Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19 year old female.  A little on the heavy side.  Early this morning at about 4:30, I woke up with severe pain in the right side of my chest.  I also had a very hard time breathing.  I could not sit or lay down because it felt as if the right side of my lung would collapse in.  I spent two hours standing up against a wall with my arms above my head trying to breathe and withstand the pain.  We called my mom and I could barely get a few words out at a time.  I think this was caused because I slept on the floor at a friends.  This has happened before at a friends house when the air first got really humid and hot.  I had the same symptoms and could not breathe with chest pain on the right side.  My mom had me put ice on it and stay close to a freezer or ac unit to breathe in cold air.  That episode lasted about 2.5 hours.  I also have mild asthma and have had it since I was born.  I tried my inhaler, but it did not help. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should first consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung collapse or lung infection. PFT is needed to rule out worsening of asthma as all of them can cause similar kind of symptoms. If all these are normal then possibility of pulled muscle due to sleeping on floor at your friends home. So apply ice packs on right chest. Take painkiller like ibuprofen. Avoid movements causing pain. Don't worry, you will be alright but first consult pulmonologist to rule out lung 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: Since it is the weekend, of course, I cannot speak with my internist who yesterday recommended I take Amlopdipine besylate 2.5 tabs, not because of high blood pressure, but perhaps related to his recommendation I take more salt in my diet. (I have not seen the results of blood work that is the reason for this, nor have I spoken to him--only to his assistant.) It s either a high or low reading of potassium? In any event, I took one tab last night at 7:30 but this morning felt weak, etc. so took my b.p. and it was 75/57/84; after breakfast and several hours later it was 84/70/72. At 12:35 this afternoon it was 101/71/73. I do not intend to continue taking this medicine until I get more information on Monday morning. (Normally I do not have any high blood pressure except last week, and this was corrected with different medication.) I realize it is difficult to comment without more information, but it helps to contact somebody. Pauline Cosyns, age 92 ### REPLY: Hello, Your mentioned BP are readings are low, which is the cause for your weaknesses. We don't wish to initiate Amlodipine or other BP medicines unless BP is above 140. So it thinks you should discontinue the medicine and have some salt sugar water if BP falls below 100, or you continue to have weakness. Monitor your BP thrice a day using electronic home BP apparatus. Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 40 year old female. I have some tricuspid regurgitation with a heart mumur. I also have a history of dyslipidemia. Myblood pressure is always low. I am a perfect weight.  I have become very tired, and my abdomen swells. I also have shortness of breath, which I was told I have asthma, but my PFT testing is normal. I do feel a fast beat in my neck at times. My calves of my legs hurt.  I am so tired of being tired! Can you tell me whats wrong? ### REPLY: Thanks for your question on . I can understand your concern. First, no need to worry about asthma as your PFT is normal. In my opinion, we should definitely rule out heart diseases (congestive heart failure - CHF) for your symptoms because you have tricuspid regurgitation, low blood pressure, abdominal swelling etc. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If tricuspid regurgitation is severe then you may need surgical replacement. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 29 Male. I have estrogen dominance.Meaasured value 72(Normal upto 42).Two months before i was in dieting,exercising to reduce my excess weight.While exercising,it seems my estrogen level was decreasing.BUt after a harsh dieting,my estrogen is not getting lower,it seems i may have prostate problem also because of poor dieting.Kindly help me.Ready to take medication. ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. Estrogen produced in you is because of prostatic cancer. I advise you should do USG of abdomen and pelvis. Also, advice you to do PSA antigen of you. It is observed that high PSA and estrogen dominance has observed. If its prostate its removal cure your problem. You can use anti estrogen . I will be happy to answer your further concern, you can ask me on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had invasive cervical cancer in 1980 at age 28 and was treated with a radical hysterectomy and lymphanectomy. Recently a pap test has shown adnormal cells and I have been referred for colposcopy. Could this be a recurrency of my cervical cancer? how common is this after 33 years? YYYY@YYYY ### REPLY: Your present age and duration after cancer doesn't safeguard against recurrence. After treatment for malignancy, chances of recurrence decrease as years pass by and some cancers are completely curable. Since you had cancer long back the chance of the same disease coming back is remote, but it is always better to have periodic screening. Yes you definitely need colonoscopy if PAP is abnormal but abnormality doesn't always indicate malignancy, and you need not feel tensed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was at gym doing dead lift with heavy weight. I felt extreme pain when putting down the weights. I thought pain will just last for few days, but pain never stopped. After 2 years, I did MRI and xray and got these information. Grade I retrolisthesis of L5 over S2. (Xray correlation). Diffuse disc bulge at L4-L5 is causing bilateral mild neural foramen narrowing. Right paramedian disc extrusion at L5-S1 is causing thecal indentation, marked right lateral recess stenosis with impinged right traversing S1 nerve roots. Left lateral recess and bilateral neural formen are mily narrowed. Welldefined STIR hyperintense intramuscular lesion at right posterior gluteal region. cystic lesion. What do I need to do now? What kind of exercise would you recommend? Thank you. ### REPLY: Hi, These are the following recommendations for you in your case1. Avoid weight lifting as much as possible2. Avoid forward bending3. Do spinal extension exercises4. Give hot fomentation twice a day5. Avoid riding two-wheelers6. Use lumbar support in your car7. Take tab Gawain NT8. Use any topical gel9. Take at least 10 physiotherapy sessions10. Use a lumbosacral belt in the daytime These are the recommendations from my side and if still your pain will not be relieved opt for surgery. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have node on the left side of my jaw beside nerve.ihave seen ENT specialist does think needs any intervention at moment but advises to return if change in any way and will do needle biopy -I am worried and wonder if a needle biopsy would better done now ### REPLY: Hi, Dear,Thanks for your query to  virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lumps on your left of your jaw besides nerve. Hope the data in your query is confusing and needs more clarification on the exact site and location-as it could be-- pre-auricular node around the facial nerve near the Tagus of your ear, ----and / or it could be node in the left neck besides the jaw. And each of these locations would indicate-Either a lump with Lymph node due to infection post-parotitis post parotid duct stone/ or from Pleomorphic Parotid Adenoid with nodal spread, or could be Lymphoma of the lymph nodes due to NHL(pre-auricular) or HL(Neck). To rule out other causes, I would advise you to consult ER ENT and ER Surgeon, who would examine it and treat it accordingly. Still with my expertise and experience and with the given data in query, I would suggest you to rule out following causes with your ER OrthoSurgeon. Cause in your case-As the lump is opined by your ENT Surgeon as not to be intervened now, seems that he wants to observe and treat it withe antibiotics and anti-inflammatory . If not relived 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, may I answer your health queries right now ?  Please type your query here... Hi, I had fever and cough for 4 days and doctor says its viral. How come you guys always says its viral what if a bacteria is residing in kidneys and causing the fever. ### REPLY: Hello, Welcome to . I have gone through your query and I understand your concern. Your treating doctor that has told you that you might have a viral infection, has evaluated your overall condition and at the end has given the conclusion that the cough and fever is caused from a virus. Actually, we cannot decide to say that the causative microorganism might be a virus, without evaluating your overall condition and associated symptoms. Bacterial infections have normally more severe symptoms than viral infections. If you had a kidney infection caused from a bacterium, you would have other related symptoms, and one of them wouldn't be the cough you have as a symptom. Hope I answered to your question. For further concerns feel free to ask again. 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 lost my daughter last month due to what the doctors said was hepatomegaly, why was her stool black in color?Could it be that her liver had a problem after she underwent Nephrectomy in December last year?Following some liver function tests done shortly before her demise it showed her Liver had stopped functioning long time ago, but she had never presented with jaundice, help me understand these as im stil trying to get into terms with the death f ma one and only daughter. ### REPLY: Hi thanks for your question. Liver failure could be the biggest reason for her death. What lead to liver failure? Liver function test done before death along with autopsy report could establish cause of liver failure. Neurectomy cannot lead to liver failure unless it was performed for malignancy. Black stool could be due to bleeding from gastrointestinal tract, especially stomach, as she was having complete liver failure. Which means her coagulation system was not working, as all coagulation factors are produced in liver. In liver failure, jaundice is always there, autopsy can also resolve this issue. Hope this answers 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: my daughter was diagnosed with mono last week.  She is suffering with the severe sore throat, and swollen glands right now.  My question; when she blows her nose she has dark thick snot. Is this normal with mono or could she have a sinus infection too? ### REPLY: Hi, I did review your concernInfectious mononucleosis generally presents witChatDoctorplains of pharyngitis and not rhinitis and sinus infection. I would suspect that she has a concomitant viral or bacterial rhinosinusitis. I would advise you to give her steam inhalation with picks vapor and at the same time consult a ENT doctor to start her on antibiotics if the snot has a yellowish thick texture and looks like a bacterial form of sinusitis. Investigations to confirm should be CT scan of paranasal sinuses and culture sensitivity of the snot flood hope this help swish you and your daughter a very healthy life ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recent blood work ..white blood count 3.4. Absolute Lymphocytes 646 both low .....What does this mean as I am never sick! I work in healthcare and my staff is sick a few times every year n I never catch anything. Should I ve worried??? My white blood cwt. has been low for 20 yrs at least. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have low WBC count.  There are many causes of low WBC count.  Even simple viral infection can lead to this.  However, if you don't have any symptoms then no need to worry.  Because many healthy people having this count as normal variation.  So don't worry. Just be relaxed.  If you have any symptoms then consult your doctor and take treatment accordingly.  Otherwise, no treatment is required. 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: Every morning since I chipped my tooth this brown gunk in the morning is stuck to my two front tooth...Why is that? ### REPLY: Hello and welcome, Chipping of the tooth is nothing but wearing out of the outer cover of the tooth known as enamel. Abrasive effect on the front teeth and chipping of enamel exposes the underlying dentin making the tooth sensitive to heat and cold. Further abrasion of the tooth may wear the dentin off and may expose the tooth nerve tissue know as dental pulp. Brown junk what you can see is maybe the pulp tissue. I would suggest you to consult a dentist and get an x-ray examination done which will show the exact amount of damage. Such teeth need root canal treatment followed by a prosthetic crown coverage to esthetic look to the front teeth. I hope this helps, 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, MY WIFE SUFFERING FOR THE FOLLOWINGS: 1. THROUGHT INFECTION LAST 2 MONTHS-MEDICINE TAKEN AMOXICILINE 250MG TWICE DAILY FOR MORE THAN 5 DAYS. 2.IN THE MOUTH SOME MOUTH ULSER ALSO. 3. TOUNG HAVING STRECH MARKS. 4.DIGESTIVE POWER IS VERY LESS.SO GOING TOILET FREQUENTLY. 5. HAVING A CONIC PROBLEM OF ACIDITY. 6. HAVING THYROED PROBLEM BUT UNDER CONTROL. 7. HAVING HIGH BLOOD PRESSURE. 8. HAVING COLOSTEROL PROBLEM BUT UNDER CONTROL. 9. AND ABOVE ALL SUFFERING MENTAL DEPRESSION. ### REPLY: Hello, I understand your concern and would explain that the ulcers in the mouth could be related to a fungal infection or vitamin deficiency.  For this reason, I recommend performing a bacterial culture of the material in her oral ulcers and a stool analysis. Starting antifungal therapy may be needed.  The depression is not related to the above issues, but health problems can exacerbate it. For this reason, an antidepressant may be needed.  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my 3 year old sons gums bleed evertime i brush his teeth and as soon as i touch his gums he screams in pain they swell up this has been going on for months screams with pain what could this be ### REPLY: Hi, I just hope you are not applying too much pressure while brushing your sons teeth. There may be some calculus deposit leading to the swelling of gums and since you are unable to brush the teeth properly, the condition is getting aggravated due to increase in plaque accumulation. Please consult a dentist, a periodontist preferably. Thorough scaling and use of a gum astringent should resolve the problem. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suddenly experienced pain in my inner wrist and hand this morning. It is hard for me to use my fingers without pain. My inner wrist has become red and somewhat swollen. My hand is weak and once I experienced numbness in the tips of my middle fingers. What could be wrong and where do I go for answers? ### REPLY: Hi, With the kind of symptoms you have mentioned it looks like more of a physical disabling pain. Why don't you try for doing some hot water fermentation to the neck region and post that some exercises for neck and upper limb. It could be due to a compression of the nerve in the cervical region due to muscle spam. I hope once you do this exercises you will be fine. If your symptoms do not subside you can meet up a physical therapist who can help you get ease of pain and tingling with numbness by using Ultrasound therapy and TENS. Little exercise post that will be surely of help to 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 gt levels are high.i have quit alcohol for five years and recently take a drink when i party .This is occasionallywould this be a problem.i must be honest this only happens when i have company to take a drink.How can i get my gt levels down????????????? ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Alcohol is one of the causes of raised GGT. Post hepatic biliary obstruction are common causes.2. It causes bile duct cells injury, which causes the GGT to release into blood stream and so your levels are high.3. Other liver disorders also needs to be ruled out. Get your complete liver function tests done for further correlation. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello so I have had quiete a few problems with my lower area like swelling of the testis, which hasnt happened for a awhile but does come and go periodically. i have very small bumps under the skin in the lower area, and also i have discharge after i urinate. Its a gooey like substance. What may this be and how might I fix it?? ### REPLY: HelloYour findings may indicate urinary tract infection(UTI). You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, renal function test, ultrasound of abdomen and scrotum, urine culture/sensitivity. You may need to take antibiotics based on reports. . Ultrasound of scrotum is important due to swollen feeling of testis. It can assess many conditions in testis. Proper treatment depend upon findings. Get well soon. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has been hospitalized for the 5 time for mental health issues. He is 14 and this all started with tics. Little did I know then how much worse things would get. 4 years later and he was choking me this past Friday and our butcher knife is missing. We come from a good home. He has had the best childhood. He says now that he is hearing a voice telling him to do bad things. Weve tried many medications. They have prescribed Geodon. I know after many different types, that antipsychotics cause him to get worse. Im really worried for him and for me. Is Electroconvulsive therapy an alternative for someone his age in Ohio? I feel like he is getting worse every month that goes by. I miss my son and how fun he used to be. Im afraid that in 4 more years he could be worse. I want to get ECT for him. What are your thoughts? ### REPLY: Dear serve understand your concerns went through your details. Electroconvulsive therapy (ECT), were originally used for the treatment of catatonic schizophrenia, and there is little doubt that ECT remains an effective intervention for the treatment of schizophrenia. Usually Electron Convulsive Therapy is decided after careful psychiatric discussions. Please let the psychiatrist decide on this matter. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an 11 month old who has CHARGE syndrome, she s had a very complicated UTI caused by psudomosis (sp) she was admitted after suffering almost 3 months to have IV s. Since then she has come home and keeps being sick, her sick smells of fish and her stools are very loose with bright green in and smell lie stomach acid. She s continually fed neocate through a PEG tube as she has an unsafe swallow. Is this related or is something else going on? She seems uncomfortable in her tummy. She s on trimethoprim but has had before with no reactions. I m struggling to keep medicines and extra fluids in her: ### REPLY: Hello, After recovering from UTI is you child gaining weight normally? There is a possibility she might be having malnutrition and consequent increased vulnerability for further infections. Frequency and consistency of stool also matters, although she is on prophylaxis she might need a urine complete exam for break through UTI and a stool exam as well. Hope I have answered your query. Let me know if I can assist you further.  Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my son is 7 1/2 year old. He frequently gets cold and cough so our doctor told us to go for adenoidectomy since it is affecting his tonsils. His adenoids are enlarged. whenever he gets cold, he breaths thrgh his mouth and cough disturbs his sleep. pls advice ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your son has symptoms of cold and cough which is due to allergic reaction or due to repeated viral respiratory tract infections due to enlarged adenoids. Need not worry. I would suggest you to take combination of antihistamine and antibiotic .  Use vaporizers rub. Use room humidifiers as well to prevent any allergic reaction to child. You should take antihistamine such as Ben ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 week old son has a bunch of little red bumps on his face chest stomach arms and back. His ped said it was a heat rash but now I noticed his right earlobe looks swollen and feels dry whats all this? The hormones? Baby acne? Heat rash? Hes not scratching so I dont think its bothering him. ### REPLY: Hi... I sympathize with the kid and understand your concern. As a matter of fact even my kid had this when young. The trick of the management is keeping the skin moist and never allowing it to be .  For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. 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: I have a severe cough that comes an gos it seems to get worse the later it is, I continue to chew on mints and cough drops which help but then today I developed a heaviness-clogging feeling in my right ear that is severly irritating do you know what it might be and how to cure it ### REPLY: Hi, I have gone through your query and understand your concern. I would like to know the duration of your cough first. The pain in your right ear is due to the blocked Eustachian tube. It usually happens in throat infections. I would suggest you to undergo some blood tests like complete blood counts, ESR, & Chest X-ray, I will also suggest you to go for sputum examination for AFB if your cough is for more than 2 weeks. Along with the tests you should get your chest and throat examined by a physician. Till then I will suggest you to take some antihistamines like levocetrizine and montelukast tablet, expectorant cough syrup, Antibiotic course (Amoxyclav or Author), analgesics & warm saline gargles for 5 days at least, under physician supervision. I hope you are not allergic to any of the medicines. If you have anything else in your mind then please ask, I will be glad to answer your query. Wish you good health. Thanks & Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, Can I take the tablets Fertisure F, MCBM 69 and APLOD (5g) since me and my husband are trying for a baby. Is there any food supplements which I should have in specific in order to get pregnant. My periods delayed this month and I was prescribed Provema 10mg to get the periods back. I have my periods now and can I take the tablets Fertisure F? ### REPLY: HelloThanks for your query. Yes, you can take the tablets during periods. You should have a nutritious diet and active lifestyle, as you are already taking supplements in the form of these tablets. Meanwhile, you should also consult an Infertility specialist, and get yourself and your partner thoroughly investigated, and if necessary, treated, if you are sincerely trying to conceive, and failing. 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! my 16 months daughter had around 37-39 deg temperature for past 3 days and we used calpol(paracetemol) and now(from today morning) tempereture is normal. But now, she is complaining of pain in left leg while walking and started limping. we are almost sure she didnt hurt her leg etc today. so, what elsee could be the reasons? anything to be concerned about? thank you ### REPLY: Hello and welcome to  Pain in leg and limping after an episode of fever points towards two important conditions1. Transient synovitis 2. MyalgiaTransient synovitis:In this condition the membrane lining hip joint becomes sore.It is only temporary and often resolves on its own. It usually follows a viral fever. Myalgia:In this case muscles are sore. Without history of trauma or overexertion Virus is almost always the cause. In this condition muscles ache to touch. This too is a temporary condition Treatment is similar for bother your child as much pain free and relaxed as possible by warm compressions, warm bath, adequate rest, adequate fluid intake and painkillers and ibuprofen. Hope you find this answer satisfactory. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 53 in the last few months he has lost about 17 pounds he has not been dieting and he says that his right testicle has pain that comes and goes for how long he has had this pain I know not he just told me about a week ago he also says that he has had what he says is a muscle spasms in the right side of his stomach What could be the cause thank you ### REPLY: Hello, Causes of testicular pain are:- 1) Injury 2) Testicle torsion 3) Epididymitis 4) Orchids 5) Inflammation due to sexually transmitted disease. 6) Give proper support to the testicle. Take tablet Broken if pained. Do ultrasound of scrotum. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with a surgeon. 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: SIR I AM 17 YEARS OLD N HAVE WHOLE LOT OF PIMPLES ON MY CHEEKS...PIMPLES ON MY FOREHEAD AND CHIN HAVE REDUCED BUT ON MY CHEEKS THE CASE IS WORSE................................I CONSULTED A DEMATOLOGIST TOO BUT THERE WAS NO MUCH RESULT...........ITS PAINIG TOO .....I AM CURRENTLY USING ERYTOP ................ONE OF MY FRIEND SUGGESTED TO USE SUPATRET C AS IT WAS VERY EFFECTIVE FOE HER....MY IS EXCESSVELY OILYISKIN ...MY FATHER ALSO HAD PIMPLES AND HE TOLD ME THAT HE GOT RID OF THEM AT THE AGE OF 23 ONLY.....................I DONT WANT TO WAITFOR ANOTHER 7 YEARS .....I WANTED TO KNOW IF I COULD USE SUPATRET C........PLS TEL ME A SOLUTION ### REPLY: Dear Bhagyasree, Acne at your age is very common, due to the hormonal changes occurring in the body. A single visit to the dermatologist might not have helped, but with regular follow-up, professional advice will get you the best result with long lasting effect. Especially since you have painful acne lesions, they might be infected, and need attention. There are several kinds of acne, and applying support C might or might not be suitable for your skin. Your dermatologist can help you with one or all of the below:1. Topical applications2. Chemical peels3. LASER treatment for acne4. Oral retinoids5. Oral antibiotics Please do not try to treat your acne without medical guidance.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ribs on my left side have been sore for 2 or 3 weeks. I primarily feel the sorness when I cough or sneeze.  I recently had a cold and I went to my PCP and complained of the same sore left ribs.  He had an x-ray performed but it revealed nothing.  My lungs and heart were fine.  He thought it might be pneumonia but I checked out okay.  Still, I have no explanation for sore ribs.  I dont work-out and have done nothing to injury them. My doctor presribed medication for acid reflux (ranitidine).  What could be causing me to have sore ribs? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal cause like Costco .  It is inflammation of rib cartilage. Do following things for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2.  Avoid bad postures in sleep. 3. Avoid movements causing pain. 4. Start painkiller and muscle relaxant  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing cedar fever and have developed anew symptom for me over the last two weeks which consist of itching my eyes, right on the edge of my eyelids. Now I am feeling something weird in my eye like there is something in it. I wear my contacts a lot as well. I do use eye drops for allergies too. ### REPLY: Hello, Welcome to , Cedar fever is an allergic reaction to the cedar pollen crop flying in the air, as you are allergic to cedar pollen you are having these symptoms. You are having a classical symptom of pollen allergic reaction. For these you need to avoid this allergen. I would suggest you to undergo patch test for the cedar pollen and confirm the allergic reaction to the cedar pollen after confirming the allergic reaction you need to take immunotherapy. You can select either subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT) for your condition. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My 11 Year old son has a hole in his gum, top left corner. Its near his molar the one next to the canine. It does hurt when he touches it with his tongue. My son showed me it and there is thing  inside the hole, I dont know what it is. How serious is this? Is their any cure for it? Please answer my question. ### REPLY: Thanks for your query, I have gone through your query. The whole over the gums could be a pus discharging sinus tract secondary to tooth or gum infection. Consult an oral physician and get yourself examined to rule out the tooth infection like periapical or dentoalveolar abscess and get a radiograph done. If it is infected tooth, then get it restored or removed. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small bump a vein on my chest under the right breast. It only hurts when I stretch or press on it. I can feel the vein under it, it seems larger and not as smooth as usual. I noticed this 5 days ago. Im a 29 yo female, no recent injury or surgery to the area. ### REPLY: HI, Dear,Thanks for the query to .1-I have stewed your query in depth.2-IN my opinion, this small bumpy vein under your rt breast is only the coincidental finding, with a fibroadenomas in the rt lower breast--which matches to the non-smooth bumpy finding noted by you. The vein is the engorged vein superficial to the bump and is due to the hormonal changes in the breast tissue and nothing to worry much on its presence.3-Dear, cause of this lump is cyclical hormonal changes, and you need not worry.4-Still it worries I would advise FNAC at the expert hands of Surgeon in your area.5-Hope this would solve you query to your satisfaction.6-Wellcome for more queries to me On . Thnks once again for your inquisitive query. Good Day.!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The inside of my leg, right above my left knee feels wet but it is not. It s also kind of a cold feeling. I have had brain surgery before but have a clean bill of health aside from arthritis (osteo) fibromyalgia (I use SamE). This has been going on for approximately 2 weeks now ### REPLY: Hi, You are describing a condition known as neuropathy whereby a nerve or nerves seem to be malfunctioning in the left inner thigh and suprapatellar region.  This could be due to some type of entrapment of a nerve twig, or it could be entrapment of a nerve root in the lower back. I would need more information on the brain surgery you had and what position they had you on the surgical table to know whether the brain surgery could be contributing or even the cause of the problem, or it has to do with the positioning your leg had while on the table.  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: Was just diagnosed with epididymitis and prostatitis. I m taking cipro, prescribe by urologist. I am now experiencing difficulty urinating for multiple hours. I passed out from the pain and taking ibuprofen ? How can I get some relief?? I am in pain sitting, walking etc ### REPLY: Hi & Welcome to . I can understand your concern. Continue taking Ciprofloxacin empirically as prescribed by your urologist, if I were your treating doctor I would have recommended culture and sensitivity test for your urine sample and based on the report I would have started the most suitable and effective antibiotics.Besides I would like to advice the following:1.  . 2. Take warm baths (use site baths) to relieve pain.3. Take stool softeners to make bowel movements more comfortable.4. Avoid substances that irritate your bladder, such as alcohol, caffeinated foods and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got my nipples pierced in January, and Ive gotten purple bumps outside the piercing, which if I squeeze, contain a white-ish yellow goop. And often, a bit of blood. If I squeeze it all out, and soak it in a saline solution, the bump goes away, as does the discolouration. What is happening here? ### REPLY: Hi. Thanks for your query. Read and understood your history of nipple piercing. Getting the bumps, pus on popping indicate that there is an infection and foreign body granuloma formation. The treatment is:Get a course of an antibiotic and anti-inflammatory medicines, if successful continue applying medical grade spirit or Liquid provide iodine. . I hope this helps. If not get the ring removed and see the results. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr. Planning to have Right Hip replacement surgery in January and 65 years old and good health at Bone & Joint Clinic of Baton Rouge LA. Would like to know the pro & con, success of surgery. Presently have bone to bone hip contact and taking pain medication. Appreciate your professional advise and would like get a website info showing the hip replacement surgery? Thank you so much and have a great week. Zoltan ### REPLY: Hello, Total hip replacement is needed for hip arthritis. With recent advances in implants and techniques, it has a long life. Pros: -Relief from pain.-Improved gait and mobility which is pain-free.-Correction of limb length discrepancy. -No need to use sticks. Cons:-Risk of infection.-Cannot sit on earth and lifelong need to use chair type toilet.-Risk of dislocation. Overall it is very rewarding surgery and most complications are preventable. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc,I am 28 yr old male undergoing fertility tests and believe I am suffering from ejaculation problem: anejaculation / delayed ejaculation /retrograde ejaculation (not sure which one of these).I performed checks for FSH and testosterone and got results of FSH:2.86 mlU/ml and testosterone: 324.7 ng/dl. Are these normal, what should be my next line of action ? ### REPLY: Higreetings. Your hormones are very much normal. Do you have night emissions.? Are you able to masturbate.? Do you get orgasm and no ejaculation or no orgasm at all? All This has to be found out. If orgasm and no ejaculation without night emissions then your post orgasmic urine has to be checked for sperms to diagnose retrograde ejaculation. If not there then you will need vibrator for collecting sperms. Consult an .  Hope you are convinced. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir, I have kidney failure ( CKD ) with reflux nephropathy as said by my doctor. I already remove my left kidney on 4th sept. and after one and half mont i am going for kidney transplant. I want to know that what is reflux nephropathy and is this connected to my other problem which is from last 10 years i have joint pain in all my joint. i cant sit down earth, cant bow properly, cant run, more back pain and in hip joint. And after transplant all this problem will remove or not? Can i sit, bow, run after transplant? ### REPLY: Dear Ni teen, Normally urine passes from the kidneys to the bladder via ureters. There is a valve like mechanism at the junction of ureter with the bladder, that prevents urine coming in the reverse direction. However, when this mechanism fails the urine refluxes back towards the kidneys and damages it. Joint and bone pains can be there due to renal failure, itself. Usually a person can return to almost all normal activities after transplant, including sitting / running Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2 year old grandson has complained of instant head pain that is very intense and it only last for a minuet.  He has these episodes at least three times a week.  He started having them about six months ago and the doctors can not find anything wrong with him.  Do you have any answers? ### REPLY: I hope the primary tests needed for investigation of such problems e.g. vision test, intraocular pressure in eye, scan of head etc. have been done. If everything is in order and still headaches, Ayurveda has the answer for Whirlpool - the headaches. Many kinds of WHIRLPOOL are mentioned in Ayurveda. If you agree to go for Ayurveda's safe herbals, pl inform little more. Any other symptoms - vomiting, fever or not, hyperactivity, indigestion etc. whatever you notice. Till then pl give him Diaspora Cordelia capsules (Duchy capsules). Capsule may be cut and contents pored into a bowel. Mix little honey and give to the child. Do it twice daily for next two weeks. Else if you are in India, you can get Duchy sat or Gilroy sat powder too which be given approximately 125 mg twice a day. Amritarishta liquid 5 ml + water may also be given twice a day. Generally such SHIRSHOOLAS are vitiation of Pitta humor as per Ayurveda. When we get more info, we'll add more, if needed. Pl keep in mind that these are harmless, safe predations and no interaction with other .  On the other hand modern toxic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 seven year old son came in from the playground with his head leaned over to his shoulder and crying in pain. He said his neck was hurting and he couldn t move it. I gave him some pain medicine and it does not seems to be helping (about an hour ago). He has a small knot under the skin where he said the pain is. The knot is about the size of a pea and is move-able. Do you think this could just be a crick in his neck or do I need to take him to the doctor? ### REPLY: Hi...by what you quote I feel that your kid is having Tortillas - which means exactly what you are describing. There will be a severe muscle spasm and the kid will not be able to move the head to a particular direction. This is a usual occurrence during an abnormal posture while sleeping or during play activities. For pain relief you can give him some Paracetamol or Ibuprofen. 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 pain is severe. Otherwise - If pain is excruciating then he will need some muscle relaxants and these are prescription . 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 sir,i am rl,;ul. I used to masturbate daily but i have stopped the practice of masturbating from last four months. And now i am suffering from night fall,it happens twice every week and due to this i feel weakness in my body. So,sir please me to cure night fall permanently. ### REPLY: Hi RL. What is your age? Masturbation can be done once or twice a week but controlled at that level. If you do that then your night falls should stop. And if age is appropriate then you should settle down with a life partner and that is the best way to stop night falls. If you are not engaged in regular sexual activity or masturbation then your body will automatically decrease the production and night falls will decrease over a period of time. So don't worry. Take care.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband (age 48) was diagnosed in April 2011 with stage 3 Duodenal cancer.  He had a whipple done and had 8 our of 18 lymph nodes infected.  He just finished his last (8) round of oxilplatin and xeloda.  In July his CEa level was 1.7 last week his CEa level was 7.0.  We have scans tomorrow.  The doctor says that the chemo could cause a rise in Cea-I am so nervous.  He seems fine.  He does have hemorroids.  Could that also cause a rise? ### REPLY: Hi, Thanks for writing in. Chemotherapy medicines are .  These are powerful medicines and affect the cancer cells preventing them from multiplying. They act on the cell cycle and affect its growth. They also cause cancer cells to release toxins to the circulation. Side effects of chemotherapy includes predisposition to infections, liver and kidney dysfunction, loss of hair, generalized weakness. Loss of appetite, anemia, increased release of toxins in blood causing rise in CEA is also seen. Please do not worry as if he can tolerate the first 4 cycles of chemotherapy then the rest of treatment will be without many side effects. 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: Small bump between upper and lower jaw, pain on touching, cold. Causes and treatment?Hello. Well, I have been having pain in the area where my upper and lower jaw meet. I believe it is called the retromolar trigone. I can see a small bump that feels soft and hurts when touched. It is also really painful to open or close my mouth or to chew. I have had a cold for the past four days but this bump is just very painful and difficult to manage. Do you have any idea what it might be or how to go about fixing it? ### REPLY: Hello, From the symptoms that you have mentioned, I think your wisdom tooth is on the way of eruption...and if your upper wisdom tooth is erupted already, it may hurt the lower soft tissue covering your lower wisdom tooth.... That has resulted inflammation and subsequent abscess formation.which you feel as a bump.... Keep that area clean after every meal...and take warm saline rinses... Visit Dentist and proper x-ray or OPG is required.and on the basis of that your treatment will be decided...Don't chew any hard, hot, spicy food with that side..... Get well soon... Take care.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am experiencing sharp pains in my baby toe. i have been searching the internet and found that cherries will help eliminate the pain and balance my uric acid. i am taking a blood pressure med that is a durietic. what can i use to help flush out my kidneys. i also drink plenty of water and is an active vegetarian. no beef or pork. ### REPLY: HI, thanks for using  It is possible as you assumed, that your symptoms are related to an increase in uric acid. Increased uric acid levels can result in gout which is an inflammatory arthritis. Because there are other potential causes for joint pain you may want to consider visiting your doctor for a blood uric acid level to confirm that this is the cause of your problems. It is also possible, if the level is increased, that your diuretic medication is playing a part. One of the potential side effects of diuretics is an increase in uric acid levels. Your doctor may want to consider switching to another antihypertensive. Other aspects of treatment involve: using enough vitamin C, decreasing any alcohol use, weight loss if there is any excess weight and the use of pain medications. There are also medications that would decrease the uric acid levels. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a "rash" on my face that starts out like a red cluster of pimples that ooze a clear substance and eventually crust over and flake off. By time it "heals" enough to flake off it starts back up again. I have the spots on the ridge of my nose, by my mouth, and at the left side of the bridge of my nose. There is a "ridge" or "bump" where it affects my nose ridge between my eyebrows towards my left eye under the skin that feels bony. This has been going on for months and months and hydrocortisone cremes do not work, nor do antifungals or polysporin. I often get headaches on my left side that radiate from that spot. I have had numbeness and dull ache down my arms and in my shoulder blades. I have a lump on the base of my neck as well. I have severe endometriosis and undiagnosed fibromyalgia. Any ideas as to what this could be? ### REPLY: Hi, Petechia like rash on trunk is not likely related to herpes progenitors or its treatment, acyclovir. It may be something else. It may be related to blood diseases or other systemic diseases. So, consult the dermatologist for the perfect diagnosis and proper treatment. Also, consult the physician to know any abnormal systemic condition. After thorough examination and investigations, your doctor might come to some conclusion. And accordingly you may be treated. Hope this helps. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor, my wife is having high fever (104.8 ..sometimes) ...it starts with shivering & body pain...it is happening since last three days ..started on sunday .shivering with fever starts after 6-8 hrs gap...her ultrasound report(abdomen,pelvic ) is normal, MP & Widal tests are also negative ...please suggest ..wht all symptoms i should look for .... ? ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern. You have not tested for dengue for your wife. Dengue can also cause same symptoms. I advise you should take the dengue rapid test done under your doctors' guidance. Once we have proper diagnosis we can start treatment accordingly. Till that time I advise you to take paracetamol for fever. Once you take the . Please  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: We took my 2 yr old son swimming today and now he has a fever. He claims his ear hurts but while swimming he went under for a very brief time. While he was scared he was fine and we continued to play all day.Is he at risk for dry drowning/secondary drowning? ### 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. 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: I have taken diflucan and Bactrim all of last week. This second week I have been using monistat 7 day treatment because I got a yeast infection from taking the other medication for a UTI and BACTERIAL VAGINOSIS. Two questions-First I am on my 4th day of the monistat treatment and forgot last night. Should I take it now that I have remembered or should I wait till before bedtime tonight. Second question-Now that it is the second week can I start back having sex or will my nexplanon interfere with me taking the monistat cream? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Longterm treatment with antibiotics can develop candida infection. I also suspect same in you. I advise you should do your urine for culture and sensitivity. If it won't show any bacteria than there is no need to take the further antibacterial antibiotics. This will father increases candida infection. If the culture shows candida infection than only antifungal medication is needed. If you forgot the first pill of antifungal medication than you should take it as soon as you remember it. But please put 4 to 5 hour gap between the two. Avoid sexual exposure until you are fully cured. Otherwise, the cross infection will be maintained between the two partners. This will make the infection difficult to treat. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wore magnetic earrings constantly and noticed after I would take them off, it would be swollen. then i stopped wearing them for about a week and noticed a small almost hard lump in both my ear lobes. its gotten smaller ive noticed but its still there. and i was still deciding if i should actually get my ears pierced at least until the lump gets smaller or softer. how are the lumps caused and can i still get my ears pierced? ### REPLY: Greetings Madam. Feel glad that I am able to help you overcome your discomfort viz., soreness in ear lobes. My opinion after reading your query is that it is infection usually by bacteria of the tissue that surrounds and nourishes the cartilage(A tough, elastic, fibrous tissue) which makes up the outer ear. Common reason are injury to the tissue viz.,ear-piercing, etc., which may sometime leads to deformation of the ear structure (in severe cases). Other possibility could be Ear Keloid(overgrowth of scar tissue that follow skin injuries) & many more possibility. Cant explain more. Best advise not only for your betterment but also to avoid further complication is that fix an appointment with a Family Doctor/General Physician/ENT surgeon/General Surgeon, who examine the ear & decide the treatment depending on severity viz., antibiotics/surgery followed by antibiotics. Sometime plastic surgery may be needed to restore the ear to its normal shape. Well, it all depends on severity. I am telling most possible reason as i haven't seen you personally.Instead, guided you. For future prevention AVOID ear-piercing.note:Finally it's just a guidance. Not a definitive treatment as i haven't seen you personally. You've to realize that these are temporary remedies. We don't know what your exact condition is unless we see you personally. Consult your Doctor if you still feel uncomfortable in spite of knowing above possibility. Hope I guided you right & it helped. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump in my left groin for few months. I had my ultrasound scan done but the result is uncertain as inguinal hernia . I had blood test , urine and physical check up but no sign of hernia. It s hurting me and causing discomfort. It swells when ever I stand for longer hours and exert pressure when lifting. I am a bit anxious about this lump. Please help. Thank you ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have lump in left groin which increases in size on standing and hurts on lifting weight. This is definitely Lt Inguinal Hernia and the lump that you feel is content of the sac either momentum or intestine. Please note that hernia can not be cured with medicine, Surgery is the only treatment option for inguinal hernia. Please consult qualified general surgeon for examination and get operated at earliest. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a twenty year old female and i have been suffering with lower middle pain in my belly for 3 years since i had my first daughter but it is progressing to get worse i have had stis tests and all come back clear i have this pain 2 weeks before i am due on and it gets worse when im on my periods are havey and the pain is makeing day to day jobs hard please could you let me know your oppinion thanks ### REPLY: Hi dear, It may be mittelshmerz (ovulation pain). One fifth females are having this. There are many factors that may cause this condition. At the time of ovulation follicular inflammation may be there causing this or ovarian wall rupture (which is a part of ovulation), or fallopian tube contraction may cause this. If your pain is from these causes you need not take any special treatment, if pain is severe you can have an analgesic from your doctor. This type of pain will worsen at the time of periods only and will subside with in maximum 3 days. If your nature of pain doesn't match with this you may have to do an abdominal ultrasound scan to find out what it is. For mittelshmerz you can have the following medicine,1. Tab malware. 1 tab @ morning only during menstrual period.2. Spy mastering 10ml with 100ml of water two times daily (only non- menstruation days)3.lakshmanarishtam + ashokarishtam (mix with 50% each). 30ml twice daily after food(only non- menstruation days).4. If possible do a light duration with 5 to 10 ml of castor oil one week before periods. This combination can manage the condition of chronic mittelshmerz. (the above are Nazi medicines)With 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 gums have been hurting with referred pain for a few months. I recently have been experiencing severe burning in my gums and ear pain. I have had a virus, but this was present prior. I am on my second day  of a 5 day regimen of Azithromycin, I am allergic to Penicillin. My temp has been around 100 F. What can I do to eleviate the pain. I have taken Sudefed, done nasal rinses, rinsed with Chlorahexadine..?? ### REPLY: Hi With your query, since you have mentioned you have virus I mean viral infection it might be herpetic gingival dermatitis or ulcers. Coming to the medication you are on are for palliative and not to cause any secondary infection. So if you still have temperature don worry it will come down in a week or ten days by which even your burning sensation will come down. Always be well HY . Make you don't have any adverse habits ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, I started to notice that my scrotum is becoming a shade of darker brown and a reddish hue. It also has become way more wrinkly and takes longer to go back to original shape (just less attractive looking overall) . The tip of my penis is also much redder than it use to be, almost like I m forever sun burned. A few years ago I use to go in a tanning bed (like 10 times total) and I was going in naked. Now, I understand that over exposure to heat and UV rays can cause wrinkling and more likely than not be irreversible. Though,I would like to get rid of the wrinkles, or at least alleviate some of it; I really just want to get my normal color back. Is there a cream or a way for me to reverse the sun damage I did? Or at least just bring back my my normal color? My penis tip and scrotum just look inflamed, please can you help me just get a normal color back. ### REPLY: . Get examined by dermatologist first to rule out redness at the tip of penis. It might be due to fungal infection, otherwise it looks to be hyperpigmentation after over exposure to heat. Yes, it is irreversible to some extent. Take proper local care, avoid tight undergarment. You can apply calamine/algebra gel locally regularly. Be watchful locally for any further development. Start steroid containing cream if required under guidance of your dermatologist. Keep in touch with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 2 year old who recently had a viral infection with fever for about 7 days. He is now better with no fever but has swollen gums. He did have a severe sore throat and am wondering if the infection has spread. Do you have any idea what has caused the redness of his gums? ### REPLY: Hi. Welcome to . As per your complaint redness of gums which was preceded with fever and sore throat seems to be most probably due to viral infection leading to the following symptoms. The swelling and inflammation of gums can be more severe or inflamed in case if there is already infection in gums due to deposits over the gums and poor oral hygiene. I would suggest you to give him Ibuprofen to relieve inflammation and soreness of gums. You should use a very soft toothbrush to brush his teeth. You should do cool compresses over the gums and give him soft bland diet. Make him do warm saline gargles. Maintain proper HY . . Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. i am almost 5 months pregnant. i have been moving furniture and other kinda heavy things like boxes while moving into a new house. i also started working. i am a massage therapist outside by the pool and have to lift a massage table or chair throughout the day. I ve noticed a internal bump on the left side of my pubic bone. at first it didn t hurt but today just walking around at work it started hurting a little like a dull pain and got a little worse. I m afraid it might be a hernia and I m not sure what to do and i don t want to make it worse. ### REPLY: Hi, thanks for sharing your recent health concern with us! Well, in a pregnant woman with heavy works and an internal inguinal lump, if I were your consulting doctor, I would advise you to take rest preferably in supine position and avoid strains....because, as per your description, it could well be an inguinal hernia; however, it could also be some lymph node or some benign cyst!Therefore, USG of the region is necessary for confirmation. Hope you got the answer to your question. Please revert to us with follow-up queries. Wishing you and your baby 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 brother ranjan rashmi chand (male) age40yrs height5.7"suffering from diabetes from1994. in2000 doctor operated to remove calculi as diagnosed him apatient of pancreasitice. after this operation he bacome insuline dependent.always he had stomschache.physician always keep him on saline,make his stomach empty and give pain killer.nowadays, he has unbearable abdomen pain and chest pain.he is not able to survive .what treatment is available for him and how?  how much it will cost? ### REPLY: Hi. Thanks for your query for your brother. To recapitulate:He was operated to remove the calculi and got chronic Pancreatitis and Insulin dependent Diabetes. - Now he has unbearable pain and associated symptoms. This is one of the best indications to have total Pancreatectomy. This will relieve him of the pain totally. He will be fine. Anyway he is on Insulin and so need to worry about. Sugar has to be monitored. He can then have a diet at least. Intravenous fluids and everything else will be stopped. He will need a lifelong supplement of pancreatic enzymes too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: right side of cheek is swollen inside, and the outside is warm to the touch sometimes. i have no pain just upper right gums are a little swollen as well. like i said no pain. teeth are a little sensative to cold items. i am 27 years old and a smoker  tho i am trying to quit. ### REPLY: Hello! Thank you for posting here. You did not mention how long you were smoking. Do you have any burning sensation and the color of your inside cheek? So, this can be oral lesion mostly leukoplakia. I strongly suggest you to see an oral surgeon for a clinical examination and a biopsy. Quit tobacco immediately. Have a healthy,stress-free lifestyle. Maintain a good oral hygiene. Gargle warm saline water thrice daily. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to my GP about a month ago now and was told I had a uti. My symptoms were mild at the time however seemed to get worse after being prescribed antibiotics. The pain was more of a discomfort than anything and feels as though the bladder is irritated. I have been to the doctors recently and they have confirmed that the antibiotics have cleared up my uti however I am still slightly concerned as my symptoms dont seem to have completely gone. They come and go, the discomfort is a dull irritated feeling around my urethra as well as an ache to the left side of my vulva. Its quite a hard feeling to explain. I also sometimes experience a burning feeling that covers the whole of my vulva aswel as a burning sensation when I urinate. Also, about 2 weeks ago I experienced shooting pains all over my body, it felt as though all of my muscles were in spasm. Once this had passed I had some hip and lower back pain for a few days but it was nothing severe, just a dull ache. I just thought I should mention this incase it could be connected to my bladder pains in some way. I just want some advice really, are the pains just due to the fact that my bladder is still healing after the uti? ### REPLY: I have gone through your question and appreciate Your concern. U have bladder problems UTI and muscle spasms. I am opinion of that major diagnosis should be excluded Before treating trivial ones like UTI. Do u have pain radiating to your lower limbs or numbness in limbs. I think it is Better to visit orthopedic specialist and urologist To solve your problem. Health should be our priority and should not be neglected. Thanks. U can write me back for any 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: Hello, I am a 62 year old white male. I was checked about a year ago by a neurosurgeon regarding md to lower back pain. Symptoms from that were exacerbated from lifting any type of weight. The pain would go down the back and seemed like it would terminate in my left testicle. The surgeon said he did see some changes but n the spine, but nothing requiring surgery at this time. My symptoms now seem to radiate from my back towards my stomach on my left side. I recently was placed on a high cholesterol med. other wise only other thing I am taking is a baby aspirin, a daily multivitamin, and cinnamon. ### REPLY: Hi, In my opinion the pain to your testicles was only a radiating referred pain of renal pathology which happens commonly with a renal stone or a gravel in a ureter I don't think the medicines you use are the reason for your pain I think you may need some lab investigations like SUA, ASCOT, urinalysis, U/S abdomen and pelvis to exclude any underling renal pathology.  For now, I recommend for my patients hot foments with physiotherapy and massages with topical gels, painkillers like NSAIDs, muscle relaxants will be effective otherwise you may ask your neurosurgeon for further evaluation on your vertebral column. Please consider some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir,my name is yogesh raghav and iam undergoing a Severe mental trauma.sir actually from the last 6 years iam feeling like that something has been blocked or choked in my brain and i use to sweat & feels a tremendous pressure while talking.(Iam a stammere too).so may i know that is there any cause related with neurons?? ### REPLY: Dear Mr. Yogesh Raghav, I went through your query and can understand your concern. The symptoms of feeling tensed, stammering, sweating and feeling blocked whenever you talk are highly suggestive of underlying anxiety. If is happens only while talking to others, it might be social anxiety disorder. Anxiety disorders are brain dysfunctions in which there is an imbalance of neurotransmitters. You should consult a psychiatrist for complete evaluation and for initiating treatment. Medications like paroxetine would be effective for your condition. In addition, doing exercise daily will help you relax and feel better. I hope I was able to answer your query. 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: Hello Doctor, I took nicip twice in last two weeks for ankle sprain and neck pain that lead to headache. But i have missed my periods for a month and half almost. Now i am really worried about the effect of nimesulide if at all i am pregnant. I am to get urine pregnancy test in 2 days. I am worried. Can anything be done about this? ### REPLY: Hi I understand your concern. As per your history it appears that you have gone through lot of stress in last 2 weeks. This stress can be the cause of delayed periods you are having .as such mudslide does not cause amenorrhea.so donor sorry about this. Doing urine pregnancy test is always good to confirm, but kindly do it after one week to 10 days after you missed your periods. As such mudslide is not given in pregnancy, but donor take any tension even if you get pregnant in this cycle to this is not going to harm you. I hope I am able to solve your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive undergone retrocaval ureter sugery an year back. Now as renal pain was persisting, i got IVP done & doc says theres hydronephrosis & i need to undergo Cystoscopy. Would u please tell me what is the severity of my case? Is it really necessary to undergo surgery? ### REPLY: HelloThanks for query. You have undergone surgery for Retrieval Ureter one year back but still has pain in loin on affected side. This could be mostly due to HY . You need to do further test like DTPA scan to assess the kidney function. Doing a redo surgery to explore the site of anastomosis to excise the structured segment and repair the anastomosis will help to save your kidney and give relief from pain. Do not worry this is known complication of this surgery which gets resolved with surgical 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: My brother has been diagnosed with cancer.  There is a lymph node in his neck that has tested positive for cancer.  However, his doctor believes the originating site may be in his tonsils.  He is scheduled to have his tonsils removed immediately, then undergo chemo and radiation, then removal of the lymph node.  What does this all mean? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  He has tonsil cancer with lymph node metastasis.  He should go for tonsillectomy followed by chemotherapy and radiotherapy according to need.  It depends on stage and type of cancer. But surgery is the first step.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Cory. For the last 2 weeks Ive had alot of pain in my abdomen. I dont have an appetite and ive lost 30 pounds.  Ive been to the er 4x and our family doctor 3x. All the tests have come back negative. Today ive had terrible pressure and feel bloated in my stomach. When I went to the bathroom my stool was dark dark brown and the toilet paper had small black spots on it. I was wondering what you may think it is cause nobody else is fixing my problem. Thank you ### REPLY: Hi. Thanks for your query and an elucidated history. The presence of dark brown stools, black spots on paper, bloating and pain in abdomen is suggestive of an infection of the intestinal tract. I would advise you to get a course of an antibiotic, probiotic, activated charcoal, and you may be fine. If no positive effects take a second opinion of a Gastroenterologist so that relevant tests and diagnosis and treatment can be done. If all the reports are negative / normal I would consider the diagnosis of IBS meaning Irritable Bowel Syn .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a bad cough for 3 Months. The first three weeks were very traumatic and I saw a doctor and was given antibiotics which didn t help. I waited 3 weeks and saw another doctor who said my sinuses were inflamed and gave me a nasal spray and also an inhaler for my chest to stop the coughing. No help. I keep having mucus running down my throat and cough mostly in the morning. Two days ago a large red blotch developed on the bridge of my nose. Crazy. Why? ### REPLY: Hi. I can understand your concern.  Chronic cough is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Also try steam inhalation and saline nasal douches.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END