Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 white female, 71 years old, weight 135. Have had hypertension for about 5 years. Lately developed staph infection after a dermatology procedure. Have allergies to penicillin and sulfa drugs. Given mino?something and had possible reaction, then given Rifampin 300 mg 2 x. Day. After six days of taking this and feeling lightheaded, somewhat foggy, skin prickly, pain in neck, somewhat elevated by, today my be went up to 189/80 and I ve not been able to get it under control. Right now it is 164/89 and am feeling anxious/nervous all over. Seeing my GP in the am. Am I safe enough staying home or should I go to ER? ### REPLY: Hello Welcome to Ask a Doctor service I have reviewed your query and here is my advice. Just no need to worry about the Blood pressure if you are going to read it on your own then it may show elevated reading so better to see the physician as long as the blood pressure is concern, even if it is elevated then also you are not going to manage it on your own, so you have to see the physician, and for other condition it seems to be the allergic condition, only thing is it should not be anaphylaxis and just to rule this out you can see the ER Hope I have answered your query, let me know for further assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking 150mg venlafaxine for about 10 years. Over the last two years I have had symptoms of tiredness, sore throat, swallon glands,nausea and headaches which have been getting progressively worse. Blood tests come back normal. Could these symptoms be side effects? ### REPLY: Hello, It can be a pharyngitis or sore throat and may not be related to venlafaxine. As a first line management you can consult a local practitioner and start on antibiotics preferably amoxicillin. Do warm saline gargles for symptomatic relief. If symptoms persists better to consult an ENT specialist and plan for a throat swab. 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: Hi Doctor, I am 24 year of age and starting with my 7th month of pregnancy on 24th July, I was ruled out with RCC in left kidney and undergone Radical nephrectomy at 4th month of pregnancy. My Baby is completely fine after surgery as revealed from utrasound. I am taking Orofer xt, Macalvit, Glycifage as I am PCOD, Duvadlin retard and Gestofit. My gynaec. is telling that i need not to woorry as my baby is fine and everything is safe. I wanted to know the extra care i need to take and if there are any complications dat cud occur in pregnancy ### REPLY: Hello, Welcome to this forum. You had undergone neurectomy at 4 months of gestation and now carrying 7 months pregnancy. The risk upon a fetus usually persists maximally at the time of maternal surgery. Fortunately, you have crossed that period. Also, as you know, all we have two kidneys; removal of one doe snot make any major difference considering your health. Your OBI consultant is rightly told you not to worry much as you have already crossed the stressed period. I suggest you for continuing all the medicines as mentioned except Glyciphage. This medicine should be reviewed now for continuation as in my opinion, until and unless you have high blood sugar, it could be stopped after proper consultation with your doctor. Sincerely ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 e-regular,, my lasr day of my menstration is jan. 3 2012,, i take clomiphine for 5 days (2x a day) from jan 4 to jan 8.. and we had intrcours(jan 8) after the last pills.. is it posible that i get pregnant?.... my husband and i are both 24 years old.. we are trying to have a baby for almost 4 years... ### REPLY: Hi, thanks for writing. Since your periods are not regular the exact date of ovulation cannot be determined. After taking camphene for 5 days from day 2 get a follicular study from day 11 and repeat every alternate date till follicle size reaches 20x20mm. This is the time ovulation occurs. You should have intercourse in and around this time. Repeat scan after 2 days to see for signs of ovulation. This increases the chance of pregnancy. Hope I have answered your query. Good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m 35 years old female..i dont have any teeth related problems in the past  i wanted to ask abt the teeth gap bands i have a small gap in front of the teeth ..i have heard abt the teeth gap bands ..is it safe to wear them..wat r the chances of relapse ### REPLY: Thanks for using . Read your query. Small gaps in the tooth can be treated with multiple options depending on the many factors including the amount of space, age, cause of the gap and many others. I would advise you to visit your local orthodontist and get it reviewed if the band treatment will help in accordance with your age and size of the gap. If the gap is very small it can be also closed with a filling or crowns. I would advise to get it viewed by your dentist. Hope this was useful. 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: I went to sleep feeling unwell last night and have woken this morn with the right side of my upper chest and shoulder area feeling very tight & uncomortable. The tightening and pain feels worse if i turn my head to the right and the futher i turn it the tighter my upper chest feel on the right, what could this be? ### REPLY: Hello, Based on your description of your complaints you may be suffering from a cervical strain or commonly called a neck strain. Although you have not mentioned your age, this commonly occurs after adapting a bad posture, usually after sleeping or reading or also after travelling. I would suggest you take some muscle relaxant medication and apply pain relieving gel or balm and give hot fomentation. Usually this subsides within 4 to 5 days. If the pain and discomfort persists after a week or increases, please consult your doctor so that after proper clinical examination, he can further guide you. Wish you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Cytotec was perscribed by a doctor to me for abortion. on Friday night i inserted 3 tabs and within 5 hours i started bleeding heavily. i had severe pain and slight fever and upset tummy. He said i was to swallow 2 more tabs after 5 hours of insertion but i didnt do this as my bleeding was so heavy. Should i take those two tablets tonight or should i just leave them? and should i assume my abortion was successful? ### REPLY: Hi. Thanks for your query. Read and understood that you have already inserted 3 tabs of chaotic and bleeding and pain and slight fever started. Yes, you have to swallow 2 tablets after 5 hours of inserting the first 3. Anyway since you have not taken the oral dose, better to consult your Gynecologist as she would know everything related to your pregnancy, duration and may also examine you. Completion of the abortion can be confirmed by the sac expulsion and ultrasonography the next day to confirm the cavity is empty. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Day. I am a 41 years old Male, non-smoker. Over the past few weeks I have developed itchy red patches on my jawbones. The area is very flaky and is constantly dry. The condition is aggravated by shaving and even though I have been putting on different creams and lotions to hydrate the area, the itchiness and flaking continues. My physician has recommended applying Zindaclin 1% Gel and Eczmol 1% w/w cream none of which is proving beneficial. I do suffer from sebhoerric dermatitis on my scalp which I treat/manage with Alphosyl Shampoo but I have rarely had issues with my face. Please help. Thank you. H ### REPLY: Hi, Most probably the lesions over your face are that of seborrhea dermatitis only. The similar involvement of your scalp also supports the diagnosis. Though you can use a plain coal tar based shampoo, it would be more beneficial if you use a ketoconazole and coal tar based shampoo(for e.g. Köniz ct). For your face lesions use a steroid antifungal combination (like mom oz t) twice in a day for a week. Hope that solves your query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my child is 4 and half month old,yesterday easyfive vaccine was given to him and because of that he is crying and irritating.I am giving him crocin drops but despite of that he is crying.what should i do.I have Meftal drops with me right now.Should i give this and if yes how much drops.... ### REPLY: Hello, Yes, Metal paracetamol combo can be given especially if fever is not controlled by Cronin alone. Metonymic acid dosage is 20 mg two times for your child. Please see that there is no reddened swelling at the site of injection. If it so then sees a local doctor. But be mindful that such things are common after vaccines. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my name is Patricia I have a four year old boy he has been sick with fever and coughing and throwing up..his doctor saw him today and prescribed him medication but rught now he is sleeping and his breathing fast his heart beat is 96 beats per minute is that normal? ### REPLY: Thanks for queryHello Patricia. If the child is having fever and cough along with fast breathing (consider breathing rate > 40/minute as fast breathing in a sleeping child), possibility of chest infection (pneumonia) has to be considered. You said that heart beat is 96 beats per minute, heart beats can be high in fever, but we need to be more cautious about the breathing rate. If the breathing is not fast or labored, then risperidone for vomiting, paracetamol for fever and any antimissile (cough syrup) would suffice. But if the breathing is fast, kindly consult a specialist immediately. Thanks. Keep in Touch. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: how you doing dr. my name is angel I m a 53 yrs. old male/ 169 lbs. 5 6 in height, my problem with me I have lower back pain left and right, abdominal pain , constant urinating during day and night, constipated, I drinking 32oz of water a day, as it goes out I keep drinking water. pain continue around my waist area. I can t wear any clothing to sleep it painful when it ruffles touches my waist. it the mornings I cant button my pants up my waist is swollen. my body is weak and heavy. some slight dizzy, headache. no blood in stool or urine . unable to sleep. ### REPLY: HelloThanks for writing to ChatDoctorYou need proper clinical examination and investigations. Investigations include routine hologram, RBS,LFT, RFT, Lipid profile, Urine RE/ME, Thyroid profile, Ultrasound of abdomen, Upper GI endoscopy, X-ray L/S spine AP/Lateral, Further investigations may be done if needed. There may be various causes for your problem like gastrointestinal, genitourinary or musculoskeletal causes. Treatment can be done after proper clinical examination and investigations reports. Get well footage 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 evening sir,this is M. yaqoob Akhtar. i was suffering with epilepsy disease from three months ago .some times my blood pressure is also high and i feel alike my head is going around or someone push me from back so i want to know about it what i have to do in this condition. i show off myself to related  doctor bu ### REPLY: HiT hanks for using  I think, you have anxiety disorder along with epilepsy. In that case, you need antidepressant with low dose benzodiazepine that would help to control underline anxiety. You can also try some relaxation exercise like JPMR or deep breathing exercise. Better to consult a psychiatrist for proper diagnosis and management. 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: I had a head cold prior to the leep. I was feeling back to normal about two days prior. The day after my leep which was this past Thursday, my cold came back worse. Should I worry about how my cervix is healing since my immune system is lower because of the cold and coughing? Also, how soon after leep can we begin trying to conceive again? ### REPLY: HelloThanks for writing to us with your health concern. You need not worry about the KEEP healing. An acute cold, cough and URI will not interfere with its healing. One acute episode of illness will not . KEEP has to heal in a few weeks time, and it will. So stop worrying on that count. Regarding conception, please avoid sexual activity for at least 6 weeks following KEEP. Also, after the 6 weeks period is over, then continue using condoms to avoid further cervical erosion or infections for at least 3 months. Please have a review examination with a gynecologist after 3 months of KEEP, in order to have a proper per spectrum and per magnum examination. This will confirm that the cervix and the KEEP has healed properly. After that you can definitely continue to try naturally for conception. Just that there might be anticipated difficulties in normal labor and delivery. A C section might be required to deliver the child. All the best. 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: For the past one month frequently getting mouth ulcer.  It starts below the tounge and spreads.  I have taken foric-acid tablets for 15 days, becomplex tablets for 15 days, applied gel for some time and many more medicins.  Now, mouth ulcer has started 4th time and I am worried whether it leads to Mouth Cancer.  Pl sugget remidies and clarify whether it leads to Mouth cancer ### REPLY: Hi & Welcome to . I appreciate your concern and can understand your problem of recurrent mouth ulcer. Commonly referred to as authors ulcer, it is not associated with mouth cancer. In addition to local anesthetic gels, multivitamins, NSAID painkillers, full course of antibiotics like Metronidazole and Probiotics like Sporadic powder are found to be effective in the treatment of recurrent mouth ulcers. However, a dental consultation is highly recommended. Hope this answers your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi iam 47 yrs old female.i am suffering from tremors in my left hand rather than right .but some times i feel tremors in my whole body.i have gone to each and every dr ie neurologist and genral physician they says that i am suffering from high blood pressure and diabetes my blood pressure is 110/140 and my glucose level also increases ie 120 fasting and 160 post lunch . iam taking betacap tr 40 mg ans telsar 40 kindliy advise me what to do as iam not satisfied with this medication as the tremors is not in a control ### REPLY: Hello! Welcome and thank you for asking on ! I carefully passed through your question and would explain that your symptoms could be related to different causes: - thyroid dysfunction - a neurological disorder (like Parkinson, essential tremor, a cerebellar lesion, etc.)- epilepsy seizures. For this reason, I would recommend performing thyroid hormone levels and a brain MRI. If the tremor is episodic and lasts for a few seconds or minutes, I would recommend performing an EEG to exclude seizures. Hope you will find this answers helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I am 36 and am on a disability support pension. I have had  a bad back for about 15 years and the pain is getting more severe as time goes on. My old doctor used to prescribe me ms contin, condeine and the other one starting wth k. I did not take these every day only whe the pain was at its most severist. I am a mother and a university student and at the moment I am finding it hard to cope. Anti-inflammatories cause bad reactions and I cant afford di=gesics. The doctors in Australia assume everyone is a drug addict when they ask for these drugsd, I dinr know what to do. I am at the ens of my tehther and if I didnt have kids, I wouldve ended it ### REPLY: Thank you for sharing your complaint, as you described physiotherapy and mild exercise will be helpful to you. Along with this I think homeopathic treatment is best in your case. There are almost no side effects of homeopatChatDoctoredicines. But homeopathy treats person as a whole that means all details of your lifestyle will be asked by homeopath doctor and according to that medicine will be given which will be most suitable to you. So if you interested in homeopathy please consult a homeopath nearer to you in your city. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went back to construction work after 9 months off for surgery to my shoulders. I did no lifting because of restrictions. But l was bent over for 7-8 hours . My back was very stiff . Yet my abdominal area hurts when l press on the L side of naval. Hernea was on R side in 2001. Abdominal muscle pull in 2011 . Simular pains as now. I recovered. It feels tender. I was told that it s all connected; back and abs. 2011 abdominal pull revealed nothing. I m baffled as to why it hurts only on L side of ab . Discomfort extends into male parts; sack. YYYY@YYYY that s ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have stiffness in the back and discomfort in abdomen. Well there can be many reasons for symptoms you mention in query like celiac disease, endometriosis, fibromyalgia, kidney stones or urinary tract infection (UTI). I would suggest you to consult gastroenterologist for proper examination. Doctor may order ultrasound, endoscopy, stool test and urine test. Doctor may prescribe anti-inflammatory, omeprazole, ornidazole along with laxative. Doctor may also refer you to nephrologist for kidney problem or orthopedic surgeon for muscle problem. 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 quit smoking about a week ago by using electronic cigarettes. Ive smoked for 40 years until a week ago. Im still getting nicotine from the electronic cigarettes and I plan to switch cartridge strength every two weeks to taper off the nicotine, but no more real cigarettes. I had a real bad cold or mild pneumonia when I quit. The cold seems almost gone now, but the cough is bad and tastes awful. It a weird kind of chemical / metal / rotten kind of taste. Is there something wrong or is this normal for a heavy smoker stopping suddenly? ### REPLY: Thanks for your question on  . No this is not normal after quitting cigarettes. You might be having bronchitis. Bronchitis is inflammation of airways, and it is common in smokers. Cigarette smoke causes constant irritation and inflammation of airways. And it causes bronchitis and coughing. So better to get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir,im Sandhya my husband was suffering with jaundice from one week who is affected by diabetes last year.and he was 28years old and he was taking homeo medicine for DM (from Homeo care international Hyderabad).along with jaundice medicine tab:hepamerg.is there any problem to glucose levels which are fasting glucose 124mg/dl after lunch 176mg/dl at present.with this jaundice and how he will be cured from these helrh issues and advice diet plan for jaundice along with diabetes. am very depressed pls help me sir. ### REPLY: Hi Sandy, Good day. Noted your question. At the age of 29 years, we would consider his fasting blood glucose as reasonably well controlled, however, his post lunch (post meals) glucose of 176 is suboptimal.  However, we need serial glucose monitoring to decide further. A single reading is not enough. So kindly do regular blood glucose monitoring and maintain a chart. Please take the glucose reading chart to your doctor. In addition, your doctor need to do a HAC test as well. As far as jaundice and diabetes diet is concerned, it is best to discuss with a dietician. In general, in Jaundice, it is good to eat a diet which is low in fat. For diabetes, he should take a diet low in simple carboy .  Please do not get depressed, his blood sugar readings are not very bad and can be easily controlled. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 weeks 3 days late on my period and noticed today that when I squeezed my breast (pretty hard) the clear liquid, I believe its called colostrum, began to come out. It was not a large amount. I had a baby 14 months ago and noticed during my pregnancy I could squeeze my breast to produce the clear liquid. I have taken 2 at home pregnancy tests and they both have come back negative. Does the fact that I can squeeze this liquid from my breasts mean Im pregnant again? ### REPLY: Hallow Dear, Missed period associated with colostrum secretion from the nipples would definitely point towards pregnancy. However, two things should be taken in to consideration. Your baby is just 14 months young. So it is likely that the milk from the previous breastfeeding has still not disappeared and is now getting expressed on squeezing. But then it would be milk and not the colostrum. More than 15 days after missed period, the urine pregnancy test does give reliable results. However, your UPT is showing negative results. So the chances of pregnancy are remote. Still considering missed period with breast secretions, I would advise you to get Beta  test performed. This test is very specific and sensitive and gives reliable results within a couple of days of missed period. The other option for you is to undergo ultrasonography which, by this time, will give you direct visual evidence of the status of your pregnancy. If you are not pregnant, you may take Tab. Devilry for 5 days and then discontinue. You will get menses within 4-7 days after that. If you are pregnant, and you do not want the pregnancy, you can terminate the pregnancy by Tab. Mifepristone and Tab. Bisoprolol by Obstetricians prescription and advice. 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: Hello,I ovulated on the 25th of May. An ovulation calculator estimated that I was most fertile May 22-27. I had unprotected sex on the 27th, early morning hours and took 2 next choice pills (at the same time) about 9 hours later. What are the chances of pregnancy resulting? Thanks. ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you have history of unprotected sex act in the fertile period, then You Stand chance to get pregnant. But, as you have mentioned that you have taken the emergency contraceptive pills within 24 to 72 hours of unprotected sex act. Usually in such situation these pills work to prevent the pregnancy in most of the cases. So you need not worry. Please wait for your expected date of cycle. Or You will get with .  I hope this answer 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: i am suffering from blocked nose nd suffer it every winter. i had a treatment through an ENT specialist but didnt get expected results. i face breathing problem all throughout the day.i have tried home remedies but not getting any soothing solution. please suggest me some remedies so that i can get rid of this problem. ### REPLY: **1. As the problem is chronic, and most home remedies tried, didn't yield sufficient result, thus probably disease has progressed to chronic rhino sinusitis, and probably require second opinion from ENT specialist.2. As attacks are frequent and occur every winter thus:i. Take high protein diet, such as: egg (white), soyamilk, pumpkin, squash, watermelon, peanuts, almonds, legumes, sprouted pulses/cereals, milk with protein powder [since blockage of nose is an issue thus yogurt and beans are not recommended] and deep breathing Exercises [Anglo film] ii. Vitamin A: helps to maintain Thymus gland which is a powerful antiviral gland: thus mango, carrots, cantaloupe, egg yolk, apricots, pumpkin, papaya, are ideal.ii. Vitamin C: is needed for proper functioning of immune system: AMLA is the best iii. Vitamin E: is a powerful anti oxidant which helps to stimulate antibody production: peanuts, . iv. Vitamin B is important for the activity of phagocytes: eggs, cheese, pistachio, raw garlic, sunflower and sesame oil.v. You may ask for prescription  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I have been suffering from bad breath out of nose and mouth for about 2 years, it smells like fart and fills the room really fast,I have donne the helicobacter test-came negative,been taking flagyl with ameprazole and the only thing that happened is the changing of the smell,also my burp doesnt smell anything like that,what could it be?Please help me. ### REPLY: Hello, Bad breath also known as Halitosis can occur due to a number of causes like poor oral hygiene, oral and dental infections, post nasal . You should consult an Oral Physician or an Otolaryngologies and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now, you should start gargling with a flavored mouthwash twice a day. You should chew flavored sugar-free chewing gum, do warm saline gargles twice a day, limit the intake of high aroma foods like onion and garlic,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 times miscarrie,after that my dr sugges me Fertab 50mg from the 2nd day of periods n then she suggest me ovi f tab but both r no effected now im using Prolifen 50mg,plz guide me is that tab really effective?im so worride about my pragnancy plz give me some effective tips for pregnancy ### REPLY: Hi, I understand your concern. Both prolific, fer tab and prolific contain clonidine citrate. It increases FSH and LH and cause maturation of ovarian follicle and induce ovulation. You can take it any one of above for 4-6 cycles under advise of gynecologist. After taking, it go for USG scan and ovarian follicle study form 10th day. If ovarian follicle size will be 18-21 mm then it releases good quality egg and high chance of pregnancy. If there is no rupture of ovulation, then you can use  injection to induce ovulation. You can also ask for tablet Metformin, Ova care, Progesterone pill in second half of period: it supports implantation and pregnancy. Avoid stress, take healthy diet, . Hope this may help you. Contact further if follow up needed. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi um  Ive been know to have panic attacks but they havent happened in over a year. and just a few days ago when I was trying to fall asleep I got this really bad burning feeling at the back of my head  and thought nothing of it until I was falling asleep and felt my breathing start to change and when I was falling asleep I would jump up in panic with rapid breathing and its been happening for the past few days ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. It seems you are having panic attacks, and you certainly need treatment for the same. There are two types of treatment. First is the cognitive behavioral therapy which involves 8-10 weekly session of 20 min each. They will try to change your way of thinking. Along with CBT, you will need some medications like paroxetine or clonazepam or propranolol. These medications need to be taken for 8-10 months to get you feel better. All said it is treatable. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I developed a severe inflammation of lower back and could not sit up or walk unsupported. the i was injected in the back with inj diprofos 2mls twice at monthly interval. i feeling substial pai relief. should i be optimistic that my condition is getting cured or its a mere temporary relief of severe back pain? ### REPLY: Dear; thanks for using our service and will try to help you with my medical advice. The importance of how you are going to respond in long term depends on the reason of your pain, if it is a herniated disc, muscle spasm or spinal stenosis. There is no timeframe that I can tell you but if you use a back support and avoid heavy lifting it should last longer. If your back problem is severe, you might need another shot. Usually is not recommended more than one shot every 3 months, no more than 3 in a year. Please give thanks if I helped you with my advice. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, My 6 year old daughter has symptoms of having some sort of worms in her stomach. 1. She gets stomach aches frequently, specially while taking her meals. 2. She is usually not eating well. 3. She is often constipated and has a hard stool. 4. She has itching around her anus. 5. She has lately become extremely fond of sweets specially chocolates. Here are my questions: 1. What s the first thing I can do to help her? 2. Are medicines for this available over the counter or are they prescription medicines? 3. How will the doctor test if she has worms? 4. Will some blood test or some other test be conducted to find out what kinds of worms she has? ### REPLY: Hi Dear Welcome to the , Baby should be deformed by the suspension albendazole single dose. Constipation is the important cause of pain in abdomen. Plenty of fruits and meals full of fiber to be used in constipation. Maida preparation to be avoided. Plenty of fluids. Avoid excess milk intake. Lactulose suspension 2 to three teaspoon daily will relieve the constipation available with the local chemist. Hope the query is answered. 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: The right side of my head feels heavy and contracting whenever I start studying or listening to a song. Sometimes I feel that my right ear is contracting too. And also I have the feeling of an earthquake with it. Can you please tell me the reasons for these? ### REPLY: Hi, Your symptoms are highly suggestive of some form of stress or generalized anxiety disorder more than anything organically wrong with either the brain or the ear.  If the sounds of music bother you to an extreme extent you may have a condition referred to as biophobia which represents a persons extreme aversion to certain sounds or groups of sounds resulting in a sense of heightened irritability, stress, fear, etc. Basically, it's an extreme emotional state triggered by sonic stimuli. You could benefit from a full and complete physical examination with historical reporting of your symptoms as to when they began and if they were any different in the past but the likelihood of there being anything inside the head or ear causing the problem is almost nil in my opinion. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir,My father had undergone CABG during the month of Oct 2010. After surger he started hiccups and vomit. after one month he was affected with SOB due to sweat in lungs. doctors treated him with LASIX and also with KCL. But still vomiting is there. after one week this treatment he was affected with the same problem added with urine neck micturition. now they are treating with LASIX againg with KCL and RABLET I.V. Is this usual in few cardiac patients? if yes please explain me the reason why it happens? ### REPLY: Howell come to ChatDoctorI really appreciate your concern, I could say looking to the history given here that CABG could cause the renal failure, and it is the common post procedure complication with proper care and treatment it comes around.  As long as the symptoms are concern it may be due to other causes like hyperacidity (Acid peptic disease) Lung pathology, allergic condition, infection, it demands the medical attention, pre-existing renal pathology could be the cause, circulatory (Hemodynamic disturbances) is the reason if this is due to CABG. Hope this information helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I really want to come out come from my anxiety which is quite chronic. Negative thoughts, lack of confidence, pancik attacks especially in the morning are common. Since last 3 weeks I am taking Fluocetine 20 mg and nexito 10 mg which seems to be working. I am worried though for its addiction. What should be long term therapy? Trying to do breathing exercise but I am not regular. Also thinking to switch to Ayuervedic medicine as long term maintenance. Ps advise. ### REPLY: Hi, If you are asking-why am I always thinking negative.  It could be well be because you are wired to self-criticism, you have a lot of self - loathing inside you, which manifest externally as negative thoughts.  Here are some tips to escape negative thoughts.1. Meditate or do Yoga.  It took your focus from your thoughts and brought your attention to your breath. Yoga is very relaxing which helped ease your mind.2. Do Smile... Stand in front of a mirror and force yourself to smile.  It really does help change your mood and relieve stress.3. Surround yourself with positive peoples..... Call a friend who you knew can give you constructive, yet loving feedback4. Change the tone of your thoughts from negative to positive5. Don't play the victim you create your life-take responsibility.6. Remember that no one is perfect and let yourself move forward.7. Read positive Quotes.8. Help someone... Take the focus away from you and do something nice for another person.9. Sing.... Singing is show our feelings and this provides an amazing stress relief.  Take Brahma 2 caps two times a day before food.  Take Divya media vat - 2 tabs after food. Two times. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir/madam, My son (Jay Kumar age-11 years) have a single kidney by birth. I come to know this is before 5 years. Now his heath is not good. Please let me know that which type of precution is required to maintain him healthy. Which type of exercise is better for him, which type of diet is good for him.. Please advise Thanking You, With Regards, Rajesh Kumar M:0000 ### REPLY: Hi, A person with a single kidney should lead a healthy and normal lifestyle. He should avoid getting overweight, avoid indiscriminate use of painkillers (NSAIDs) and avoid alternative medications as far as possible. No diet restrictions are required, but as I said, a good healthy diet should be stuck to. No exercises are specific to this condition. He doesn't need to avoid any exercise either. He should be active and once activity levels go down (after starting job etc.), a regular exercise program should be adhered to. Do check blood pressure, creatinine and urine (routine) once a year. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my girlfriend who i never had intercourse with yet...tested positive for Hepatitis B non reactive. can we have unprotected sex? another question. can we perform oral sex?  very curious as to i understand some of the diease not all..thanks in advance ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. If she is positive for Bag, never do unprotected intercourse. Hepatitis B is notorious for transmission via sex. It transmits more frequently than that of HIV. Avoid unprotected intercourse. Take the right treatment otherwise there is chance of chronicity. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. Ive been on the implant for over 3 years and had it renewed in October however for the last 3 weeks ive been bleeding not to much to use anything but when I wipe there is either blood or a browny colour discharge . Ive alwmso had a head ache for a week feeking dizzy and sick. I feel tired too. Wjats wrong with me? :( ### REPLY: Hello, Implant is sub dermal hormonal contraceptive method, used for 3 yrs and effective more than 99%. It has some side effects & it varies from woman to woman like irregular period, headache, Weight change, DVT, abdominal discomfort, nausea, fatigue, mood swing etc. Do a USG lower abdomen & some hormone test to rule out underlying pathology if any. Take some analgesic for headache and multivitamin supplements with your diet. Avoid stress, control body wt by regular light exercise, . If you need further consultation with me, then you can visit http://www.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. Dr. Im 35 years old befor one month i see my hair is faling some aria of my head in a cercle i go to skin speacialist he told me that is Androgenetic Alopecia he give me tablets in zink and Trigane hear re groth liquid but my hear is faling fastly that time 5 areas of my head is injurd please give me sugestion where i go for treatment. ### REPLY: Hello, I have gone through your query and would recommend you to continue with minoxidil 5 per cent lotion on the affected areas of the scalp twice daily and take tablet finasteride 1 mg once daily. Hair regrowth takes time, and you need to continue these medicines for at least 4-5 months to see significant results. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have the mixed connective tissue disorder. I am 36 years old and would like to know how this is going to effect me as I get older. I have had arthistis since i was 13 and I am know dealing with serve neck pain, whick I have seen the neologist and get the results tomorrow, from the MRI. she was thinking it was was the MCT disorder. Is there any updates in the medical field? Thanks Heather ### REPLY: Good evening. MCTD is a rare disorder which involves 4 diseases in it like Rheumatoid arthritis, myositis, SHE and Scleroderma. It is confirmed after the antibody for U1 RNP is positive. I am not too sure if we are dealing with the right diagnosis for you. It rarely presents at the age of 13. But yes it can have symptoms of joint pains, bluish discoloration of fingers, rashes, skin lightning, muscle weakness and few more. It responds well to steroids For MCTD, I had like to be sure that you are having it before giving you further prognosis. As for the neck pain, it looks unrelated to MCTD. It normally doesn't affect the neck or your back. MRI should give some conclusive resultHOpe the information was useful ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ok. My son  was electrocuted in 2012 up in Maryland .He was a lineman  but was not working when  he was hurt. he was just out with another lineman tosee about down power lines. when he was walking down the side walk, looking at the lines someone turned the power on, the power lines started to jump up an down ,one jumped his way and he threw up his left hand,and the line hit his hand and shocked his whole left side of his body . He lived after he was thrown from the sidewalk to the middle of the road .it also burnt his hand and his left foot.about 7,650 volts he looks good now but he has very bad pain and a pain pump . ### REPLY: Howell come to ChatDoctorI really appreciate your concern, electric shock is kind of thermal injury it is all depends upon the intensity of current, like ampere, voltage and the duration of current follows through muscular fiber, short duration with low intensity may not cause the serious injury, although the clinical examination is the option that shows the severity of injury hope this information ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 i am 23 years old male,i am in serious problem on last year april 4th i have started hand job before dis i never done hand job,but unfortune i cont able to control it i am doing daily,i am became so weak and stressed pls help me to stop dis habit ,is der any problem for me in my sexual life after marriage bcoz of doing like dis ### REPLY: Welcome to  .1. Only thing will help to stop is your self-control, your mental strength.2. Other case you have to visit psychiatry for a counselling, i don't thing you need it, you should try hard to control or minimize at least the frequency. 3. Try to get engaged in different things to give less time to think of it.4. If you are so frequent, generalized weakness is seen and it's common.5. No, it not affect in the future, almost every individual go through this phase.6. But Try to control - anything excess is not good for health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: when i wake up my mouth smells really bad. what do i do i have problem of bad breath which starts from the time i wake up & remains the whole day which causes a lot of problem & is embarassing. Pls help ### REPLY: Hello, Thanks for choosing , Bad breath generally occurs in early morning BCO while sleeping at night salivary flow decreases and that cause bacteria to grow and responsible for early morning bad breath.... Do brushing twice and in nighttime before going to sleep its mandatory.... You can use chlorhexidine mouthwash twice. . ... Visit Dentist and scaling is required for you... Bad breath can occur from any other systemic diseases...if it's not cure after following the above-mentioned remedies then you have to consult with ENT specialist..... Hope this will help you... 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: Hi, My 3-1/2 year old son has been having deep cough(non-productive) with sound for past 3 months. He had been prescribed Flovent HFA 44 mcg(2 puffs twice daily until one week after the cough stops) and Children s Claritin in United States. I was not prescibed the spacer and was not aware of it and was not able to administer the inhaler properly. I came to India for summer break and consulted with a Pediatric who presribed Laveta M. My son s cough was reduced but still not completely gone. Another Pediatrician precribed him with Levolin Inhaler(he is now on 2 puffs twice daily), Allegra syrup(5 ml twice daily) and Montair Granules(once) for 15 days. I have been giving the above inhaler and allergy medications for more than 15 days since he is been having slight cold symptoms of nasal congestion and he coughed more today. My pharmacy friend was suggesting me to try Montair LC Kid for allergy. Can i replace Allegra an Montair Granules with Montair LC Kid. Kindly advise me to cure my son s cough. ### REPLY: Hi... Thank you for consulting in . Greetings from Chennai. This seems to be a multi triggered wheeze and I suggest you to use Decor metered dose inhaler along with Leveling inhaler only when required and coming to your question - yes you can replace with montage LC kid. 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: About one year ago I was diagnosed with PSC after a year of symptoms (did not seek treatment from a hospital due to the suspicion that it was a gall bladder issue, so I changed my diet and reduced my symptoms dramatically with only a few exceptions of serious pain). The hospital staff that diagnosed me did not inform me of much at all, simply what my condition was and how it worked. I was told to eat a low fat diet and sent on my way. Later I found out that I will most likely need a liver transplant within 10-15 years, and if I do not I will die within that time period. So now I really need to ask, how often do people whom need a liver get one based on economic status, location, liver availability ect. and how long is a person expected to live based on things such as living / deceased donor, condition, age of receiver and donor. ### REPLY: Hi, Regarding Liver Transplant: It is of two types one is Live donor and other is Deceased contrive donor in which half of liver from one person who is normal, is taken out and transplanted in the patient.Advantages-Liver is available immediately. Disadvantages - 1. You have to arrange for donor, and it should be your near relative preferably first degree relative and that after some paper work and completing the legal formalities.2. Both donor and recipient undergo major surgeries and donor also have more risk of complications (although it is very safe these days but due to major surgery risk is definitely high)Deceased Donor in which a person who is dead, or brain-dead is used to get full liver. Advantages - 1. Full liver is available.2. As donor is already dead, no risk to donor. Disadvantage -1. Wait list is very long as it depends on someone who died2. It also depends on that whether blood group of that person is matching with you or not. Different hospitals and different regions have their own preferences. In some places, mainly it is Live Donor while in others, it is mainly deceased donor, but live donor is also there. Cost - In private set-up it is quite expensive for surgery and later on for follow-up investigations and treatment (which is life long), you would need a monthly expenditure plan just for this. While in Govt. set-up, it would be lesser. Regarding 2nd part of your question - and how long is a person expected to live based on things such as living / deceased donor, condition, age of receiver and donor. The quality of life after liver transplant is excellent if everything goes well. However, there are many factors which effects the outcome both donor and recipient related. It is quite a complicated equation. It depends upon the co-morbidities in recipients like heart disease, DM, Hepatitis C or B, history of Alcohol or cigarette smoking etc., and quality of liver which you receive like how fatty or fibrotic it is. Any surgical related or post-operative complications like rejection, blockage of blood vessels or bile vessels, any post transplant infection etc. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 52 year old woman who smokes 10 cigarettes a day and drinks only occasionally and rarely much.  i am overweight by about 4/5 stone. recently having trouble with breathlessness, not so much  when walking etc but with lifting heavy items. some mornings when i wake the area around my eyes is badly swollen (above and below).  i am having problems with burping, i cant burp until i feel really bloated and then only if i lean forward and to the left or lay on my left side. i can hear my chest wheezing occasionally during the day and always when i lay down at night.  i get what feels like palpitations from time to time, just for about 10 seconds heart kind of fluttering. have been to docs who told me:i have suddenly become allergic  to  my haireveryone gets windmy lungs are perfecti have a hiatus hernia which i should ignore as there is no treatment i actually feel tired, out of breath and unwell all the time but dont want to go back to docs as i came away feeling i had wasted his valuable time ### REPLY: Hi and welcome in ChatDoctorI can understand your concern. As you explain the history you do not have done any test. First I will recommend some tests like:Spirometry testEKGChest x hayrick Westland after having the above results we will have an answer for your complaints. Hiatus hernia can play a role in your breathlessness but not so much. If the results are positive you can try inhalers (like Ventolin) several times per day and antihistamine medications. But it is your doctor that should decide exactly the treatment if it will be needed. I encourage you to lose weight and stop smoking. Best regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi iam andy taking pamvax the pain  is just under my rib cage . when having sex itslike  a build up and then when it releases the pain has gone . its so weired . there 1 miniiut gone in the next  also feels like i need the toilet really bad when i go its just trickles out . but it feels like theres loads in there. ### REPLY: Thanks for your question on . I can understand your concern. Sexual activity is considered as heavy exertion. So you are having chest pain with such heavy exertion. Your pain subside with once sexual activity is over. So we should definitely rule out heart diseases in your case because heart diseases commonly cause chest pain on exertion. So get done blood pressure monitoring, ECG and 2d echo. You may need cardiac supportive .  If all these are normal then no need to worry about heart diseases. Sometimes musculoskeletal pain can also cause similar symptoms. So apply warm water pad on affected areas. Take painkiller like ibuprofen. 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 :(im mohammad / 18 years oldi have Schistosomiasis since 3 years or morebut i didnt go to a doctor ... now i think from this Schistosomiasis i got Bladder Cancer :(as i read according to info i read in internetmy question ... is there a cure for Bladder Cancer ???and what is the percent to get health againthank you ### REPLY: Hi and thank you for this query. Schistosomiasis increases the risk of having bladder cancer but doesn't mean you have got bladder cancer for sure. Please get consulted by a urologist and find out what is going on exactly. This will enable you know whether it has led to any bladder lesions or not before choosing an appropriate treatment plan for you. If it were bladder cancer for sure, we would need a comprehensive evaluation with tests like CT scan of the pelvis, cystoscopy(look into the bladder with a magnifying light source), etc. to evaluate the stage. Treatment options and cure rate depend on the stage. However, most persons with early disease often get a complete cure. Hope you find this informative and helpful. If you have more questions, please keep them coming. I wish you well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a sinus patient with severe allergic rhinitis . My problem is stickiness in my eyes which irritates due to the allergies . tried lot of medicines antihistamine but of no use . right now using Allegra from 2 months with fluticone nasal spray ( changed recently from flixanase and working better than before) but still that stickiness continues . Do i have to change the medicine ? as i heard montair fx will help in my case but not sure . Please advice ### REPLY: Hi, Stickiness of eyes is not a common unless the conjunctiva is inflamed. Allergic conditions can induce such inflammation resulting in the production of sticky secretions. You would need to ad .  Washing the eye with Luke warm saline water should take care of the sticky discharges.  However, a permanent cure can only be found by allergy desensitization process.  Desensitization process takes a long time and result is not consistent. You can consult an allergist nearby to help you through with the desensitization technique. In the meantime, consult an ophthalmologist to rule out other causes. You may use montage along with your current nasal spray after discussing with your treating doctor. Hope this answers your query. 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: Hello, I have injuries my right bicep from getting punched many times on the same spot after playing a game with my friend. The bruising travels right around my arm as far down as my elbow which is a reddish pink color now. Where I was actually getting hit isn t brusied that much but the surrounding tissue and skin where there is more fat tissue seems to have take most of the damage. To me it looks almost like a blood cloth as I ve had one before in my leg. Was wondering could you give me advice for steps to take in the healing process. Would I need anti inflammatory tablets? Thanks,Peter ### REPLY: Hello, You have a bruise and soft tissue injury of the biceps area and elbow. Please take analgesics only if the pain is more as they have no role in the healing processes. To decrease edema and clotting I would suggest you take tablets containing enzymes like trypsin and bromelain. Tablet Phloem or tablet Disperse. They are tablets MEAT to decrease the swelling. It will heal in about a week. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The left side of my neck keeps swelling behind my ear off and on. My urine is dark and cloudy. I sometimes have pain in my lower left side near my kidney and in my abnominal. Im tired ver easily.. my SLE. Lupus has been in remission for 25years . Is this a flare up. Yes i have came across several rashes ### REPLY: Hi, Dark and cloudy urine is indicative for urinary tract infections. I suggest running a urinalysis and abdominal ultrasound for further evaluation. I also suggest getting evaluated by an ENT specialist to determine whether the swelling behind your left ear is an infected lymph-node due to ear infection or other underlying problems. Until the results of tests are in, I strongly suggest to: - . Rashes you are having could be related to SHE relapse for which should further evaluated with rheumatologist. Wish fast recovery! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been having some lower back pain just above the waist line on my left hand side. It s muscular, I m pretty sure, because I can feel it when I massage it. Ibuprofen doesn t seem to do anything for it unlike most of my other minor muscle aches from time to time. Anything I can do? ### REPLY: Hi and welcome to . The pain area which you pointing out is typical for SIX (Sacroiliac joint) dysfunction, which means it is not muscular, but related to the SI joint.  The temporary soothing effect of massage is just due to the relaxation of the tight muscles which go into spasm as protective mechanism, due to stiffness of joints.  These simple exercises can relieve your discomfort and pain. 1. Do self stretching Exercises for back, and hamstrings. Step 1. Lie on your back and bend both your knees, lift them up slowly with hands placed under the knees on both sides. Pull towards your head until you feel the stretch in your lower back and let go. Do it for 4-5 times at one go and 3 times a day. Step 2. Hamstrings stretch. Lie Supine, and bend one knee, the other leg has to be straight. Place both your hands under the bent knee, slowly move it up to 90 degree and then keep straightening it upwards until you feel the back of your leg stretched. Repeat thrice at one go, and 3-5 times a day. 2. Do .  3. Lie on your back and bend both your knees, place a pillow between both knees and press it for 5 seconds and let go. Do it for 3-5 times at one go and 3 times in a day. Dots:-1. Avoid bending activities. Hope this information is helpful to you. Take Care and have a nice day:)  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 64yrs of age.On checking biot profile it was found that all other items in these tests were found  in normal range except bilirubimin total (7.66), bilirubimin ind 3.61 and bilirubimin dir 4.05. I am monitoring these items for past 45 yrs and finding these in more or less similar range..Other symptoms include slight yellowish eyes and slight yellow colour of the urine. Stool is normal colour. I feel hungry and take  normal home prepared food like other family members. I am passing normal life like others. I have served in GOVT. and other places inhigher/ middle management level for 35 years. The only problem I face is lack of sleep at night despite following all instructions from different doctors.Do you  please have any comments/suggestions.h.singh ### REPLY: Hello Mr Singh, How are you? My name is .  I am a specialist Liver and Pancreas Surgeon in Ludhiana, Punjab and I hope to answer your question today. I am sorry to hear about your symptoms. Furthermore, I understand that you are having chronic hyperbilirubinemia (Increased bilirubin). It is surprising that you haven't progressed for the past 45 years, and I am happy for you. But given the fact that you do have clinically evident jaundice (Yellowness of eyes), it is important to diagnose the cause of this increased bilirubin and hopefully treat it. You will need to undergo some form of imaging (ultrasound / CT scan) of the liver in order to find out if there is any obstruction to the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took Emkit (emergency contraceptive pill) Levonorgestrel 0.75mg 48 hours after unprotected sex however i took 1 tablet after 48 hours and I was supposed to take the 2nd dose 12 hours later but I took it 48 hours later. Will it still be effective? Or is there a chance I could be pregnant? I took a pregnancy test aswell came out negative twice ### REPLY: Hello...thanks for trusting the  doctors for your health related queries.first I want to tell you that pregnancy can happen after taking emergency contraceptive pill, if it's taken by wrong method. Usually emergency contraceptive pill levonorgestrel 0.75 is taken within 72 hours of unprotected sex and 2nd tab will take after 12 hours of 1st tab, in this method it is more effective. But u had taken 2nd dose after 48 hours of the first tab, but your pregnancy test comes negative twice, it indicates that you are not pregnant, so don't worry. Relax.with the above discussion u can try out my suggestions-1. Wait for the menses to come. If it came then nothing to worry.2. If menses not came then visit nearby gynecologist. He /she can help you. Good luck. Regards- .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a root canal done 10 years ago that failed and ended in me getting my 1st bottom right molar extracted...The deterioration was quite vorocias. now after the extract i have dry docket and the gum around my second molar is moving away from it...will i loose my 2 molar? ### REPLY: Thanks for using . Read your query. . I would advise you to visit the dentist and get the pack applied in the socket and if suture required, it will be done to avoid further damage to the next molar. For the pain, you will need the painkiller like ibuprofen and dose of antibiotics including amoxicillin and Flagyl. Do warm saline gargling. Avoid vigorous rinsing of the mouth. Hope this was useful. 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: I have chicken pox , i am 16 and i have had it since last week but the blisters started showing up yesterday and now im covered in them, the only problem i have is i have a chest pain and cannot sleep because of it i run out of breath easily and heavily breath most of the time depending on how bad it is.. any advice on how i could take care of my self? ### REPLY: Thanks for contacting ChatDoctorI am sorry to hear that you have contacting chicken pox at the age of 16. Chicken pox is a childhood disease that is usually self limiting and has little complications in young child .  From your description I am concerned that you may have pneumonia in addition to your chicken pox. I recommend that you seek medical attention. Hope I answered your question. Please contact us again with your medical concerns ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, on my left leg, at the bottom of my shin and just above my ankle there is a small lump which is ball like, it does not cause pain unless hit hard and is only slightly discomforting when being touched, what could this be? do i need to see my doctor? ### REPLY: Hi! Thanks for writing to us sharing your problem of the painless hard lump on leg above ankle! If I were your family physician and had you presented to me with this problem, I would like to consider following possibilities, as per my experience of ultrasound, CT scan and needle biopsies:1. Benign cyst or cyst-like conditions like bursa, sebaceous cyst, ganglion, hematoma, lymphangioma or parasitic cyst2. Benign skin nodules or tumors like lipoma, neurofibroma, dermatofibroma, fibrous histiocytoma etc. Therefore, you need not worry about this one, but please see a doctor today for an examination and if needed simple needle biopsy for confirmation of the lesions' nature! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had a Ulnar nerve transposition and my radial head removed on my lift elbow. This is all due to me falling off a ladder 8 months ago. I went through therapy and everything but weight bearing of any type is super painful. A gallon of milk hurts so bad that I want to drop it, or even a 12 pack of soda. Is this normal. ### REPLY: After nerve transposition it takes time to recover, and you have to educate muscle and nerve for function and for weight wearing it will take time it will be painfully to buy don't leave physiotherapy by this you will get range of motion as well as weight wearing during after exercises you can use ice pack or hot water pack for 10 min this will relieve pain and can use Diclofenac gel and cover you the part, so this will also help do strengthening exercises that will help you 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 am 40+ and have pigmentation on my chin since a couple of years. one of my friends who was a victim of pigmentation for a long time and got relief from it applying Melacare, has advised me to apply Melacare. Can I do it without prior advice of any dermatologist? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern, looking to the history given here I could say that, this could be comedo (Blackheads) and this need to be ruled out and for that you need to see the dermatologist because if this is comedo then sometime this is to be removed, again for this you need to discuss this with the skin specialist, using any local application is not advisable, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother had felt some burning on his scrotum a while back and was tested for std and he said that was clear but they told him his white blood cell count was off or high, and then I guess they checked or looked at it and said it could be cancer and see a specialist. He won t see one, but I m wondering what kind of cancer and if that is a sign of it. He of course didn t tell me details about any marks, swollen, etc so i dont know what they actually looked at down there. ### REPLY: Hi Ashley, A high white blood cell count does not necessarily suggest it is cancer. It can be high is mild infections and inflammations. Jumping into the diagnosis of cancer straight away is not a good approach. First, rule out local infectious causes. Even normally, sometimes the WBC count is high. Cancer in the scrotum usually presents with a painless swelling or nodule of one testicle. In addition, sometimes it presents as dull ache or heavy sensation in the lower abdomen. Without actually confirming the cancer by histopathological examination, nothing can be said for sure. In my personal opinion, I do not think there is any cancer at all. Hope this helps.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a few problems. The first I have had for many months, my bottom left wisdom tooth has come in, but didnt come all the way out. It allows food to get under the gums and get infected, its pusses alot. The second problem is my bottom and top back molars are turning black and starting to hurt, despite good brushing. My wisdom teeth are also coming in right behind both of those teeth. What can I do with no insurance? Im in pain everyday. ### REPLY: Thanks for your query, I have gone through your query. The pain and infection could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). The disc oration can be secondary to the decay. Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. If I am your treating doctor, Meanwhile I would have prescribed a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). 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: I am a 33 year old male and am having dull periodically pulsating pain in my lower abdomen (to the right and below my navel).  It was doing this 2 days ago, and started again this afternoon.  The pain is not too bad but is preventing me from falling asleep tonight.  Any ideas of what I might be dealing with? ### REPLY: Hi. Thanks for your query and an elucidated history. The most probable cause can be :Appendicitis;Lymph node mass;Diverticulitis, I would advise you to have the tests of blood, urine, stool, ultrasonography and a physical examination done by a Gastroenterologist or preferably a Surgeon. Get a course of an antibiotic, metronidazole, probiotic and symptomatic and supportive medicines. IF needed and if diagnosed as a surgical cause, get operated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 45 yrs old,54 Kg having Haemoglobin 7.4. Doctor prescribed me C Pink tablet. After taking the tablet there was tremendous uneasyiness,vomitting,gastritis problem.Gastritis and antivomitting tablet could not work.Now the doctor has prescribed  tablet Haemgrow one tablet daily. one of my relative took this medicine thrice daily.Should I also take haemgrow thrice daily? Howmany days I have to take this Irin tablet?Thanking YouBina Nandi,Midnapore, W.B ### REPLY: Dear friend, GREETINGS from ... I appreciate your concern ... your hemoglobin levels are very, very low ... you please get evaluated completely ... you have anemia please check for the reasons for it ... it could be due to piles/hook worm infestations / bleeding peptic ulcer ... if all these causes are ruled out then it could be nutritional deficiency ....please take iron tablets daily 2-3 times before food . Iron tablets cause irritation and vomiting sensations ... please go for iron injections if you are not tolerating ... iron tablets are best taken with vitamin C tablets ... iron is better absorbed in empty stomach before food .you take more of meat, fish, egg, green leafy vegetables, fruits etc. To increase your iron levels ...please do contact us for more queries ... thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I AM 52 YRS OLD - MALE , HAVING DIABETES, BP, THYROID AND OBESE ALSO. MY BMI IS 36 + DOCTOR ADVISED A THOROUGH CHECK- UP RELATED TO HEART AND ACCORDINGLY ADVISED TO UNDERGO TMT -MOD BRUE , ECG, LIPID PROFILE, ECHO ETC.. ETC.. THIS IS ONLY A ROUTINE ONE . IS IT ADVISABLE TO UNDERGO TMT - STRESS TEST SINCE IAM OVERWEIGHT AND FOLLOWING A SEDANTRY LIFE WITHOUT ANY EXERCISES... PLS ADVISE ### REPLY: Hello, I understand your concern and would agree with you that being overweight and lack of regular physical activity may impose you to some limitations in TMT stress test.  For this reason, I would recommend performing a Dobutamine stress echo instead, which can help investigate for coronary artery disease and there is no need for physical exercise.  Another option would be a coronary Anglo CT scan.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had worked many hours in several days, by the last day my toes had become very painfully, like i was walking the skin off of them. Then got home to a look and they were swollen, bulbous, and red and shiny. Soaked my feet, even though burning ...little feeling to touch. ### REPLY: Hello. Thanks for writing at . I read your questions and understand your problem. I try my best to solve it. As your symptom I think there is stiffness in joints. Also, it may be Vitamin B12 Deficiency or may be gout. You have to do some test to rule out this possibilities like Serum Uric acid, Vitamin B12 Level. I give you suggestion that move your body every hourly, stretch your body. I hope my advice will help you. 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: for two and a half days, when i breath in i felt an uncomfortable, slightly painful feeling in the upper chest, that ultimately made it a little complicated to completely breath. When i went for a second deep breath the slight pain/ache would go away. Then i would breathe softly, then proceed to breathing deeply agin, an the ache would return. Not it has slightly resided and there is a small bony lump in the middle of my chest below my collar bone, no pain felt. ### REPLY: Thanks for asking your question completely understand your problem catchy breath or pain during inspiration or deep inspiration causing a pinpoint sharp pain can be due to pleural effusion or sometimes pleuritic, but this is not necessary. This can also be due to a simple muscle pull. But if you're feeling a lump below collar bone u should get a chest X-ray done and take advise from a pulmonologist to rule out any access, or other causethanksif you have more questions feel free to ask may god bless you with good health ### END