Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pls i want to know if its is normal or abnormal to have smear semen from my penis when i am aroused but without intercourse. it happens to me most of the times that when i think of having sex and could not, after shrinking in of my penis, semen is smeared. pls advice me if it is normal or not ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you are getting watery discharge from penis on arousal. Watery discharge that you get on arousal is a secretion of the Bulbourethral glans located in urethra which get stimulated on arousal and secrete a mucus secretion which acts as a lubricant to help in passage of a thick semen during ejaculation. Do not worry this is a normal phenomenon .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 26/f with hypothyroidism . I take 137 mcg of livothroid daily. I had a miscarriage in June 2011. After 2 cycles of mensuration I am trying to conceive now. I was testing my ovulation and it showed that I ovulated on September 21 and 22. The dates are completely different from what the ovulation prediction calendars have shown with my cycle length of 37. I ovulated almost 5 days later that what the ovulation predictors have said. I am concerned if I have PCOS because of my period cycles. I am overweight but I dont have any high blood pressure or diabetes. After my first miscarriage I started having hair on my stomach, chin, upper lip. My question is should I be really concerned about PCOS? What can be done to make sure that I dont have PCOS? ### REPLY: Welcome to  Since you have hypothyroidism there will be disruption in normal menstrual cycle duration which makes cycles shorter than before. Also, problem in ovulation will occur because of thyroid hormone deficiency and also high Prolactin usually associated with hypothyroidism. PCs is a condition where hormone LH is high associated with high blood sugar due to Diabetes and also high male hormones like An .  If it is possible, do get tested for PCs to rule it out. Miscarriages are common in hypothyroidism and may also be seen in PCs. Main thing you have to do is to start losing weight which will help fertility  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has diabetes, uses the insulin pump, also has high blood pressure, takes meds to control this, and her kidney is not functioning properly. My concern is her kidney. How can she prevent further damage to her kidney? I understand she was under certain meds her initial primary doctor (now resigned) had placed her on. Her kidney specialist has taken her off all the meds effecting her kidneys in attempt to reverse any kidney damage? Is there hope here? My questions,.. What happens next in what order if her kidney do not get better? Is there anything she can do now to reverse any kidney damages? ### REPLY: Hi, In your daughter case there is high possibility of CKD (chronic kidney disease). Chronic Kidney Disease (CKD) is due to persistent underlying disease like diabetes, uncontrolled high blood pressure. Staging of CKD is done by estimating glomerular filtration rate (GFR). For calculation of GFR following factors taken into consideration-1) Age and gender.2) Weight.3) Serum creatinine level. I want to know-1) Her age.2) Height & weight.3) Duration of diabetes.4) Any heart disease.5) Habits like smoking, alcohol.6) Her diabetes control (fasting, postprandial blood sugar level, HbA1c).7) Her blood pressure control for her blood pressure target is below or equal to 125/75.8) Lipid profile.9) Current kidney function test profile (serum creatinine, blood urea, electrolytes, calcium, phosphorus, uric acid, urinary protein level, ultrasonography of kidneys - size, shape, echo, cortico-medullary differentiation).10) Blood acid levels by doing - Arterial blood gas (ABG).11) 24 hours urine volume.12) Symptoms like breathing difficulties, puffiness of face, swelling over body. Treatment of CKD is to prevent or to slow the process of deterioration of kidney function. It requires-1) Diet with adequate vegetarian proteins.2) Control of Diabetes, blood pressure, cholesterol.3) Avoidance of nephrotoxic food and medicines like pain killers4) Water intake needs to restrict if there is tenancy to retain water.5) Low Potassium intake (avoid intake of fruit and fruit juices, coconut water) in case there is potassium retention in body.6) Maintain calcium, phosphorus, uric acid levels under control.7) Avoid smoking, alcohol. 8) Screening for complication on heart.9) Proper treatment of acute illness using medicines safe .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 make random relations with objects and other objects, (almost like synesthesia but not with numbers and colors) is there a name for that? As soon as I look at random things, like a dog I think of some weird thing that has no relation but makes sense to only me. I feel like I m crazy when I do it. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. In one sense everyone is crazy. Our brain learns and understands things relatively. That is the underlying factor of perception. Synesthesia, is not considered as a disease, but is a perception related disorder. In your case, your condition is also defined as a perception based, sensory organ based disorder, but not considered as a disease which requires treatment. Ignore these symptoms and concentrate on your career and education. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have just noticed a hard small lump (half an inch by 3/4 of an inch) an 1.5 inches below and two inches to the left of my navel. It is hard, and I have not been able to press it back through the muscle wall. Are hernias general hard or soft? Thinking that it might be a Spigelian hernia. Have had it for about three weeks. Also, I have been told that hernia repairs can be very painful. Is a high pain level common with hernia fixes? ### REPLY: Hi....thanks for sharing your problem here in this forum... The location you are telling is associated with hernias mostly...hernias are mostly soft, and they can move in and out if not obstructed or strangulated...pigeon hernia may be hard...hernia repair is not very much painful if done under general anesthesia...under local anesthesia its painful...I will advise you to see your surgeon so that he examine it and give you proper diagnosis and treatment....thanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend got in a motocross accident 4 years ago and a foot peg went through his leg and it got really infected so they had to let his leg heal from the inside out. he now has a big scar on his lower leg is prone to blood clots and his leg will get swollen in that area after standing on it for long periods of time. recently after a few hours at work his leg hurts under his scar and it hurts to touch and he claims it feels bruised underneath his scar. but there is no discoloration. any ideas what it could be? ### REPLY: Hi thanks for asking question. Here your scar might be infected according to history given. Proper examination of that area is necessary to give further comment. It is better to do x-ray of that area also to rule out underlying bruise like lesion or any other cause. Sometime after injury, on long duration there might be reactive metaplasia. For getting pain relief take simple analgesic. If it is infected then antibiotic needed. I hope my suggestion will help you. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. 32 year old female with constant pain under right ribs mainly in back. Helps to put pressure on my back side by ribs. Lots of discomfort and seems a tad worse after I eat. Have been exercising with turbo kick and wondering did I pull a muscle in this area or is it something I should go in for? ### REPLY: Your symptoms suggest that you have spasm of chest muscle due to exercises. You need not worry a lot. Analgesics such as ibuprofen, muscle relaxant (thiocolchiside) and ice will decrease pain .deep breathing exercises will also be beneficial. If pain does not subside within 5-7 days then consult to an orthopaedician. Hope this helps. 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: Under my right breast where my bra lays about a quarter of an inch under that on my ribs, I have a lump, it moves, soft but noticeable since it s not on my other side. Feels like a bump. I m only 24 but have two kids and recently had a c-section. What could it be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some benign proliferative breast lesion like fibroadenoma, fibrotic disease or other soft tissue tumor.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.  Surgical excision is the treatment of choice.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Around 2010 diagnosed with stress related Angina - provided with a Nitrolingual Spray to be taken as & when-I have not experienced further attacks over several months-until around 05.00am this morning.I found my-self waking up from pains coming from the middle of my chest which has left me rather anxious-Please are you able to give me any advise? ### REPLY: Thanks for your question on . I can understand your concern. Stress related angina needs proper control of stress. In this condition there is no heart or coronary damage. But stress causes sudden coronary spasm and this gives chest pain. So proper management of stress is the only thing needed in your case. In my opinion, you should consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need additional anxiolytic .  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir,this is priyesh here from kolkata,age 28 height 5 feet 5 inches,weight 78 kgs, i have been chewing tobacco since last 8 years and today since i had huge quantity i had cut my right cheek and suddenly i have found that my right part of the lips have swollen and there is a cut in the inner part of the lips???is this oral cancer??? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have history of tobacco chewing.  So there is high chance of cancer.  You have ulcer it may be leukoplakia, simple hyperkeratosis or squamous cell carcinoma.  You should go for punch biopsy of that ulcer. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband takes 150 mg of Lamictal two times daily for seizures. A couple of days ago he accidentally took an extra dose (150 mg tablet). In the past he was told that he couldn t just cut back suddenly. My question is whether he needs to ween back down or if he should just go back to his regular dose? ### REPLY: Hi, I am .  I have read your question with care and understand your concerns about an additional 150 mg of Aborigine. Let me try to help you Question : My question is whether he needs to ween back down or if he should just go back to his regular dose? Answer : He has to go back to his regular displease make sure that this is not repeated in future Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have iron deficiency anemia -- ferritin value = 8.  Ive been on iron supplements for 6 weeks now.  Am very upset about increased hair loss which started a few months ago.  My hair is badly thinned now.  Im worried I will lose all my hair before my iron levels are back to normal.  How long before my hair starts to grow back ?? ### REPLY: Hello, Thank you for posting on . I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, . From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 31 yr old female - I have had a dull aching in my lower back, and slight pain in my abdomen for almost a week now.  The pain has now moved to the lower left side of my back and I have a numbness down the whole of my left leg.  The pain doesnt ease when sitting, standing or lying down and I am also bloated in the lower part of my abdomen.  I have a history of ovarian cysts, PID, POD and have had my tubes removed and two operations for adhesions.  I am waiting to now be refferred to a gastroentriologist as I have suffered with abdominal pain for many years although this pain I have at the moment is not a pain Ive had before. ### REPLY: Dear patient you are already diagnosed with pelvic inflammatory disease which leads to both abdominal pain and back pain. Plus u have undergone abdominal surgery which might lead to adhesions of peritoneum. Since you are getting numbness in left lower limb associated with back pain The is possibility of nerve compression at back due to disc prolapse. Kindly get yourself investigated for MRI of lumbosacral spine to rule out possibility of disc prolapse and also visit gastroenterology St to treat your abdominal pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have a area just below my temples to the side of my eye and side of my face that looks blotchy. Redish and appears kinda dry looking. I have used expensive face creams however they do not go away the ones below the temple.tend to be sore to touch. Do you have any idea what this .may be. ### REPLY: Hi there.1. Your concern may be seborrhea dermatitis.2.it's a type of eczema secondary to candid ail yeast infection.3. anything which lowers our immunity or stress will induce such type of dermatitis.4. It can be controlled.5. Try HY . 6. apply Julian cream once daily bedtime for 30 consecutive days, even if there is improvement. Prefer all seasonal fruits and vegetables. This may help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor,i would like to know if someone is 18weeks pregnant and was getting light blood stains and out of sudden started bleeding when went to toilet. doctor has examined her and advised to have proper bed rest. he said the cord or something has started leaking or something. cud u please tell if the baby is going to be fine. doctor also said mentioned the baby is lying quite low.thanks ### REPLY: Hallow Dear, At any stage of pregnancy, any amount of bleeding should be taken seriously. Chord never leaks. Please undergo ultrasonography. It will visually locate the site from where you are bleeding. If it is from behind the placenta, you have to be on the bed. Scan also will inform whether the fetal heart activity is present or not. Also, it will inform about the status of the cervix (mouth of the uterus). If it is short and internal mouth is opening, you may require reinforcement stitch to the cervix after the bleeding stops completely. If the baby has not been affected, I would advise you to take full bed rest and start Progesterone preparation with Obstetricians advice. So please report to the Obstetrician ASAP. I hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was just diagnosed on Friday with a kidney stone.i had excruciating pain in my back. I have no more pain and did not pass the stone but I have a constant urge to run to the bathroom to pee every five minutes.my lower stomach has pressure . I cant sleep because im running to the bathroom. I feel like I cant empty completely. Is this normal or maybe some other problem? ### REPLY: Due to kidney stones pain sometimes bother around back area may be sometimes stones stuck in tube called ureter since there is no proper urination this lead to pain check with your doctor and get the medication for the same In addition to feeling severe pain in your back and/or side below your ribs, a number of other signs and symptoms may also occur with kidney stones. One of the most common is problems with urination. This includes pain while urinating, urine that appears cloudy or smells differently than it normally does, or feeling an urge to urinate more often than usual. Blood present in the urine due to kidney stones can also cause urine to appear brown, pink, or red. May cause back pain ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 am veena. my wisdom tooth in my left side has been growing . but since past 3 days i have noticed that the gum around that area has swollen. and there are small white boils which looks like white heads forming on top of the swollen gum. please et e know what it is. thanks ### REPLY: Thanks for your query, the swollen gum around an erupting tooth could be because of the infection of the gums(peritonitis) if the space in the jaw is sufficient for the tooth to erupt then you can get the gums covering the erupting tooth removed surgically and save the tooth or if space is not sufficient to accommodate the third molar then it has to go for extraction, this can be confirmed by taking radiographs...you can take a course of antibiotics and analgesics. Do saline gargling... 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 my mother has some problem in her lungs last month and took some medication to avoid infection. now she had to go to the doctor because she developed and edema in her lower extremities and always sleepy. she was suspecting it due to her kidney stone, which was diagnosed years back. had some lab test, ultrasound and yes, the stone is still in her kidney but lab results says her BUN and creatinine are normal and besides she has no pain whatsoever in her lower back. i m worried that her edema is due to cardiac temponade which is also related to her lung problem last month and not due to her kidney stone. please enlighten me about this. thank you in advance. ### REPLY: Hi, thanks for this interesting question. Lung diseases are known to be chronic- long-standing diseases. They are also known to lead to cardiac complications which can manifest in the form of edema of lower limbs. Kidney stone obstruction can lead to back pressure on kidney, and it can also lead to limb swellings. Now on e needs to find out the exact cause of edema. Your mother needs complete urological and cardiac evaluation to pinpoint the cause of limb swelling. Since BUN and creatinine are normal, there is no worry of kidney failure. Heart failure and Kidney stones needs to be investigated. Treatment will finally depend on the cause. Best 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: My husband was diagnosed with adenoid cycstic carcinoma 2-1/2 years ago. Had surgery and did about half of his radiation treatments. He was given 2 years. Where they came up with that I will never understand. He is starting to hurt again in his neck and throat area and is having to take more pain medication. He coughs up blood at times. Does this mean that the cancer is spreading rapidly now and that I should start preparing for health aide and hospice? ### REPLY: Hi, Thanks for writing in. He might be responding adequately to treatment till now and that is the reason he is managing with the disease. Throat pain and occasional bleeding might be due to the cancer. It will be important to make an assessment from his latest CT scan to know the spread of disease. If there is uncontrolled proliferation of the disease then he might require hospice care. Spreading cancer can cause throat pain and unexplained bleeding in cough. Please discuss pain relief with his doctor to keep your husband comfortable. Palliative care might be required for him. Pain relief medicines should be given as per his needs and for the pain he is having. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have taken antibiotics and steroid medication for post nasal drip. I m ill for 5 weeks. The constant dripping in back if throat did not stop for 5 months. I m steaming and used the nebulizer. I now got an inhaler. The issue now is I have terrible pain on tue right rib and going towards the back. I went for xray and it indicates there is coarse bronchovascular pattern noted I both lung fields. I m told nothing wrong and the pain could be from coughing. I did not receive any medication at all? Please help I don t feel right internally.. . ### REPLY: Hello As per your history it suggests your respiratory system is weak, so you need extra care to maintain it. I will advise you bronchoscopy and HRCT chest to see for origin of symptoms. I will advise you to improve your immunity by herbs exercises and healthy diet.Also, you can improve your lung capacity by yoga and Panama. If you are having congestive heart failure due to hypertension then respiratory system can be involved. For tubercular infection you can do manitou test, sputum culture, ESR and PCR all non-invasive. 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 have been on zpack for 3 days for bronchitis, im wheezing more than before and my chest feels tight. No fever,  no sore throat, but my nose is very runny/stuffy.  Do I need to give the antibiotic more time to work or do I need a steroid to help? Im not coughing alot but when I do I only get a little mucus up? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of allergic rhinitis and asthma is more likely. Allergic rhinitis is causing running nose. And asthma is causing chest tightness and wheezing. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Intranasal steroid spray (fluticasone) is helpful for running nose. Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking ChatDoctor for 23 days. In the last week I have experienced a tightening of the chest with a pain that starts in my back and moves to my sternum. It happens in the afternoon between lunch and dinner. I also sometimes have what feels like a lump in my throat. My husband is on day 13 and is starting to experience the same thing. Any ideas? We are on the 500 calorie diet also and adhere strictly to the Simeons protocol. ### REPLY: Thanks for your question on . I can understand your concern. ChatDoctor is hormone. It can cause gastritis, chest pressure, chest tightness, bloating etc. So possibility of  related side effects is more likely. So take pantoprazole tablet on empty stomach twice daily. You will mostly improve with this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was first diagnosed with 1 nodule on half of my thyroid (I had left side removed /tumor in thyroid had to remove to do biopsy in 1989) then it became 2 and now 4. Three are solid and 1 with fluid. Had biopsy done early in April of this year and they were benign. My question and concern is can they eventually become cancer if they are not taken care of? ### REPLY: Benign nodules of the thyroid if left untreated can become malignant over a long period of time. Roughly 10% nodules become malignant over 20 years. The features of they're turning malignant are sudden increase in size, pain, appearance of other nodules outside the thyroid, change in voice, difficulty in breathing or swallowing. Any of these changes should prompt you to consider removal of the remaining thyroid. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had these tattoos done on both my arms 6 weeks ago. I have been thinking about doing them for 3 years. It is a lock of little 2cm birds on each arm ( about 30 birds) flying around from wrist till top of the arm on both arms. I love wildlife and work for wildlife so this is the reason i decided to do this. 6weeks later most people loves or likes my tattoos except me ! I don t understand. I hate them, can t look at them on my wrist or makes me feel sick, feel embarrassed, ashamed, disgusted, can t concentrate, can t eat much and can t work much either as I am self employed it is very difficult. I am mad at myself to have done that and as a top performer in my organisation for the past 3 years, my figures are plummeting down and my confidence has been shattered. I am in a bad place . I have an appointment with a laser removal clinic on Friday but I am scared at the orices they will give me, the time it will take to sort it out ... I have got to leave in shame now with long sleeve shirts as I cannot wear sort sleeve shirts ... Thank you for your feedback, Regards, ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  I can conclude from your description that from the beginning itself you disliked tattoos. You had these tattoos without your own 100% consent. That is past. Now you should learn to like it. Easy. We like so many things in our day-to-day life, which are not at all likeable. Simply because there is no other alternative. That is called learning. Learn because there is no other alternative. At least pretend there is no alternative. Let the tattoo be there, never ponder about removing them, pledge that you are going to have it throughout your life, what ever may happen. Your obsession dies down slowly. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi....my friend is getting attacks for d past few days.....he talks normally n all of a sudden he stops talkin he goes totally blank....he doesn t even realise he has to breathe we hav to ask him to breathe.....his body starts shivering n his face goes pale....this lasts for about few minutes......for the past 4 days this used to happen on fixed timings like 10:30 in the night bt today he has got it many times.....even doctors are unable to diagnose it....his blood tests are clear....he has been asked for MRI scan....can you please tel me wat must be the problem...he is my friend n m really concerned bout his health he has just finished wit his studies n his parents hav high hopes with him that he wil start workin n prosper in his life ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Panic attacks always happen due to underlying anxiety. Therefore, you must add .  Please request your friend understand anxiety and related problems. Once he can understand his anxiety, he will be able to keep himself away from panic creating situations. Psychotherapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly. Consult a psychologist for training on these matters. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son, who is nearly 40, has had a cervical spinal surgery, with the titanium plate. He is still in constant pain, on pain meds, in pain management. Has nearly exhausted all conventional approaches. He just had another MRI, still dont have the Drs results. He is to see a new surgeon shortly. The problem is, that he is still such a young person, and the complications can be many. We are still looking for a surgeon that is not going to make matters worse and actually help him to be more normal. ### REPLY: Hi, Thank you for posting your query. I have noted the problems of your son. It would be important to study the reports of his current cervical spine MRI. I agree with you that it is important to manage his case well, as he is very young, and already had a surgery. Options include neuropathic pain medications such as pregabalin, gabapentin or duloxetine. Physiotherapy with IT/ultrasound would also help. Epidural injections also help a number of people with nerve compression in the neck. Second surgery should be the last option and should be avoided. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When exercising or when Im stressed mainly but sometimes also just getting up from lying down my heart feels heavy and I find myself having to take deep breaths. Lately I have also been feeling very light headed and dizzy with a slight headache. Any ideas what it might be? ### REPLY: Hello! Thank you for asking on ! I read your question carefully and would like to explain that your symptoms seem to be related to low blood pressure or orthostatic hypotension. A chronic anemia could also mimic this clinical scenario. Have you measured your blood pressure during these episodes? I recommend to closely monitor your blood pressure during sitting and standing up position. A decrease more than 20 mm HG in your systolic blood pressure during standing up position, compared with sitting position would indicate an orthostatic hypotension. I would advise consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests: - complete blood count-fasting glucose-blood electrolytes- kidney and liver function tests-thyroid hormone levels to exclude other possible metabolic causes. A head up tilt tests would be necessary to rule in/out a possible orthostatic hypotension. Meanwhile, I recommend taking plenty of fluids (water, juices) and avoid deny .  Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I have made a doctors appointment for today but am concerned. I have been coughing up small spots of blood (one to two) in the mornings for the past few days. I have nasal polyps and have had a headache and saw throat . I am a 31 year old female and a smoker. I am also asthmatic and recently had my best lung function test of 100%. My breathing is fine but am really concerned about the blood!! ### REPLY: Hithanks for your query on ChatDoctoru r known asthmatic and smoker recently had blood streaked sputum being a smoker u may have COPD also if it's the case then you are asthmatic+cop din chronic bronchitis u may have this kind of blood streaked sputum also we need to exclude lung cancer in a smokers go through these investigations1. Chest x-ray2. Cect thorax if x-ray is suggestive or inconclusive3. Sputum for acid fast bacilli4. Need to take tranexamic acid thrice daily along with some form of sedation5. don't get tensed consult a pulmonologist well soon thank u ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 told I have highish blood pressure and have a machine which I have to monitor my blood pressure for 10 days today I felt dizzy and a bit faint and have had tingling and numbness in my right hand. I had a meal out which I thought tasted very salty, could this be why I feel a bit strange? ### REPLY: I read your question carefully and I understand your concern. I think that given the numbness of your right hand, dizziness and high blood pressure you need to be evaluated for the possibility of a stroke which could manifest with those symptoms. So you should be visited by a doctor for neurologic signs as soon as possible. Of course, it might also be some more benign cause like degenerative changes of the spine with nerve compression which might as well cause sensory symptoms in upper limb and dizziness, but still if the numbness and dizziness are new signs, without any previous recurrences, stroke should be ruled out first. I hope to have been of help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a rash 4 weeks ago and sins then things going worse I went to doctor and he sayed it was scabies but and should treat it with cream that kills it once a week...but after two or 3 weeks things are going weirder so I went to other 3 different doctors they promised me it wasn t scabies...but I do see how fast they spread special at night I got them on different spots around my body and they spread really fast..Some parts were treated but still they appear randomly...also when I rub an area and wait for 5 or 15 min...i see a white worm appears on that spot and many of them same moment from the skin...so things are confusing...i don t want to take things lightly but everyone say it s not big deal and ignore it..even doctors but I m sure it s scabies when I compare my skin reactions and behaviour with those who have them in the Internet...any suggestions? also I asked for skin test many times to the doctors they sayed I Don t have to...because scabies can t be seen....i really want to act early as this thing can be hard to avoid complete if became ignored...i was researching a lot for many ways to kill it...but surprisingly scabies can only be killed with hot water at 50 digress for 10 min or do sauna...or use permithlin once a week...but no other new technology exists to kill it completely? I think a device of UV sun ray beam projector over the kind as a treatment of some kind will kill them all forever and even the eggs...everyone says scabies are easy to deal with...i mean the doctors...but it s not and it s also fast on spreading...i thing any government worldwide should work on developing something towards it.. because it s extremely fast on spreading in many ways..and when someone didn t managed to treat it early they can kill the person specially if he got low deface system like me.....i really had enough from suffering...because I just survived from alcerative collaitis after 9 years of suffering and this scabies need to be cured somehow.. ### REPLY: Hello, Since you have a history of Ulcerative colitis your immune system may be compromised.  If it is scabies, you can apply Scabies emulsion(Certified (0.1 PW/v) + Lindane (1 PW/v) in the area affected, leave it for 45-50 minutes & then take a bath. Repeat this again after 15 days. It should clear out. In the meantime, wash all your clothes, bed covers & bedding in hot water & detail. Put your mattress in sunlight or change it, get a new one. For believe you can apply ointment Bactrian in the area affected. Take care of your personal hygiene, do not star your clothes or toiletries. Avoid sex while you are being treated. You are suggested to list ER or GP to get clinically assessed because your symptoms are indicative of hookworms.  You should get stool (R/E & C/S) examination done to study the presence hookworm-eggs in the stool. Furthermore, you may need a course of anti parasites medicines(Mebendazole). 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: Good Afternoon, I had my first severe Anxiety Attack in Sept, 2010 & took a year and a half to calm down; with no medication. I went into CBT right away & a Phychiatrist as well that I am seeing on an onging basis... So pretty much its under control. What I have now, is constating worrying about my tongue. Is this mormal? ### REPLY: HiT hanks for using  If you are feeling better with CBT, you can carry on with it. There is no harm in it. In that case, you can maintain yourself without medications. You can also try some relaxation exercise like JPMR or deep breathing exercise that would keep you calm and relax. Currently, tongue movement may be part of anxiety, so there is no need to worry about that. In case, you need further help, you can ask. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I am 51 years, 5 feet six and a half inches tall having weight 72 kgs, my x-ray report says broncho-vascular markings are prominent on both sides. Blood test report is normal. I am suffering from dry cough while expiration. No relief with antibiotics and cough syrups. Can you guide me. ### REPLY: Thanks for your question on . I can understand your concern. Prominent bronchovascular markings are commonly seen with bronchitis (inflammation of airways). And coughing while expiration is also seen with bronchitis due to bronchospasm. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright with all these, consult pulmonologist first. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m having pain in my groin when bearing weight and sensation of tightness in my lower back. Also, some hip discomfort. I first noticed mild hip discomfort 6 months ago while being treated for a facial skin infection of Serratia. I mwondering if these two things are related in any way? I havean appointment with a PMR Musculoskeletal physician, but I wonder if I should see an Orthopedic Physician? Thank You ### REPLY: Hi, I understand your query.  Your symptoms point to problem with lumber spinal discs. With the inflammation/ dislocation of these, there is kinking of the spinal nerves -result in these multiple symptoms.  I would advise you to consult an orthopedic doctor for X-ray P/A, lateral view of lumber spine or CT scan/MRI of lumber spine to get exact diagnosis.  Treatment consists of NSAID painkillers as per need & physiotherapy.  Non responding patients may need spinal surgery to remove the nerve pressure.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I am a 50 yr old male and was suffering from PVC since my early 30s.  I started taking atenolol 25mg 11 years ago (about age 39.  Now taking 50mg).  I recently moved overseas and saw an internist because I felt like I was urinating too often.  Blood surger was fine, so they did an ultrasound on my batter and prostat.  He says I have BHP.  But, in the interview, I told him I was taking Atenolol for 11 years.  He said that long term use of this drup can cause diabetes and screw around with hormones.  He prescribed Isoptin SR 240 mg.  He said I should take half the atenolol (25 mg) and half the Isopitn (apparently 120 mg) for one month and then take half again of the atenolol and increase the Isoptin so that after 2 months I am completely off the Atenolol.  Does this sound like a correct thing to do?  I was doing fine - as far as I can tell - on the atenolol but am concerned about long term use. ### REPLY: Hello Sir, I have read your medical history carefully, As PCs are usually not harmful and need no treatment until unless they become bothersome for the patient. In your case as you are taking medicine for it from so many years and it's doing its job nicely so I would like to continue with Atenolol 50 mg as you are taking. Also, it belongs to beta blocker class which is the first line .  No  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 what started as tickly throat, slight congestion, mild cough and now I have a deep chest cough and it feels warm in my chest everytime I cough. I realize I should visit the dr. but if this is bronchitis or pnemonia I would like to know is there anyway to avoid antibiotics? I have taken several courses of it the past year for other ailments and would like to avoid it. ### REPLY: Thanks for your question on . I can understand your situation and problem. Yes, possibility of either bronchitis or pneumonia is more in your case. Both these conditions are caused by infection. So antibiotics are needed in both of them. But pneumonia needs higher or combination of antibiotics. While bronchitis needs inhaled bronchodilators and inhaled corticosteroid (ICS) along with antibiotic. So better to consult doctor and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out pneumonia. PFT is needed to rule out bronchitis. So better to first diagnose yourself and then start appropriate treatment. No harm in taking antibiotic if indicated. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My last period was in the end of January, I have been having cramping like my cycle is going to start, but nothing. I feel these cramps at least once a week, usually once every couple days. I have also had diarrhea, heart burn, fatigue and mood swings, not sure if this is related or not. I took 3 home pregnancy tests, within about a 4 day timeframe in mid-March, all negative. I am sexually active and the only birth control method being used is the withdraw method. Do you think I am pregnant or is something else wrong? ### REPLY: Hallow Dear, Let me inform you at the outset that with .  Pre-ejaculation secretions are deposited in the vagina unknowingly, and they do contain sperms which are capable of fertilizing egg. Therefore, in the future, please use reliable contraceptive methods like condom (male or female), intrauterine device or pills. From you history it seems that you have missed your period. Though the other symptoms are not specific of pregnancy, missed period is sufficiently strong evidence to suspect pregnancy. Pregnancy test on the urine is reliable if performed on the overnight first morning urine sample 8-10 days after missed period. Earlier, these tests may give false negative results. So you may repeat the test after one week to be sure about the results. You have another alternative. You can opt for Beta  test. This is very sensitive test and gives reliable results even few days before missing a period. So, you can get it done right a way. If you are not pregnant, you may take Tab. Devilry for 5 days after which you should get 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 report to work at 7.30am. am usually alert and productive till 10.00 when i become sleepy, slowed down and cannot concentrate though am not tired physically, i only feel sleepy till around 1.00 when i take lunch, work for an hour then the sleepiness comes again. Please note that i go to bed at 11.00pm and sleep till 5.00. what could be the problem and how can i help it? ### REPLY: Hi there ~ What you describe to me is a typical circadian rhythm (day nighttime table) sleep problem.  It is quite possible that you feel sleepy after meals as is normally the case.  However, sleeping late like in your case and waking up early may result in fewer hours of total sleep time which may result in daytime sleepiness.  It is also quite possible that you may be able to undo this by sleeping early and waking up at the same time.  You would just need to put behind all those things you were doing closer to bedtime to an earlier time and start winding down early to go to bed.  If this, and relaxation while trying to sleep are still not helping, you may need to consult a doctor.  I hope this helped.  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 bruised my ankle badly and there is a hard bump. It s been over a week and the injury looks likes a bullseye (white bump in center surrounded by purple/red bruise). It doesn t hurt. My LPN friend noticed it and told me that I needed to watch it. A. What should I be watching for? B. Do I need to be concerned? ### REPLY: Hi, Thanks for your query. From description, this hard bump most probably formed due to hematoma formation (collection of blood) which might get fibrosis or calcified. It will take few weeks to months to get disappear. I suggest you to consult an orthopaedician nearby for a detailed examination of swelling. You may get the X-ray of the area affected under his/her guidance.Meanwhile, give hot fomentation over it, You can take Tablet Motrin 1 tablet with food as and when required (up to 4 tablets daily). I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend just realized today that his hands have a slight smell of sulfur. He doesnt smell it anywhere else and he has washed his hands repeatedly. I also smell it on his hands. He has not handled anything that should cause this. Is this something we should be concerned about? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query sulfur like smelling from hands of your boyfriend is mainly due to increased sweating which is leading to hyper HY .  It could be due to delusional disorder which you should ignore completely, otherwise you have to visit psychiatrist for the same. Need not worry. I would suggest him to take bath 2 times a day. He should use antiperspirants and deodorants as well. Concentrate on work and try to ignore it little. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 35 years old and my sgpt is 135,i ve done all hepa test and ultrasound but there s nothing wrong with my organs.i have next labtest next day and i m afraid my level will not drop down coz i did 3x test already.i suspected it was my prescripted medication antibiotic that s affecting my liver enyme rise high.please help me how to lower it fast.i tried all healthy diet and sylimarin but it s not helping. ### REPLY: Hi, Thanks for posting your query. There are umpteen number of causes for raised SGPT. Yes, certain antibiotics do increase the SGT level, but not all. You have not mentioned which antibiotic you are taking. So it is difficult to say whether it is actually causing your raised SGPT. Though viral hepatitis is one common cause of raised SGPT, there are other causes as well as autoimmune hepatitis and metabolic diseases. You need to get these tests also done. I hope that answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When I working I feel fine but when the day goes on I start geting light headed!! And Off belice. And when I get home it seems to get worse but if I take a nap I wake up feeling better and some times i get a pain in my arm!! I ve been to the er about 5 time and they hock my up to EKG and tell me that my heart is fine!! And ask if I have panic attack ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras, and I am here to help you. I have read your question with care and understand your concerns.  The symptoms you have narrated suggest that the problem is in your cervical spine (Bones of Neck) and Cervical Spondylosis is a likely possibility We need the following tests 1. X-Ray Cervical Spine AP and Lateral 2. MRI Cervical Spine3. Nerve Conduction Studies of Upper Limbs to Proceed Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery 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 live in an area that has heavy smoke from the thoma s fire, my asthma kicked in during that time and is still bothering me along with a cough. My inhaler is not very effective. I usually only use the inhaler Once it twice a year very very mild asthma Is there anything else I can do it should I see a doctor? ### REPLY: Hi Thanks for your query. I have understood your query well. Asthma is due to hypersensitivity of your airways. The best treatment is to take inhaled steroid such as Meter does inhaler budesonide twice daily for at least 3 months. Plus if you're having difficulty u can combine with beta 2 agonists like meter dose inhaler albuterol.  In addition to these .  You should wear breathing mask whenever u get out of home for few months in till your asthma subsides. Best way is to visit your treating physician, and he can advise you correct dosage of inhalers after examining you. I hope I have ad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a blood test for life insurance. Everything on the test came back good except my SGOT and SGPT. SGOT is 160 u/l and SGPT is 138 u/l. Tested negative for hep b and hep c. Im 29 and in good physical conditon. Not over weight or obese. Dont drink more than once every other week. What could be the problem? ### REPLY: Hello and welcome to , Elevated levels of liver enzymes GOT and SGPT suggest damage to the liver cells or hepatocytes. Common causes of raised liver enzymes are viral infections, alcohol, . Viral infections other than hepatitis B and hepatitis C can also cause damage to hepatocytes like Epstein Barr virus, Cytomegalovirus etc. A clinical assessment and other relevant investigations have to be done to know the cause of elevated GOT and SGPT levels. Thanks ad 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 7 years son has a line of raised bumps on his face. They are the same color of his skin. I have given him cortisone cream and an antibiotic ointment topically, but there is no sign of it clearing up. I believe it may be a parasite, What do you think the possibility may be? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was just curious to know if taking Valium can affect (increase) Gamma GT readings in a Liver Function Test? I am 31 and enjoy a drink, wouldn t go so far to say a Problem drinker , however a recent blood test showed Gamma GT of 79. All other Liver Functions were within normal range. Thanks ### REPLY: Hello Valium may cause liver injury particularly in elderly, HIV patients etc.However, its effect on liver in general population is scanty. Increased GGT in your case is most likely due to alcohol .  GGT is specific for alcoholic liver injury. You may need few more investigations like viral markers and ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should completely avoid alcohol. It is very necessary for you. 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: hi doctor. iam raj i masterbuate since 14years.. or more per day 3 times i masterbate now my age is 27.. an seeing unseen movies to masterbate past 3 years.. now i stopped to masterbate last 1 year 6monts.. but when i sexually arousal my penis is fully erected.. about 5 inches.. past my penis size is 6 inches.. now is there any treatment to increase penis size.. pls sugesst ### REPLY: Hi, there are various methods to increase your penis length. The best one is to stop frequent masturbation which you have done, and I must congratulate you for that. There are various enlargement options available like appliances to increase it or weights, etc. all available online. But, I firmly believe that penis enlargement is not required at all. You are quite well-endowed as you say and none of the methods available have been proven for their efficacy or safety. The medical profession has not devised any treatment for this as it is absolutely not required. Take care, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I suffer from Chronic costochondritis and I m comming up for 16 in may.. I was on the strongest ibuprofen allowed by law and it done so much damage I also take omeprazol and have recently been moved off the anti inflamitries as they are doing my body damage and I ve become immune to them.. I m going to get an electroscan (12 point ecg) and an echoscan because during the latest diagnosis the doctors found a clicking and murmering noise from my heard which may be MVP, I really need some form of pain relief and I know the story with costo but there s talk of cortisone injections to ease pain on some sites including wiki bit each time I ask for a solution I get no reply the doctor acts like I never asked the question ..what can I do I have tried everything and there has been no progress, they seem more concerned about my heart than my costo but I can t go on with such pain this is barbaric and the only thing keeping me from suicide is the girl putting up with me through all this, what are my rights, options and ways to go about this because NHS treat me horribly, what can be done ?? ### REPLY: Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a Costco .  I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest gentle exercises. If the symptoms continue, I suggest using prescription painkillers such as Oxycodone. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Behind my molars the gum is swollen. My ear has been hurting for a couple of days. I have also had a stuffy nose and slight headache. Behind the molar were it is swollen i can feel a hard bump. Almost like a tooth. I was wondering if this was my wisdom teetChatDoctoring in and do i need them removed? ### REPLY: Thanks for using . Read your query. Yes, The hard feeling in the mouth behind the molars can be due to the erupting third molar. It is not compulsory to get them removed. Wait until they are erupted and if after erupting they are not in correct position or if it has no place to come out(impacted) then you can get them out. For the pain you can take ibuprofen (if you are not allergic). Do warm saline gargling. Keep the area clean as any food debris staying behind will aggravate the condition. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 month old baby has a small firm bump on his big toe, its red all around it but kind of white/pink at the top. I thought it may have had something to do with his toe nail but it also looks like something may have bit him. Is there something I can put on it to help it heal or go away, or should I take him to a doctor? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, my name is katie last night i noticed a knot on the back of my head, it doesn t hurt but, it still worries me, could you tell me what it is.. I have also been having really bad migraines and every morning i wake up my mouth is horribly dry I dont know if this has anything to do with anything but, I would really love to know. Please write me back, thank you! ### REPLY: Hi, Thanks for writing in. If you have noticed the knot only recently, and it is small but painful then most likely it can be an infection. It is important to get it examined by a doctor and then proceed with the clinical findings. The size, consistency and location of the knot are important to be known. Since the exact details are not know, it is difficult to say if you really require detailed investigations and imaging. Such knots are less likely to be related to migraines and your waking up in the morning and with a .  I will suggest that you  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: parts of the right side of my body are numb and there was tingling but that went away after two days. I ve seen a neurologist and they say my brain is fine so its not a stroke, and the numbness seems to be worse in my lower leg/foot and my arm/hand and a bit in my neck and face. The only thing i can think that i might have done to cause this is that either a few hours or the day before the tingling/numbness started i was spray painting . Could the paint fume inhilation have caused it? and if so how long will it take to go away? and what kind of doctor should i see about it? ### REPLY: Hello, Welcome to the magical world of health care, I went through your query, and you have consulted the right person already, its unlikely that fumes can cause unilateral symptoms, so do not blame that. An advice is to stay vigilant and get your BP checked, and if it does not settle in a few days time re visit the neurologist. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. 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 ve a blockage in my right kidney. I have pain in my right side,cold hands and weight gain. I m going for a CT scan next week. Is the weight grain because of the kidney as I ve been going to Slimming World and I have been losing weight but since last year when I started having pain in my side weight has been going on I have not changed my diet. Thank you. ### REPLY: Hithanks for posting in ChatDoctori have understood your concern probabilities of our kidney blockage are1.stone2.thick pus due to infection3.mass or tumor any way you are going for CT scan depending upon the report they, treatment plan should be made. Modes of treatment are1.DJ stenting, it'll . 2.if the above one is not possible then percutaneous nephrology is the choice. Hope this helps you.thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I was wondering if this statement was true. My mother is dying of stage 4 stomach cancer, and frequently suffers from uncontrollable pain. Upon taking her to the Emergency Room I was told by a ER doctor that since she has advancing cancer, there is not a whole lot they can do and she has one of two choices. One, they can admit her as a patient under observation and give her pain meds just to get the pain  manageable so she could be released, or she could be admitted  as a patient and as a result she would receive higher doses medication that would rapidly diminish her quality of life, and thus, slowly helping her pass. My question is, what medications was this doctor speaking of that would robb her of her life, and could these medications really do this? ### REPLY: Sorry to hear that your mother is suffering FRM advanced stage gastric cancer. Advanced stage gastric as your mother is suffering is very painful. Pain and other symptoms are usually manged in advanced stage gastric cancer (who are poor candidate of chemotherapy) are managed by pain medication and other supportive measures. Second option as discussed by your ER doctor is probably of palliative chemotherapy which controls the pain by reducing tumor burden. But chemotherapy is as a whole in this advanced cases have lots of side effects. Which may deteriorate your mothers' health. Whether she is a candidate of palliative chemotherapy is better judged by oncologist/palliative care consultant at your hospital. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im alexis,  22 (M) around 5.8" and weigh 54 kgs...im afraid ive had syphilis from birth...i can feel myself slipping into dementia...i was a biology student at college once and could relate to most of the symptoms that i read about...am really scared and dont know what to do...please..somebody help me!! i need to know what the tests for my stage are etc.. ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms and anxiety. I would like to reassure you that you have very little chance of having syphilis. The only way you can get syphilis from birth is if your mother had syphilis, a condition called as congenital syphilis. In adulthood, one can get syphilis after having sexual intercourse with a patient with syphilis. However, to allay your fear, you can get V .  I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sponge kidneys and have numerous tiny stones in the upper kidneys and larger ones in the lower left kidney. the last 24 hour urine test I took stated my oxalate was very high probably due to diet. what vegtables should I avoid ? do u have a list of low, medium and high oxalate foods. I am a 68 year old female. ### REPLY: Hi, Please avoid beet, spinach, celery, chard, okra and parsley. In addition, you should avoid chocolates, bran, peanuts, soy products, almond, strawberries and fiber containing cereals. Taking calcium citrate and/or magnesium oxide along with meals helps to bind excess oxalate in food and reduce its absorption. Please consult the website of analysis and hyperoxaluria foundation for a list of food with low, medium and high oxalate content: http://www.ohf.org/docs/Oxalate2008.pdfI am available to answer any more queries you may have, 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: I have no idea how I got this bump on my forehead, it is a size of a quarter and raised about 1/4 . I must of hit my head and did not think any thing of it and then one day I felt it. It has been at least 5 yrs. Is there anything naturally I can put on it to reduce it size? I would do it every day if I knew it would get rid of it. Thanks so much for your help. ### REPLY: Hi, Thanks for the query to .-I studied your query in depth and understood your concerns.-Cause and Treatment-of the lump on forehead-is mostly due to Sebaceous cyst ? Or Epidermis tumor? Or Desmond tumor. Its benign tumor and harmless and not to be worried. Remedy-I would advise consulting a Surgeon and excise it for cosmetic worries if any. This would help you to plan treatment with your doctor.Don't worry and things will settle Hope this would resolve your query. Welcome further for any query in this regard. Wishing you a fast recovery.Don't forget to Write a good review ASAP. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 17 year old son had psoriasis when his second set of teeth were coming through. when the teetChatDoctore through they were two toned in colour. greyish at the top and whitish at the bottom. Could psoriasis have caused this and can he do anything to get rid of the two toned teeth. (two toned only on top set of teeth. Bottom teeth fine) ### REPLY: Helloo...read through your query...1st of all I can say It's nothing to be worried at all...since it is discoloration from inside it has to be treated with bleaching treatment...it has different methods of bleaching...so go to an endodontist.he can look at the clinical condition, and he may plan the bleaching...it's an easy procedure.nothing to be worried at all.hope your benefitted something from this!!have a healthy day!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor my name is XXXXXX ,I just want to no does folic acid (generic for folvite tab 1mg with multivitamin tab ,helps u get pregnant cause I m trying and I never been pregnant I m 28 years old .if not can u please tell me what should I do or take . Also I have a irregular period so please help me I stress my self out about this crying everything just don t no what to do anymore . My email is YYYY@YYYY ### REPLY: Hi there, crying or getting depressed about anything is never a solution to any problem. You have to approach your infertility problem in a more methodical manner. First get your husbands' semen tested and if that is within normal range then you should visit a gynecologist and get yourself evaluated. Your irregular period may be the clue to the problem and It's to be investigated and treated if possible. Polite as such does not help in conceiving and is just a vitamin, but it does help in the proper development of the early fetus when you conceive. So no harm in taking those tablets, but they will not help you conceive. Get professional help for your problem and do not try to self treat. Take care and best of luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I am 40years old,It has been three month since my hemmorhoid surgery. My surgeon said it was one of the worst cases he sever seen.I was able to return to work a few days after the surgery. when I noticed some leakage, blood then, eating fruits, vegetables, drinking a lot of water, prune juice, eating dried prunes, acidic fruits ### REPLY: Hello, Make sure that you should not strain while passing stools. Include more fruits and vegetables in your diet as the fiber content in it will help for softening the stools. Avoid red meat and oily foods. If there are signs of infection, local antibiotics can be applied after consulting your surgeon. 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: 19 yr old patient with great medical history except optic nerve atrophy felt dizzy for few days and seemed little isolated and sometimes saying strange things.Then one day feels so dizzy, rapid heartbeat, faints, feels like she is dying.She regains consciousness very fast and recalls everything that happened when she fainted and in the ambulance.Then randomly she got dizzy for a few days and switched between 2 personalities.One remembered fainting details and height, weight, close family members but not their own name and refused to remember things in their history such as what high school they attended.Maybe when she is more dizzy she switches to someone religious and starts saying prayers for dying and prayers you say to make you a good person and claimed that god told her to say.She denies the major issues we think that could cause her anxiety but she name off smaller issues that bother her.Says she can prevent fainting now.When asked what she feels traumatized from she said she cant tell us almost as if she was possessed and she would get in trouble if she told us but when asked a few times she spelled it h-i-g-h s-c-ho-o-l.  Claims no major traumatic abuse type thing happened.Says she has been holding onto feelings from h.s.that felt good at the time but are causing depression cuz she wants to let go.She graduated 1.5 years ago from h.s. very happy and absolutely no sign of anything bothering her.She got married 8 months ago and knows her husband loves her and she wants to give him her full love but sometimes feels like she is afraid to make that deep of a connection. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You had panic attack. Panic attacks always happen due to underlying anxiety. Therefore, you must add .  Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END