Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter who is 3 and a half has had a temperature of 37.6 since 2.30am and is now bringing up bile. she looks pale and is now cold to touch were as through the night she was extremely hot too touch. can you advise me on what to do. i have gave her ibuprofen and am trying to get as much liquids down her as i can. thank you sophie. ### REPLY: Infection is the most common cause of such fevers, but I would strongly suggest that you visit a doctor and get the child examined to rule out conditions like intestinal obstruction which could also give rise to such conditions. The paleness and cold to touch could indicate a condition called shock which occurs due to low amount of circulating body fluids, a condition that could occur in case of certain bacterial infections which might need to be treated urgently. Continue sponging the baby as you are doing and also give ibuprofen or alternatively Metal syrup (metonymic acid) which is more effective in reducing temperature but once again, let me emphasize the significance of visiting a doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: suddenly experiencing groin pain. As I sat down on the couch two days ago it momenterily felt like I pulled a muscle in my inner left thigh. It quickly turned to testicle, groin and lower abdominal pain. The sensation was as if I was kicked in the groin. The problem is: I ve been in exteme pain in those areas for two days. I ve tried icing the area and then tried heat. I ve tried being very stationary with little movement and then I tried to slowly walk it off. I ve been taking advil to help with the pain. I continue in pain but when the effect of the advil wanes, the pain effects my body temperature and I shiver with chills. This Isn t just an ordinarty groin pull. What could it be and what should I do? ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a pulled muscle in the groin. I suggest using muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplements. Furthermore, I recommend using cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,I got married 2 years before, i have sperm count 40 million and motility 45 %. Kindly advice to increase the sperm count and also advice what are the food item will help us to increase the sperm count.  Please help me to resolving those issues.  Thank you,Raj M ### REPLY: Dear RAJ, Thanks for writing to . You have not written the complete report but from the minimum information you have given, You do not have significant problem as 40 million count is normal so is motility. Following foods help in improvement of count and conception. Green leafy vegetables. Sprouts. Foods rich in lycopene like tomatoes. Avoid Smoking as it kills the sperms' potency. Alcohol. Tight pants/ trousersThanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 jerynah i would like to ask if when will i get pregnant again? i had a miscarriage last july 23, the OB said the miscarriage was cause by chromosomal abnormality, i also had a hyperthyroidism since i was 21 now im 27, please advise if it is possible for me to conceive. ### REPLY: Hi, Hyperthyroidism may cause difficulties in conceiving but if your thyroid profile is normal now, it will not affect much. Regarding chromosomal abnormality, how did you come to know about that. Was the fetus sent for examination. Even if the previous baby had chromosomal abnormality it is by chance. What you can do is to go for a karyotype of yourself and your husband. If reports are normal you can try naturally to conceive. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother has been diagnosed with Statge iV Glioblastoma Multimorforma on feb 24th and went through surgery, radiation and is now slowly sinking. The doctor put a Ryle s Tube and has left him home,. We do not know what type of food to administer through Ryles Tubes . Is there any specific type of food that we can get from a medical store? He lives in Kolkata, the most backward city as well. Sincerely, Samita ### REPLY: Hello Samira and thanks for writing in at ChatDoctorI am a General Physician. There is no special food that is available in medical store for administration in Rules food.  The food you can give through the Rules tube is only liquid like water, vegetable soup, Fruit Juice, Grains soup, Chicken soup etc. Some precautions you have to take are:1. Give the proper balance diet containing all protein, Carboy .  2. Don't give extra diet, give according to weight usually 2500-3000 ml per day in a 60 kg adult.3. Aspirate from the stomach through Rules tube before you give the diet.4. Give diet at an interval of 2-4 hours but not in night.5. Change the Rules Tube every 10th day.6. Don't try to pull or force the diet it goes to the stomach by its own.7. Lock the knob at the mouth of the tube after every diet. If you face any problem than consult your doctor. 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: BEFOR THREE YEARS I GOT INJURED BY THREE PERSON BY BEAT ME IN BACK SIDE AFTER SECOND DAY AFTER TAKING ANY FOODS I VOMET AFTER 1 HOURS WITH KHATTA PIT AND I TREATMENT IN KM HOSPITAL & OGD SCOPY I HAVE DONE BUT THERE IS NO PROBLEM IN REPORT I AFTER TAKING MEDICIAN NO RESPONS DAILY WE GOT VOMETING & I TREATMENT MR. N H BANKA THEY GIVING ME SPASARIL & OTHER MEDICIAN BUT NO RESPONSE THEN I TAKEN PENDIT 800 I THOUGHT THAT I HAVE INJURED SO I TAKEN PENDIT 800 THEN I GOT SOME RELIFE CAN U SUGGEST ME MY E MAIL YYYY@YYYY I CAN SEND MONEY BY POST PLEASE GIVE ADDRESS IN MY EMAIL ### REPLY: Hello, Thanks for writing to us, I have studied your case with diligence. Internal injury may be in esophagus or diaphragm. Further investigation like CT scan and Ultrasonography can be done. You need to take muscle relaxant and analgesics. Physiotherapy like USG, TENS will help in early recovery. Till time take rest, avoid lifting weight. Hot fomentation will help in reducing pain. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m ramesh, age 39 years, ht. 167 cm, wt 50 kg - in my x-ray of chest PA it is mentioned that there are bilateral hilar and basal bronchial congestion seen what is it? Also in my CBC report, lymphocytes and eosinophils are shown high (47 and 7 respectively) any relation between these reports? Please reply. ### REPLY: Hello Ramesh There are bilateral Hilary and basal bronchial congestion i.e. bronchoconstriction or bronchospasm in the portion of lungs (bilateral or both lungs) from where blood vessels, lymph nodes enter and leaves i.e. mid-portion of lungs. There is also congestion of bronchi in the base of lungs. This type of congestion occurs due to allergy to certain allergens, these are, pollen, mite, dust, fine dusting powder, hay, fodder, sudden increase or decrease of temperature, certain . This allergen produces bronchoconstriction (as in your case on both lungs and in the base of lungs (bilateral Hilary and basal congestion) and this bronchoconstriction causes bronchospasm, hence there develop cough, bronchitis etc. Now about the C B C report) clearly mentioned that eosinophils count is high (normal 2-5 %), and this is due to allergy and bronchial congestion. Lymphocytes (normal 20-40 -45) . This is non-specific, so don't bother about that. In my opinion you are having allergic bronchitis, so consult your physician and get his opinion. 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 a dot on my tooth for the past 1 or 2 months and i needa go dentist but the problem is i HAVE A HUGE FEAR OF INJECTIONS i get really bad panic attacks and i cant even describe it. I havent even scheduled an appointment but im already crying. Im 16 years old and im in Macedonia. Ive been told that theres a spray that the dentists give here to numb the spot , usually people just use that and sometimes they use it before an injection. Do you think the decay has reached my nerves ? I really dont want a needle. ### REPLY: Thanks for using . Read your query. Having a dot on your do not suggest that you will need a load of injections. Fear of this will prevent you from getting an early treatment done. I would advise you to schedule your dentist appointment and first get a checkup done to know the level of decay in your tooth(if there is decay). The dentist will help you in the best possible way and all dental filling do not require injections. Hope this help. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother lately has had a scin irration which has caused her some itching especially during the afternoon .And because of some rushes that have appeared lately on her scin (especially in the abdomen , calf , arms,under the armpit) she as cleanliness maniac is suspecting that its scabies . Can somebody give me a right answer? ### REPLY: Hi, Thanks for writing in.  It can be urticaria, scabies,dermatitis herpetiformis, eczema etc. For correct diagnosis the images of the lesions and more info like duration, presence or absence of other lesions would be needed. She can apply calamine lotion over the affected area and take Tab Zyrtec for itching. For scabies treatment would be permethrin lotion over the affected area. I encourage you to visit a qualified dermatologist for proper diagnosis and treatment. Hope this helps.  Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having severe upper back pain that is radiating to my chest and causing discomfort to breath. I have had severe back pain since I was a teenager but only during the last year or so has the pain sometimes radiated to my chest. Is there any cause for concern? ### REPLY: Hi after going through your query my advice is to get blood test for HLAB-27,if not done earlier. May I know -how is the pain like burning, tingling sensation and any rash around it?any investigation done?what treatment you had till now? Meanwhile you can have pregabalin 75 mg at bedtime for 5 days. Diet rich in calcium and vitamin D.if pain free do the back strengthening exercises. Please do reply. 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 m 57 years old.always active. Woke up about a month ago with pain.My left arm and neck hurt,like I slept wrong. I don t sleep on my left side..I have a knot on top of my left shoulder, a good size. I ve tried different things.nothing is working. Last two days the pain is worse,a and I have numbness in my fingertips.I ve always had scrapes and bruses.Nothing like this.I do have my doctor..Your insight would be greatly appreciated. Thank you. ### REPLY: Hello, You symptoms are pointing towards possibility of nerve root compression pain. We call it articular pain. Nerve root compression in cervical spine is usually due to disc herniation which leads to shooting pain In entire limb. If not treated early tingling and numbness starts. Diagnosis needs to be confirmed by doing MRI of the cervical spine. MRI is very sensitive and specific for diagnosis of spine pathology. Meanwhile, take pillow if small height while sleeping, Avoid jerky movements of neck and weight lifting. Start tab Regain x 75 mg one at bedtime to reduce pain. Visit to neurophysician for detailed clinical Examination is recommended.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a toothache with very intense pain, I am up every 3hrs. This is a tooth broke off and looks like infection. I have a sore now on the roof of mouth. I have orajel , ambesol, doing the salt water and baking soda gargle. This does not seem to be working like it used to. Are there any herbs I can take for this infection? Thank You Rick Erie, Pa ### REPLY: Hi Rick, as you told about your problem it seems that you have an infection in your tooth which has been reach to the roots....... because of this you have such a sever pain...............these medicines and herbs will give you temporary relief........for permanent relief you should go to dentist as soon as possible and go for complete oral examination done.................and please follow all the instructions given and according to diagnosis go for proper treatment..............nothing to get worried, everything will be fine............please go to the dentist.........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 four days ago and hurt my right side ribs and back.  Immediately after the fall i didnt fell much pain until two days later.  Now Ive been feeling a lot of pain and having some diarrhea.  Im not sure if thats related.  I do not want to go to the doctor because I dont have insurance.  Is this something that will get better on its own? ### REPLY: Hi. Why do you worry if you do not have insurance?First diarrhea is not connected with your trauma by falling and then back pain. You may correct diarrhea by some safe normal medicine available easily. If unable to get then simply roast some cumin seeds and grind these. Mix in buttermilk or curd and eat 3-4 times a day. For pain n swelling in back simply put pure turmeric powder 1/2 tsp in a cup of warm water or milk and .  Also warm some oil (edible say mustard OR Almond oil OR clarified butter and put some turmeric in it and apply over pain and rub gently) keep 3-4 hrs or more. Yes, wear old gown. It may stain. Curd n milk / turmeric should not be taken concurrently. Enjoy. Pain n swelling will go easily in 2-3 days. May I help you more please. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got my periods on 3rd june and after unprocted sex with my husband took my ipill withing 24 hrs on 8th june to my suprise i had little bleding on 24th june and after one day it stopped andthen again next week i had little vaginal bleed for one day and on an off i was worried and i did a pregnancy test on last tuesday but it was negative,please tell me when will i get my next regular period, i am very worried ### REPLY: Hello dear, I understand your concern. The pill is effective in 95% of cases if taken within 72 hours of unprotected intercourse. It is good that pregnancy test is negative. The pill is a high dose progesterone which has side effects like nausea, vomiting, abdominal cramps, hormonal imbalance etc. Due to this hormonal imbalance it effects the timing and bleeding of the period. That means the period might come early or late and the bleeding can be scanty or heavy or irregular. So the irregular bleeding is due to pill effect. This effect of pill persists on one period but rarely its effect might be there for 2 months. So wait and check for the period. You might get the normal period around the expected date of next period probably around July ending. But the date of period cannot be told exactly. Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I preformed deep throat sex on my partner, the next day I felt my tonsils were inflamed. I didnt have a sore throat, it was just my tonsils acting up. I also noticed these red little bumps on the back of the side of my tongue.  What could this be?? Should I be worried? ### REPLY: Having oral sex increases the chances of having the oral & throat infection. The symptoms you're telling about such as the inflamed tonsils & red bumps on tongue point towards the infection which might be the result of the throat sex you had. It is advisable to have a physician consultation who will have a look over your oral condition & may prescribe the antibiotics accordingly. You can have home remedies such as gargling with lukewarm normal saline water or with the beta-dine (provide iodine) gargling solution. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is tanya and i have a baby of 11 weeks, from when he was about 2 weeks old hes always seems distressed with hes tummy escpelly after hes feeds. he is constantly straining as if he needs to open hes bowels but he dont go for at least 3 days iv tryed lactolse and gavascone for babys. hes always suffering from wind they say he was constepated but hes poo is always soft iv tryed so many things and nothing helping can you help? ### REPLY: Hello. Thanks for your query. If you are breastfeeding your baby it is normal for babies to not have a bowel movement even for 10 days. If his tummy feel soft and if he is not cranky or fussy then you should not worry. Anyway you can try some pear or plum juice. If you are breastfeeding your baby consider putting some plums, kiwis or Zucchinis. These foods are natural laxative and will pas through your breast milk to baby. Also, tummy massages are known to help with this condition. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What kind of doctor should I see for a very bad bunion and arthritis in the joints of my feet. I have been getting cortisone shots in one of the joints for a few years. I had the nerve between the two toes cut 14 years ago but it only helped for @10 years. I am flat footed, wide feet and now I cant find shoes that don t hurt due to the bunion and the joint pain which is now in both feet. I am a Special Ed School Teacher that is always on my feet. What can be done and what kind of doctor do I see? A Orthopedist or a Podiatrist?? ### REPLY: Hi, as you mentioned the history of you, I think that now the thing has become chronic. So to break the pattern of the pain, what can I Advise is to first start doing hot water fermentation and then do some feel muscle Strengthening exercises. Example, picking the bits of paper with toes and then mustard seeds. It will help the muscles move. Also, using faradism underwater will help stimulate the muscles of the feet. Post that doing exercise for the muscles of the leg will be of help. I have tried with my patients. It has almost worked for 95% of my patients. You can even meet the physical therapist for the help with the grace of God I wish you a 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: Hi, I was two days late starting my pack on my last cycle (started on Tuesday instead of Sunday). I doubled up both Tuesday and Wednesday to catch up. The following Tuesday or Monday I had accidentally taken two birth control pills when it wasnt needed. Since I wasnt sexually active, I decided to skip the next day and resume with pill taking that next day to start on track. Ended up having sex after coming home late Friday night. What are my chances or pregnancy if I took the rest of my pills correctly? Thanks! ### REPLY: Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. Well taking two pills to cover a missed day is normal and accepted, but then missing a dose and having unprotected sex, that can easily lead to pregnancy. I recommend you take an emergency pill as soon as you can, there are emergency pills available that work up to 5 days after having unprotected sex. I recommend using ulipristal acetate. I hope this answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my daughter is just 19 month old and every month she has to face so many problems but cold and cough is like a regular routine..we are very tensed and had done so may tests and after getting all the reports,our doc has suggested us to give Montair LC kid syrup for 3 months and also told us to nebulize 3 times for 3 months as she is allergy in her lungs. ### REPLY: SIR IF YOU FOLLOW ME YOUR CHILD WILL BE Okay.a child need only mother milk up to 2 years and after 2 years child need no milk this is the research we add other milk before 2 years and after 2 year this type OD disease occurs stop all milk and diary products confirm by getting blood serum tested for milk specific antibodies and do desebsitisationafter stopping milk you will get excellent result still 3 weeks gives fexofenadine 30 mg BDB montelukast 4 mg dispersible tissue is okay ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got stung by a bee on the shoulder and the following day I did a shoulder workout. Its been 5 days now and my shoulder is still killing me even though the bee sting didnt hurt that bad. Did the lactic acid build up from working out react somehow with the bee sting? ### REPLY: Hi, Thanks for posting in . I understand your concern. Lactic acid doesn't build up at the site of bee sting as you have thought. What you are experiencing on your shoulder is a local inflammatory reaction following bee sting. Kindly see to it that the sting, if it is present is removed carefully. Wash the area gently with mild antiseptic like Salon. Apply ice packs on the region to reduce inflammation. Take Tablet. Ibuprofen 400 mg twice a day after food for 3 days and Tablet. Levocetrizine 10 mg once a day for 3 days. Give rest to your shoulders for about 3 days to allow the wound to heal. Hope the information provided would be useful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had three back surgeries, one for stenosis , two fusions. I recently underwent two colonoscopies, the first one had to be stopped because of severe pain and low blood pressure when they upped the pain meds. I do not recall the colonoscopy . The second colonoscopy was done under general anesthesia . I did list my surgeries on the medical information sheet and the fact that I suffer greatly from sciatic pain and numbness. After the stenosis surgery I needed a walker to ambulate for 2 months and a leg brace because of foot drop for 6 months. I now walk and ballroom dance and work as a legal assistant but since the last colonoscopy I cannot sit for any lenght of time, the numbness, weakness, pain and tingling has increased and I am not sure what to do. I am now on an anti-inflamatory drug and have increased Gabapentin but was wondering if there is anything else out there to try. The second colonscopy was in early February. ### REPLY: It is very sad to notice your suffering as you are passing through very difficult time of your life, I would like to suggest you to go for nerve conduction test and geography and if required then MRI of spinal cord to detect the exact location of compression or any other pathology. Then you can go for physiotherapy and even electron physiotherapy for nerve regeneration and pain management. You should also do sciatica exercise and sciatica stretches. After and all if nothing works then you should think for surgical management because pain will impair your daily life if not treated adequately wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here..hello doctor...my son is 4months old...from a past week he is suffering with small white patches with out any itching i consulted his doctor and he said that its due to water and he advised to use candid-B ointment pls suggest me and help me ### REPLY: Hi, welcome to . Can understand your concerns. - white patch over skin in a 4 months child can be most probably fungal infection like candida, or it could be a hypopigmented birthmark. - candid b cream which your doctor prescribed is also antifungal cream. - continue it for 5 days. - if no improvement in 48 hours than get child examined by a doctor. I hope this will help you. Wishing your child good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 18 and last night Im not sure if i wet the bed or had a wet dream. I have anxiety issues and am under the stress of going to college. Ive never had a wet dream before, but lately im sexually active  but have not ejaculated in a couple weeks. There is no smell of pee on my sheet , but i feel theres too much liquid for it to be a wet dream. ### REPLY: Degree understand your concerns. I went through your details. You are just 18. At your age wet .  It did not happen yesterday never means it should not happen. From the description I shall conclude the wet feeling a combination of sweat and urine or urine and semen.  There is nothing to worry and anxiety and stress do have nothing with nocturnal emissions. Be happy.  Please do not ignore. 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: Hello Dr, My father is suffering from osteophytes. he is not able to walk and sit properly. he have back pain and weknees in muscle . Could you please suggest me a better way to get rid of it? I also would like to know, is there any non-surgical/Ayurvedic treatment available on this osteophytes? ### REPLY: Hello, Sorry to hear about your father. As age is important to make a decision on anything about osteophytes which is missing in history.  Coming to osteophytes, there is only a surgical removal decision taken if the osteophytes are making some neurological compromise and disabling symptoms.  If none of this are present the surgical excision will not be look for.  Also, doing surgery might not be as simple as understood, since the osteophytes will be too close the spinal nerves and may lead to major complications so avoiding the surgical part will be better than per me.  Medicine is symptomatic, and they act as a supporting be treatment the rest healing is done by the body itself.  It's a great saying in medicine - body is a medicine of its own, and it will heal on its own It's just need some support.  So let the body heal on its own rather putting the knife. Now since he is having back pain which is on a higher scale, I am sure he must be advised for some painkillers.  Continue the painkillers and use the hot water fermentation along with lumbar brace. Wait and see if the symptoms come down.  Once the pain levels are .  Once the pain is 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: im 57 yrs old I have asthma but I thought It was under control. for the past week iv been having tightness in the front of my chest and heavy fullness in my back which I do when asthma flares. I ve been tired and at times I sweat but when I try to walk rapidly I get very short of breath or if I carry a load of laundry up the stairs I get short of breath. I have also been feeling some tummy discomfort also I take synthroid .175 odd days and .200 on even days .10 generic singular .40 pravastatin .50 losartan Spiriva I inhale daily ventolin as needed dulera 200/5 is this my asthma flaring or something with my heart ### REPLY: HI, thanks for using  It can be either of these or both-the asthma or your heart. Both of these can cause chest pain and shortness of breath. Heart related pain would be more likely if there is a previous history of heart disease or risk related conditions (high blood pressure, diabetes, high cholesterol, obesity). It would be best to visit your doctor for assessment to determine the cause. This would require physical examination and investigations. I 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: my son is 4 years old he just took an xray and it shows there is prominence of soft tissue in the nasopharyngeal region with mild narrowing of the air column due to moderate degree enlarge adenoids ther is soft tissue prominence in the oropharynx likely due to enlarged palatines and tonsils ### REPLY: Hello, Enlarged adenoids, tonsils, and palate mean the presence of chronic inflammation. It requires anti-inflammatory medication. But if the enlarged soft tissue leads to any of the following symptoms, then surgery required removing the adenoids and tonsils. These symptoms include1) Snoring at night.2) Sleep apnea.3) Difficulty breathing.4) Recurrent ear and sinus infection.5) Requiring more than three courses of antibiotics per year. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a continuous pain for 6-7 days on the upper left side of my chest near the shoulder- pain varies at time- I have applying Muscle Rub/Voilini and yesterday when I took one combiflam at 2PM it gave complete relief for 8 hours except very mild at one point,but it again started at around 10 PM and slept well. Now it is 6 AM again there is uncomfortableness. Please advice.  YYYY@YYYY ### REPLY: Thanks for your question on . I can understand your concern. Since your symptoms improve with the Coquitlam (painkiller), possibility of musculoskeletal pain is more likely. So apply warm water pad and ice packs alternatively on the affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid sudden jerky movements of the shoulder. Take Coquitlam twice daily. You will mostly improve with all these in 5 days. If not improving then consult doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a sinus infection. I m on antibiotics. I only have pressure on my forehead no where else. No sore throat and no runny nose. I smoke half a pack a day as I have for that last 2 years. I m 20. Can smoking irritate the sinus infection? Even if it s only in my head ### REPLY: Hello, Welcome to , The smoking is definitely going to increase the symptom of sinus infection because it is going to increase the pressure within the air filled spaces in the bone an increases the symptom of sinus infection. During the sinus infection the air filled spaces will be replaced by the fluid because of the infection, and it will produce the symptoms of the sinus infection. For your symptoms I would suggest you to follow 1. Steam inhalation with Vapocaps2. Avoid smoking3. Antibiotics like Autoclave 625 mg, twice daily for 5 days. 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 a few hours ago i hit my finger with a basketball. i think i might of heard a crack but i cant be sure. i can bend my finger a little bit but it hurts when i do. it swelling up a lot and when my finger is straight and i put pressure on the knuckle it hurts do you think i jammed it or what? thank you ### REPLY: Hello, An x-ray is advised. The pain and swelling are due to inflammation due to the injury. The first thing to follow in any sports injury is to follow the RICE protocol. You should rest the injured part in the crêpe bandage and immobilize it. Post which you can do some icing to reduce the pain. Take an x-ray to check for any bony injury.  As I see from history this must be a ligament and tendon injury which will heal with rest and compression bandage. But as I mentioned earlier an x-ray is a must for safer side. 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 recenlty saw my attending doctor about a gall bladder problem. I recently went out with friends on a trips to Cleveland and drank. Little too much, I also have Gerd. My stomach does not have pain it just feels like there s a rock sitting in it, what should I do ### REPLY: Hi.noted history of gallbladder problem? Is it due to stones? Usual pain or discomfort caused by a gallbladder pathology, is colicky in character, associated with belatedness, nausea, vomiting, fever or jaundice. If it is secondary to a gallstone disease, definitive treatment is cholecystectomy or surgical removal of the gallbladder. It could be done laparoscopically (gold standard) or through open technique. Low fat diet is also advised. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have chiari 1 malformation I decompression surgery end of April..I then had a csf leak from my dura patch and had to have surgery to do repair..I had pressure and pain and went to local ER who did CT scan and it showed psuedomeningocele..I am still in alot of pain..what could be going on another leak?? Or the surgical pain (May 15,2012) or the psuedo?? I am so scared its another leak but don t want to go to ER again if its just needs time... ### REPLY: Hello, I'd be happy to help if I can. If you continue to have symptoms suggestive of a recurrent CSF leak, then it needs to be evaluated by a health professional. While neck pain may have a number of causes ranging from musculoskeletal pain to arthritis, your history of prior brain surgery and recent leak with repair significantly raises suspicion that this could be another leak. I'm not entirely convinced that you need to rush off to the ER, but it would make sense to call/page your neurosurgeon and ask to see him/her as soon as possible. Of course, if you are having nausea/vomiting or fevers, I would get to the ER to rule out meningitis. I 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: Hi, About three weeks ago, I had all my upper teeth pulled. Just after that i had and still do have a sinus infection . From being clogged up in my sleep, and sniffling i have sinus draining out of the last hole in the back on my left side now i am getting these little pus like spots next to my gum and on my cheek on the inside of my mouth ### REPLY: Hi, i read your problem. You have infection in your teeth which has been reached to roots, in the absence of treatment pus has been formed and pushing your teeth because of that your teeth became loose......now by sinus formation this is coming out, so need to get worried.I will suggest you please go to an endodontic and follow all the given instructions and take after whole mouth examination go for a proper treatment, please do not leave the treatment in between as you will get relieve...........take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir.. My dad is suffering from acute pain and swelling in both the knees. Xray reports suggest that knees have been worn out. He is just 54 years old. Is it a good idea to go for knee replacement at this early age? I have read that Hylagen is a very good option too to prevent pain. kindly suggest if we can go for this option too? Thanks. Sharad ### REPLY: Hi, thank you for providing the brief history of your dad. A thorough musculoskeletal assessment is advised As you dad has knee pain which is acute in nature I don't think he needs knee replacement as of now. Due to aging there will be wear and tear of the weight-bearing joint. Also, taking an MRI of the knee will help understand if the soft tissues and ligaments are proper. If any particular ligament is torn out completely than a ligament reconstruction can help better at this stage. Also, I will recommend undergoing physical therapy as it is non-invasive and research supports that performing a good physical therapy will help your dad avoid knee replacement too. With the help of physical therapy the strength, ROM, flexibility, balance etc. can be achieved, and knee replacement can be avoided as well. Majority of my patients recover well with physical therapy and avoid knee replacements. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i too my 5 year old to the doctors yesterday because he had headache and ears hurt, they said he had a virul infection, he said he feels better now but his cheeks are very red and bumpy, he has what looks like a heat rash on his back and tummy aswell, saysits realy itchy ### REPLY: Hi... Thank you for consulting in . It could be any viral erythematous illness. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY . Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. 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 lil girl 5yrs old has been sick with some virus she has had a low grade fever for five days now she started diaharea after day four and hasnt eaten for days she says her mouth is sore and now she is sweating really bad while she is sleeping and cant seem to rest im really concerned ### REPLY: Hi, Fever and diarrhea usually indicates acute gastroenteritis. Most of these are viral and needs only supportive treatment with paracetamol and adequate fluid intake for 3-5 days. Here loose stools started on day 4 of fever, which is a bit odd, and it is already 5 days, and she still has fever. So kindly take her to your doctor as this may need antibiotic treatment. Meanwhile, give her paracetamol for fever and give frequent sips of fluids like ORS solution after each stools to prevent deny .  Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife had an erectomy and the next day after surgery develop a clot in the brain, neurlogist only prescribed an aspirin a day and cholesterol medication, 7 days later my wife had another clot in her right lung, wich the doctor provide lovenox and after 3 doses my wife has a stroke and lost most funtion on her left arm and leg, neurosurgeon operate on my wife brain twice and left part of my wife cranial out wich she stated that she will put it back in about three months. now my wife continue to have a lot of swelling. last surgery was done 15 april 2014 need you help and advice. thanks ### REPLY: Hi, I am .  I have read your question with care and understand your concerns about the brain swelling. Let me try to help you I understand that your wife continues to have a lot of swelling after the last surgery which was done in 15 April 2014After a stroke, the brain swells and this increases the pressure inside the skull. This increased pressure decreases the blood circulation. So we have to reduce the pressure immediately. For this the surgeon take a part of the skull so that the brain is able to swell freely. Once the swelling of the brain reduces, the part of the skull can be replaced. Or instead of the part of skull, a titanium mesh can be kept Now How long it takes for the swollen brain to Come back to normal size ? It varies from individual to individual For Some, it returns within 2 months. For some, it may take more than 2 years. Now comes the next question Can you give some medicines to decrease the swelling ? Yes, We can Give Medicines Then, why are doctors not giving them, but waiting for 2 years. Because, reducing the swelling by medicine is not going to help us to put the skull back. Only if it reduces naturally, the healing will be good after the second surgery Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 6 year old nephew has black dots on the palm of his hands his feet and hands are both swollen and he s in pain on his back he s in the hospital waiting for results from his blood work they can t figure out what s going on the test will take 5 days I m scared ### REPLY: Hi...by what you quote it seems like a Hand foot mouth disease. The only viral infection which can cause - black dots on the palm of his hands and feet and hands being swollen is this. If otherwise the kid is normal and playing around, you need not worry. This can cause severe itching also and the blood works will not diagnose this. It is a clinical diagnosis. The other possibility is some sort of allergy going on. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, for the last week or so I have been experiencing chest pain on the left side, tonight the pain is going down my arm and pain in my back and up my neck. Lately I have also been experiencing heartburn, and bloating as well. Is it possible this could all be related? Or should I worry about heart attack? I am 40, and a smoker. ### REPLY: Thanks for your question on . In my opinion you are having HERD (gastroesophageal reflux disease) mostly but better to rule out cardiac cause first. So get done ECG. If ECG is normal than no need to worry much for cardiac cause. Your symptoms like heart burn and bloating are mostly due to HERD. It is because of laxity of gastroesophageal sphincter. Due to this the acid of the stomach tends to come up in the esophagus and cause the symptoms of heart burn. Gaseous distension can cause bloating. So try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and tension.3. Avoid large meals, instead take frequent small meals.4. Start proton pump inhibitor.5. Go for walk after meals.6. Keep 2-3 pillows under head in bed to prevent acid reflux. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Respected Dr. Andrew, I have never faced any problem in sexual related. But from last 3,4 months am feeling that my penis as not as tight as it was. In last 6 months I have started a lot of smoking and also I masturbate not by hand but by laying downside with movement. I am also a good doing guy height is 6feet and weight 76. Please suggest any medicine or anything please. ### REPLY: Hello Mr. An .  Avoid smoking and try to do regular exercise.  Check for blood glucose level, Cholesterol level, Serum Testosterone (preferable sample is early morning fasting blood), During your masturbation rubbing against the floor did you felt any "Pop"sound and followed by immediate loss of erection and swelling of penis if you felt meet a Urologist as early as possible. If you are a known Diabetic or Hypertension patient try to Bring it under control. PIPE test is a diagnostic investigation. If u do not have any comorbid illnesses - Relaxed Stress free mind is ur the best Medicine Hope you got your Answers. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: last year i has a discarge and a smell it seemed forever, i had a reg gyn appointment and i tested for a  yeast infection is there anyway this could have been something else and show as a yeast infection? as well i now have slight buring and itching with a white  discharge what could this be? ### REPLY: Hello, Welcome to , The symptoms are in favors of fungal infection. The fungus is the normal commensalism of the genital area. The fungus is kept under control by the helpful organisms, whenever there is a change in environment it will activate and produces the symptoms. Usually fungal infections will produce the symptoms like itching, scaling, burning sensation and discharge. The fungal infections are diagnosed by KOH mount, which will show if there is any fungal growth. For the present symptoms I would suggest you to follow1. Keep they are clean and . 2. Topical antifungal cream will helps to reduce the symptoms.3. Single dose of oral Rifleman, 150 mg can be tried to control the infection.4. Oral Antihistamines will help to reduce itching associated with fungal infection. 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 previously had been on testosterone therapy & had to stop because of abnormal labs. I had a high RBC (7.09), Hgb (23.1) & Hct (66.1). I have been having to do have weekly phlebotomy done: (500cc s) x 4 wks & now labs are RBC (6.21), Hgb (20.1) & Hct 54.2) & will probably have to continue until Hct is in the 40 s. The hematologist hasn t given me a specific dx. originally, they thought it was Thalassemia. Do you think I ll be able to go back on testosterone & what would your dx. be??? They did a bone marrow which showed absence of iron & he had me on 325 mg IRON bid x3 months which I think led to the original elevated blood levels. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Increased hemoglobin and hematocrit may be due to your testosterone therapy.  Testosterone is known to cause this. You should not take treatment with testosterone.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a gum problem.  Near my wisdom teeth on the right side I have I bump. It is the normal color but it raises up. When I apply pressure there is pain,  I have trouble eating. I have to chew a lot slower and it takes 3 hours to finish a meal. I was wondering if I should worry, or will it go away after a few days? And when? I wonder what the cause is, is it because Im getting my wisdom teeth? ### REPLY: Thanks for your query, I have gone through your query. The lump over the third molar is because of the peritonitis or periodontal abscess(infection of the gum). Consult an oral maxillofacial surgeon and take a radiograph to rule out whether sufficient space is there for the tooth to erupt. If space is not there for the tooth to erupt then get the tooth removed, if space is there then get the gums covering over the tooth removed. You can also take a course of antibiotics. Do saline gargling. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 39yr Male.Im 185 lb.And i have a High Cholesterol 2 yrs back,then the doctor suggested Primovatin tablet - used for 1 month and got a liver irritation(fatty liver),then after 4 months it is in same state.ALT is 104 last yr and 100 this year.Doctor suggests for biopsy.Should i go for biopsy?Is that safe?   Or is there is any other way i can reduce this fatty liver? ### REPLY: Hi thanks for contacting . Noted you had high cholesterol and taking . ... You have not mentioned your cholesterol level. Do you have diabetes ??? Smoking and alcohol history ??? Cardiac history ??Anyhow, here you have to decrease cholesterol and take care of liver by....... Avoid excess fried and fatty food... Fruit juices good like papaya, orange, grapes etc.... Trans fat food has to cut of from diet like butter, pizza, red meat etc..... Avoid alcohol..... Regular one hour exercise done..... Whole grain, cereal can be taken..... If still no improvement then further options can be thought..... Just now according to my view and history provided no need for biopsy..... 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, may I answer your health queries right now ?   I have had blood in my urine for the past six weeks, now traces of ketones. I have had major pain in back. It is not kidney stones, and I have had frequent utis. The urologist I went to looked in my bladder and said everything is fine. The pain and the blood in urine could be from anything. In the meantime Im taking lots of pain meds to deal with the pain. ### REPLY: Dear patient Renal stone is common cause of back pain and hematuria. Next cause is bladder since you have history of frequent cystitis it may be the cause. If both are normal then source of hematuria lies in kidney or ureter, or rarely it can be systemic. This needs further investigation, and you need to consult expert urologist. Ct scan of abdomen and MVP are next possible investigations. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 17 years old. For the last 5 days she has been running a high temp, aching joints, headache, nausea, tired, weak, dizzy, neck pain, etc.....Many other symptoms. We took her to our Dr. twice this week and today they ran several tests on her. The only thing that was off was that she has a low WBC. It was 3.5 and it normally runs around 7+. They did xrays, urine test, fle test, and blood tests. Everything else was negative, but the WBC, platlets, and neutrophils were off. Her temperature has been running around 101-102.5. Can anyone help me with this? ### REPLY: Hi, Since fever is continuously present for 5 days, a high probability of typhoid and dengue fever is there. In typhoid also the TLC becomes less. I would suggest you to do typhoon IGM for typhoid and NS 1 antigen test for dengue. Give Paracetamol for fever and give adequate liquid diet to child. I hope this has helped you. If you have any more questions, I will be happy to help you. 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: Bruise with appearred on my right side at lower rib cage. Had been having pain on that side and in my back yesterday and some this morning. Now I notice what appears to be bruising of the skin and it is painful to touch. I haven t fallen or beenhit by anything that would have caused it. ### REPLY: Hello, As the bruised area is painful to touch I will advise doing icing which will desensitize the skin and reduce the pain. Post that please undergo some laboratory tests for blood routine which can help understand if any infection is causing this issue. As the skin is only painful to touch when there is some infection.  Also, for back pain do regular simple exercises like breathing exercises and simple flexibility exercises which will help improve the muscle property. 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: dear sir i got marriage 4 yrs back till now my wife did not conceive,she had pcos problem and i m suffering from less sprem  motility.i have put on medication for several times but of no use.i work in ksa, dr. suggest my wife for iui but how it could done of such poor motility.pls tell me any  clinic in hyderabad  which solve my problem and i would like to know how long i have to stay there for my treatment.i m very much thankful to you if you help me out...........................thanking you ### REPLY: Hi, in GUI the semen sample is processed, and it increases the count and motility to a great extent.  In this semen is directly instilled in the uterus on day of ovulation. Your wife will be given some medicines for growth of follicles.  When follicles reach a size more than 17 mm, injection will be given to rupture the follicles.  GUI will be done the next day. So you will have to be there on the day after injection. You can also freeze your semen sample. Then there is no need for you to stay at a particular time, but fresh sample has higher success rate. Hope I have answered your question.  If you have any other query I will be happy to help. 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 m suffering from jaundice ,25 years old male , pure vegetarian, unmarried, this is my forth time suffering with this disease since birth. I want to know is it a step towards liver Damage badly however my bellirubin not excedded more than 2.0 thrice n 5.0 once at age of 18. ### REPLY: Hello, I can understand your concern, having jaundice from birth can be because of several reasons (congenital causes, metabolic causes, viral causes, autoimmune causes), if this is the case, you should be consulting your doctor, and should be thoroughly investigated with all the tests and see what is the reason for this (such as viral markers-Hepatitis B or Hepatitis C, serum copper, serum ceruloplasmin levels, ophthalmologist check up, autoimmune markers, USG abdomen, complete liver functions tests including PT/PTT/INR and if everything is negative then liver biopsy) please kindly consult your Gastroenterologist and get evaluated.  Hope I could help you. 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 have pain and swelling over my belly button and it hurts almost everytime I eat and drink, it always makes me look pregnant. when the pain starts I have to put a warm pillow on it and it also churns like gas, please tell me what you think it could be besides gas. ### REPLY: Hi. This is not just a gas. This is indicative of an obstruction somewhere in the GI tract, or may be a pseudocyst of pancreas, stomach outlet obstruction and so on. The best diagnosis is made by the following:-Upper GI Endoscopy-Ultrasonography to start with.-Confirmation by contrast enhanced CT scan of the whole abdomen.-Enterocolitis if required. Once the diagnosis is made, treatment can be decided according to the findings and patient be prepared well in advance for a better outcome of the surgery. This is done by getting the hemoglobin and serum proteins, multivitamins corrected as such patients will have multiple deficiencies. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have an infection in the lungs, causing me to cough more (already have a persistent cough). I don t have a temp or a fever however the cough is causing me to have a tight chest. I m now in pain in what feels like my diaphram (it hurts to bend). is this bacteria or virus based? ### REPLY: Hi, thanks for using  Persistent coughing can cause chest pain. It would cause irritation of the areas in the lung as well as muscles and soft tissue in the chest. Most causes of infectious cough is viral. You can consider the use of an anti-inflammatory painkiller to help with your chest discomfort. This includes medication such as ibuprofen, Catalan, aspirin, naproxen. I 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: if you could answer that would be fantastic, for 6 mnths ish my right hand and sometimes to the elbow and shoulder is seriously numb, wakes me from normal sleep in the past week ish it is so bad that I can barelly hold a coffee I try to massage/rub my hand arm shoulded and mostly pinky finger and the one beside it NOTHING those two fingers look like they re curlikg, not very much control if I don t focus on the hand etc, so??? ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you are suffering from compression on one of your nerves called as ulnar nerve, or may be the compression is at the level of spine, involving the C8 and T1 roots, A consultation with a neurologist or a Hand and peripheral nerve surgeon is a must, as a thorough examination and some tests will be needed, and if the problem turns out to be at level of spine a spine surgeon may be needed. Do not waste time, nerve have a very small period before which they can be corrected. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 baby is 10 months old. He had uti with psuedomonas aeruginosa bacteria growth heavy, greater than 1lakh. He was treated with piperacillin and amikacin antibiotics. After 21days Dr advised to take urine culture. Now bacteria growth is seen with moderate growth 40000. What treatment should be done for this? Dr suggested for mcu test and dmsa scan. Are those test mandatory for uti infection? Is this bacteria growtChatDoctormon in less than 1 yr baby? Thank you. ### REPLY: HI...the initial infection you are quoting is UTI (Urinary tract infection) definitely. It was treated appropriately. But the repeat culture is not suggestive of UTI. NO treatment needs to be given right now. Your doctor is right. MCU and DMS tests are definitely indicated. Based on these tests your doctor will decide whether your baby needs regular preventive antibiotics till 2 years of age or not. Please go ahead with your doctors' advice. You are in safe hands. 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 wife has a burning pain at the base of her rig cage that goes around the left side to her back. She has had stomach issues for 16months now. We have been to specialist that have done a Botox injection into her spinketer valve and this helped some. They feel her stomach is tense and will not relax. They put her on Busprione and this helped for awhile. She is in a lot of pain right now and nothing seems to help. I have given her a norco and 1mg ativan still the pain does not let up. We have been in the Er 3 times since the 1st and all they do is give her ativan by iv and send her home. One person we talked to thinks she has an inflammation in the area of that valve but the anti-inflamatory meds we have do not help much. ### REPLY: As per your explanation I realize she has extreme pain in stomach and towards lower rib cage. Now if there is pain that means there is something wrong. Here you have also told you have done ultrasound abdomen and have tried with various things but still she has no relief. I suggest taking new ultrasound scan of her abdomen. And check report what it says. If there is any new diagnosis then take treatment as per that. But if there is normal report then I will suggest my patient to do lifestyle changes first. That is food habits like have break fast well, lunch average and dinner minimum maximum by 8:pm or before that. Do not have anything after that. Maintain same time for daily break fast, lunch and dinner. Apart from this I suggest having different fruits and vegetables. Take fiber rich diet. Have enough amount (3-4liter)of water in a day. Sleep well, do regular exercise like walking for at least 15 -20 minutes. Above all are basic advice given for digestive system problem. Now to answer your question: here you have asked what could be the cause for lower rib cage pain? Let me explain you here we can just assume, it can be weakness of lower ribs, it can be due to gall bladder stone, it can also be due to acidity, as well can be due to gastric ulcer. Here what ever will be the cause first we need to diagnose with ultrasound newly perform one. And them. Take appropriate needed treatment. Apart from this the basic changes in lifestyle and food habits are must. I am sure this must be useful for you. Try it 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 AM 50 TEARS OLD .DUE TO BRONCHITIES I PREVIOUSLY TAKEN SEROFLO 125. NOW IAM FACING BLOCKED NOSE WITH ALLERGY FORMING MUCOUS IN THROAT FOR WHICH I AM USING METASPRAY. MUCOUS NOW BLOCKING MY BRONCHO ALSO. . MY QUES .IS WHICH WILL BE BETTER VENTROLIN EITHERT SEROFLO125. I DO VERY HARD PHYSICAL, ,HEAVY WEIGHT STRENGTH EXERCISE WITH ALL YOUNG GUY AT GYM DEFYING MY PROBLEM AND NO TIME I FEEL TIRED ### REPLY: Hiwith history of bronchitis and nasal allergy you are more prone for recurrent infections due to the sensitive airways you can always go for Aeroflot 250 (a good combination of steroid & bronchodilator)whenever you have symptoms of wheeze.metaspray works only for nasal blockage or allergic rhinitis exercise is good for the lungs, but excessive, is not good it can cause tiredness, fatigue & decrease the oxygen supply. Deep breathing exercises & incentive spirometry will help you outtake 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: went to er on 2-17 with light chest pains and shortness of breath they did bloodwork and one was elevated so admitted and did a heart cath the next am which was neg no stents placed at all I am 39 been diabetic for 33 years blood pressure never high dr said it was a stress heart attack however still having light shortness of breath and a rotating pain in front of chest and rotates around to the back on left side dr wants to put a monitor on next wed is that too late? ### REPLY: Hello. Thanks for posting here. Since you have a normal coronary angiogram you need not worry about a heart attack. As your doctor told you, you may be experiencing a stress attack or a panic attack. Also, please get a chest x-ray done to see if there are any lung related cause of chest pain and shortness of breath like infection(pneumonia) or asthma. Your doctor wants to connect you with a rhythm monitor which can also help here. As far as your concern about whether its late, you can wait for the appointment, there is no immediate hurry. 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 have a friend who is a mother of 2 & had been physically abused by her mum since she was a baby. This friend has been pulling her hair (literally) from her head, brows, lashes & has anger outbursts, is suspicious, fears her husband will leave her etc. She was prescribed Citanew 10mg, Tryptinol 25mg for a week & then 50 mg after that & Tab Dosik 1.5mg. She says that she is not functional now & is always sleepy. Is there something that can be done for her without the meds or should there be other help along with the meds? ### REPLY: Hi there, thanks for asking. Pulling hair from the head and eyebrow is called trichotillomania, and it is often accompanied by anger bursts as you mentioned. Cit anew and Disk are good medications for such a condition which are commonly prescribed by doctors. I am sure that her doctor has prescribed Krypton for a special reason. In most of the time it can cause sleepiness during the day, since it remains in the body for long hours. She can talk about this issue with her doctor and she may decrease or discontinue Krypton to see if her sleepiness is improved. Her condition may become quite satisfactory after several weeks with just Cit anew and Disk. The response time for trichotillomania (pulling hair) and its related symptoms is longer than depression and is almost like the time needed for obsessive compulsive disorder (about eight weeks). I wish the best health for her. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doc I have been suffering from testicular pain and lower abdominal pain for the almost 2 months.  My testicles are slightly swollen and constantly feels discomfort (irritated) more in the day time.  I also have irritated lower back pain with testicular pain,,dizziness and little feeling of vomiting. My GP said there is nothing serious so prescribed some pain killers but I am really finding difficult to work coz I can not concentrate properly due to this symptom.  Please help me. ### REPLY: Hi, Thanks for writing in. If you are having pain in lower abdomen and scrotum then it requires detailed clinical examination preferably by a urologist. An ultrasound scan may be required to know if you have any condition related to the testis or any urinary tract stones, which is a close possibility. Please do not worry as once the condition is confirmed by scan, treatment is always there. Wear loose inner wear and do not indulge in heavy physical activity. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 1 yr old developed random welts on her face, hands, arms and feet. The will randomly appear and are inconsistent as to how long they last. Some stay on her for 1 hour and some disappear with in 15 minutes. We do not have animals and she has not been exposed to anything different. What could these be? Thank You! ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Afternoon. I have a problem of allergy with mangoes: mostly skin contact allergy until recently. Never a problem with eating mangoes. However, this time, it appears that a mango must have touched my leg since I have developed hives and rashes on this spot and I drank a mango lassi (never gave me a problem in the past), but also I have developed a cough w/o any other symptoms of runny nose , fever or body ache which lead me to believe it is not the flux or a cold. Could mango bring on a cough in addition to hives/rash? I am taking cough suppressants but is there anything else I could do to alleviate this cough. Thank you for your advice. ### REPLY: THE ALLERGIES INCREASE WITH TIME AND AGENT CAN BE DUE TO MANGO BUT CAN OTHER THING ALSO RECT TRIGGERED BY MANGOES NEED TO GET BLOOD SERUM TESTS FOR FOOD ALLERGENS YOU SUSPECTED YOUR SECOND ANSWER IT CAN CAUSE COUGH NEED NOT REQUIRE ANTIBIOTICS BUT ANTIALLERGFICS AND NOT NORMAL COUGH UPSTART WITH MONTELUKAST 10 MG BD FOR 3 WASP CODEINE+CPM 1 SF BD ADD BRONCHODILATOR SVP 1 SF BDANDLIQUID ANTACIDCALAMINE LOTION APPLICATION OVER SKIN AND IF EXCESS CAN USE LOCAL TOPICAL LIGHT STEROID CREAMS IF MORE ITCH CAN TAKE EATING 10 MG SOS3 WE ARE REQUIRED AFTER THE EXPOSURE TO SUBSIDE ALLERGIES ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been under extreme stress at work and working long hrs, but have been sick to my stomach in am I brush my teeth and start gagging, stomach pains sometimes in liver area almost like a spasm now am getting bloody nose bad had 2 today, just havent been feeling good for about a month ### REPLY: Hi. Thanks for your query. You not feeling good for about a month along with pain in the stomach on the right side, gagging sensation on brushing, like spasms on liver area and nose bleed ; and worst of all the stress at the work. The possible causes for such a symptoms complex can be related to some general disease or disorder. This can be found on:-General physical examination by a Physician.-Blood: Tidal for typhoid, culture and sensitivity along with the routine tests for sugar, kidney and liver functions and thyroid functions. -Urine and stool tests. -X-ray of the chest-Ultrasonography of the abdominal these collectively will lead to a proper diagnosis and give us the best plan for management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i was suffering from : burning sensation in stomach and near throat and i feel like something blocking in my throat with heavy burps for 3 months now i dont have burning sensation but sall bubbles getting formed in my mouth which becomes big and gets n=blast and after sometime my throat gets blocked and i get relief if burf only . i have drego d , etirox tablets ### REPLY: U have to improve your food habits do1. Take 2/ 3 glass of warm water in the morning2. Take more water in day3. Take meals at fixed hrs4. Take small amount of food at a time, take more frequent meals - may be five times a day.5. No spicy/ fried/ fast/ junk/processed food.6. No milk for few days, can take curd, no uncooked salad7. Avoid constipation8. Use nibs pain (lemon water) 2/ 3 times a dado for 7 days u will feel better ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20 years old a bs psychology student and i have an X ray at it has impression that I have a tuberculoma, i submitted afb sputum times 3 days into a hospital and the result was negative. what does that mean? is it consider a tb? will i have to take my medicine? thanks. ### REPLY: HelloFresh are diagnostic tests for pulmonary tuberculosis :Bronchoscopy, Chest X-ray (repeat)Screening for Pulmonary tuberculosis, Sputum TB culture and sensitivity tests, Polymerase chain reaction tests, Purified Protein derivative (PPD)-Tuberculin skin test. Also get in ESR (blood tests) , if very high like >70 mm of 1st hour, suggestive. Any other symptoms like low grade evening rise of temperature. So, consult chest & tuberculosis specialist and get his opinion, if needed start anti-tubercular 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: hello, I suffer from intermittent stomach pain and the diagnosis revealed gall stones of 2 mm in size in a sludge in the gall bladder . Doctor suggests gall bladder removal for the same. Is it good to get the gall bladder removed? will it affect me in any other ways. I am just 27 years old. ### REPLY: Hi, Intermittent pain can be because of gallstones, however if the stone is solitary and a very small size less than 5 mm it is better to have yourself a repeat scan after few days of normal diet and the scan to be done after overnight fasting. Small solitary stones can be treated by medicines. Removal of gallbladder does not alter the health and digestive system in any way. Wishing you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 35 years old and I took Zanocin since week 3 of pregnancy (since the first day of ovulation) for 10 days , every 12 hours. Of course, I didnt know the miracle will happen - this is my first pregnancy and I had doubts about my fertiility. I am pregnant in 7 weeks now and I wonder if Zanocin could affect my baby. Can you pls let me have your opinion. Thanks in advance, Dania ### REPLY: Welcome to the best portal of healthcare. I wish you best of luck ahead. Zanocin (Ofloxacin) is an antibiotic and is categorized as Pregnancy Class C .  It should be taken under supervision of a Physician. I think there had not been a risk to the baby as there are very little to no human or animal studies available showing that it may have causes devastating effects. But remember, I highly discourage its use before the age of 18 as it causes defective joints and bone development. Hope it was all you needed an answer for. Thanks for consulting me here at . We look forward to seeing you anytime for any help. Healthiest Regards! ### END