Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 36 years old and I suffer from allergies. The winds were very high about a two weeks ago and set my allergy symptoms into overdrive. I have been taking my allergy medications, nasal rinse and nasal spray. I have had a sore throat for a couple of weeks and have pain eating. I noticed yesterday that I have enlarged taste buds also. My throat is definitely red, but I do not have any yellow or white spots on my tongue. I have also been terribly tired for the past couple of weeks. What do you think this could be? ### REPLY: Cellophane You for contacting . This could be due to Sore Throat. As you have chronic allergy problem so I would suggest you following things:> Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem.AVOID:> Dust & Pollen> Chilled water> .  If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 51 year old man and it takes longer to get an erection. last shorter, and when I ejaculate, it is less intense and less semen flow than a year or two ago. Also, when I get ready to ejaculate, my anus and left testicle tightens up with some discomfort like a strain or muscle spasm. Is this a potential prostrate problem or something else? ### REPLY: Hello, Yes, you are right. As in case of benign hypertrophy of prostate, for example, BPH (Benign Prostate Hypertrophy) which cause retrograde ejaculation, so low semen content. The causes for erectile dysfunction are psychological, stress, fatigue, diabetes or other chronic illness. The treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert. 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 mother in law had operated for breast cancer some 4 years back. after radiation and chemotherapy she has developed tumor on shoulder, physician has advised 30mg morphine 6 times a day.can yoy explain the condition of the patient?  she is suffering from pain ### REPLY: Hi, Thanks for writing in. It will help to know the entire disease and treatment history in details. It is possible that there is a new tumor that has developed in the shoulder or there effects of radiation or chemotherapy which is giving her the pain. Cancer is a difficult disease to treat, and the manifestations might be different in every patient. It is possible that in your mother-in-law, there is a tumor that is infiltrating the nerve supply to the arm or the nerves are getting pinched due to the chemotherapy and radiation effects. The main cancer and any spread to nearby areas is important when we discuss the condition of the patient. If she is not having any recurrent cancer in the operated area, opposite breast or the arm and shoulder then her condition can be called stable. Pain varies with every patient and appearance of pain can also be due to a benign cause in the absence of any cancer activity after 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: my daughter is suffering by dust ,smale and unknown eliments from a long time according to doctor.and she getting breathing problem at those times.she is now 8+yrs old .reading in class three.doctor has given her inheller and a tab montare.in a deep suffering condition we have to give her asthalin and budecord by nebuliser mechine.grouth rate of her health is very poor .can not want to eat food.less energetic .so what i have to do now.pls give me your valuable suggetion to keep her normal .we both are very much orrid about that. atanu bandyopadhyay. jalpaiguri.0000mail - YYYY@YYYY ### REPLY: Hello Mr Stand Bandopadhyay, I went through your daughters history and would like to know more about her as follows:a. What are her nose symptoms - running nose, sneezing, nose congestion - and how frequent?b. What are her chest symptoms - wheezing, breathing difficulty - and how frequent?c. Does she get symptoms while physical activities like exercise, outdoor games, etc’d. Does she have frequent headaches?e. Does she have eye symptoms - red eyes, itchy eyes, excessive watering?f. Does she have any digestive complaints - frequent acidity, vomiting, constipation, frequent stomach pain, etc.?g. Does/did she have any skin allergies like dermatitis or urticaria?h. Day symptoms or night symptoms?i. Seasonal variations? Above details would help me to know more about her health and therefore to make more specific suggestions for her. At present, from your provided details, I would like to make suggestions for her as follows:1. For identification of allergies, I would suggest her skin testing for common air-borne allergens like house dust mites, pollen, molds, insect proteins, animal dander (if you have pet), etc. This will help you identify the substances causing allergies to her as well as to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may also prescribe her allergen specific immunotherapy which works on immune system to gradually improve her allergy symptoms over a long period.3. For symptom relief and prevention, I would agree with your current treatment. I usually suggest my such patients regular levocetirizine + montelukast.4. Allergies and asthma are a bit worrisome but not very much. With proper understanding of the disease, care and use of medicines child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 32 year old female, s/p roux-en-y gastric bypass in Dec 2013. In August, my potassium became very low (2.9). I was started on klor-con 20mEq and initially took 1 tab daily. I have since had that increased to 60mEq daily because my body is not maintaining potassium levels (3.3 and under on 40mEq). I have seen my pcp and an endocrinologist and we have so far been unable to find the cause of potassium dumping. The endo believes it might be related to the RNY. I ran out of my Rx and had difficulty getting it refilled because of provider vacations, etc. I have been very symptomatic. I resumed taking it today but I was wondering how long it takes for the klor-con to start taking effect? I know it is different for everyone, and it s hard to guess because of the dosage I have to take + my history, but I am just looking for a more typical timeline. ### REPLY: HI IN YOUR CASE IT LOOKS QUITE CLEAR THAT LOW POTASSIUM IS RELATED TO MALABSORPTION SECONDARY TO ANY. BUT YOU MAY UNDERGO 24 HR URINE POTASSIUM TEST TO SEE IF You're LOSING POTASSIUM FROM KIDNEY WHICH NEEDS DETAILED EVALUATION.IF IT IS JUST RELATED TO DECREASED ABSORPTION I WILL ADVISE U TO INCREASE DIETARY INTAKE OF POTASSIUM LIKE TENDER COCONUT WATER, CITRUS FRUITS, BANANAS, APPLES ETC.HOPE NY ANSWER HAS MADE SOME DIFFERENCETHANKS .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 MOTHERS ULTRASOUND REPORT SAYS:-1. MILD HEPATOEGMALY WITH FATTY INFILTRATIONOF LIVER GRADE 1.2. GALL BLADDER IS POORLY DISTENDED WITH INTA LUMINAL ECHOGENIC SLUDGE.AND SHE ALSO HAVING DRY COUGHS SINCE 1 MONTH IS IT A SERIOUS ISSUE ???HOW IT CAN BE CURED??CAUSES?? ### REPLY: Hi there, Thanks for posting in . Fatty liver is a condition in which there is fat deposition in the liver. Obesity, diabetes, high cholesterol and alcohol intake are some causes. It is not a serious condition. Treating the underlying cause would reverse it.  Poorly distended gallbladder could be due to previous inflammation or the scan was not done in a fasting state.  .  A chest X-ray should be done. I hope that answers your query. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to a podiatrist today about my foot that I hurt really bad while skateboarding... They sent me to get x-rays done but when screening the x-rays they said my foot is too swollen to read them and they made me an appt. for next to find out for sure when the swelling goes down. I play college soccer and we move in soon. I was wondering would it be best to redshirt for the year? And also I ahve an appointment for tomorrow for my calf which I seen a RN today about but the couldn t get me in today and he thinks that there is a good possibility it may be torn. Do you believe that I won t be hearing good news? ### REPLY: Hello, There is most likely possibility of early plantar fasciitis. For plantar fasciitis, Shoe/footwear should be with soft sole. You can use silicon pad insoles. Avoid exposure of cold to foot. Start plantar exercises consulting physiotherapist also Physiotherapy like TENS and ultrasound will help. Take calcium supplement with it D. Do exercises of foot before getting out of bed. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am 24 years old.i had my last period on the 2nd of july and it lasted about 4 days. I had unprotected intercourse on the 12th of july and I used postinor 2 1 hour after.i dont keep track of my menstrual cycle but I am scared of getting pregnant. I dont have any symptomsjust being having cramps.pls help me. ### REPLY: Hello, please do keep record of your menstrual cycle to predict the day of ovulation and decide the safe and unsafe period for yourself. If you had regular cycles then ovulation takes place 14 days prior to the start if next menstruation. 4 days before and 4 days after ovulation is the unsafe period in which couples should avoid having intercourse. If you have a regular cycle of 30 days then you had sex in safe period plus you took posting 2 within 24 hours which means very less chance of getting pregnant. Posting has its side effects as well, so these cramps might be due to the medicine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Thank you for your time. I will be visiting my own doctor this week but thought it would be nice to get somewha of an idea on my problem.  On friay afternoon I ate a spicy meal that REALLY bothered my stomach, and my bowels.  On friday evening I went out for a few drinks. 20 minutes into the night, my abdomen was in extreme pain as well as it was bloated to a point where My stomach was potruding quite a bit. After 45 minutes, it slowly went away, but eventually came back as I started to drink my next drink...therefore I stopped.  Last night/......same problem. And as a note: by these points, I did make a few trips to the bathroom and was not in need to relieve myself any further. What may be the reasoning behind this? I assumed that the spicy food could have cause damage to my intestinal lining .... but Im not sure! Again, last night ### REPLY: Hi ! Good morning. I am  answering your query. If I were your doctor, I would advise you to stop eating from outside if you do. Outside food might cause intestinal infections specially meiosis in some regions which might give rise to gaseous distension and pain abdomen. For this I would advise you for a routine stool test for ova and cyst, and treat it if positive. Next important advice would be to avoid alcoholic beverages, which might along with the spicy food cause trauma to the gastric and intestinal mucosa, apart from causing inflammation to the pancreas and liver giving rise to your symptoms. If I were your doctor, I would advise you for some routine investigations like a CBC, a blood sugar, blood urea, serum creatinine, serum uric acid, an LFT, a serum amylase and lipase, and an ultrasound of abdomen to see the status of intra-abdominal organs. In addition, I might refer you to a gastroenterologist for a possible endoscopic evaluation of your gastrointestinal tract to rule out the possibility of a peptic ulcer resulting from spicy food and alcohol intake. Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and avoidance smoking if you do in addition to avoidance of alcohol would go a long way to help you out. Till then, you could go for a proton pump inhibitor along with an anti-spasmodic . 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: After sex 1 month ago the very tip of my foreskin started stinging. Its only a very tiny piece on the right hand side of the loop. There are no boils or scabs and no noticeable cuts. I have however noticed that I now get a very thick swollen vein right along the top of the shaft and it leads to what looks like lots of dark swollen veins at the top of the foreskin. A month on and I still can t walk without my clothes touching the stinging part. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have developed infection of the foreskin (Prostatitis) after having (?unprotected)sex. Since it is a presenting symptom of diabetes, get your blood sugar levels test done to rule out diabetes. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory . Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my 3 yr kid is suffering from 103 fever. I gave him Meftal P 8.5 ml (his wt is 17 KG) but the fever returned after 4 hrs. Earlier Today, the fever returned after 9 hrs and then 5 hrs respectively. What should I do? Should I give him another dose of Meftal P in 1 hr time? ### REPLY: Hi... Thank you for consulting in . Fever of 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. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: for facial pigmentation i am using skinlite but skin color darkens after i stop using it.any other safer alternative without steroidal ingredients.is it safe to use nrutrogena 50 spf while going out as medicated sun screens leave white grease like on my skin. ### REPLY: Hi, I can understand your concern for skin color. This can be due to post inflammatory pigmentation after the sun damage and sun tanning of the area. Please do not use skin lite as it contains steroid which can cause side effects of steroid abuse. If I were your dermatologist then for dark pigmentation I would have suggested you to use atelier acid cream or Comic acid cream or glycolic acid cream or licorice extract or routine creams at nighttime in guidance of dermatologist. The most important part is to use a sunscreen regularly in open environment and on exposure to sun. Take a proper guidance and follow up with a good dermatologist so that all the problem can be dealt best for future time. Protect yourself form direct sunlight. 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, For several months, I have noticed tender spots, mostly on the top or back of my head. I ve also had some sinus pressure (mostly in the forehead), occasional ear discomfort, and feeling like i m swallowing tons of snot. The bruises/tender spots concern me, though the discomfort I feel in my head, of fogginess, and occasional waves of...sort of dizziness but not quite, are really annoying. I have slight hypochondriasis, but I just want to be well or understand what could be making me feel this way. ### REPLY: Hello, The possibility of fibromyalgia or occipital neuralgia or migraines headache or cervical spondylosis with radiculopathy or anxiety may present like this. Until examination is done it is difficult to say what it is. Use physical therapy and yoga. Avoid stress related activities. Use tablet naproxen. If symptoms not improved please consult your physician/rheumatologist he will examine and treat you accordingly. 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: 35 male, 250 Ibs, fatty liver, overall good health. Moderate drinker.My doctor told me to stop drinking for 6 months, no allergy medication over the counter, and lose weight.Liver enzymes somewhat elevated.  I noticed online many doctors day stop drinking for 6 months?  Does this repair any liver damaged? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. If there is only fatty liver or liver fibrosis without signs of cirrhosis then alcohol abstinence should lead to liver recovery in few months. Otherwise, some degree of damage may be permanent but in every case it is advisable to stop . I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. 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: hello doctors. i m kavi from myanmar. i have a geographic tongue disease. i m carrying this disease since 9 years back. The layers of my tongue comes out from tip to the root and vice versa in a slow process. this process is a unbearable pain that i have to suffer. My tongue has a u shape deep cut n eating has become a troublesome to me. please help me out. ### REPLY: Hello. Thanks for posting your query.  Geographic tongue typically doesn't require any medical treatment, sometimes cause tongue discomfort, It's otherwise a harmless condition. Your doctor may prescribe medications to manage discomfort or sensitivity: Over-the-counter pain relieversMouth rinses with an anestheticAntihistamine mouth rinsesCorticosteroid ointments or rinses Wishing you good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor, i want to know why doctors gives us decolic injection?from today i have a pain in my left lower abdomain.and it give me so much pain.then the doctor give me the decolic injection.withen 20 min. i fill better ,but again after 3 hr, i have steel pain.can u help me plz ### REPLY: Demonic injections are given for intestinal colic, amenorrhea may be for ureteric colic. It gives you immediate relief. But it may not treat the cause of colic. In your case it seems to be either constipation or infection or may be ureteric colic. In fact if you are constipated your condition might deteriorate after the effect of .  You have not given any details of type of your pain. So go though investigations as to why this is happening to you so that you can be treated accordingly. Till then have plenty of oral fluids and fiber rich diet. You can add laxatives at night if you are constipated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a sore wisdom tooth about 3 weeks ago, was given an antibiotic which seemed to take the pain away - I had no swelling at that stage.  The tooth appeared to calm down only thing I have noticed continuously is like a vibration feeling in the tooth when I come down stairs or am walking quickly!!!  However, since yesterday I have an odd sensation up the jaw line (not pain just unusual feeling) but since yesterday evening I have developed a fairly large hard ball type swelling in my neck under the jaw line which is painful to touch and to move my neck.  I am also just getting over a nasty cold so not sure if this is a swollen lymph node connected to the cold or could this actually be something more related to the sore tooth I have had?? ### REPLY: Hello, thank you for consulting with us, as you have mentioned that you have a sore wisdom tooth, and you have taken antibiotic for that it must have relieved but only taking antibiotics is not only the solution, the cause of the soreness should be treated. The infection of the wisdom tooth definitely causes swelling and redness of the same side of the jaw line which may extend to the neck, the swelling you are mentioning can be because of the wisdom tooth only. It will be better on your part that you should visit your dentist, get an x-ray done and if the tooth is placed inside the bone get it removed, the problem will be relieved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: IS IT SAFE TO DO SEX WITH A LADY SUFFERING FROM JAUNDICE OR HAVING KIDNEY PROBLEMS. AGE -24 GENDER-FEMALE ### REPLY: Hi, Welcome to . It depends on what is the cause of Jaundice. If it is infective hepatitis then there is a possibility that you may get the infection. In other cases if you have minor abrasion and her blood comes in contact with your wound then again the risk is more. Risk involved in Kidney problem also depends on what kind of kidney problem she has. If it is pyelonephritis or urinary tract infection you run a risk of getting infected. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , i have been getting pain in my left upper limb and left side of posterior aspect of neck . it is on and off pain but these days am getting frequent episodes. the pain is dragging type i think. it starts from neck and extends into the fingers, especially ring finger. i am 23 yr female, 5 7 ht , 65 kg .. I am a student. please help. ### REPLY: Hi, It seems you are having a problem due to studying in the wrong neck position. It could be a cervical muscle spasm or a disc lesion at C6 level. You can get vitamin B supplement to help as well see a physiotherapist for traction and some mobilization at home hot packs on the neck can help. Hope I have answered your query. Let me know if I can assist you further. Amman Darragh, Physical Therapist or Physiotherapist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has a dime sized pinkish/red spot on the inside of his mouth/gum.  He went to an oral surgeon who dismissed him when the spot went away within two weeks.  It has been about a month and the red area is back.  Went back to the oral surgeon who still doesnt seem too worried.  Any suggestions as to what this may be? ### REPLY: Thanks for your query, I have gone through your query. The lump what you are feeling could be because of a cystic lesion arising from the salivary gland called manual. Or it can be a Desmond cyst or a hypoglossal cyst. If the diagnosis is confirmed then the cyst can be surgically removed. Consult an oral physician and get yourself examined and get an ultrasound done in relation to the floor of the mouth. It will give an idea about the lesion. Later we can get FNAC done to confirm the diagnosis. The discolored gum like could be because of the gum infection or the black calculus present below the gums will be giving the gums a dark hue. Consult an oral physician and get your teeth cleaned. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor,,, i am 20yrs old grl.. hvng 162cm height and about 62kg weight.. i want to ask u a doubt regarding cosmetology.. i am using a face cream melaglow for some days. could please tell me whether its having any side effects and can be used for long period.. will i get better results with it.. i mean a fair complexion.. ### REPLY: Hi This cream contain shy . It is a triple combination commonly used by dermatologists for treating hyperpigmentation, and is a very effective medicine, but one has to use this cream with caution. It has to be applied only at night. Moreover, it should not be rubbed over the skin and very small amount has to be applied. At a stretch, this cream is not to be used for more than 2-3 months. Long term use of these agents on the face can lead to various problems like skin thinning, photosensitivity, hair growth, redness, pigmentation etc. So firstly, I would advise you to use this cream with extreme caution and that too under the guidance of a dermatologist. Along with it, you should continuously use a sunscreen(SPF>26) over your face before going out in the sun. Hope it helps  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 52yr old female i havean under active thyroid , fatty live , overactive bladder, cervical arthritis with a trapped nerve , b12 deficiency,  restless leg syndrome and some years ago i had an aneurysm in the right side of my head .recently i have been in great pain with the bone in my left arm blood test last week revealed the my esr was very high could this have to do with any of the above .THANK YOU ### REPLY: Hi.understood your concern. First, thyroid hormone is a very important hormone involved in various functions in the body. Decreased levels of thyroid hormone may lead to obesity which may intern result in the development of many diseases such as fatty liver disease and arthritis. Secondly, B12 deficient may lead to neuropathy. High ESR indicates that you're suffering from a chronic disease. you're advised to visit treating physician at earliest and take advise. Thyroid hormone and B12 supplements maybe ingested immediately, though dosage should be advised by the treating physician hope to answer your concern. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past few weeks in the morning when I wake up, my spit will have small very light traces of blood in it.  And every now and again throughout the day.  I am not coughing it up, or needing to spit it up, I just usually have a routine of spitting in the morning before I brush my teeth.  What could this be?  Thanks ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Blood in spitting suggest pathology in mouth. But better to rule out pulmonary causes. Because Hemoptysis (blood in sputum) can also falsely perceived as blood in spit. So get done chest x-ray to rule out possible causes for hemoptysis (pneumonia, tuberculosis etc.)If chest x-ray is normal then no need to worry about pulmonary causes. Consult dentist and get done clinical examination of oral cavity to rule out carries tooth or gum bleeding and start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am inquiring about low platelet count -90I also have been running a low grade fever for 2 months.But I do suffer from Behcets Disease so I didnt think muchof the low grade 99.5-100.3 fever.I am very fatigued and I have so many aches and pains. I do have Osteoarthritis in most of my joints.Any suggestions?Thank you ### REPLY: Hi ! Thank you for your query. Well since you are experiencing body ache, fatigue and fever that indicates that the disease activity is going on. Thrombocytopenia is not commonly seen in Behçet disease but can be present. You haven't mentioned the treatment you are taking for above conditions. I advise you to seek a rheumatologist at earliest and get your disease activity assessed by routine blood tests like ESR, CRP etc. So that your treatment can be modified accordingly. Possibility of secondary fibromyalgia also exists.  If you have any further queries feel free to ask. Wish 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, i am trying to conceive for last three years. my husband s seman analysis shows 30% motile sperms. my doc suggested my husband some anto oxidants and to me fertisure-f. I have gone through several test none showed any problem except some fibroids in the uterus . what is the benefit of taking fertisure-f for me and what medicine my husband should take. ### REPLY: Hello, welcome to , I am  The motility of the sperm is very lower than required.  If all your tests showed normal result, you really have no reason to take the .  Rather, you should use the kit for detection of ovulation day on which should have sexual intercourse. More over, you can try for pregnancy between 10 and 18 days.  Your husband should take the medicines prescribed to him.  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 dear sir , i have got infected by cold then severe throat, got medicine . next day got loose motion, weakness and body pain. i got my blood check , in the report i found typhoid positive by a widal test . i started medicine with i.v and some oral . now ten days are over i am feeling relief . can i take alcohal on 31st dec ### REPLY: Hi,,,u r cured of typhoid,u can enjoy normal living...since the disease makes the person fatigue,generalized weakness persist,we will advise all patients to had good nutritious food,,,typhoid is caused by salmonella bacteria which is a intracellular bacterium, sometimes persist in suffer cells (liver),,,n can cause relapse,,,you are the best person to decide to take decision about your wishes n need, I wish proceed with the best decision,,,to keep your health safe,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: So today I squeezed my breast and a clear fluid came out. I have no idea why. I just got my period yesterday AND I took a pregnancy test that came up negative. Im also taking birth control pills and I am wondering if it is just a strange side effect from the hormones in the pills. The birth control brand is called Myzilra. Any help you can offer is much appreciated. ### REPLY: Hi, Welcome to  forum.  It appears that you had common side effect of the pills Mozilla. It has swollen, inflamed and tender breasts as a side effect. That might be the cause of the clear discharge.  You had the period a day before, and pregnancy test is negative. So don't worry about the pregnancy.  If the problem is continuing you consult your doctor for a change of the pill. Or you can opt for intrauterine devise.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health resistance against the infections.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My five year old son is complaining that his left side hurts. He has been crying off an on for about an hour now. He can t stand up straight when he walks. At first I thought maybe his bone was just sore after lying on the floor playing. What could this be? ### REPLY: Hi, Welcome to .It's not very clear from your question which part of the body s left side is hurting in your son. There can be various possibilities with every part of the body. I assume that your talking about the trunk part and the possibilities I can think of is some trauma that would have lead to it most commonly in this age group is an accidental collision with a friend while playing. If there is no skin discoloration in that area and no obvious swelling, then hot fomentation and resting that area is a good enough remedy. If pain worsens or persists then you need to consult a pediatrician for this. Hope your query is cleared. 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: am rizza grace gallega. result of my lab is my rbc are normocytic and hormochronic. WBC count is mildly elevated with a ptrfpmonance of segmenters. there is no shift to the left, no toxic granules nor abnormal cells found. The platelets are adequate..segmenters 53, lymphocytes 35, stab 1, eosinophils 2 , monocytes 9 total of 100...impression : neutrophilic leukocytosis.. thank you. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your WBC count is slightly higher with rest all results are normal.  It suggests you may have bacterial infection.  Which is the most common cause of neutrophil leukocytosis.  So you should take a course of antibiotics according to your doctors' advice. Hope I have answered your question, if you have doubt then feel free to ask me. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 10 month old is refusing to drink formula, she ats a very small breakfast, she does not seem to have an appetite in the morning, she then has her lunch at 11.00, refuses a bottle at 2pm now, then gets her dinner at 4pm and is now refsing her 6.30pm feed, she does not eat baby food at all, she will only eat food that I have freshly made, she has 6 teeth, how can I make up the loss of nutrients ### REPLY: Hi... Thank you for consulting in . I take this opportunity to tell you certain scientific facts and relieve your distress -1. An active is a well kid even if she/ he is not eating well.2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause . But I am very happy that you have mentioned that your kid wants are all the freshly prepared food by you this is a very good indication, and please continue that. 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 a dark skinned asian femail, i was using cosmelite which gave me a good complexion however is started getting pimples becoz of that..hence i stopped cosmelite..now i have becum more darker..wat shud i do? shus i continue to use cosmelie is it a good cream for any skin type? ### REPLY: Hi ! Gayu, Welcome To  forum, You should never use Carmelite for long time. If you use it for a week or two it would give you good complexion, but on long run It's going to spoil your face. It is a combination of three things (steroid, tretinoin & HY . It's the steroid component which leads to all the side effects. I am sure if it was prescribed by a dermatologist he would have told you not to use it for long. If used for long it can cause pimples, rosacea(redness), fine lines on face, capillary out breaks etc. The moment you stop using this cream, it leads to itching & burning sensation with redness. Pimples is a major side effect. If you continue to use this cream it's going to cause all the above problems. So stop this cream asap. Once you leave this cream you are going to get with- ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my son is 15 months old and for the last few days, hes been getting red blotches randomly on different parts of his body, but most frequently his face and they will look like a mosquito bite. He goes to daycare and he recently had a change in teachers, from what I understand they arent giving him anything different to eat and nothing has changed at home. I have an appointment with his pediatrician, but Im really worried because I dont know what this is. He doesnt seem to notice it or even be bothered by it. ### REPLY: Hello. Thank you for asking at . In a young child with red blotches randomly on different parts of body, most commonly on face, I would first think of food allergy. It is very common, and it usually presents at this age in this fashion. However, I would also like to ask you a few questions like - does he itch? Does any of his family members have any allergic disease? Did he have fever when the complaints started? Does he have any other complaint apart from skin lesions? However, there are other causes like infection, skin diseases, etc. also. But personally I would suggest you to observe his diet closely and try to correlate it with symptoms. Allergy testing could also be done to identify the food. Hope this will be helpful to you. Wish your son the best of the health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently took my daughter to the doctor because she was having what seemed to be heart palpitations. They were very speratic in timing being several days or even a week or more in between episodes. our doctored performed a EKG that seemed to be normal. The doctor asked if she had shortness of breath or pain. the answer was no. My daughter does not drink or smoke. Caffeine consumption is low due to she does not like soda as taste is distorted by her topramate that she takes for optic migraines. Our doctor did not seemed alarmed and explained these may be some sort of electical palpitations. But the past three days she has had a total of ten which is way more than usual in such a short time. A couple instances there were three episodes within 30 minutes. Other times they were hours apart. We called our doctor to report these episodes but she does not seem alarmed. Should we be alarmed? ### REPLY: I have gone through your question and appreciate Your concern. According to your history there are repeated episodes of palpitations. I think it is matter of concern as she maybe you're suffering from Rhythm disturbance. Like atrial fibrillation or ventricular tachycardia. If ECG is normal holder monitoring can be done to reach diagnosis. Before labelling, it due to anxiety better to rule out arrhythmia. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had a backache on the right lower side of my back for a few days but for the past two nights I have felt sick and on both occasions have woke up at 4 am the same time each night to be sick after that I am fine.What is wrong with me ?Help! ### REPLY: Hi, Welcome to . After going through your query I think You are suffering from acute backache. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(On DK 60K weekly with milk) can be taken. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had unprotected sex on Tuesday 17th of December and Thursday 26th of December. I had missed my pill on Monday 16th and carried on not taking my pill incase I had fallen pregnant, because I was not sure if it would damage the foetus. The past few days I have had nausea, stomach cramps, change of appetite, headaches more often than normal, very sore/tender breasts, lower back pain and feel like I need to urinate more. I am wondering if I might be pregnant and when would be a good time to take a test? ### REPLY: You forgot to take a pill on the 16th and had unprotected sex on the 17th and the 26th. Also, you haven't been taking the pills since the 16th. Because you haven't been taking the pill since the 16th there is a possibility of you falling pregnant especially on the 26th. Since almost 2 weeks have passed since the 26th I would suggest taking the pregnancy test now. If its negative wait for your period for a week and if it doesn't come repeat the pregnancy test. For future reference missing a single pill will not make you pregnant but missing two can. So as soon as you remember that you have forgotten to take the pill, take one. Let me know if you have any more queries. 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 are causes of elevated liver? I took ibuprofen about 9 hours prior to blood test. Does tylenol also have an effect on the liver? My cholesterol was also a little high, at 228. My doctor had me repeat my blood test and I am waiting for result. Thank you. ### REPLY: Hi, Thanks for writing in. Elevated liver enzymes has many causes. It can occur in infections of the liver and intestines. It can also be seen in those who have regular alcohol intake. Taking painkillers for long duration also causes elevated liver enzymes. Treatment medications for some chronic diseases also causes increased liver enzymes. Your test report needs to be discussed with your clinical problems as 1% to 9% of people without symptoms have elevated liver enzymes. You may need evaluation for hepatitis, cirrhosis, or fatty liver disease among other conditions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 65 years old male having psoriasis on on my centre fingers.These fingers points get dry and gets cracks which finally bleed if not applied medecine.I have been given the treatment like molsturex,Xerina,halox,beclate to apply and tablate predmet8 . I have experenced that tablate is more effective to give relife but on discntinuous of tablate the psoriasis appers again after one month. ### REPLY: As you said you suffer from psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, . .etc. may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizine. Predict 8 is a steroid. Avoid steroid, as there may be severe flare up after stopping it. You may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. You may apply moisturizer to improve the skin texture. Furthermore, you should avoid soap bath for few weeks. And you should free of stress and worries as that might worsen psoriasis. You might get good result. I hope you got my answer. 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 sister is about to have her second transurethral resection this week, and after her first procedure, her surgeon told her that she has a lot of cancer. She saw an oncologist for a second opinion and he said that she was stage 1 CA. The wall of her bladder and kidneys are very thin thus they cannot give her chemo. My question is how fast does this type of cancer spread and about how long would she have to live. She also has a 9c nodule on her right lung. ### REPLY: Thanks for your question on . I can understand your problem. Bladder cancer with malignant nodule classify it as stage 4 cancer. So it is inoperable.  And patient usually offered only palliative treatment. Usual life expectancy of stage 4 bladder cancer is less than 15-16 months. Bladder cancer can spread by homogenous route and lymphatic route. So practically it metastasize to all organs of the body but common ones are liver, lung and brain. So in your sisters' case life expectancy is less than 12 months as tumor is already metastasize in lung. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 four and a half year old has a red pin prick like rash across his chest and on his face it is a bit more ruddy. He is 110cm and weighs 43lbs.He is rarely unwell although has had a history of convulsions which he has outgrown.Acting and eating normally with no fever, any ideas? thank you ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your child have symptoms of pin prick like rashes on chest and face which is due to allergic reaction, infection of hair follicles, hormonal changes, skin infection and overexposure to sunlight. Need not worry. I would suggest you to exfoliate your skin once a week to remove the dead skin and apply vitamin E oil before going to bed. Apply cream containing atelier acid. If condition doesn't get well or get worse than consult dermatologist for proper diagnosis. Doctor may prescribe antibiotics like clindamycin along with isotretinoin and corticosteroid cream. You should get hair follicle test as well and start treatment after that. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have an 8 month old little girl she has been throwing up, running fever and her eyes are a little swollen with alil bit of red in them. I took her to the er and they gave me something for it but it seams not to be working she is still doing the same thing. what could this be ### REPLY: Hi... Thank you for consulting in . Fever of 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 ParacetamolRegards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 prostate cancer. He has had it for 7 years now and has had Lucerin. He has had radiation for 6 weeks and Brachytherapy therapy. Earlier this year his PSA came up to 18 again so was given another needle to get it down again. His specialist has now taken him off all medication and will see in December what his PSA is. Now he says he doesn t want to be intimate as he thinks the testosterone will make the numbers go up again. Is this true as it is driving me insane. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. His PSA level is high. There are many reasons for high PSA. He may have recurrence of prostate cancer or benign prostatic hyperplasia or chronic prostatitis. So you should either wait and repeat the PSA level or go for biopsy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . 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: Hello doctor, this Antony from Bangalore...and I have problem with head in sense of long term itchy occurs and that leads to lot of hair fall also... i used lot of shampoo related to avoidance of dandruff but it could not work until now...... suggest me a proper solution please ### REPLY: Hi, It may be seborrhea dermatitis. There may be itching and hair fall due to the disease. Consult the dermatologist for the perfect diagnosis and proper treatment. Stress might precipitate the disease. Apply lotion of mild steroid with salicylic acid on the scalp. Take antihistamines like cetirizine. Take oral steroid like prednisolone in a tapering dose. Cleanse the scalp with ketoconazole shampoo. Avoid stress and worries. 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 am a 16 year old girl. and i have been having trouble with my Heart Rate. If i get upset about even the littlest things or do physical activity more then just walking around my pulse will soar up above 200. what should i do? this has been happening for over a year now. oh and i am also prone to panic attacks ### REPLY: HIFI admire you for positive outlook.1st thing is proper diagnoses. Panic attack and heart related problem both have same symptoms. So we have to rule out heart problem 1st to stamp it panic attack. So be at safer side go for ECG and ECHO and if it comes normal then we consider it as panic attack and detail psychological evaluation is needed. I prefer SSRI in my patient. Paroxetine and clonazepam combination is good to control panic. Apart from that following will helpful. Exercise meditation deep breathing and hyperventilation proper sleep stress free activity do pleasurable activity music and hobbies discuss with friends see all thing with different angle positive outlook confidence Hope you will get best. Thank you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. 2 days ago I woke with sever pain in what I first thought was my lower back. i struggled to get out of bed. due to the pain also making getting trousers shoes a socks on nearly impossible. i have been subscribed paracetamol and ibuprofen this helps lots.I have now discovered the pain is emanating in my right hip . when sitting if i try to move forward or backward i get severe pain in my right hip with shooting pains that seem to eminate from my hip going down my right femur and also towards my groin . if i lean onto my left bum cheek i can move forward and backwards while sitting and also stand up onto my left leg with very little pain Thankyou ian ### REPLY: Hello. Thanks for writing to us. The pain that you have described is likely to be due to a muscle spasm or a ligament tear in the hip joint. An MRI scan of the area will help in proper diagnosis. Till then hot fomentation and muscle relaxants will help you. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: jimmy-55-6feet-88kg-  i am suffering through b12 deff. i suffered with it for 14 years . it got realy bad 1 year back. for six month i was without any treatment.i went to 9 different doc. but...... at last one checked my b12 and it was only 88 . since than i am taking b12 inj and tab. i feel much better .  only feet and lower parts of leg show some remaining sign . how long before they all go . i want to write my story so it may help other. my brother is a doc even he could do much . infact his digonese pushed me on the other side . i am lazy things like that .  may God bless you all . ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You are suffering from it b12 deficiency, so just you should complete the course of vit b12 injection.  After completing the course if you don't have any symptoms and your it b12 level become normal then only you should stop the injection.  So take complete treatment you will be completely ok. No need to worry. Just be relaxed. 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 am wondering what might be causing my enlarged spleen? A CT scan that was done because of kidney stones indicated splenomegaly. Is it just a symptom of these known diagnoses or is it something I should press my doctors to pursue further? I am a 54yr old female diagnosed with the following: diabetes, sjogrens, crohns, hx. ulcers ,delayed gastric emptying, esophageal spasms, nutcracker esophagus, benign thyroid tumor, asthma, sleep apnea, degenerative disc, cervical fusions x3, fibromyalgia, lumbar spine fractures, kidney stones, lymphedema, migraines, major depression, post traumatic stress, fatigue. e-mail YYYY@YYYY ### REPLY: HiT hanks for using  Splenomegaly is usually associated with increased workload, which suggests that it is a response to hyperfunction. It is therefore not surprising that splenomegaly is associated with any disease process that involves abnormal red blood cells being destroyed in the spleen. May be due to esophageal spasms or kidney stones, blood cells have been destroyed and to compensate that lost, spleen is enlarged. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had spinal fusion surgery in April of 2012. I had to have the hardware removed in Feb 2013. I am hurting worse now than before ever having surgery. my dr says the only thing he can do is a spinal stimulation therapy which involves another surgery with a machine installed inside of me.  I dont want another surgery especially with the side effects from this particular surgery. what should I do? since this surgery I have also developed RLS.. please help me... ### REPLY: Hi, Thank you for posting your query. It is unfortunate that you did not improve with surgery, in fact, your pain has worsened after the spinal fusion surgery. At this stage, you would benefit from taking neuropathic pain medications such as pregabalin, gabapentin or duloxetine capsules. For RLS, you can take pramipexole tablets. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi am 25 years old. I been having lower right abdominal pain four the last four months I have taken 6 ct scans that show fluid around my colon and on my right lower abdominal. They did a drainage but couldn t get the fluid. They never tell me what it is and why it s there. Different types of cancers run in my family and am just worried,. ### REPLY: Hi, read and understood the history of pain in the right lower abdominal pain for which you have undergone 6 CT scans.IT shows fluid around the colon. This finding is very classical of retrocecal appendicitis. I would do a diagnostic laparoscopy in such a situation and am sure to get a disease which may not be seen in any of the investigations like Appendicitis, colitis, diverticulitis and so on. Some of these are curable by surgery and I would do it to give you the cure. Please stop doing further CT as you have already taken a high dose of radiation and with the history of cancers in the family, this wrong thing has already been done. Will also get the routine investigations of the blood, urine and stool for ruling out any other problems and for fitness for surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am trying for a baby and have had lots of symptoms this month which I have not experienced before. A week after ovulation I had cramps , my gum bled for 2 days when brushing and then it just stopped. I began gagging at nothing in particular and had headaches . I felt hideously tired and had to sleep there and then - luckily I was at home and my stomach had a weird fizzy feeling like I was excited or nervous for a good three days. At the weekend (2 days after ovulation) I needed to pee frequently and straight away and the gaging heightened. The day my period was due came and went, on the next day i did a test - negative. Two hours later my period appeared with cramps. usually i get cramps first then blood . I feel so confused! Could i still be pregnant. My period is mostly normal - although I have seen dark brown disharge at times and sometimes when i wipe the blood is red but very watery - resembling water colours. If I am pregnant, when could I test again? I have read that sometimes your ChatDoctor levels can be too low and the mentruation hormone can over power it. Is this true? ### REPLY: Hello thank you for your query. The symptoms that you describe might be related to periods, but are not confirmatory. Urine pregnancy tests are 97 % reliable - so if your test is negative, then you are most probably not pregnant. In the rare event of an early pregnancy not being detected, you can test again by a pregnancy kit test after a week, but better still is to consult a Gynecologist to have a definitive opinion. She would examine you and check for a pregnancy, at the same time assessing the weird symptoms you have. Pregnancy is best confirmed with a blood test / ultrasound compared to a urine test. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, my close friends had met with accident last week and subsequently slipped into coma following head injury. What are chances of him coming out of this state? What is the duration of coma he is likely to be in? ### REPLY: The outcome for coma and vegetative state depends on the cause and on the location, severity, and extent of neurological damage: outcomes range from recovery to death. People may emerge from a coma with a combination of physical, intellectual, and psychological difficulties that need special attention. Recovery usually occurs gradually, with patients acquiring more and more ability to respond. Some patients never progress beyond very basic responses, but many recover full awareness. Patients recovering from coma require close medical supervision. A coma rarely lasts more than 2 to 4 weeks. Some patients may regain a degree of awareness after vegetative state. Others may remain in a vegetative state for years or even decades. The most common cause of death for a person in a vegetative state is infection such as pneumonia. Duration depends on the severity of the injury and patient general condition, often short; rarely more than 2-4 weeks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 blood tests shows that i m affected by tb.. i have a swollen lymph node since past 6 months.. it started with a single node swelling but gradually it kept on increasing to second and third swelling of nodes near neck. Doctors suggest a biopsy. But what do you think m i suffering from this?? I have no other symptoms like fever weight loss etc except fatigue persisting all day long. My coaching asked me to come once i m cured. Is it  contagious? ### REPLY: Hi, Thanks for Contacting Team ChatDoctorTuberculosis(T.B.) is divided into Pulmonary and Extra Pulmonary. Its bacteria Known as Mycobacterium Tuberculosis. All Pulmonary further divides into Smear Positive and Smear Negative. All Smear Positive means presence of tuberculosis bacteria in Sputum. Not all Kind of tuberculosis is contagious. A study by World Health Organization shows an untreated sputum positive Tuberculosis infect 10 - 12 new person. But any kind of Extra pulmonary is not contagious. As per your given history that you have swelling in neck. It may be tubercular Lymph Node and diagnosis process is FNAC (fine needle aspiration cytology) for any external Lymph node. Your Doctor is correct to do biopsy. If you are belongs to India, Health Department India banned a blood test name T.B. Gold. If you have Gland T.B. then it is non-contagious. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I am 33 years old & I ve got married 3 years ago. from the first time of my married life I am suffering from premature ejaculation problem. I can t stay more than 1 minute. I ve tried stop & start method but did not get result. What should I do? Is there any solution in Bangladesh? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of premature ejaculation. In absence of any major health issue the cause of premature ejaculation is mind related and due to performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Taking Sildenafil (Viagra) on demand will help to get good hard sustainable erection to have enjoyable sex. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 15 year old girl and woke up last night with shooting pains in my chest and couldnt breath, I had to gasp for breath but going that made the pain worse, I couldnt call on my mum because of this, I was also still half asleep so didnt understand what was going on, this has happened once or twice, but I really dont understand why it happens, I am about 7 and a half stone and roughly 5 foot 4, please help! ### REPLY: Thanks for your question on . I can understand your concern. Sudden onset chest pain and breathlessness in midnight are commonly seen with heart diseases. So we should first rule out heart diseases in your case. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes, panic attacks can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. First rule out heart diseases. 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 Dad is 61 year old . He has diabetes but not on insulin . Due to pain in abdomen and fullness , he took ultrasound. The ultrasound report states that the Gallstone bladder has been collapsed and Liver shows mild fatty change. Would you please suggest whether it is curable or how serious it is. And do we need to go for surgery. ### REPLY: Hi Dear thanks for your question. Your father 61-year-old Diabetic is having Cholelithiasis that is gall bladder stone and fatty liver. Relax there is nothing serious, both condition are treat able. For mild fatty liver changes, he has to do nothing except to decrease his fat intake and go for exercise. For Cholithesis consult some surgeon and get his gallbladder removed, he will be symptoms free. Hope I answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: recently, i have a bad cough but after 1 week medication from the chest physician. My cough is much more better.However, another week of medication of inhalation of turbuhaler is needed. During my second week of medication, my lower back in between lung and kidney feel minor pain. The pain occur when i sleep one side and cough. At first i wondering is it my kidney problem but now even feel confuse. Should i seek for check up in details from my chest physician? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult pulmonologist again and get done clinical examination of respiratory system and chest x-ray to rule out pneumonia and pleural effusion. Both of these are common after viral upper respiratory tract infection (URI). And lower chest pain on coughing is seen in both. So get done chest x-ray. If chest x-ray is normal than no need to worry about pneumonia or pleural effusion. Simple muscular pain can also cause similar symptoms. So take painkiller and muscle relaxant .  Application of warm water pad on affected areas is also beneficial. Don't worry, you will be alright. But better to get done chest x-ray to rule out infection. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a soar toe and it was swollen and then one day started to bleed. When I applied pressure something came out from under my toe nail that looked like a tiny grub? What could this have been and what do I do with my toe now? Soak it, put antibiotic ointment on it? ### REPLY: Hi thanks for asking question in . Here according to history it is most likely that you have ingrown toenail. Here is some suggestion for you. Start treatment at home as follows. Sock your toe in warm water for 4 to 5 times a day. Cotton ball that is joked in oil used to separate toenail edge from skin. For pain relief take simple analgesic. To prevent infection apply topical antibiotic over affected area. If still you not get relief then surgical treatment needed. Sometime partial nail removed. I hope my suggestion will definitely help you. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hi my girlfriend takes inderal 8o mg a day for severe anxiety.she drinks 3 to 4 cans of beer every evening.she goes out every 3/4 weeks and will consume 2 bottles of wine or more in a night.as she drinks more she gets increasingly aggressive and when drinking a lot she can get violent, dillusional and paranoid, not remembering what she has said and done.when shes sober she is a pleasant, loving and timid person.what can i do? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. As you already know that your girlfriend is an anxiety patient and undergoes treatment and been prescribed with Federal, you must make her aware and motivate her not to .  Consumption of any form of alcohol increases the anxiety symptoms and treatment mostly fails. Please correct her. As her boyfriend, you can only do that. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , My husband had a light pain in the kidney portion and gave his ultrasound test. Mild pelviectasis is detected in test. When we contacted urologist, he said he needs CT scan to be done. Could you please let us know if this needs immediate attention? Is there any other test to detect the cause for pelviectasis? ### REPLY: Mild Pelviectasis (if an isolated finding) could be due to obstruction in the urinary tract or just a benign condition. Since he had symptoms, it's better to rule out the urinary tract conditions like stone, infection, stricture, etc. You may consider discussing with your urologist about the need for further investigations along with renal function tests. CT scan or isotope Renal scan may be chosen as per the clinical profile. In some centers MR venography is also done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have panic attacks and I am too scared to visit the doctor.. is chest pain a normal sign and where about is the chest pain when you are having a panic attack? because im starting to really panic over it and im not sure if its normal or not.. Also tightness of chest and not being able to breathe properly are both signs of a panic attack too? Im honestly too scared to go and see a doctor and I just need some advice in what to do? ### REPLY: Hello and welcome to . Thanks for your query. The symptoms that you have mentioned such as chest pain, chest tightness and breathing difficulty can be seen in panic attacks. However, they can also be due a variety of other medical causes. It may not be a good idea to make conclusions without having a proper medical evaluation. So, I would suggest that you see your doctor and report your problems, so that you can have a detailed examination and evaluation in order to arrive at the correct diagnosis. 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: my father has been detected with subglottis cancer the doctor dealing with this says he would take way the voice box all together i dont want i want it to be treated in way even if surgery is required it takes away the required part of thorat but not voice box please advise me ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Treatment depends on spread of subplot cancer.  Whether it is limited to subplot area or spread in logic area.  Lymph node involvement, lymphatic or vascular invasion and grade of tumor.  So please send me your histopathological examination report of biopsy and ct scan report. So that I can help you further. 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 two kids. i got mirena after my second and it wasnt working out so well. my doctor took it out and told me to wait until after i had my period to start the pill. i started the pack of pills sunday april 25th, im a very busy girl.. so i set an alarm to take them so i remember, ive had a lot going on recently and i took pill #6 & #9 seven hours late. then this weekend there was so much going on with mothers day and whatnot that i missed #12, #13, & #14. the phamplet said after three missed to throw it out. so that means im now on 5 pills missed, my husband and i NEVER use back up methods, im so scared that im pregnant but she wants me to wait a week to get a blood test done because it was so recent. what are my chances? ### REPLY: HI, Thanks for the query. I understand your concern.  The oral contraceptives need to be taken regularly, every day and at a fixed time every day too.  You have taken it delayed for 2 days. & also missed 3 pills at a stretch in same month.  This runs all the risk of rebound ovulation & may be conception also.  In case you are pregnant(conformed by  blood testing around expected menses/ by urine pregnancy test 8 days delay in periods.  In case its +ve for pregnancy the pregnancy needs to be terminated (for fear of fetal abnormality. Due to the pills) Thanks. ### END