Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Christina. I had a hysterectomy last Friday. My ankles were feeling a little swollen, but now, today, I woke up to MAJOR CANKLES!! It looks horrible and when I stretch them up, there s creases!!!! What s going on??? I want to cry. : ( ### REPLY: I have studied your case. Swelling in foot and ankle c can be due to following reasons.1. Diabetes2. High blood pressure3. Blood thinner medicines.4. Thrombus in veins if you are having one of anything mentioned above then it explains swelling. I would suggest you to get Doppler examination of the ankle and calf. I hope you are walking as bed rest can also use such swelling. Till then, you can apply compression bandage and do calf stretching exercises. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My girlfriend had a MRI last Thursday she received her MRI readings last Friday. The DR. said that she had a 3cm Lesion on the left side of her brain. She gets really bad headaches and sometime messes her speech up. How serious could this be? She is 22 5,8 125lbs. this is the first time it has been this serious. ### REPLY: Hello and welcome to  ! I read your question carefully, and I understand your concern. However, I am afraid that you do not provide enough information. A lesion in the brain is a very non-specific term, could mean anything a tumor, an infection, inflammation, stroke, malformation etc., could be something really life-threatening or something completely benign which she might have had since birth. So please write again providing this time the full MRI report so that we read the full description. That along with some more details on the time course of her symptoms might allow us to provide a more informative answer. Looking forward to hearing from you again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes I had surgery on my spine 1-9-09 when I return back to work in either april that year or june the doctor wrote paper work recommending light duty, I was denied light duty told we dont have light duty was told I was assigned to give road test for dmv as if that was all I can do, I got the union involved the union after talking with director and assistant n maybe human resources was finally told they didnt have to offer me light duty because health issue was not caused on the job, was I being discriminated against. thanks for your assistance. ### REPLY: Hello and welcome to , In order to get the work which is most suitable for your health status, you need to get a medical certificate from the doctor/ doctors who treated you. If the requirement of light work is for short duration, you can take leave on medical grounds. You can get more details about this issue from the rules and regulations of the company/ organization where you are working. A doctor can only help you to furnishing you with a medical certificate. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been very light-headed and dizzy all weak with some mild nausea, and woke up this morning with an abscessed tooth swollen jaw and chin and under my tongue is swollen, could this be the reason for the vertigo? I am unemployed and have not received check in 5 weeks and no dental or health insurance and I see I would have to pay for this so never mind. Look up tooth abscess and no dental insurance on google and see what pops up. ### REPLY: Hello, Initial treatment for an active dental infection often requires antibiotics. Consider visiting a dentist or hospital emergency room for a prescription. This will help control the spread of the infection and most likely temporarily help control the spread of the infection. Take some anti-inflammatory medication such as Tylenol or Motrin. Keep well HY . You will need to determine the source of the infection. Additional treatment will be required. Dental x-rays can help determine if a tooth can be treated with a root canal or require an extraction. Please seek emergency treatment and then plan to see your dentist. Or visit a clinic. There may be some reduced fee dental treatment available in your area. This condition will worsen. Thank you for your inquiry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has a swollen lump behind each ear. They have been present for atleast 6 months. They are very painful and cause him headaches. At one point one of the lumps got extremely large I aspirated it and got a lot of puss like fluid out of it. That was atleast 3 months ago. They are still there and I looked at it last night and the one I aspirated previously is now a purpleish color. He had my try aspirating it again and it looked like a mixture of blood and pus came out. Is this some kind of cyst? They have been there a really long time and he does not have insurance and will not go to a doctor. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He may have some infected sebaceous cyst, abscess, tuberculosis or other inflammatory lesion.  He should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,i am 29 year old, my doc detected my follicle to be 19.5 yesterday, and asked me to take Gonacor injections today at night (2 injections each is 5000 , so to make the dose of 10000) and asked us to have the intercourse tomorrow. My question is, what is the best time for intercourse to increase the chances of getting a baby boy?? so should it be like tomorrow at night or the day after tomorrw?? because i know that the follicle only lives for 24 hours. ### REPLY: Hi, Welcome to  . After injection follicle rupture within 36hrs. So you should have intercourse from 24hrs after injection to 2 days. Once in 12 hrs for 3 days will be fine. After intercourse sleep for 29 mins and then get up. Don't get up immediately.  Also keep a pillow over buttock region to avoid spillage of semen. There is no rule or technique to get a baby boy/girl. It is matter of chance what you will have a boy or girl. Hope I have been helpful. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My nephew is suffer from mental trees . She is student of 2nd year bachelor in pharmacy . Last few days her behaviour is not as normal person. So we decided to treat her to psychiatric. I want your appointment for above issue. When I come to your clinic. Please confirm me. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I think the intention of the query is very clear. But there is no substance. Whom do you want to meet? With whom you want to make an appointment? Please be specific with your query, I request. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my names aj im a 19 year old male. For about a year now  ive been feeling really weak  and different    like the begining of the year it wasent so bad it was just me feeling a little weak not really tired but over the months it has progressed  my body feels like im 50 or something like an old man  i feel worse when i drink water i get pain under my heart very bad stomach pains my neck cramps up i get weird feelings in my head   i have like little dots when i look at the sky or in a dark room and when i look up at the sky it looks like there swimming around  and looks of like a bacteria under the microscope  on my eyes both of them theyve been there for 4 months   my body does though freak out when i drink water my stomach keeps growling like its hungry    and im not but then when i eat lots of food i feel better  ive been to multipul hospitals doctors had blood tests done everything come back normal  i have light colored stool everynow and then ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Over and above, you are imagining things which are common to all people. The "bacteria" in your vision area is a common sight for everyone. Regarding your stomach gurgling - We broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have spinal stenosis so suffer a lot of pain in my legs. I found a soft lump on my upper leg but was told by doctor it was nothing. I have been experiencing different pains in my leg while sleeping at night which I never use to suffer and tablets I m taking are not helping. I m on amitriptyline and co codomine. thank you. ### REPLY: HiT hanks for your queryBased on your query, my opinion is1. The lump on your thigh and spinal stenosis are not related.2. Swelling might be a soft tissue lesion like lipoma as it is soft. If it is painful then get it evaluated by cytology and if required excisional biopsy.3. Pain in the lower limbs is related to stenosis. So be regular with your medications, and you can try physiotherapy. 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 slight abdomen pain very dull on a scale of 1 to 10 may be a 2. I think i lifted something 2 days ago..and it happens to be on the lower right side of the abdomen may be once like every 5 minutes...I can jump and run without any problem....I have good appetite ...I can press all the way down on the lower side without any problem wondering whether it is appendicitis or a cramp ### REPLY: Dear sir/madam, it definitely doesn't sounds like appendicitis, you would have constant pain in DLQ increasing on pressure, also associated with fever, nausea and vomiting. So it can be cramp or u simply injured some of abdominal muscles. You shouldn't be worried except this pain persists and become worse. If you want to be sure you can do abdominal ultrasound but i don't think it's necessary.  Wish you good health. Ivan Comic ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 9 month old granddaughter has the croup the doctor said this past Saturday night. She seems to be gettting better, but this evening she vomited and has a temp of 99.4. My daughter got nervous and called the Emergency. The baby is sleeping now. What should we be concern with? Is this an indication of anything more serious? ### REPLY: Hi, I had gone through your question and understand your concerns. Croup is usually due to laryngotracheobronchitis, which is mostly viral, One vomiting is not cause of concern, you need to be concerned if there is strider at rest (means a respiratory sound present with breathing when baby is not crying), if there is high fever, there is . If the baby is comfortably sleeping I do not think any reason to concern, but at the same time keep a close watch at warning signs and if any report to emergency. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us. Wishing your child good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had back surgery 7months ago, were he was fused from T11 to L5. Tonight he started complaining of severe pain in low back and hips. I looked at his back , it has large bruising in the center of his lower back. Do I need to take him it the emergency room? ### REPLY: Hello, I have studied your case and I think that he needs an x-ray of the back to see if there is any loose implant or any infection which is causing this. There is no need to rush to emergency, but you should visit doctor in next available OLD.  I hope he is not taking any heart medicines or any other tablets. These may also cause such bruising. Let me know if there is any other followup questions. 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: after 6 year marriage i have no child. my semen report is given.is this enough. volume; 2ml 50miln/ml active; 55% slugish;25% dead; 20% is this report enough for a baby age; 33yaers weight;92 kgs height;5.11 feet means 5 feet 11 inches ### REPLY: Hi, you didn't mentioned how was the morphology of your spermatozoa, if 15% or above is of normal form it is enough. One more thing you didn't mentioned is presence of leukocytes(white blood cells) in semen, if those are less than 1 million/ml it is good.  Your remaining parameters are normal. If you give the details of your wives medical tests if done and any previous procedures undergone we can discuss thoroughly about your problem.  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 was hyperthyroid and did the radiated iodine. I have a nodule that is 3.7 centimeters. It has grown a cm in six months. I have a biopsy scheduled and am having weird symptoms. A terrible cough that I thought was a cold, but has lasted way too long. Pressure in my neck to the point that I sleep sitting up. I feel facial tingling at times. Aching in my jaw and ear. My neck feels tight like it s swollen. Am nervous! Help ### REPLY: Hi, You took radio iodine for hyperthyroidism, and you have a nodule in thyroid which is fast-growing. I think you are being posted for a hemithyroidectomy and not biopsy or if not that then FNAC or truck and not biopsy as biopsy is not done for thyroid nodules. You are having pressure symptoms on your wind pipe, and you need to be investigated as under:1. A thyroid profile2. Thyroid USG or CT scan3. FNAC 4. Serum calciumThen your doctor can plan taking you up for surgery but in any case not an open knife biopsy. 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 am a 25 year old female.I have found a pea sized which is completely painless lump in my left armpit. Its right at the top of my armpit and feels hard and mobile. There is no redness or swelling, which concerns me as it leads me to think it isnt an infection. I do not currently have any form of viral infection and havent had one recently. I noticed the lump about 2 weeks ago.There is no real history of cancer in my family, but I am concerned that this could be lymphoma. I did go an see my doctor about this and he said it did not feel sinister and he thinks I should allow 6 weeks for it to potentially go down. He advised me to come back in again and see him if its still there. Although, I would like to trust my doctor, I really feel I should have some form of biopsy carried out. I have huge anxiety about this at the moment and feel like its preventing me from enjoying my life in the mean time.Please can you advise? ### REPLY: Hello welcome to  Madam freely mobile lump may be a lipoma.it does not transform into cancerous doubt that it would be a lymphoma, but it is not mobile. If it is lymphoma then in routine blood test you may see the abnormality in the total number of White blood cells.you may feel fever also. Consult pathologist and have FNAC(fine needle aspiration cytology) of the lump present in the arm pit.it will clearly tell the diagnosis.and based on that consult surgeon, and he will guide you how to remove the lump. Hope you got answer from methane you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My frenulum broke while I was tryin to insert my penisIt started bleeding heavily I somehow managed at that time bt I m scared abut the futureI dont want this to b known by any of my family memberIt was my first time eitherI might have bleeded a little on her lips Will she get pregnantI m very scaredPlz help please I m very scared ### REPLY: Thanks for asking in  forum In short: If the tear is incomplete and small you can wait till it heals by applying local antibioticsExplanation: Bleeding will not cause pregnancy. And frenulum tear if small heals by itself with local antibiotics/oral antibiotics & anti-inflammatory .  |If large/complete please visit a doctor immediately.  Your family member will not be informed by a doctor, so visit a doctor at the earliest to prevent any problem in the future. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lost my virginity on June 27,2104 around 7 days ago. We didn t use a condom for the first few pushes but We used a condom the rest after that. He doesn t know if he pre came inside me. Can pre cum get you pregnant? I know stress delays your period. I just want to make sure. Ive had a few symptoms but i read you get them also from your period. 1. I threw up 2 days after (due to stress)2. I have a faint pain in my lower right side of my back 3. Im bloated I just need to make sure to see if i need to buy a pregnacy test ### REPLY: Hallow Dear, Yes dear, pre-ejaculation fluid (pre-cum) does contain some sperms which can cause pregnancy. The pre-cum is deposited in the vagina unknowingly. However, from your narration it is not very clear whether you have missed your period, and if so, for how many days? Vomiting can be a symptom of early pregnancy after missing a period; though, the other two symptoms you have mentioned are not characteristic of pregnancy. If you have missed your period, please get your pregnancy test done on the overnight first morning urine sample about a week after missed period; earlier the test may report false negative. Alternatively you may opt for Beta  test on blood 10 days after the last unprotected intercourse. I hope this provides you guidelines to resolve your query.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 year old has a history of vesicoureteral reflux and has had corrective surgery over 2 years ago.  The last 7 months she has had symptoms of a UTI, fever, body aches, and urine analysis comes back with WBC elevated enough to diagnose as UTI but then the culture doesnt grow anything. 3 weeks ago she had a 107 fever, body aches, tested pos. for UTI then started diarrhea, vomiting. tested neg. for strep, neg for flu and blood and urine analysis show bacterial infection but neither cultures grew anything. What could be going on? ### REPLY: Hello and welcome to , A history of fever, body aches along with presence of pus cells and bacteria in urine examination is suggestive of urinary tract infection (UTI). The condition has to be treated as UTI and antibiotics have to be started even if the culture is negative. Mixed infections are characterized by evidence of infection on routine urine examination and negative urine culture. Consult your primary healthcare provider for prescription of antibiotic. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have hematomas under my eye, along my nose, and over my eye. About 6 weeks ago I had a serious injury from a fall on the right side of my face. Everything has healed except these areas of hard, pooled blood. The doctors just suggest alternating ice and heat, which I do. Do you have any other suggestions of what can heal these areas of hematomas? This is what the doctors can it, I m not diagnosing myself. ### REPLY: Hi, I have gone through your medical history carefully and am sorry for the situation you are in. The treatment of alternating ice and heat is a good alternative for treating the areas of hematomas. The place where hematomas are located (over the eyes) is very delicate and would take some time to get healed. I advise discussing with your doctor to start treatment with heparin cream to heal the hematoma. 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: my mother is 50 years old , 5 feet , 68 kg .... she feels pain in her heels and stiffness in lower legs ( majorly right ) ... even she lumps while walking but doesnot feel any pain during .... i would be thankful to have your opinion ... please advice ... ### REPLY: Hello, As history suggests that there is a need for the physical examination by an orthopedist. As the pain in the heel might be due to the plantar fasciitis or calcaneal spur. We need an x-ray for the same. Stiffness in the legs might be due to the abnormal use of the muscles due to the pain in the heel leading to tendon Achilles muscle tightness. I will advise taking an x-ray of the heel and knee joints to understand if any joint pathology is involved and due to which there are changes in the gait and pain. Doing hot water fermentation, calf muscle exercises like stretching and strengthening along with foot muscle strengthening exercises will be useful. Also, static hamstring and static Qua .  Hope I have answered your query. Let me know if I can assist you further. Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 70 year old male and for several months now have been suffering from stinging and inflamed scrotum which at times the skin turns a bright red colour, it is most uncomfortable. I would appreciate any advise.Many thanksI wish to withdraw  my question as I thought it was for free.i cant afford the costs, many thanks for your time. ### REPLY: Hi and thank you so much for this query am so sorry to hear about this inflamed scrotum. The symptoms suggest and infection. However, there are several germ types that can cause this infection like fungal, bacteria, parasites, etc. It would be a great idea to get it examined to identify the exact cause and treat for it. Given a generic treatment would most likely not be helpful because we would not know what to target. I hope this ad .  Thank you so much for patronizing our services, and please do feel free to ask for follow-up clarifications and information if need be. I wish you the best of 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, may I answer your health queries right now ?  Please type your query here...Hello doctor my name is sonam,I am 21 years old, since 2 days I am feeling like vomiting and even i feel like i will vomit after having food. my period date was 21 july and i have not got periods yet. ### REPLY: Hi. Thanks for your query, read and understood your problems... The causes of nausea and vomiting after food can be Pregnancy, gastritis, anxiety, stress and so on. I would advise you to :Have urine pregnancy test. Ultrasonography of the abdomen and If these things are normal Upper GI Endoscopy. Get treated with PPI, Risperidone, antacids and as per the findings of the investigations and ask for tablets for anxiety, if you have. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ...in my husband semen analysis report : sperm count: 10 millions/ml rapid progressive motility : 10% slow progressive motility : 10% non motile sperms : 80% morphology normal forms : 80% giant forms : 05% double heads : 05% constricted heads : 10% microscopy pus cells : 8-10/hpf epithelial cells : 1-2/hpf rbc - nil viscosity : normal volume : 2ml liquifaction : normal reaction/ph : alkaline 8.0 He is taking ubipheme and maxoza from 3 months.....what are the chances of improvement of spems by this medicine.......... ### REPLY: Hi, The chances of sperm count improving will depend on the problem which has caused it to be low in the first place. For example, if his testes had a damage due to oxidants, taking maxima could help. Likewise, if his count is low with a low stimulus from the brain with low FSH (hormone from the pituitary gland in the brain), his sperm count could go up with iPhone. I suggest you ask your husband to get an ultrasound examination of scrotum and a serum FSH, (preferably at 8 AM) if not done earlier. They may guide us in further treatment. Semen analysis also can be repeated now that he has been on some medication for over 3 months. Hope I have been able to help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hii i am 24years old and have been diagonised with jaundice 5days ago..my urine color was orange in the begining but now it has tuned dark yellow. my eyes also look yellowish.i had indigestion and related problems in stomach 2weeks before this was diagonised..my question is how long does it take me to recover from this? what are the precautions to be taken? how can i know that am completely free from jaundice? ### REPLY: Hi, Welcome to  ! There are umpteen number of causes of jaundice. The first step is to have a complete liver function test done. Based on LFT report further tests may have to be done to see whether the jaundice is due to hepatitis or obstruction to bile flow. Only after knowing the cause one can tell when you will recover from jaundice. Viral infection is the most common cause and complete recovery can be expected in 4-8 weeks. If it is due to obstruction (for e.g. by a stone), removal of the stone will provide rapid relief. So the first step is to find the cause of jaundice. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 smoke approx 20 cigs a day, and have developed a tickly cough particularly in the morn (probably for 3/4 months ). I have had adry croaky voice now for over 2 weeks which started with a complete loss of voice  I had a 5 day course of amoxocylin last week that ended 7 days ago and am no better, am now worried its some thing more sinister I am 30 m ### REPLY: Hi thanks for contacting ... Your voice affected suggesting that larynx is getting affected.... You are a chronic smoker.... So yes detail investigation must be done here.... Direct laryngoscopy done .... If growth revealed then biopsy taken and send for histopathological examination to rule out squamous cell carcinoma like malignancy or benign lesion like papilloma... According to cause treatment done.... If no growth then laryngitis might because. To relieve inflammation steroid can be given... Stop smoking..... Consult ENT specialist for detail work up. 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 fell down the steps and twisted my ankle. The swelling was instant and the pain almost made me pass out went to ER and the said it was soft tissue damage. It s been 24hrs and the pain is just as intense. I still get dizzy and nauseous if I m up to long. I have to use crutches because I can t put any weight on it. Could it be broken. ### REPLY: Hi, thanks for a brief history of your illness. It will be a soft tissue Injury as the ER mentioned. Still on a safer side an x-ray or an MRI will be of guidance. You should follow the guidelines properly. Be slow and steady always as it helps a lot for the body to recover and become better too. Do slow ankle movements if it is not in the cast and do straight leg raise as well. On the other side of the body which is not injured. Also keep your leg over the pillow which will help to reduce swelling. Follow the guidelines given to you by ER and do regular breathing and simple and exercises. By Gods grace everything will be fine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My son is 4 years old, recently come back from India and is going to pooh 2 or 3 times a day. He is absolutely fine in himself, doing usual things & eating fine. His pooh has been very soft and the colour has been very light nearly cream colour, yesterday with dark dots in the cream pooh. Can you please help. ### REPLY: HelloWelcome to . According to history given by you. It seems your baby is completely normal. No symptoms at all. No loose motions, no vomiting, no fever, no dysentery and no other significant complaint. If above-mentioned symptoms develops in meantime then it would be mattered of concern, and then you should consult your nearby physician for further evaluation and management. Please stay happy and healthyHappy to help outrank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I been on the birth control shot since September. I haven t miss not one of appointment nor my period. I been having headaches for the past 3 weeks. Nauseous and sleepy. I also have pink pad that keeps record of my ovulation days and menstruation days. Is there a chance I can be pregnant? I had intercourse on the most affect days ### REPLY: Hi, Your symptoms could be due to the contraceptive. Though you had intercourse during your fertile period, since you were regular with your contraception, the chances of conception are minimal. Yet, you should exclude/confirm pregnancy. If you wish for an early confirmation, please get the serum beta-ChatDoctor test. Else, you can wait for your next cycle and if you miss it, test for pregnancy with a fresh early morning sample of urine 3-7 days later. Hope you find this information helpful. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Trying to conceive, i had tb in uterus ,after nine month treatment now i try for get pregnant last 3 years but not conceive then i have done leprscopy and hydroscopy now i try for one year but negetive result What are the chances of getting pregnant? What should i do ### REPLY: Hi. I do not know why the laparoscopy and HY .  If not then I recommend the following:+Ultrasound of your lower abdomen and pelvis+Hysterosalpingography+Hormone levels (FSH, LH, aldosterone, testosterone, progesterone, estrogen, RHEAS)+Initiation of medication to correct or regularize cycle if any abnormalities are present+Initiation of camphene once cycle is regularized+In.  mid-cycle to promote ovulation difficulty is noted, then try GUI or IVF. But if none of these are an option, consider adoption ma'am. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am on Lopressor 100 mg. 2 x  daily for BP - my BP has ranged (in the last 2 days) from 98/61 before meds to 140/92 after meds, with pulse rate of 108 and 101, respectively.  I have infrequent chest pain and a family history which includes 3 brothers with major heart disease.  Should I be concerned? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely concern about these chest pains because you are hypertensive and having strong family history of heart diseases. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). Strict control of hypertension is needed. You may need additional cardiac supportive .  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,my son is about nine month old and had very high fever before two days, it was about 105, the doctors in the hospital reduced the fever and they discovered that he had a virus in his stomache. I am concerning now because my baby is not playfull as much as before and he sleeps more than before. Is there any risk or side effect might affect on him? or this is normal reflection in the recovery time. ### REPLY: Hi, it seems like your baby might be suffering from Acute gastroenteritis. Are there loose motions? If yes, the there is high possibility that child is deny .  Kindly take him to medical facultyDisclaimer"This provisional advice provided by me stands subject to the patient undergoing a physical examination and is based entirely on inputs provided by patient/attendants. The patient is advised for physical examination at earliest" ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dr. My daughter 15 days back had appendicitis surgery & she was still having on n off pain. Today morning ultrasound shows that there is a mild PCS separation in right kidney.Simple cyst in right ovary 30mm,Could you please suggest? Is it because of UTI?Thanks,RK Sharma ### REPLY: Hi. If you could have told us the site of pain. This is very unusual to have a pain after appendectomy. This can be due to UTI. Simple cyst of ovary 30 mm can not cause pain unless it has ruptured and caused bleeding inside abdomen. Please elucidate more on other symptoms. Is there fever/ rigors/ distension/ vomiting/ burning micturition ? Mild fullness of PCS in kidney can be due to an obstruction caused by a stone or a stricture of ureter. There is a possibility of right ureteric Obstruction. I would advise you to go for MVP to know the exact site of obstruction which may find the cause too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is suffering from colorectal cancer which has become metastised to the liver.I understand that his cancer is at stage IV. He was told this in October 2010 after having a colonscopy and was given one year to live if he did not have chemotherapy.He started in Nov. 2010 his chemotherapy (Oxiplatin) with a 9months treatment and was also put on Capecitabine tablets with one week rest. The chemo treatment being every 3 weeks.In Sept 2011, he has a liver resection followed 6 days later by a portal vein embosilation . Two months later, they discovered that the section of the liver which had been operated open still had lesions and he had to have a RFA .one still remained as it was on the periphery of the liver and too close to the heart.He carried on with Oxiplatin treatment combined with Avastin as previously. Since the operation, he has lost 7 stones but he was very much overweight previously.However, they realised this year in July 2021 that the Oxiplatin treatment did not work any longer and they put him another chemo Irinotecan.At first, the results were not good but he had since better results, and the tumor markers have gone down.He has been complaining however of pain in the stomach, has an enlarged liver , severe constipation. Had diarrhea this time after this chemo for a couple of days, severe digestion problems for a few months now, cannot eat meat now apart from chicken and cannot consume food in the evening as it takes him a really long time to digest his food.I know that the chemo used for colorectal cancer is not really good for the liver but he has been given liver functions tests.What is his liver so enlarged then and why he is in pain? are serious is his condition now.He has to have his chemo treatment every two weeks for 3 days, and I have noted that once we went in holiday and he did not have chemo for 3 weeks that he lost then more than a stone.Please let me know how serious it is.Thank you.R. Bellis ### REPLY: Hi, Thanks for writing in. Sorry to hear about the progress of colon cancer in your husband and metastasis to the liver. In about half the patients being treated for colon cancer, even after surgery, there is chance of spread to the liver. Explain and Capacitative work in such cases and are recommended for treatment. At that time he has been diagnosed to have stage 4 cancer colon and this means 6 months to 2 years on chemotherapy and supportive treatment.  Portal vein embolization is a well known complication after liver resection. Irinotecan is a medication that is given as a second choice .  Most chemotherapy medicines have side effects and liver enzymes have to be regularly monitored. The cause for his liver enlargement can be the disease itself causing appearance of new lesions or that can be due to the chemotherapeutic toxicity of  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 17 year old male and I am getting these random circular rashes all over my body. The little circular rashes are slowly gradually increasing all over my body and I am getting worried. It is so far all over my upper body and my waist. First it started on my arm, and it was just a small little circular rash. Then it started increasing in size, circular wise and now it is just a circle looking type of rash. There is only one big rash on my arm and the rest are small and are only located on my upper body and waist. ### REPLY: Hello, Thank you for posting on . It seems you are suffering from Tina corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal .  You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had surgery for carpel tunnel and flexor synovectomy following a wrist injury in may i do not see the consultant till mid jan but do not know what this surgery involved as not had full explanation yet and wondered if you could explain what it may have been as surdeon did not know what he was going to do untill operation commenced. thank you ### REPLY: Hi I am . .  Carpal tunnel release operation means that the nerves passing to your fingers mainly the median nerve was irritated or obstructed during its passage to your fingers through the flexor retinaculum at the level of the wrist. The flexor retinaculum is a kind of sheath that surrounds some nerves and structures passing through your wrist region, so this sheath is cut to free your median nerve.  Flexor synovectomy means removal or excision of a peace of the synovial which is a thin layer surrounding your wrist joint that allows flexion. maybe it had a minor fissure or fracture that need to be removed to immobilize your wrist joint.  Hope you feel better after your operation and follow your surgeon instructions, and you may need physiotherapy sessions with a chiropractor to manage your injured joint to fully recover. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a young niece approximately late 30 s who experienced mild paralysis in her left leg and slow motor speech. No visible facial symmetry issues. MRI did not indicate hemorraghic stroke. Trying to figure out what may have happened to her. There was suggestion that Lyme s disease can create similar symptoms? I thought I had heard that she was on a medication called tamarax 40 mgs. not sure of spelling. ### REPLY: Hello, Welcome to , Lymes disease when progresses to chronic stage it usually presents with joint pain, lethargy, generalized weakness, dermatitis and can be depressing to some extent. I suggest you take a healthy diet and start some kind of regular exercise like walking for 40 minutes to elevate your mood and also give you energy. Over the counter painkillers will help for the pain. You can try analgesic patches if the pain gets severe. Try to divert your mind from your symptoms by keeping in touch with friends and family and keeping yourself busy throughout the day. A rheumatologist opinion is necessary to assess the extent of joint damage. Thank You. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am bino, 27 years old, i have a problem of losing my sperm, every time when i am urenating the sperm is going outside and my pressure of sperm discharge become low and also it;s effect my body, i am become week.after 3 months i am going to get marry. so please if there is any solution.Thanks. ### REPLY: Degree understand your concerns went through your details. Human being do not lose sperm. Understand your sperm is a waste product. Whenever you are sexually aroused, sperm is produced and stored in your body. Sperm is a waste product. If you do not masturbate or engage in sexual activities, your body finds another way to throw the sperm out. The usual procedure is through nocturnal emission (night fall) or through urine. Secondly you cannot become weak because of this reason and this has got no effect on your marriage. Do not be anxious. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby is 2.5 months old, i have low milk supply...doctor suggested lactare capsules...pls suggest if it is beneficial or do i need to take something else which will yeild quick and sure result. Looking forward for a remedy which can increase milk supply immidiately. Thanks. ### REPLY: Yes u can take foods like nuts (almond, cashew). U can take Britannia rusk(works excellent) with milk twice or thrice a day.your daily food should nourish with protein like (peanuts, DAL, vegtablesetc)if your a non veg take meat (steam) with less spice. If u need medication Take herbal powder Available in TTK herbal product-lactocare. This is definitely help to secrete milk in three to four days. I got good result for above advise. Kindly follow and report thank u ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir/madam my son is suffering from high fever and loose motion for the past 2 days and he had been in hospital and discharge after getting cured, while discharge doctor prescribed cefixime oral suspension ip taxim-o dry syrup and gramogyl. now he got fever, wheather fever will be cure by giving cefixime oral suspension ip taxim-o or we have to seperate drug ### REPLY: You will need paracetamol syrup for control of the fever. You have to get the correct prescription from your doctor as it is according to the weight of your child. So go back to your doctor and demand for the paracetamol syrup for the control of high temperature in your child. Until you get to a doctor do tepid sponging. That is use lukewarm water to wipe your children body to reduce the temperature. 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: If i were to place my hand on the back of my backside, and could point around the tail bone area but inside and know what that area is exactly, It would be easier to describe that during anal today, it felt like a wall was blocking him from providing full penetration, it hurt and was uncomfortable. After he was done, he said baby, maybe we need to lay off anal for a little bit, you are bleeding. This was not a little bit of blood that we had experienced before on the tissue, his penis was covered in blood as if I was on my period. I usually wait to use the bathroom, did have a bowel movement and the toilet was full with blood and fecal matter, the stool was soft and small pieces and it was mixed with blood, not a drop or two, as I wiped tissue was bloody and had fecal matter on it. Right now, I dont know how I feel, my stomach is a bit crampy, I have to use the bathroom again, but i am at work now (have to wait on break to go). I have a high tolerance for pain, so I dont know how uncomfortable I am right now, i do feel a bit quesy and feel like i feel sluggish? ### REPLY: Hello. Thanks for writing to ChatDoctorI have studied your case. There is possibility of rectal initial tear during anal. As per your symptoms it looks like you are suffering from hemorrhoids or anal fissure. You may need to investigate further, like colonoscopy and ultrasound pelvis. I will advise consulting general surgeon for clinical examination. Stool softener may help in reducing bleeding. Local anesthetic gel can help if anus area is painful. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mum has been diagnosed with primary nsclc, and secondary tumour in her spine, and it has spread to her lymph glands. she has been taken to hospital and now has pneumonia, she is very weak, she is losing weight very quickly and has been on build up drinks for 4 weeks which are not helping. she has had a second dose of oral chemotherapy, no one seems to want to give us a prognosis, we want someone to just say how long we possibly may have left with mum ### REPLY: Hi, Thanks for writing in. Since your mother has been diagnosed as NSCLC with lymph nodes and secondary to the spine, this is stage 4 cancer. Unfortunately stage 4 NSCLC carries an extended survival of 2 years and eve n with most aggressive therapy, few patients outlive this period of survival.There are other problems like pneumonia, weakness, loss of appetite and the stress of chemotherapy which is affecting her general condition. Cancer chemotherapy must continue till the end with adequate care of pain relief measures. She should be given high protein liquid diets of her choice at regular intervals to help maintain her energy balance. During chemotherapy, there is a lot of destruction of the cancer cells and these circulate in the blood leading to further weakness. With expected response to chemotherapy and good support, her survival might be extended to 6 months to over a year. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a doctor anaesthetist. My wife is also a doctor mbbs practices gynae an d obs. Married 8 years ago two kids 6yrs girl and 1 yr boy. Having good earning . Name n fame . My wife not able to control her anger uses slangs. Wants to live away from my family which includes my mom dad n sis. Had to go to family councelling several times with no proper results at times she is good. Very moody. We were living separately wth our kids for 2years in 2008 to 2010 with amuch bitter experience. I m not able to give proper details of her behavier. All my family members including meare very afraid of her nature that at times what is going to happen next. Please help ### REPLY: Welcome to  ! I have gone through your question and from that it looks like she needs medicines, along with counselling. For counselling sessions to be successful the patient and caretakers, all have to do their homework and follow advices given in therapy. I don't think that your wife is able to carry them adequately. In mood swings patient also cannot control her/ his behavior....moreover, with so much disturbance in mood, it is more like that with medicines, it can be controlled, and later she can accept therapy sessions easily. Please see a psychiatrist, a detailed interview and may be some psychological tests will clear her diagnosis. If she takes counselling sessions, I think with some efforts she might agree to take medicines also. Medicines do help a lot and are not addicting .... the details provided are not enough to pinpoint the diagnosis but looks like may be a case of bipolar disorder! Or personality problem or some paranoid state??? Both of you are reputed doctors, I can understand your problem, but I think she really needs to see a psychiatrist and take treatment. I can say that with proper medicines she will definitely improve, we see such cases getting better every day. Donor loose Hope. Feel free to ask more questions related to this.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 boyfriend and I have been together for over a year and just recently (about 5 months after his best friends death) he has begun to act strange. Hes temper has become a lot worse and he has a short fuse. He is only 20. He feels so much stress and pressure even when there isnt things to stress about. Hes not himself and admitted that he is feeling depressed lately. His moods switch in an instant. Is there something i can do about it? Does he need medical help for depression or manic depression? Is there something besides medication to help? ### REPLY: Rapid onset of irritability and his own description of feeling sad point toward his depression. Though on the basis of information provided we can not reach the final diagnosis, but it points toward it. Feeling sad after a loss is normal but persistence of it and dysfunction due to it also one indicator. He needs detailed assessment by a psychiatrist. He may be prescribed medication or advices therapy depending on severity and his preference. 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 im 20 years old and 5.4 in height and about 8 stone i had a boy there just over 6 months ago (got the suction)and got the coil in 4 months ago.ever since i got it in ive been having problems. gettin sick or feeling sick, pelvis pain, stomach pain,bleeding with three months only a little bit now the blood is think and black and really heavy, bleed after sexual intercourse and the pain is unbearable,dizzyness and tired.ive had all other contraception and none have agreed with me. please write back asap thanks ### REPLY: Hi, Thanks for the query. What you are experiencing could be side effects of the intrauterine device. Usually many women can experience these type of side effects, but these will subside soon without need of medication generally. But as you are having the symptoms continuously better to consult your doctor and discuss regarding changing the contraceptive method. If no hormonal method is acceptable to you, better to choose barrier methods or natural methods of contraception. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I fell on my backside 4 days ago. Now I have a baseball size bruise on my buttcheek and also on my lower thigh, about 2 inches up from the side of my knee. No pain, just ugly. Is this normal? BTW, I have lupus. Oh, never mind. I thought this was a free site. I can t afford to join. ### REPLY: Hi, Thanks for your query. From description, it seems to be soft tissue injury.baseball size bruise might be due to injury to blood vessels. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory . I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my Mirena removed 25 days ago, my doctor told me that I will have some spotting (which I did for 4 days) and then I should return to my normal cycle on time. Well if that is true then I am 8 days late. I have been TTC so I am being hopeful, but I took a test 4 days ago and it was Negative. I am soooo sleepy all the time, and have been having horrible headaches . Now my neck and my left shoulder have been hurting for the past 3 days. I figures I slept wrong, but have been doing some research and read that shoulder pain is a sign of ectopic pregnancy . Idk what to think. HELP please! ### REPLY: Hello, You are too early to detect an ectopic pregnancy with symptoms since you had the IUD removed 25 days ago and should you conceive so soon, which is rare, symptoms usually develop at four weeks of pregnancy. The pain may be unrelated. Yet, to rule out, you can get a sonogram of the pelvis if possible in the trans-vaginal route after seeing a specialist for a proper clinical appraisal of your situation. A blood test for pregnancy helps in the diagnosis. 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 am a diabetic. I have been exercising and dieting for 10 months now. My latest checkup was a1c was 5.3. My weight was 291 in January and now since august is 238. I have been recently taking whey protein for building muscle. I have been going to the gym for 2 months. I do 60 minutes of cardio twice a week. Then I lift weights 3 times a week ### REPLY: Welcome to . I am . I really appreciate this kind of hard work. You are going in good direction. Your HbA1c value is normal.  Fasting glucose tests provide an indication of your current glucose levels only, whereas the HbA1c test serves as an overall marker of what your average levels are over a period of 2-3 monthlies mean that your sugar level of last 2- 3 months in under control. Keep it up. Thanx. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cirrhosis of liver with splenomegaly and ascites ...can i get some solutions for this..??? i used to drink 1 liter of alcohol per day aprrox.....i am drinking form past 25 years... my legs n stomach have swelling and i also have pain in my stomach..... the size of my liver increased by 17.1...and i also have jaundice ... plz get me some solution for this doctor??? ### REPLY: Hello, Nisha, I am sorry that your .  Yours is an advanced stage of liver disease with cirrhosis and also what is called "Portal Hypertension" which is the reason for build of fluid in the belly and also legs. You need to have a complete blood examination including blood count, coagulation studies, kidney and complete liver tests. We have to make sure that you are not anemic from blood loss which can happen with ruptured veins in the esophagus and stomach. This is very serious. You can also go into a "Coma" (Hepatic Coma) which could be fatal. I am sure by now, you have stopped  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 this rash for over 4 years. I used everything to get rid of it. I got it after I give birth to my son, I used nair- product on my legs. I usually just shave them, right after a few days my whole legs were covered with small pimple like bumps, most of them went away. but the one near my ankle just keeps spreading, it would shrink after using a different ointment, dried up and look like, it s finally leaving, then it spreads again. I don t know what to do.... ### REPLY: Hi, It may be chronic superficial folliculitis on the legs. There is an inflammatory change in the hair follicles of the legs due to unknown reason. The lesions are pustular occurring off and on.  Avoid shaving of the legs. And take cap. Doxycycline for a few months. Take Zinc Sulfate. Apply Gentamicin cream on the lesions. Avoid soap bath. Detail liquid may be used for the wash. 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: Um.. Hello, I am rather worried. When I masturbate, my "Cum" is a light brown color and smells a bit like blood, and on occasion has a tiny trace of blood in it. What can cause this? I am very embarrassed of this happening and i am worried of my spouse finding this out. I have never had sex but have masturbated before. ### REPLY: Degree understand your concerns went through your details. Blood in the semen is called hematospermia. Seeing blood in the semen doesn't always signal a major medical problem. For men younger than 40 with no related symptoms and no risk factors for underlying medical conditions, blood in semen often disappears on its own. But for men 40 and over, chances are higher that blood in the semen needs evaluation and treatment. This is especially true for men who:Have repeated episodes of blood in the serenade related symptoms while urinating or ejaculating at risk for cancer, a bleeding disorder, or other conditions you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. 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 am 26 yr old and unmarried, while am doing sex i have ejaculated in with in 3 - 4 min, i dnt knw its good or bad, and how to increase my ejaculate time.? for that what kind of foods i should have.?please give me elabrate details. if answer it in tamil language mean mostly appriciated. thanks.. ### REPLY: HelloThanks for query.based on the facts that you have posted you are facing problem of early ejaculation. In the majority of young patients this is due to performance anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My kid is oozing stool for second week. It all started 2 weeks ago he cought flu like symptoms and at thet same time he start oozing stool. At first i thought that it is going to go away on its own, but now i am starting to worry about it. He is having normal stools ones in 2-3 days. I have to change his panties up to 3 times a day becouse of smiared dark stool. is this someting to be worried about? ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Pls Doctor,i did a semen analysis test&the result showed i had azoospermia with moderate growth of staphylococcus aureus... What medications can i take? I am married&havent impregnated my wife. What is the cure for azoospermia? Am so worried. Kindly reply. Many thanks.  Nick. ### REPLY: Hi, Welcome to . Staphylococcus aureus is present due to contamination & not infection. So no need to worry about that. Regarding azoospermia, you need evaluation by infertility specialist/urologist & few tests like FSH, Testosterone, TSH & prolactin. Depending on the cause, treatment will vary. If its treatable & count can be improved, you can go for GUI/normal conception. If not, you may need CSI with sperm extracted from testes, if they are present. So whole treatment depends on consultation with infertility specialist/urologist. Hope this helps you. 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 woke up about 3 weeks ago with a soreness in my right shoulder and a numbness/tingling sensation all down my right arm, from shoulder to thumb. My right bicep felt bruished. I thought I must have slept on it and pinched a nerve and it would resolve itself. However, 3 weeks later, although the shoulder and bicep pain are gone, I still have tingling/numbness from forearm to thumb and index finger. Any ideas? ### REPLY: It is a cervical spondylitis. In this condition there is nerve compression in the neck which causes reticular pain in whole upper limb. For this you need to get X-ray of the neck and MRI. If there is nerve compression then you need to start physiotherapy for neck muscle strengthening and also need to take pregabalin M tablet one daily. Also wear a roller and avoid using very high pillow. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have always had to count everything, I always know how many items are on desks, tables, chairs anywhere and I have to know that number to feel comfortable. My room has to be organized a certain way otherwise i cannot sit and my bed has to be made a certain way otherwise i cant be on it or sleep in it. All dinner table settings have to be completely straight or i have to start the setting over. Why does this happen? Is this normal? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Obsessive Compulsive Disorder is mental disorder whicChatDoctorpels an obsession. Of course, you are having those compulsions. There are a lot of mild compulsive obsessions which is followed by everyone across the world. This behavior comes out of their nature and circumstances. That does not mean these people have OCD. You are also one among them. Instead of worrying about these obsessions, enjoy them. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi  Dr, i am Nita 32 yrs old ,trying for baby from last 2 years ,my husband s sperm motility  is 5% after taking fertisure  -M  motility increased by 15% , count normal , my doc. suggested for IUI but my uterus is retroflexed please advice me best option whether its IUI or IVF ### REPLY: Hi, You can go for GUI since the sperm count is normal. GUI injects concentrated sperm directly into the uterus so since your uterus is retroflexed so it won't be a problem. And later if you get prey with advancement of prey it will be corrected. Moreover, GUI is more cost-effective then IVF and less side effect of hyperstimulation of ovary. 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: For two days I have had a severe pain in my back on my left side about midway between my waist and shoulder blade. It is now getting too much to handle. Should I go to the emergency room. I am a female age 75 . I have lupus and I have had two heart attacks. in 2006 I am currently taking attenonel 10mg. levoxithne 1.50 mg I usually have a high tolerance for pain. But this is getting to be very bad. I haven t taken any pain medication because I don t want to mask the problem until I know what it might be. XXXX ### REPLY: Hello, You are suggested to visit ER, get clinically examined & assessed. Your symptoms may be indicative of developing CAD as the pain is sharp & on the left side. You may need medical support. Get EKG, Echo, CBC, stress tests, X-Ray, lipid profile etc., done. Other medical conditions causing similar symptoms are spinal stenosis, herniated disc, OA, muscle strain, poor posture etc. For relief, you can apply pain relieving ointment but do not massage. Your treatment will depend on the severity of your clinical condition & the report of the investigations obtained. 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, may I answer your health queries right now ?  Please type your query here...my brother is advised to do the bypass surgery by next month. He has a 90% block in his artery.Another block was there in a major vessel . But it was cleared by an angeoplasty. My question is that before doing the surgery  will the DR do any test to cnfirm that whether the blocks are still there or not.So many people are praying for him.So we hope that God might have done the mirracle.Except angeogram any other test  is there to cnfirm the block. ### REPLY: Hello Thanks for posting at  According to your description, he has critical blockages in the heart of which one has been scented earlier. I suppose more than one artery is involved (or the left main artery is involved) that's why your doctor has asked to go for a bypass. There are other non-invasive methods like CT angiography to detect blockages in the heart. But of all that an angiography is the most important and gives the maximum information. No doctor will operate on a patient without doing an angiography at first. Further, a bypass surgery also has good results these days. It will take about 7- 10 days stay in the hospital and after that a month for recovery at home. But the long term effects of bypass are very good, and he may not require another procedure for next 10-15 years. He has got significant blockages in the heart. So please don't go searching after other options and go ahead with the bypass surgery. Thanks for posting here. 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: Just researching as within the past few months I have been experiencing slight vibrations in my groin, like most people ive been reading about here, This increasing trend of this experience is caused I believe by the ever increasing amount of microwave antennas all over, I am an electrical engineer and I now how microwaves (even low amplitude) can cause this, but who is brave enough in our government and especially doctors to go against telecommunication corporations, We all know health care has nothing to do with health, Its about the business and pushing pharmaceuticals, so don t waste my time with your bunk ### REPLY: Hi there. You could be experiencing myopia or involuntary muscular contractions. Eat a healthy diet with plenty of fresh fruits and vegetables. Keep well HY .  Get 6-8 hours of sound sleep. Stress, electrolyte imbalance can cause myopia. Exercise regularly to stay fit. If the symptoms do not resolve, consult an Internist to look for possible electrolyte disturbances. Wishing you speedy 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 have noticed a pinkish small bump on my lower right scrotum area.  i have had a bit of itching in the area and noticed the bump about five days ago.  It is not painful, but a bit irritated.  Any ideas of what this may be before I consult my family doctor? ### REPLY: HelloThanks for query. The pinkish bump on scrotal sac is most likely to be A Sebaceous Cyst.However, diagnosis can be confirmed only on clinical examination in person by a qualified General Surgeon or urologist. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however need to be treated if increase in size or get infected. You can take antibiotics like Augmenting twice daily for a couple of days .If it does not subside consult qualified Surgeon for clinical assessment and further treatment .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 approx. 4or5 days iam having pain qiuite frequently up under my left breast toward thhe middle of chest hard to describe the pain but is quite severe at times it is directly under my breast when I touch the area from outside feels like a painful bruise going to er is not an option at this time ### REPLY: Thanks for your question on . Ideally we should rule out cardiac cause first for your chest pain.  But you don't have an option for ER visit, ECG can not be possible. I think it is HERD (Castro Esophageal Reflux Disease).  It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Lose weight if you are obese. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 left thumb will not bend when i want it to and if something moves it, it locks an is painful. It is also tender, and swollen, It is not the palm part of my thumb, although it hurts slightly. The pain radiates from the midjoint down the into the palm and up into the next finger? Any ideas? ### REPLY: Hello, It looks from your details that you may be suffering from steno sing type of tenosynovitis of your thumb. In other words, we also call it trigger thumb. You should do following to have relief in this:- Take a good anti-inflammatory analgesic like aceclofenc on your doctor prescription.- Keep your thumb in rest-Apply arm fomentation over it for 3 times a day-Do it for about 7-10 days this does not help then ask from your doctor about local application of steroid injection. 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: Hi Doctor, It is awesome to have your noble advise to mankind. I appreciate from my heart. I am 50 years now and had some pain in the right side of my back. Consulted Orthopaedic surgeon explained my problem. It was diagnosed as Cervical Spondilitis. Prescribed with Aceclofenac & Paracetamol tab 1 a day after food. Feeling much much better this is due 10 tabs I have used a week back. Do I need to use if I get pain. Please advise and will there be any side effects. ### REPLY: Hello and welcome to ChatDoctorIf you take some precautions than you may not need any medication for a long time:1. Avoid jerky movements of the neck.2. NO pillow for sleeping3. Use hard bed.4. Don't keep the neck in single posture for a long time.5. Do regular cervical exercise as advised by your physiotherapist. Now about the side effects of the medication: long term continuous use of this medication can show it effects like hepatic and renal dysfunction, nausea, depression, stomach discomfort etc. But occasional use are allowed for a long term also. If you feel any of the side effect in you than immediately discontinue the medicine. Best Wishes ### END