBLEM MY SON IS 12 MONTHS OLD NOW AND CANNOT SIT .HE IS COMPLEATLY WEAK IN HIS UPPER ABDOMEN.HIS HANDS NECK AND BACK ARE ALL WEAK.THOUGH HE EATS WELL ,NEVER SICK AND LOOKING VERY HEALTHY . I HAVE TRIED SO MANY PEDIATRICIANS IN MY COUNTRY AND THEY TOLD ME THAT THEY DON T KNOW WHAT IS WRONG WITH THE CHILD AND ADVICE ME TO ASK FOR FOREIGN ASSISTANCE DUE TO THE LACK OF SUFFICIENT MEDICAL INSTRUMENTS TO TEST THE BABY IN AFRICA, DR,I AM GRADUALLY WASTING AWAY DUE TO MY BABIES CONDITION .PLEAS I NEED YOUR HELP.REPLY AND I WILL SEND THE BABIES PICTURES FOR YOU TO EXAMINE .THANKS WAITING FOR YOUR REPLY, GOD BLESS, STAY BLESS. ### REPLY: Hi Cameroon, Welcome to . I have read your question in detail and I know that you are very concerned about your child. By what you quote it seems that your child probably has cerebral palsy or neuromuscular disorder. In my opinion, you should do an MRI brain of child to confirm the diagnosis. Hearing assessment and vision assessment should also be done. Till all the reports come, you should do physiotherapy. Review back with above reports and some pictures of child. I hope this will help you. Wishing your child good health. 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: My 5 year old son has a temperature (c.38.4), quite severe headaches and has just started complaining of an achy leg. His 3 year old brother has fever and achy leg plus stomach ache. Should I just continue with calpol/nurofen or take them to see doctor? ### REPLY: Hi... By what you quote I feel that your kid might be having viral illness. Severe headache and leg ache are suggestive of viral illnesses. Unless the kid is having severe vomiting and double vision, you need not worry about headache. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im 38 yrs old and had 2 sinus surgery about 3 yrs ago. Everything was fine until about a month ago. I got another sinus infection and its real bad and wont go away. Doctor wanted me to gov5o Ent and said would prob need 3rd surgery. I had appt set up to go toENT march1. I just found out yesterday I am pregnant. This infection is killing me. Pain is unberable and face is swollen. Will they still do surgery if pregnant? ### REPLY: Hello, As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your Doctor and do a nasal endoscopy and sinus culture. Discuss with your Doctor to manage it in the conservative way as much as possible and if a surgical procedure is required then do it after child delivery only.2) Do use saline nasal irrigation and discuss specific antibiotics as per sinus culture report. Do follow lifestyle modifications like this:1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.2) Carefully manage your allergies. Work with your doctor to keep symptoms under control. Do a blood differential count every month.3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your nasal passages.4) Use a humidifier in your be . Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I ve seen a new Psychiatrist due to deepening depression. His first suggestion was ECT, due to my long term nature and PTSD, I declined for now. He started me on Abilify 2mg in a.m./ cut my Zoloft from 100 to 50 mg (will d/c rest in three weeks) AND increase my Lexapro from 20 to 30mg. For first time in life, I have screaming migraines and severe muscle cramping in calves & lower back. Both cramps & migraines are new...what do you think might be cause? And relief ideas. Thanks ### REPLY: The dosage of Zoloft reduced is not compensated enough by adding Abilify or increasing learn...your doctor should either increase learn or shift you to venlafaxine. Zoloft should have been increased inspire of adding Abilify initially.or increasing learn. We have a dictum that we raise the ongoing .  If that increase to maximum dose doesn't work, then another molecule is added or changed.so, most probably you are having with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 R.K..I am suffering from ulcers for last two days..But this time it is not normal ulcers because when I woke up I saw blood in mouth and facing problem via open mouth. I am taking becosule tablet for last two days..No effect.. Kindly suggest me what should I do now to recover soon...Thanks ### REPLY: Hi. Thanks for the query. It looks like severe mouth ulcers or can be due to other causes like Bulbous Pemphegoid. So my suggestion is to consult an Oral Physician and get evaluated so that the exact cause can be ruled out. Difficulty in opening the mouth can be due to severe inflammation and swelling. For now take anti-inflammatory painkillers like Ibuprofen. Continue taking because. Do warm saline gargles, you can also gargle with soda-bicarb solution in water. Suck ice pops. You can also get a steroid based mouthwash from pharmacy or apply steroid oral ointment over the sores. 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: For the past 5 years or so I have been having pain under the right rib (upper abdominal) back, and pelvic area. I have had multiple scans and EGD, and colonoscopy with only finding a peptic ulcer previously. Bloodwork comes back clean , and no one can seem to figure out what is wrong. Pain comes and goes but always has bloating which gets worse as the day goes on. Nothing helps with nausea or pain. I have been told I have fatty liver non-alcoholic but it was nothing to worry about if I could lose weight (which is something i struggle with). I m 39 years old already have my gallbladder taken out . I have one natural childbirth and still have all my female parts. I do have a mirena insert and experience some blotting with it. ### REPLY: Hello, The location and movement of a pain gives clues as to what is going on. You've associated the pain with blotting. Without an exam, I can only give general information and not anything in particular. AND, dysfunction in stomach/esophageal motility is quite common.  Worse with being a bit out of shape and better in thinner people BUT, it's really common. Diet would be expected to potentially change it.  Seeing the effect of changes in soda or caffeine would tend to confirm this as a cause, but It's hard to get rid of. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 41 year old and having 3 children and i was using nurestrate from 2009 to 2013 november and my period was off till today and i want to fall pregnant how long must i wait in order to conceive and is it posseble to fall pregnant even if my period still off? ### REPLY: HI, Thanks for the query. I understand your concern.  Substrate is an injectable contraceptive. Here menses are stopped/ irregular thus avoiding ovulation & conception. Normally it takes 6-8 months to restart the ovulation, after last injection.  If the menstruation does not resume after this period, you should get gynecologists advise knowing the cause of absent periods (POD? Ovarian or thyroid disorders, pituitary disorder, fibroid uterus, early menopause)& get it treated - have regular menses with ovulation regularly & the try for conception.  Yes, to have normal menses with ovulation is essential for natural conception. But in case you are thinking of test tube baby with abrogation, it need not be there. Please consult a fertility specialist in that case.  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: Sir, Please tell me what are the Disadvantages of Mastrubation For Mens ? Kindly Give all the problems (health,Human body shape,Excess skin,study, mind power etc.,) Why because i have this habbit from my age 15 onwards... At present my age is 24. Every day atleast Twice. So I Want to stop this habbit. & Also Kindly Expain to me how to Avoid this habbit........ Thanking you sir. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. There is no harm in doing masturbation. In fact masturbation is good habit you can do it. It satisfies your desire while having no adverse effect. There are many false beliefs of the masturbation in the people. Masturbation is very safe practice. You can do it as many times as you want to do. But avoid injury by violent act and also maintain good hygiene during this act. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 25 year married girl. my period come in 35-40 days. Now we are palling to getting pragnent.. so we had sex in fetile period which is 12-29 but after sex the sperm come out so may be this is the region I am not getting pregrament..Give me the solution. ### REPLY: Hi, sperms can't come out after contact.  It will swim up into the uterus.  So, this is not the reason. Get yourself evaluated first.  Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  Also, a semen analysis of your husband should be done. If everything is fine, you can try naturally for 6 months to one year.  Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  Hope I have answered your question. 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 was detected with cervical spondilitis 2 years before. They told me that my 5th cerical vertebra is slightly dislocated. i was asked to do some neck exercise and did some physiotherapy too.this dislocation was due to the heavy usage of computers.Now slowly i developed a panic attack while driving car. i felt that the car was sliding from my left side and this feeling started aggrevating and finally i had to stop driving. i went to several doctors and they all said that , i am perfectly allright.now after 3 years , i was seriously thinking, how this problem of panic started. this fear has now gone to a secondary stage where i can t walk alone on the road.i feel that i may fall on the road and i want a support always.Dr. This condition has got any connection with spondilitis.....kindly advise.I am 43 year old lady. ### REPLY: Hello, You might be suffering from cervical spondylosis. This in plain words is aging of bones present in the cervical spine (neck). This when it touches a nerve you get symptoms of pinched nerve. The feeling of weakness in your arm maybe due to the pinched nerve and spondylosis. I would suggest you to visit an orthopedic doctor and get you MRI scan done to know the status of your spine and nerve roots. Based on your clinical examination and MRI scan, your doctor will suggest you the appropriate management strategy like physiotherapy. Wish you a speedy recovery. 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 had a D & C and bleeding was not stopping for around 2 months, so the doctor prescribed me Primolut N for 3 months, which I have now been taking for around 2 months and 22 days. But I am experiencing severe side effects like severe and constant headaches, leg-aches, pain in the upper abdomen and chest, breathlessness and numbing of one leg. Please advise what should I do ### REPLY: Usually when it is taken in small dose as per the physician guideline side effects are not seen much. But to answer your question headache and abdominal pain could be related to this .  So I suggest visiting your doctor once and inform him. He can help you with some other medication. Since you have not clear what problem you was having so that you went for d and c not able to guide further but after d BC it is also possible to have leg pain and headache due to bleeding. As per me that should not be long-lasting again. You can question here again if needed with proper information. 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 mother is 52 years age. she is suffering from gout(?) last 2 month. now medicine continue ebuxo-40,zaltokin-80, defza-6. her uric acid today 4.1 mg%, urea 26mg%, creatinine 0.9 mg%, aso titre 200iu/ml, crp 0.6 mg/dl. her right leg s tip swell up & very painful & blue coluredoccur every 15 days after. now what can i do ? please help me. ### REPLY: HAI Sumatra Roy, Thanks for writing in. All her present medications have been prescribed keeping the mind that she is suffering from GOUT. After 2 months of the current medications it seems her uric acid level has been brought under good control. Except for AS and CRP levels all her rest of blood reports are normal, but nothing to worry. Can you clarify me few queries?1. Does your mom take medications regularly without fail since past 2 months?2. Does her right legs tip or great toe still swells & painful even while she is on medications?3. Is she having any other joint pain / early morning stiffness in low back? Waiting for your reply, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was diagnosed with Glomerulonephritis in 1992 - no history of kidney disease in family at all - career has been in an office - was in Viet Nam and was exposed to Agent Orange - question: is it at least possible that my kidney failure was caused by exposure to the chemicals found in Agent Orange?  Thanks.  Chris Boroughs -  YYYY@YYYY . ### REPLY: Hi Chris and welcome to . As a Urologist, I can understand your anxiety.You're right in suspecting chemical agent reaction, leading to kidney failure. You can ask your doctor, if other people have been diagnosed similarly. Chemical agents are known to be toxic and have caused kidney failure. Specific data about Agent Orange, is not reported in Urology studies. So It's difficult to comment, but your doctor should be able to tell you that. Wish you well. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a crown replaced after 27 years--he removed the pins and put on a new crown.  It was not hurting me--but said the old one was showing decay--after the crown I had severe pain and he sent me to an emergency root canal at $1200 --the crown and build up was almost the same price.   Now I have to go back and finish the root canal--remove the packing and put on temporary crown before a final is placed--my problem is I am afraid the dentist will now say there is not enough tooth left for a crown and will want to do an implant.  I have already spent too much money on this tooth.  I wish I would have just pulled it --it is #19 back molar and they did not recommend it because it will cause other teeth to shift,etc.  But it has turned into one major expense--I hardly have not tooth left after all this--it is just a hole now---can they still do a crown since the dentist said he would re-do it for free?   I cant afford now an implant and not sure I want to go thru that after I just paid for root canal and I may not had too if they do an implant---shouldnt they have seen that first?  I am just frustrated and more out of pocket than what I wanted to spend.  I know they may say an implant since I just have a hole left--but I need another expert advise--since he said he would put the crown- a new crown back on for free--can he crown it with no tooth left--I think more fell off since during root canal taking off old crown and waiting on root canal.   What is your best advise?   I really do not want to go thru anymore and not do an implant...can they crown it with no tooth left?   I would greatly appreciate your advise in case they come back to implant instead.   Thank you. ### REPLY: Hello:)Welcome to . Your dentist sent you for an emergency root canal. Do not worry, he will not suggest a root canal if he felt the tooth remaining is so less. Clinical examination of remaining tooth structure is necessary to assess if a crown can be made. A post and core with gingivectomy (to increase height of remaining crown) can be done to take additional support from the remaining tooth. This is done if remaining tooth is less and needs support. If a post and core is also not possible, you can get the tooth extracted. After healing of the socket, you have 3 options.1.implant-which is costly, and you are not willing for it.2.bridge-taking support from neighbor teeth and replacing missing tooth this costs less than an implant.3. Removable partial denture-a removable acrylic plate comes with the tooth. You must remove and clean it daily. Compromised comfort factor, but cheapest. 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: Dear Doctor, I am 27, weight around 65kg and am 178cm tall. I have been diagnosed with a Grade 1 Fatty Liver . However, my LFT is perfecty normal. I don t smoke , I have never touched alcohol or non-veg food. I have a critical medical exam in around 6 months from now where an Ultrasound would be taken. Aprt from regular exercise (12-15km walk / jog everyday, 10km cyling) and a healthy diet (chapathis, raw vegetables, lack of fried or fatty food), what else could be done to ensure that the Ultrasound does not reflect a fatty liver? I would like to request you to kindly let me know what could be done to burn the fat and ensure that the Ultrasound is normal. Kindly help me out as I need to find a solution to this problem nd get rid of the same in a month from now. Is one month a realistic target? Please let me know. Thank you. Good day. ### REPLY: Dear Sriram!many thanks for the query. I have gone through your mail in detail and could grasp the contents. Firstly, your weight is just fine for your height. Actually you are a bit underweight. A grade I fatty liver on an ultrasound does not mean anything at all. Fatty liver with raised liver enzymes will require attention and sometimes medication. Otherwise, it doesn't mean anything. You keep up with your regular exercise and diet and nothing else is necessary. A grade I fatty liver in a medical examination will not disqualify an individual from any fitness test. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a bulging disk in my neck. It is bulging into my spinal cord and cutting off some of the fluid. The dr wants to do surgery. I am concerned and not sure I want to go through the surgery. What are the risks if I don t have the surgery? If I do have the surgery? ### REPLY: There are some serous problems from this problem such as paralysis, dead but It's very, very rare.(less than 1 the most common complication that may occur with you is1.dysphagia (30-40 %); and it will get better soon after your sugery2. Hoarseness(10%) ;usually form transient recurrent laryngeal nerve injury I think your doctor will do ACD operation for you, don't worry mostly its very safe and minimal invasive procedure, you can go hone 1-3 day after operation ### END