Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doc i m 22 and sometimes i suffer some sneezing fits and it starts almost in the morning and ends up within 6-7 hours and these sneezing are damn frequent i use to take some medications like citraziene and others like Avil50 or else it helps me a lot but after 3-4 days it again strikes me . It is happening from last 3-4 years and i consulted a ENT specialist alloepathic he gave me some anti allergics  and one homeopathy it doesnt worked for me. My symptoms includes:-extreme runny noseitching a lot inside the niseplease doc help me in this case ill be verythankfull to you ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. As you have long-standing symptoms and severe symptoms, where I treating you, I would suggest you intranasal corticosteroid spray (mometasone or fluticasone) upon awakening in the morning for 14 days. I would also suggest you to take montelukast and cetirizine for at least 2-3 months daily before going to bed. Both the above . 2. To identify the allergies, I would suggest you allergy testing, especially for common air-borne allergens like house dust mites, indoor molds, insect proteins and pet dander (if you have pet). This will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve your allergy symptoms over a long period.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (plenty of green leafy vegetables, fresh fruits, sprouts, etc.) will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my friend has some reddish lumps on the lower part of her arm, near her wrist. She also has a really bad headache with shooting pains in her back. Do you think you may know what this is?..... ive been searching for answers and havent found anythingPlease would you reply by e-mail, i havent got a phone right now, sorry for any inconvenience, ill have to put a fake number in ### REPLY: Hi, Welcome to . Based on the facts of your query, You seem to have 2 different health issues. Reddish wrist lump seems to be of -Ganglion Cyst of the Wrist. Headache with shooting pains in her back seems to be due to ? Cervical Spondylitis she might have. X-ray of the Neck and of the back would fix its cause. For Both take Tab Di clove for painkilling and for muscle relaxing, which would take care of both the conditions in one go. Hot fomentation/ Neck Exercises/ Good posture of the Spine/ is needed for further and fast relief. If it is troublesome Check with Ortho-Surgeon and get Second opinion on this. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ramya.. i used to get white rashes on face few yrs bach, its a kind of fungi infection i guess so i used betnovate gm after consulting doctor for more than 4yrs... few days back another doctor said to stop using it cause of the side effects like allergy and burns on my face and i used a cream called momate... even tat gave the same side effect... because of this my face is becoming too dry and buring... now how can this be cured... pls give me a solution... ### REPLY: Hello. Thanks for writing to us at  These two products are essentially the same, both of them contain topical potent steroids. Potent steroids such as present in these creams should not be used on face. Some of the side effects that you are already experiencing are associated with long term use of potent topical steroids and include . Your skin would take some time to get back to normal (maybe 2-3 months). It would be  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...My husband has a chest infection - a small pocket of pneumonia is in his left lobe. He is coughing up large long blood clots and also coming through his nose when blowing. Will this settle or continue ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* Recovery time of the pneumonia vary from days to weeks depending upon - extent of pneumonia - associated co morbid conditions - causative organisms' virulence - host immune response - type of treatment - smoking consumption - activity level - exposure to noxious substances as pollen or dust - diet .* So, to answer the question, lot many conditions have to be calculated and based upon that we can comment.* One thing I want to convey that it will be surely recovered with proper line of management. Hope this clears your query. Welcome for further doubts. Regards.  Of 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: I read about this hard bump on the back of my head said its on people born within 1980-2000 i am born in the year 2000 and am curious on what this bump is, it feels like a bone but im not sure, I was wondering if you could help me find out what this bump is. It s located on the back of my head in the middle ### REPLY: Hi, Thanks for writing in. In my knowledge there is no such swelling which has been consistently associated with people born between 1980 and 2000. It will help to know specific details on the location, size and how fast it has been growing. Bony swellings over the back of the head need not necessarily be bone or arise from the inside. A lot of such swellings are firm enough to give a bony feeling and are usually benign swellings which can be called cysts. There are many types of cysts in the scalp like Desmond cyst, epidermis cyst or sebaceous cyst. Please consult your doctor to know the probability of the swelling being a cyst or anything else. A CT scan brain might be required to characterize the swelling and know if it needs any immediate treatment. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: this is for a Hepatologisti have a patient on pegasys for Hep C who has been having recurrent attacks of galls tone colics and needs a lap cholecystectomy. the patient has a Child A cirrhosis with portal hypertension. can I have the patient continue taking pegasys in the peri-op period?aabha ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. Yes you can continue with Pegasus in the period or post op also. But three things you have to keep in mind:1. He is having Cirrhosis, Child A, so avoid hematologic .  Now oral medications (DAA-Directly acting antivirals) are available for treatment of Hepatitis c. You can switch him to that depending on the Genotype. 3. Universal precautions hope I have answered your query and this will help you. Wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had pre cancer removed off of the top of my scalp 4 days ago. Swelling has gone from scalp down forehead and now in eyes. Movement is always creating pain along incision (10 stiches). Burning and itch sensation now. No discharge, just a little blood when it pulls.... How long will burning sensation be? ### REPLY: These are all normal signs and symptoms of healing of a wound particularly in this area. Due to the dissection that takes place during the surgery, there is accumulation of fluid in the space created and hence the swelling. This is quite normal and will disappear in 2-3 weeks. Meanwhile, keep a pillow under your head while sleeping, don't sleep on the operated side and take Tab Choral or Tab Disperse one tab thrice daily. The burning will go in 2-3 days and be replaced by an itching and pulling sensation which will stay for another 10 days ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, We are ttc. On day 15 of my follicle monitoring, the dominant follicle size was 11 *11. An ultrasound on day 17 showed rupture of this follicle with mild free fluid. Does this indicate ovulation? If yes, then would have the ovulation occurred? Is ovulation possible with 11 mm dimension? My cycles are regular and are of 26-27 days. With this cycle length, is ovulation on 17 day healthy? Regards, Rekha ### REPLY: Hi thanks for writing to . I have gone through your question. Follicles usually rupture after getting at least 16/17 mm. But free fluid usually appears after ovulation. Free fluid suggest ovulation has taken place. Follicle size varies when ultrasound done by trans vaginal or trans abdominal route. Ovulation can occur on 17th day. For ovulation u can do urine LH kit test. Consult gynecologist for further advise. Have a healthy life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im a student im getting into lots of depration because of comments by my mom and friends and im not able to concentret on my studies and every day is like hell for me im not able to understand the meaning of words ppl are speaking im feeling like ive been isolated by every one plz help me ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My father had TMT test done, exercise time was 3:25 min, Max HR attained was 155 bpm (95% of target 164) and maximum BP 200/100. Max workload attained :5 . All other tests done like ECG, Echo, Sugar, cholestrol, HB% are normal. What is your suggestion as the consulting doc is asking to do another test of angeogram. ### REPLY: Hi, Thanks for writing to , I am . ETT is done to rule out underlying ischemia, but it is only 77% specific n can give wrong result or either not show any thing even patient may have Hidden HD that may come as in form of heart attack later at any stage ... this report showed that your father had not good exercise capacity mean heart is not functioning good n as he might have other risk factor for coronary artery disease n along with this report he needs to undergo to angiography to make sure is isn't having serious underlying pathology . But if your father iOS hesitating to undergo intervention they. CT Anglo can be down to look for any CAD(stenosis) with doing intervention ... I suggest your father should go for further investigation as advice by your cardiologist, but u can choose the procedure that whether to do CT /coronary angiogram n then will TX accordingly after report ... I hope this answered your question, if you have more feel free to ask. 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: Dont have heal pain but do have swelling in the balls of my feet with pain between big toe and the toe next to it the swelling is not severe but the message my brain is getting is severe also feel as my feet are numb but if touched they arent this is 24 hrs a day and has been for several months it has become diffucult to walk and keeping my balance is a challange ### REPLY: Dear sir/ madam most probably it could be plantar fasciitis, do you have pain on taking first step in the morning, or the pain appears after keeping legs dangled. For which contrast baths, footwear modification, analgesics would sufficemetatarsalgia, examining the feet for any thickening of nerve would give us diagnosis stress fracture, examining for local bony tenderness and radiographs would help ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have what seems to be a sinus infection. Bad reoccurring smell from right side of nose, discharge also smells bad. Took antibiotics after a visit to walk in clinic, problem still persists. Currently fighting a mold problem in my house, is this the cause of my sinus troubles? If i fix the mold issue, will my sinus problem go away?do i possibly have a mushroom growing in my face? ### REPLY: Hello, Your symptoms of having bad smell from the right side of the nose and also bad smelling discharge can be due to a sinus infection or sinusitis. The discharge is due to infected mucus in the sinuses. It can be secondary to mold causing an allergic reaction. So my suggestion is to consult an emergency room or an ENT physician, and get evaluated and a clinical examination and a PNS view x-ray and blood test can be done to confirm the cause. You can be advised antibiotics like Augmenting, anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudocode .  You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline. Avoid spicy and chilled foods. Do warm compresses around nostrils. 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 non healing wound on my right finger knuckles. I have applied bacitracin ointment and bandaid for over two weeks. The surrounding skin is healing but the inside is still painful non healing and slightly raised whenever i bend my finger. it also drains serous fluid. What can i do? My doctor want me to see the dermatologist. It is just .3cm by .3cm.Joy ### REPLY: HI, thanks for using  Two weeks is a long time for a wound not to heal. If the wound is only 0.3 cm by 0.3 cm then you can consider leaving it uncovered for some periods of time, it is possible that the moisture from having it persistently covered is impairing healing. In addition, if you can obtain normal saline solution from your local pharmacy and use it to wash the wound twice a day before applying the antibiotic cream then this would also be helpful. 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 my name is soledad and yesterday i went to the restroom and was cleaning myself. Their was light orange on the paper. Today i went to the restroom and my underwear had orenge discharge and wen i clean mysel there was light blood. I would like to know whats going on. ### REPLY: Hello share your concern This might be related to hemorrhoids, fissure or fistula in Angelou need to go for investigation to search the cause of GI bleeding. You should go for ultrasound abdomen and gastrointestinal endoscopy to search the cause. Treatment of cause is the only permanent solution. Till that you have to take iron infusion or blood transfusion to meet the demand. If you can write back to me with all the relevant information like your age and complete medical history I will be able to guide you better Meanwhile follow these guidelinesAvoid constipation by taking laxatives of stool softeners You can use lidocaine, anesthetic ointment for pain and discomfort. You should take lots of fresh fruits, vegetables and dietary fibers in your diet. Waiting for your reply Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I recently started working as a housekeeper, but a couple days ago i started getting this back pain, he seems to have gotten worse, its right around my left shoulder blade, sometimes when i move it makes a popping noise and when it does it feels like its on fire right after that. It also hurts even just if running water touches it. ### REPLY: Hello, You have back pain which worsens after any movement and even touch of water, means you must be having muscle sprain or might be some injury on back by lifting any heavy wt. So muscle spasm may be there on your back around your shoulder blade.  Therefore, it is my advice to take rest and apply analgesic & muscle relaxant cream gently on affected area and also take some analgesic & muscle relaxant tab such as diclofenac sodium + Paracetamol+ Chlorzoxazone twice a day.  If not relieved by above than you must go for X-Ray(Chest PA View) or MRI and consult a Orthopedic Surgeon or Re habitation center for Physiotherapy advice. Hope You will resolve your Problem, All the best and Good Luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I need your help, my periods are very irregular and always have been but once my fiance and i decided to try for baby #1 i kept track of my periods on n app, my last period was 17 dec and i was meant to ovulate 30 dec-4 january ( ovulation kit says i werent) i now have a very strange brown dicharge which started off as a very light pink colour that hardly needed any tampon or pad yet i woke up this morning and it was heavier and brown. I am extremley tired and have cramps . ive read it could be spotting as im not due till 22nd but its lasted for three days now and i did a preg test yday that said neg :( ### REPLY: These are symptoms of your irregular cycles. Since you weren't ovulating pregnancy possibilities are low. You need to maintain a menstrual calendar for 3 months at least. Unless your cycles are regular chances of timely ovulation are less. Observe your cycles for 3 months at least. If you are ovulating properly you can definitely try for pregnancy. If you are irregular you need a complete work up to detect why the hormonal imbalance if occurring. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is bedridden due to two strokes. she has a lot of phlegm in her chest but cannot cough them up. Hospital cannot do anything about it unless if she is coughing, which she tried but the cough would not start. she has taken med s for it but does not seem to work. Is there a home remedy that i can try for her?. THANKS ### REPLY: Hellos you mentioned that your mother is being .  When such patient visit in my clinic I use suction pump so that saliva (thick) mucus impacted in throat suctioned by pump, as this help for throat clear. I also prescribe serratiopeptidase 20 mg thrice in day as it help in clearance of mucus. Usually she don't require any antibiotics because this mucus is actually water and fluid which enter into airways route (lungs) because there develop laryngeal paralysis, so some liquid enters into trachea and this make gurgling sound in throat. For facilitation of this suction is only an option. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am 18, i have had sex with 13 girls but i havent had a problem till recently when i noticed that i have these weird small messy clusters of bumps on both sides of my frenulum. My have recently also developed an increase in the urge to urinate also there is a strong cent then usual from my penis. It does burn sometimes when i urinate. ### REPLY: Hi thanks for contacting . Let me know you by unprotected sexual intercourse you can have sexually transmitted illness.....STD.... Sex be always done with wearing condom to prevent this.... Now according to history it seems you can have herpes or human papillomavirus infection..... For that physical examination necessary . You can post photo, and it can help you to guide further..... You should consult dermatologist in your city for this .... And yes obviously try to avoid multisexual relation and focus on study at such a young age .... 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: Plea. i am embarrased within me...three times with recent i failed while having sex (erection dies soon in half sex) ...my penis just pales within short time & sex remain unsatisfied ..till recent it was fine but with past few months I am having this problem & this has made our life miserable..I really should say i was well in sex but my wife was not well (health problems) so used to avoid sex for months & i used to control by seeing porn sites , feeling the sex by picture & mastubite but now i dont like anything nor porn movie, nor masturbite ...its painfull i need your advice to keep penis straight for sex for long time & save our sex also family. again I have erection but only short time & some time no signs (like early morning while getting up i used to get my erection but now i dont see such thing)My Question wether too much control in myself has deviated in such problem?se type your query here. Since this query is directed to our panel of specialists and super-specialists, please mention your problem in as much detail as possible. Do not forget to highlight your Age, Gender, Medical History and Treatment History of the problem you are facing. ### REPLY: Hello, I would like to know if you have any sort of previous illnesses like diabetes or hypertension.  You can improve your erections medically by taking a certain group of medicines like sildenafil, tadalafil etc. I suggest you to visit your doctor to get checked properly and see if there is any reversible illnesses like subclinical infections as well.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 71 yrs old and has HTN 176/100. He is on Tenoric 50 (one in the morning). Recently, he was advised to take Minipress 5 mg and telma 40 in the night. In addition, he takes deplatt-A 75 for blood thinning and storvas 10 mg for cholestral. Of late, he bleeds a lot when injured. He had facial palsy 6 years back. Since then he has been on medication as mentioned above. My question is (a) whether he needs to continue Deplatt-A 75 (b) whether additional medicines in the night is required for controlling his BP. ### REPLY: Hello, I will suggest you to tell me exact type of facial palsy your father had at that time. If it is a simple facial palsy, there is no indication of Deplatt-a but if it is facial palsy as a part of a stroke, then still he doesn't need to be on it (Deplatt-a for 1 year followed by aspirin only afterwards) but he needs to be on simple aspirin 75 to 100 mg once a day as a prophylaxis for further attacks of stroke. Rest, he needs to be careful with falls and injuries in this age as body is much fragile in old age. (he may bleed in brain or may get a fracture easily). Rest of all medications needs to be continued as such. 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: Hello, I dont have a cycle without a hormone pill. I have been having a white mucus discharge with blood tinged, lower back pains and cramping in the stomach, at time I feel like I could get sick. I took a hpt, came back negative. Please help could this be cervical or ovarian cancer. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some inflammatory lesion in your vagina.  It causes white discharge and back pain.  You should go for pap smear examination to search exact cause and rule out cervical cancer.  For ovarian cancer you should go for ultrasound abdomen and CA 125 level. 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 been having symptoms of very mild chest pain. I am 23yr old female smoker. The left side of my neck has been very stiff and I have been getting shooting pains in my left elbow and what feels like some tingling in arm also. Chest pain is very mild not discomforting, but I can feel a throbbing pressure in the center of chest and it feels closer to the back... I have no health insurance so I cant exactly go to the doctor for advice. ### REPLY: Hello There are two problems in you, the one which you have pain in center of chest is probably an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks.  Secondly, shooting pain and numbness in arm, it can be cervical pain, due to compression of nerves between spine. Does this pain increase on neck movement, is it associated with tingling, numbness in arm or any neck trauma, if yes then it supports the diagnosis. Then he'll need x cervical spine AP/ Lat view and further may need MRI. Till the time he can get tab erosion forte once a day prescribed from doctor which is a nerve vitamin. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I smoke ,, and have been for several years now. And just now, I was smoking , my throat started to bleed and I was spitting up blood, I can feel it in my throat, like a sore. The bleeding only left a small amount of blood in my salivia, out of about the 10 times I spit, I saw blood in probably about 6 times out of 10. It has stopped but I am wondering if this could be a sign of throat cancer or something like that? ### REPLY: Dear Luke, there is a chance that this sign could mean something serious but don't be concerned until you do further diagnostic test. It's important to know do you vomit blood, coughing up blood, or you just noticed it in your saliva. The first one means that you have some serious gastritis, gastric ulcer or esophageal disease. Coughing up blood is also a serious symptom which could be sign of pneumonia, COPD or even cancer so this needs to be ruled out. Blood in the saliva could be seen due to some lesion (ulcer, tumor, gingivitis, teeth disorders) of mouth or pharyngeal mucosa. So depending on what I've just said you should definitely do Castro, pull and ORL examination.  Wish you good health,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I found a painful lump on the bottom of my skull between right ear and middle its a bout pea size and very tender to touch, also hurts when I move my head any direction, other symptoms not sure if related or not. Severe fatigue, my coordination is off, been dropping stuff. If I stand up to fast I get dizzy, my neck under the lump is stiff and also very painful. This really worries me What could this be? Sunny YYYY@YYYY ### REPLY: Hi! Good evening. I am  answering your query. The very fact that the lump is painful points it to be of inflammatory either primary or secondary to any other possibly benign lesion. It is more likely to be an inflamed lymph node as I suppose and there has to be an inflamed focus for it. This could be known only by a detailed physical examination. Therefore, I would advise you to get yourself examined by your family physician, who might advise you for a course of antibiotics and an anti-inflammatory .  If it does not respond, then he might advise you for a FNAC or open biopsy of the lesion for a histopathological diagnosis and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: this evening I noticed a faint bruise between my 10 month old eyes over his nose. I don t recall him falling today or crying out while playing. I am concerned about it and plan to wake him up in a few hours to check on it. but I was wondering what else could cause it if he did not fall on a toy or bump his head on something. He also wears a helmet to reshape his head so he should be extra protected. The helmet was off for about an hour when I noticed the bruise. ### REPLY: Hellenist of the time bruise in this age occurs due to unnoticed trauma. Spontaneous bruise without any trauma can be there in some clotting disorder. I would suggest you to check his body for any other bruise mark and if you did not find any., you may observe the baby. If you notice any increase in size of bruise, appearance of any new one or repeated bruise without any trauma please consult you pediatrician for proper evaluation to rule out any clotting disorder. 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: Since yesterday I am passing whitish clay like stools. I started feeling unwell last Sunday: lost of appetite, bloating feeling and by Sunday night I had diarrhoea - for which I took Loperamide Hydrochloride. By Monday I had a terrible cold that has lasted all week, which made me think it is all caused by a nasty virus. But then on Friday night (yesterday) I got diarrhoea again, and took another pill of Loporamide. Since then, today is Saturday, my stools are whitish! I have abdominal pain and lots of wind. I am very concerned now, white stools are worrying. Thank you. ### REPLY: HI. White stools are suggestive of obstructive jaundice. I would advise you to go for blood check-up including liver function tests and an Ultrasonography to determine the cause. Se your Doctor ASAP to get a proper diagnosis and treatment. You may need an opinion of Surgical Gastroenterologist. Be ready for Upper GI endoscopy/ ERCP/ MRI etc. Stop anything which contains oil/ butter. Stop operative also. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my friend got attacked and hit in the lower back by a bamboo stick. the mri and the doctor say that one disc bulged against the spinal cord causing the pain and immobility. treatment: rest and painkiller.now i have heard about puttur and the alternative treatment there. is this only for bone treatment or would is also be suitable for my friend s problem? thanks and best regards,jutu ### REPLY: Hello, As your MRI is showing disc bulge so most probably this can be reason for his pain at back. The rest and analgesic are commonly used to treat this type of ailment. I will suggest you not to take non-scientific treatments. Instead, you may also do following to have relief:- Use a lumbosacral belt to prevent abnormal movement at back-Apply a local analgesic ointment-Do warm water fomentation over affected area with a water bag- If this is a disc bulge only then you may discuss use of mild steroid with your doctor Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an 18 year old that suffers from migraines. Last year she was in the hospital because of memory loss. When she awoke one morning she couldn t remember what happened the day before or for that matter the week prior to. They ran a battery of test trying to figure out what was going on. She had many different specialties overseeing her case. Now she is at college and is having the same symptoms. Thanks, Karla ### REPLY: The migraine itself can cause memory loss, especially if it is just during the migraine. However, I would make sure she had an EEG (possibly a 3-day EEG) to rule out seizures. There is an entity called transient global amnesia where patients lose time for about 3-6 hours and often never have it again. Many if not most people that experience TGA have a history of migraine. She needs to have the migraines treated appropriately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, had knee surgery which got infected 2 days latter, spent 2 weeks in hospital, had a pic line in for 4 weeks ,nand pills fpr another 2 weeks, my main problem is above ancle to just below th knee is painfull, very sensitive , can hardly touch, even the sheet on the bed hurts when touches it, been told nerve damage, any ideas on treatment and lenght of problem, ### REPLY: HI I had understood your problems and concerns, With nerve damage there can be a wide array of symptoms. Which ones you may have depends on the location and type of nerves that are affected. Damage can occur to nerves in your brain and spinal cord. It can also occur in the peripheral nerves, which are located throughout the rest of your body. In many instances, nerve damage cannot be cured entirely. But there are various treatments that can reduce your symptoms. Because nerve damage is often progressive, it is important to consult with a doctor when you first notice symptoms. That way you can reduce the likelihood of permanent damage. Often, the first goal of treatment is to ad .  This may mean:Regulating blood sugar levels for people with diabetesCorrecting nutritional deficienciesChanging medications when  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had 9mm stonr in left ureter, after consulting the urologist who assured for the rmoval of stone, he had done URS,and inserted the stent, after that i underwent for lithotripsy for about 5 sittings which resulted in the 9mm stome to be fragmented into few lower ple calculi of 5mm and few 2-3 2-4mm fragment after 3 onths of the linger on treatment without any result i forced Dr. to remove the stent as iwas taking antibiotics from 3 months, 15 doses of Amikacin, followed by Percin, followed by niftron, followed by percin, followed by Zocef, followed by neftron where i stopped andforced him, but he told he will remove the stent alongwith with he will do the URS again reason i could not follow,at the end i had changed the Dr. and got stent removed, but still the purpose of whole exercise is unanswered means stone is still ther in kidney  1 5mm and 2-3 3mm pieces what is the line of treatment i unable to understand. it was just  a painful experience. ### REPLY: Hello and welcome to . As a Urologist, i can understand your concern. A 9 mm stone has been fragmented to a 5 mm and 2-3 pieces of 3 mm. Its good the stent is removed. Only the 5 mm stone needs clearance. At a good center, a lithography(ESL) is enough, to fragment it completely. The smaller stones will flush out, with fluid intake of about 3 liters/day. Also take potassium magnesium citrate tablets, twice daily, for dissolution. If you've any doubts, send the reports to me, as a direct question. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi while out shopping i noticed my ankle started to hurt , enough to carry on shopping with a painfull limp for no reason a did not twisgt it and wearing sensible shoes, a weekn later i have swelling round 3 quarters of my ankle and can not point my foot even if forced and still hurting. ### REPLY: Hello, As in most cases, the swelling of ankles are due to various reasons, and we definitely need to know more details about the cause of it. Or any past medical history like blood pressure, diabetes etc. If there is no past medical history like mentioned above then this swelling will be related to ligament weakness which usually happens in most cases without knowledge.  Doing hot water fermentation, keep the feet elevated over the pillow while lying down, performing ankle toe movements along with straight leg raise should help reduce the swelling. If the swelling happens while you stand for long or walk for long then using compression bandage is advised. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I met with an road accident caused left brain blood clot resulting right body paralysed im in a treatment now paralysis going down right body partially working In this time does masturbation causes any problem Or Did i able to resume my normal sex life? ### REPLY: Hi! Welcome to . Masturbation does not usually cause any serious side effects to a person. Masturbation is often normal for many people. Would you be able to tell me which medications you are on? It would be a good idea to avoid masturbation in case there is redness, irritation, or itching to the skin. It would also be a good idea to avoid it in case there is any weakness, or if new symptoms are noticed. I hope this helps. Please reach out anytime you have any questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i had a problem with yeast infection, but i used the anti fungal cream, and now the rash is gone from inside of my foreskin and glans, but on the outside of my foreskin has like small dry patch and is a little swollen like on the top of the foreskin. ### REPLY: HiT hank you for asking . I have gone through your query. Your problem can most likely due to .  If you send a picture of it then it will be more helpful in identifying. Avoid soaps and irritants to wash the area. Ointments witChatDoctorbination of antifungal agents like fluconazole and corticosteroids like quinolone for local application will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was treated for a bacterial infection UTI for ten days, after meds were finished, three days later woke to all the same symptoms, (pain when urinating, a pinching feeling at start and finish, some pink with wiping, frequent trips with little to no results)  I had a OBGYN exam the next day.  A urine sample given at that time. Protein 30, Glucose Positive, WBC 10-15, RBC 2-5, Squamous cells moderate, Transitional cells few. I always have protein in my urine test. I am diabetic, 57 yr old female with multiple autoimmune problems. A family history of bladder cancer. ### REPLY: Hi there, I understand your concern, It looks like a resistant infection as it has recurs even after 10 day of antibiotic treatment, and you also have diabetes and multiple autoimmune problems, your protein in urine may be because of diabetes or autoimmune diseases you would visit my clinic then I would advise a urine culture test and prescribe you antibiotics according to bacteria grown and sensitivity of antibiotic and also advise you and USG lower abdomen to rule out any structural cause of recurrent infection Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was recently diagnosed with sle and was on prednisone. i had a painful broken tooth and my dentist put me on clindamyacin (im allergic to pen) before i went in for a root canal that turned into an extraction. OK for two days then developed dry socket and thrush. Any ideas if this is all related? my dentist packed the socket last night but the thrush is making the paking slimy and it wont stay put leading to more pain and the t3s are not cutting it anymore. ### REPLY: Hello! Welcome to . Steroids are one of the many risk factors for . You did not mention if you mentioned to your dentist and stopped this medication during extraction. Candida infection is also very common during low immune status. I suggest you to see your physician immediately for a change in the dosage of prednisolone.Also, clearly tell your dentist that you are on prednisolone. Maintain a good oral hygiene. You must change the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had the analysis 2day. total count of spermatozoa-140 million/ml 70%of those are motile remaining are not,among the motile 75% are healthy and remaining are abnormal. pus cell-2-4/H.P.F epithelial cell-present RBC-nill Comment-A case of normospermia My query is-what are the effects of this? how can i get rid of this?How long should it take? We want 2 plan a baby now....please help us.Bye. ### REPLY: Hi ability, Welcome to the forum. Congratulations, the semen analysis reports show positive results. Yes, you can plan for a baby. You have not mentioned since how long you are on medication. The therapy to increase sperm count usually is for 3 continuous months, a one-month gap and again therapy for 3 months if need be. Do consult your treating doctor before you stop taking medications. You may have to continue taking medications.  Since you are planning for a baby. Both of you should take fresh homemade nutritious substantial food that should include dairy products, nuts, legumes, cereals, fresh fruits, green veggies, fiber rich food and non-vegetarian food if you are not a vegetarian.  Follow the treating doctors advice to localize the ovulation period so that sexual intercourse can take place in the right time for positive results. Do not get anxious, try to relax and get stress-free. Have a good day, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello . i am 28  going on 29 april 1st. i was  asmoker for 14 years and wqhen they put fsc on my marbs. i stared to notice a differrent feeling in my chest.. i have been smoke free for 4 months nos and the heavinest comes and goes...if im hot i feel it , if im cooler it seems to go away.  im almost 90 percent sure i have a cancer of some kind... i drink and eat healthy, and i am  triing to do everything in my power till my insurance is clear before i go in,,,,,, can you please giveme some thought on what i should do.... thank you so much ..m weiland ### REPLY: Thanks for your question on . I can understand your concern. Possibility of lung cancer is very less. Chest tightness in smoker is mostly due to bronchospasm (bronchitis). So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). If chest x-ray is normal then no need to worry about lung cancer. If PFT is showing obstructive defect then you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. 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: What to use on anal tissue that has chronic stool seepage and has been severely damaged by steroid ointments like hc2.5 and other steroids and 4 months of other creams and ointments like fucidine loprox .i also have a 16 mm fissur in the mid to anterior of the anal canal.ive tried oils,like cocoanut oil and olive oil all oils burn I can t use zinc oxide ,vasoline burns.i can t live like this,I can t get a colostomy because I only have one kidney,what can I use to protect and sooth the anal tissue. ### REPLY: Hi, welcome to  forum.  You have got anal fissure, with stool sewage. You have to get the photocopy. So I advise you to consult a gastroenterologist for diagnosis and treatment, to know the extent of the fissure.  I prescribe to my patient with such symptoms laxative like bisacodyl at night, Ofloxacin, ornidazole, and ask to stop all the local treatment.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to hasten the recovery.  Wishing for a quick and complete recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 17 years son suffered from fever & caugh admitted in the hospital after 4 days taking medicine at clinic, after taking the x ray doctor said he has pnemonia & lung infection 3 days he was in the hospital the illness was increased & 4 th day his saturation was down he had gone for ventilater, shifted to big hospital for further management, doctors said his lungs fully infected, after 3 days he had high fever, peralysis and got stroke, his brain got infected & 1 clot, he had gone in coma stage, after 2 days his kidneys failure dayalysis done two time, and than his heart infected, at last his BP down and he expired all within one week. I am not able to understand so fast his lungs & other organs infected. doctors said due to pseudomonus airosys bacteria infection & dengue infection.  he was having common cold from child hood & he was swallowing the mucus many time ? How pseudomonous bacteria attacked   1. due to the common cold ?    2. due to viral fever ?    3. from other ill person ?    4. due to wrong diognosys / wrong treatment in the hospital ? Please answer I am very greatfull to you. ### REPLY: Hello dear, welcome to .come have evaluated your query thoroughly.* Pseudocodes infection is considered opportunistic infection.  Which means that the organism only causes disease when a person's immune system is already impaired.* In hospital, the causative bacteria can be spread via the hands of healthcare workers or by hospital equipments that are not properly sterilized. Hope this will clear your query. May his soul rest in eternal peace. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have small 1mm max skin coloured bumps on my fingers, sometimes in clusters not often near the nail. I mention this because my fear is that this could be herpes whitlow and I bite my nails often and the skin around them as a compulsion to reduce stress for my OCD . The bumps do not pop easily and when they do the skin sort of deflates and goes red. The liquid is clear like water. When popped they disappear after a couple of days and stop irritating within a few mins. I never thought you could get herpes on the hand or I would have fought harder not to bite my hands! I do not care about my health but rather the effect I could have on my wife or more specifically and children we decide to have as I know herpes in any form can kill babies! And that you can pass the virus on even when not having an outbreak! Not so bad if it s oral or genital but you use hands for everything! Can I hold hands? Again, engage in foreplay? Hold children? Suck food off my fingers? This is crazy? Why didn t I know about this and why is herpes called an STD when you can get it on your hand from a coldsore and give it to yourself through masterbation! I m really stressed and upset. I am also due to start training to be a mental health nurse soon. If i have herpes whitlow can I still be a nurse? Or will I infect others? This is crazy I can t belive you can get something this contagious on your hands! ### REPLY: Hello and welcome to . Thanks for your query. There are two major varieties of herpes - genital and non-genital, and both are contagious. It is possible to get herpes in the hands (herpetic whit low). However, it is also possible that the lesions in your hands around the nail could be from the recurrent irritation caused due to excessive biting of your nails and the surrounding areas.  Since, these you seem to be extremely worried whether these lesions could be due to herpes, I would suggest that the best way forward would be to get yourself tested for the same. So, please consult a dermatologist for a proper physical examination and further investigations. 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: I have had a small red sore on my gum in the middle going toward the back of my mouth on the right side on and off now since July. I have used the Orajel antiseptic healing rinse. It went away. I stopped using the rinse and it came back. I began brushing my teeth more and flossing regularly and it went away again. I did fall short of my oral hygeine practices and it came back. I went to the dentist. He did X-rays for other pain I was having on the other side of my mouth (upper). I showed him the sore and he said it did not look serious and prescribed me some amoxicillin for possible infection. He told me to brush the area really good and floss. I started to brush really well again and floss and it went away. I did not take the antibiotics right away. Well now it has come back and I am taking the antibiotics, although I took half the bottle and stopped and now I am taking the rest, so it may not be effective. Ultimately, I am seeking professional advice. Does this sound like something serious? If not what is your conclusion?  Desperate to heal ### REPLY: Hello, Read your query, as you have small sore don't worry it is not as such serious condition this red sore can be due to inflammation in gums due to deposition of food debris this condition is known as gingivitis or inflammation of periodontal ligaments that is periodontitis which leads to Periodontal Abscess. For this you can apply ointment Gum paint on sore and do Betadine mouth rinse, take proper nutritious diet, you can consult with local doctor and take vitamin C supplements with folic acid.  Do Luke warm saline gargle two - three times a day.  Consult dentist and go for oral prophylaxis and curettage for healthy gums. Hope it helps you. If you have further queried I will be happy to help.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having intermittent chest pain for months. Ive noticed that sometimes the pain is accompanied by indigestion, but not always. It hurts worse when Im in bed and it often wakes me up at night. I was diagnosed with inappropriate sinus tachycardia about a year ago and take a beta blocker? Any ideas what could be causing this? ### REPLY: Hi welcome to ... As you have positive cardiac history, your case should be investigated through ....1. Blood pressure measurement 2.EKG 3. Echo (if needed)Is any significant cardiac cause present than treated accordingly ....Meanwhile, if you are suffering from gastritis like or acidity problem than also pain can occur as referred pain.... For that pantoprazole tablet given .... If still no significant cause found than pain can be musculoskeletal pain... Take care Advise : pulmonologist consultation ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was recently diagnosed with Postural Orthostatic Tachycardia Syndrome. I am taking Fludrocortisone and Metropolol, but I am still very symptomatic and they are making me depressed. I will be seeing a specialist next week so is there anything I should ask him about? What can I do to help prepare for this appointment? ### REPLY: Hello! Welcome on  ! I understand your concern and would explain that your symptoms are related to an autonomic nervous system dysfunction, which causes orthostatic intolerance. Head Up Tilt test is the best test for the diagnosis of this disorder. I agree with the medication you are taking too. Another possible test to consider would be anti-ganglionic acetylcholine receptor antibody levels. They are usually increased in this situation. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. Rynne, My four year old daughter has been having fever between 100.5 and 102.5 with a headache every 18 to 24 hours for the last six days. Just wondering if she needs to be seen regardless of symptoms being present. She is fine one day and sick the next. Thanks, Kristin. ### REPLY: Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days.  So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. 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 daughter who is eight has recently c/o itchy anus..on two separate occassions..and both times it was after her nightly bath...last night i became more concerned and decicided to look while she was sleeping ..once  about an hour afer she fell asleep and then again this morning...did not see anything and even wiped ares to look at in light..nothing ..is there anther reason her anus would get so itchy after her bath..and would sugar ..candy have an effect on her itching ### REPLY: Hi, Thanks for posting in . I understand your concern. Worm infestation is common cause for itchy anus in child .  Kindly give her Albendazole in the form of Tablet or Syrup 200 mg (if she is less than 20 Kg) or 400 mg (if she is more than 20 Kg) as a single dose, which could be repeated in about 2 weeks (if necessary). Avoid giving her sugar and candy. She should get better with it. Hope the information provided would be helpful. 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 my daughter is 1yrs old, and she jus randomly had a nose bleed...not a very heavy flow of blood...when i was younger(but not 1yrs old young) I used to have nose bleeds when it was hot but we have the a/c on so im not sure if its the heat that could be causing her to have the nose bleeds...please help me with any information you can help me with...thank you. ### REPLY: As per Ayurveda principles, Rasta Pitta vitiation is responsible for random nosebleeds which you call heat. For one-year-old the best n the safest bet is to instill one or two .  60 mg of Trinkantmani pistil (Sahara pistil - Amber of succinate)) may also be given with honey. These are harmless. Hope it helps. For any further query pl ask through direct question on  platform. If you are in India, you can get easily or order online. Survey grass extraction has to be done at home. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 these past 2-3 days I ve noticed that my tailbone very sore. It s been itchy for a week and I might have been itching to hard? I applied hydrocortisone but it seems to help for an hour or so. Now I hav somewhat a hard time walking down the stairs I have to old my butt in order for it not to hurt and I can t sleep on it ### REPLY: Hi, Thank you for posting your query. Based on your symptoms, it could be coccydynia, a painful condition related to the tail bone. As of now, you can take analgesics such as ibuprofen or diclofenac tablets. If the pain persists even after 5-7 days, you can consult an orthopedic surgeon. An MRI of lower back may be required for evaluation. As of now, there is no need to worry. I hope it helps. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc..my ultrasound report shows: single live intrauterine pregnancy in cephalic presentation with good cardiac activity and somatic activity. Mean AOG based on earliest ultrasound : 36 weeks 6 days.placenta is posterior in location, high lying, grade 3. Oligohydramnios, estimated fetal weight by ultrasound is appropriate for gestational age.BPP score is 6/8..what does it mean doc? ### REPLY: Hi, I think you have less amount of liquor around the baby. I think you should take some amino acid supplements either orally or infusion. Take bed rest and maintain HY .  Also do umbilical artery Doppler to monitor the fetus. You can monitor your liquor level after 1 week. If it decreases, you may need induction early.  Also take care of baby movements. It should move at least 10 to 12 times per 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: Skin cancer runs in my family.  I am also a type one diabetic. I had a lesion on the underside of my breast, it has now turned dark brown and keeps growing.  Also, I had a red itchy mole on my back that has now turned brown and starting to grow.  Could this be skin cancer or should I not worry? ### REPLY: Thanks for your question on . I can understand your concern. Yes, these skin lesions cancer be due to skin cancer. But better to first consult dermatologist and get done clinical examination of these lesions. Since you are having type 1 diabetes, skin infections are very common due to lower immunity in diabetics. So we need to rule out skin infection first. You may need skin biopsy and histopathological examination for the diagnosis of cancer. So consult dermatologist and discuss all these. 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: My husband had bacterial endocarditis on the aortic valve. It was diagnosed too late for anything to be done to save his life. He had many other health issues including COPD. My question is this. Since I m not sure where the bacteria came from that caused my husband s problem. I wonder if I was exposed to the same bacteria. No one told me to take precautions even when the infection went to the blood stream. ### REPLY: Thanks for asking in  forum In short: The bacteria doe snot come from somewhere, it is the bacteria which lies within our body which causes bacterial endocarditis many timesExplanation: Usually any patient with prosthetic valves or any regurgitation lesions of heart valves, are prone to get bacterial endocarditis and thrombosis. So, they will be put on warfarin/heparin therapy and will be given prophylaxis for endocarditis during any simple operative procedure involving break in skin/mucosa.(usually antibiotics) So, sometimes it can still occur after taking proper precautions and prophylaxis. If you donor have any cardiac lesion like above-mentioned you need not worry about that bacteria. Be cool and happy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! My friend took a morning after pill two days after, and then the second one about 15 hours later, cuz we misread ad thought you were supposed to take the second 24h after and not 12... Now it s been 3 days since she took the first pill, and she s got an extreme back ache! It started yesterday and got worse and worse! She then took a Reladol (200mg Ibuprofen and 500mg metocarbamol). It didn t help... Today she s taken 2 tablets in Total of 100mg of Biclofenac, and I ve rubbed tiger balm onto her back! The back still hurts a lot but she s become very nauseous... Any advice would be very much appreciated! ### REPLY: Hello, I have studied your case. According to your symptoms this looks as acute lumbar muscle sprain in your lower back. Most probably due to bad posture or sudden jerk. Another differential diagnosis can be lumbar disc bulge leading to sudden onset of pain. Intervertebral disc compresses spinal cord and leads to lower back pain. When such patient comes to our hospital we usually do x-ray to rule out any nerve compression. MRI spine will show any disc bulge is there or not. And when muscle sprain is confirmed muscle relaxant, analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. 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: hi, im pooja.im going through 8th month of pregnency.15 days before i have taken norflox for having pus cells inurine report.after that i have inserted mini v vaginal pacery for discharge and smell but no use.after 2 days i found a little smelly white creamy discharge,and till now its a watery discharge.wat to do? ### REPLY: Dear Pooja, The white creamy discharge you noticed is the dissolved vaginal essay. Now that the medicine is almost washed of, some watery discharge is coming. No need to worry; however, considering your pregnant state, report to Obstetrician about the watery discharge to look for the possibility of leaking of waters around the baby. In that case, you will have to be in the hospital under antibiotics to try to stop this leaking, lest the risk to the baby. If uncontrolled, you may have to undergo premature delivery, may be by cesarean section.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had oral surgery in June 2011 and developed an itchy skin rash within a week  after surgery around the iv site..the surgeon missed the vein the first time so got it on the second try....the rash spread from my right arm to my left arm and then to my legs ....went to a dermatologist and he took a slide of one of the sores and it came back positive for staph aureus..he put me on bactrim...all I know is I went into his office rash free and came out with a very significant rash.... I am a nurse and acupuncturist..i suspect contamination of something...equipment..iv fluids...would their,office document it...also my 4 extractions with 2 dental implants went terribly awry with pain and infection until I lost a row of teeth and the 2 implants abscessed..what are your thoughts ### REPLY: Hi, Thanks for asking the query,According to your clinical history I suspect that you have developed an infection at the site of i v infusion, I would suggest you to continue with the medications. Abscess at the implants and extraction site can be because of any reasons like poor oral hygiene, food lodgment ant the extraction site, hormonal changes like diabetes, I would suggest you to visit the Dentist and get the checkup done take an x-ray. Take complete course of antibiotics and analgesics. Use antiseptic mouthwash gargles twice daily. Maintain a good oral hygiene. Hope this helps out. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am on benazapril hctz 20/25 mgs. this keeps my blood pressure great. doc has put me on verapamil er 120 mg. was warned by pharmacist that this could lower my good blood pressure. i am afraid to take the verapamil, could the combination lower my blood pressure so low and kill me , i am scare, but need the verapamil for raynauds , thank you, terry ### REPLY: Hello, Terry. I have gone through your question. Thanks for using . Your basic information is correct. Bothr benazapril HCT and verapamil lower blood pressure. Therfore you should monitor your blood pressure during initial stages. As long as it remains around 120/80 you should not be concerned about it. You need verapamil for another indication, so its use is important for you. If your blood pressure goes below 100/70 you may discuss with your doctor, and he will surely reduce the dose of the 2 medicines, depending on your clinical picture. But you should continue them. My best wishes .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has Parkinsons Disease--is 86---he has red spots on his arms and face --more like red splotches--some darker in color than others. He now has some on his face. Syphilis has been ruled out. And the red spots are getting progressively worse. These splotches started slowly approximately 18 months ago and have not had any treatment or diagnosis. ### REPLY: As you mentioning, such red patches over skin/face are not a feature if Parkinson's disease. For that you need to consult a dermatologist. And for Parkinson disease, consult a neurologist. Medication of parkinsonism will be decided by taking full history and examination. Though Parkinson disease is a degenerative progressive disease, but now medicine are available to keep patient day-to-day life such easier ad better and in some cases surgery is also required ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor I am a male 57 had an Angioplasty and placed one madicated stent three weeks ago , I would like to know how long it will take to resume regular sexual activities, in general when can a patient can be able to performand what precautions to be taken. ### REPLY: Thanks for your question on . I can understand your concern. Sexual activity needs high exertion. So it is considered as heavy-duty work. Post angioplasty it is advisable to avoid heavy-duty work for at least 4-6 weeks. So better to avoid sexual intercourse for 4-6 weeks. Wait for 3 weeks more. And once you start sexual activity, try two gradually increase the intensity. Don't do heavy exertion on the first attempt. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, I have been having problems with my stomach for the past few  weeks! I feel bloated and vomit after food but I dont throw anything up. I have also felt some lumps on my upper stomach right under my chest bones mainly my right side. The lumps are getting more and when I touch they hurt! Can you please give me some advice. ### REPLY: Hi and welcome to . Bloating and vomiting are nonspecific symptoms, but these lumps you're feeling are definitely something that must be evaluated! You should do at least ultrasound to rule some serious diagnosis out. Usually such symptoms are caused by gastritis, gErd or hiatus hernia, so gastrostomy should be performed too. There is no specific cure. If you have only gastritis this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated .  1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. But as I said, I really suggest to DI some imaging tests do investigate these lumps. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: it feels like i have a ball in my rib cage on the right side.I have not had normal bowel movements in a few days. the dr set me up for an upper and lower scope but i threw up all the meds they gave me to prep for that.no my stomach has gurgleing on the left side but no sounds on the right ### REPLY: Hello Thank you for trusting  Dear if you feel in ball in rib came why don't you have got it done ultrasound scan?? Usually the medicine that gave before colonoscopy can induce bowel movements, so they may be painful don't worry. Possible causes may be cholecystitis, lipomas, Enlarged tip of rib, rt colon swelling etc. Please consult your doctor and get one ultrasound scan of abdomen and get treated accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have large painful abscess obove my right molar,  cheek is swollen gum swollen I am allergic to most antibiotics but have heard they do not reach inside abscess anyway, my creatine is 85, my blood pressure 100/60 - I am distraught dont know what to do next Dr gave me antibiotics I wish I could take them but I  cant as I react badly every time.  Anne ### REPLY: Hi. Thanks for the query. If you have a tooth abscess that is due to infection in the tooth which has progressed below the root tips causing infection and pus formation. Antibiotics are a must to be taken in this case as it will fight infection and reduce the pus and swelling. So if you are allergic to a number of antibiotics, then first you should go for a blood test to rule out the safe antibiotics for you and then your Dentist can prescribe the same to you as taking antibiotics is a must for reducing infection. Once the infection becomes less than the tooth can be treated with root canal treatment or extraction can be done depending upon the condition of the tooth. You also need to take anti-inflammatory painkillers like Advil or Alive and serratiopeptidases. Do cool compresses over the swelling and do warm saline gargles. 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 have been having a pain in my lower right abdomen for months now Had MRI of hip and then had injections which didnt work so surgeon said pain not from hip. My leg goes weak every day and gives way My ESR blood test came back high today so seeing GP in a week and got an appointment with a Gyneocolgist  in few days ..... ### REPLY: Hi and welcome to . There are few possible causes: it can be due to joint degenerative changes or limbosichialgia, but also there can be vascular supply insufficiency so along with MRI, Doppler ultrasounds should be done. ESR can be sign of any inflammation process. If this is sign of arthritis then you should take certain anti-inflammatory medicine because injections are commonly not helpful. Lower abdominal pain is also nonspecific symptom. It can be resulting form gun disorders but also many others. First step should be pelvic ultrasound and the plan further tests. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had 2 teeth removed on thursday one on the botom right and one on the bottom left. The left side is ok but all the right side of my tounge is very sore, feels swollen and the right side of my mouth feels swollen aswel. Also when i swallow drink or eat the right side of my mouth and throut hurt. The left side is fine it only happens on the right and i cant talk properly as it hurts and is difficult as it feels like my toungue is catching. Can you please help as it is very sore and getting worse and so uncomfortable. ### REPLY: Thanks for your query, I have gone through your query. The soreness in the tongue can be because of the traumatic ulcer over the tongue secondary to biting over the tongue when it was numb. The pain in the extracted site can be because of inflammatory origin, it is quite common after extraction. You can complete the course of antibiotics prescribed after extraction preferably, a combination of amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). For the soreness in the tongue, you can take topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (Anabel gel) apply 3-4 times daily before food. Do saline gargling. Nothing to worry, you will be fine in 2-3 days. I hope my answer will help you, take care. ### END