Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir, My son has cough and cold. If cough gets increase in the night he is not able to breath properly and comes wheezing. Hence doctor prescribed us Asthalin (5ml twice in a day) and Cetirizine syrup. (2.5ml only in night). Shall I continue that whenever he feels cold & cough? I am afraid of side effects for regular use of both the medicines. Please advise me.. ### REPLY: Thanks for your question on . I can understand your concern. Recurrent cough, cold, wheezing etc. need thorough evaluation to rule out asthma. All these symptoms suggest allergic component and asthma can cause similar symptoms. So better to rule out asthma in his case. Regular treatment with inhaled bronchodilators and inhaled corticosteroid is the treatment of choice for asthma. Stalin is short-acting beta 2 agonists (SAGA). Its action lasts for only 1-2 hours. So repeated dosing is required. And hence side effects like palpitations, tremors etc. are more. Newer long acting beta 2 agonists (LAB) are safe for long term use. So discuss all these with your doctor and start appropriate treatment. Hope I have solved your query. Wishing good health to your son. 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: Last night my hand starting hurting extremely bad. I couldnt open it or close it. I had no grip. It hurt in the fingers, palm, and wrist. It was slightly swollen but not much. This morning it was better but still stiff and sore but I can use it. It hurts in the wrist all the way yup about 4 inches from the palm. Can you tell me what it could be. ### REPLY: Hello there is possibility of carpal tunnel syn . You may need MRI and NCV study. Use of machine can reduce your pain and swelling, you can ask your physio for wax bath therapy Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What does it mean when your temples pulsate? I ve had this for a few weeks, went to a clinic, where she pronounced it sinusitis. As advised, I took Sudafed, and she said if it didn t get better in a couple of days, take Amoxicylin, which I ve taken now for almost the full 10 days prescribed. I do grind my teeth....I have elevated blood pressure, but it is controlled with Azor. Suggestions? Thank you. ### REPLY: Thank you for asking . My name is . Dear I would like to know the status of fever. Kindly get your baseline blood investigations especially ESR to rule out temporal arthritis.if you are experiencing frontal headache early morning then it might be sinusitis, but pulsation rarely takes place in sinusitis. Then get proper visit to neurologist for further checkup. You can take painkillers thrice a day. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Mary. My mother who is 49 years old, has been feeling a scratchy throat and then feels some trouble breathing like her chest is pushing weight on her and then she feels a bit claustrophobic and her heart starts beating faster. Shes never been diagnosed with any problems and i dont know what could be triggering it or how i can help. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of heart or lung related diseases is more in your mothers case. So consult doctor and get done 1. ECG, 2d echo and stress test to rule out heart diseases like heart failure or coronary artery disease (CAD). 2.  Clinical examination of respiratory system and PFT (pulmonary function test) for the diagnosis of bronchitis. She may need cardiac supportive .  Don't worry, she will be alright. First diagnose her and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor.I am feeling pain in my chest and back and also left hand and shoulder. I have checked with a local doctor who examined and removed an ECG. the ecg report and blood pressure was normal. Doctor said its bcoz of acidity and gave me a medicine. I am thirty years old. Can you please advise what is causing the pain??? Is it something to do with my lungs??? ### REPLY: Hi. The pain in your chest back and arm area could be originating from your neck. If upper neck bones are not free to move enough then there will be associated tightness in the muscles connecting neck and shoulder...which might be referred to chest and back if untreated... It is not necessary that you should have pain in your neck as well, you might have stiffness sometimes... If I were your treating doctor... I would like to examine your neck for intervertebral mobility and find out the facet joint or nerve getting irritated..... Mobilise your neck muscles and improve intervertebral mobility... I would recommend you to Keep icing your neck shoulder area especially around side of the neck... shoulder frequently... Gently knead the area to make out painful area over neck and shoulder and concentrate on kneading those areas... Keep your neck supported while sleeping... Maintain posture while working... especially if you happen to do desk job.not to bend too much time take frequent breaks. Ergonomic adjustments to be made to workstation to avoid prolonged neck bending... Gently stretch the neck and shoulder... to receive spasm and regain length of the muscles... If you have an Anti-inflammatory medication prescribed to you earlier than have them for 3 days... Take rest. Avoid lying on the affected side.... shoulder... Once pain reduced you can start with neck isometric exercises...ABD shoulder strengthening.... Hope this is helpful for you... Kindly revert in case you need any further assistance.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in need of a gallbladder removal, but the dates I have been given were all after im having a full hysterectomy and a resection of the bowel.  Is it unsafe to do a laparascopic gallbladder procedure and then to have the other, longer procedures immediately afterwards on the same day? ### REPLY: Hello and thank you for asking . I have read your reports and I understand your concerns. For my opinion, there is no problem doing all the 3 procedures at the same moment. Depending on from the reason why you are doing the hysterectomy and resection of the bowel, doctors will decide with which organ to start first. Laparoscopic gallbladder removal takes around 30 min to 45 minutes, depending from the skills of the surgeon, and if there is any inflammation of the walls of the gallbladder, or around it(probably you have stones in your gallbladder since you need to remove it).Then the surgeon might continue with the removal of uterus, and the resection of the bowel, or vice versa. So from the technical point, there are no problems to do all 3 surgeries at the same moment. Medically, i can't be sure since i don't have your medical reports, and I am not your personal surgeon. But you need to consult your surgeon that will do the bowel resection and ask him to do the gallbladder removal. If you have any other question, feel free to ask me. Wish you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father was diagnosed with hurthle cell carcinoma last march with a 5 cm tumor on his thyroid. Which he had removed. He is 77 years old. He is still feeling really bad and he had radiation several months ago. What are his chances of beating this cancer? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has hurtful cell cancer, and he has gone through surgery and radiotherapy.  If tumor is completely removed then chances of survival is high.  But he should go for regular follow up to detect early recurrence of tumor.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Iam 29 years old IQ = 130 Weight = 140 Kg Height = 177 cm I am on a healthy diet for almost a year, I exercise 3 times, and jog 2 times per week I love studying and i love my job, but my productivity is ZERO, I cant concentrate at all, iam distracted 100%, I cannot study, cannot work, but i have no problem concentrating when watching movies for as long as i can watch, i did a test to watch 7 movies a day and i concentrated very well for the whole 7 movies, i concentrate in games, conversation, everything but work and study. I am very depressed, very lonely, very desperate, lost my job, cant complete my masters degree, i became a failure, i need help please, i am the most screwed man on earth, so many failed relationships, very alone, very needy and now with no future because i cant concentrate in anything ### REPLY: HelloWelcome to  ! I have gone through your query and understand your concern towards your depressive symptoms. But nothing to worry, depression can easily be treated with antidepressants like ESCITALOPRAM 10 mg in the morning and CLONAZEPAM 0.25MG in the night. Avoid stress and perform moderate exercise. Maintain good compliance and get back to me after 2 weeks. You can perform moderate exercise to activate your brain. Hope this information would help you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 8 months post-pardum and was on lovenox while pregnant for heterozygous factor v. I also had a c-section. Just found out I have the pylori bacteria and have been taking the prevpac for a week. I just started having some pain in the Lower left side of my back near the waist . Is this related to my meds? Could it be a liver or bladder issue or something? I ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern and the given history is not suggestive of any gall bladder or liver problem you are on right kind of treatment so the problem for that you are taking the medicine are not related with your pain of lower left side of back this could be nonspecific type of pain and this could be possibly happened due to the poor posture, and no need to worry about this, take care and have a nice 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: My healthy (I thought) 25 year old son just suddenly died. It appears he had an enlarged heart and something with one of the blood supplying arteries? but also that part of his heart was discolored. I am desperate to know why they did not open his chest to try and get his heart beating? ### REPLY: Hi Welcome to  Sir the cause of sudden death with defect in blood supplying arteries and discoloration means that your child died due to heart attack. Discoloration is seen in heart with infected area. It is not feasible to open chest and made it to beat. Only chest compression or intravenous .  If you have any further query then you can come back to . I will definitely help you and guide you appropriately. With Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, My baby is 10 months old. For past 2days severe vomiting, loose stools with foul smell and slight temperature. Doc has advised me to give the following medicine.kindly advice I am giving right dosage. Still the baby is suffering from above said problems. Taxim o 1 tablet 3 times daily, loparet 1/2 tablet 3 times daily, econorm 1 sachet 3 times daily.for loose stools. Emeset 3.5ml 3 times daily for vomiting. P 125 5ml for fever. She weighs 10kg. And she eats only solid food. Arrow root water is given in between. Milk simyl mct. Pleawe advise ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your baby have symptoms of severe vomiting, diarrhea and fever which is due to deny .  It could be due to disturbed metabolism of body leading to electrolyte imbalance. Need not worry. I would suggest you to take acetaminophen and anti-emetic medication. Take diet rich in multivitamins and avoid any oily sharp and fast food. Avoid intake of any outside food. Visit pediatrician once and get it examined. You should get blood tests done to find out underlying cause of condition and start treatment accordingly. Your symptoms will resolve in 3-5 days. You should take proper rest. You should take plenty of fluids to ready ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 don t know if I have A QUESTION EXACTLY. i JUST KNOW i WANT TO BE IN BETTER HEALTH. i HAVE FOUR ARTHRITIS AND FIBROMYALGIA WHICH HAS SERIOUS ADEMA FACTORS, SO i SELDOM KNOW HOW MUCH i REALLY WEIGH. mY CARDIOVASCULAR IS GOOD, LUNGS CLEAR ETC. BUT SPINAL STENOSIS ROBS ME OF EXERCISE AND MT WEIGHT ASCERBATES THE STENOSIS AND SPONDYLITIS. i JUST WANT HELP TO GET THE WEIGHT OFF. i AM A YOUNG 81 WITH ALL MY MENTAL FACULITIES, THANK HEAVENS FOR MY BODY HAS GONE SOUTH AND IT ISN T ALL DUE TO AGE. hOPE TO HAVE MY PAIN UNDER CONTROL SOON WHICH WILL DO WONDERS. iT IS NEVER TOO LATE TO BE BETTER. I like your face. ### REPLY: I suggest you to do static cycling, active exercises (whole body), walking, do back exercises like back isometrics, knee to chest, pelvis lifting, cat and camel exercises to maintain normal spinal curvature. Do some lower limb stretching exercises specially hamstring stretch and calf stretching, do emphasis on diet also. .  Have vitamin b12 supplements (as it b 12 is considered as nerve tonic), and good calcium intake ensures good bone health proteins and will help in muscle development. Exercises with balanced diet, which I believe will help you. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 26 year old female and i have a throbbing pain in my upper abdomen..i went to the er today and they said i have bronchitis but i know theyre wrong...sometimes it comes every minute and sometimes it comes every hour...i have no appetite whatsoever but my stomach is swollen and i constantly feel full ### REPLY: Hi. You may be right. But in occasional cases there can be a referred pain from the lower lung / pleura. You have to undergo X-ray chest and X-ray of the abdomen in the standing position and ultrasonography to determine the cause. Get another opinion of another Doctor to get a clinical diagnosis. And a prescription for the treatment. This can be due to gall stone disease or intestinal obstruction as the pain you are suffering from is of the nature of spams. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: About 4 hours ago I went to my doctor and got my 5th or 6th depo shot and as of now I am feeling alot of flu symptom s (drained, no energy, headache, aches, my body feels warm and very weak and exhausted) is this normal? , are these side affects of the depo Provera? ### REPLY: Hallow Dear, Depo Proverb is long acting slow release Progesterone preparation. It should not give any symptoms like headache, aches, malaise or weakness, particularly 4 hours after the injection. It seems that you are having flu or such viral infection. You need to take some antipyretic painkiller like Paracetamol. Steam inhalations will give you some symptomatic relief. It is advisable to take hot .  Ginger powder mixed with Jagger in hot milk is good in such symptoms. Hope this helps 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, so Im a 18 year old femal, and  I have had right lower front abdominal pain and right lower back abdominal pain for the past week, and it gets worse when I eat. Today there was a small isolated pink burning rash where it hurts in the front and another hypersensitive burning sensational rash where it hurts on my back. Do you have any idea what this could be? ### REPLY: HI, thanks for using  Pain in the skin in the presence of a painful rash is most commonly herpes zoster (shingles). This occurs in persons with a previous history of chicken pox though it usually occurs in older persons. It is treated mainly with pain medication, anti-viral medication. You can consider visiting your doctor to determine if this is the cause of your discomfort. 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: Hello doctor, this is Edwin, 36 years, 5" 4", 71 Kgs, from India. On 30.08.2011, I have been diagnosed with borderline HBs Ag Positive when I had to undergo some tests for Laparoscopic Cholecystectomy. Is there any cause for alarm? What are the remedies? I never did drugs nor had blood tranfusion in my life. Please help. ### REPLY: Hi Edwin, How are you? My name is .  Thanks for writing to  and I hope to answer your question today.  I am so sorry that you have to undergo this anguish of a borderline Bag result. I understand form your history that the test was done 3 years ago. Was any repeat testing done? Were you advised vaccination against hepatitis B? And were you advised any other blood tests? If not then I think the time has come for you to get re-tested. I would start with the Bag test itself and if that is negative, that would be the end of it. But if again it turns out to be positive or borderline, then I would advise you to further get tested for Bag, Anti HBC AG antibody, and Head. These tests will help put your mind to rest. The most definitive test would be to get a hepatitis B viral DNA level checked, but I would not do it unless I have done all the other tests. Hope this helps you and hope you get to feel better. Please do not hesitate to write back for clarifications. Have a great 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: Hi, may I answer your health queries right now ? Please type your query here...i am 6 weeks pregnant and 1 week ago was told i was expecting triplets and just miscarried my ChatDoctor levels were 3500 and could see fetal sac but no yolk sac or fetus today they dropped to 3105 2 sacs are still there with no fetus. Are there any chances it is not a blightend ovum and could have 2 or 1 healthy fetus and rising ChatDoctor levels ### REPLY: HI, I understand your concern.  is a pregnancy hormone essential for fetal development. So  levels are indicators of pregnancy status.  You had triplets.  In some cases one or two of the triplets can get aborted & one may remain intact.  * IN early pregnancy up to six weeks fetus has just a yolk sac . And at 6.5 to 7 weeks fetal pole appears in the USG I feel you should follow both  testing & USG scanning for one more week . To confirm the pregnancy status.  So, cheer up. Hope for the best. Take rest, nourishing diet & medications advised .& wait for a while before coming to conclusion. Be in touch with your gynecologist & believe his conclusion & advise.  If not this time, you may get in near future. Be positive.  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 x became increasing abuasive to me it started verbal then ended up with him going to jill but, the effects 4 and half years have on me is painful. he would call me all the nastiest names when he could not get his way, felt and acted as if I owed him the world and I was my own reason for him abusing me. would go from I love you to F2=9 you B*%*% if the slightest thing ANGERED HIM. I felt like nothing I did made him happy, if he didn t get the exact name brand or style for a gift , he act like its okay then flip out accusing me of not knowing of loving him or else I would buy the right things like he does (which isn t always the truth.. I just never say anything) what could I have done to make it work? he kept yelling after court while I was crying because I never wanted to see him in that position that I put him in jail when he indeed ran out the house and started punching me in the head before I could get out the car and in my house ### REPLY: Degree understand your concerns went through your details. From the given symptoms, it seems that your ex is troubled with some behavioral disorder or personality disorder. Proper assessment and diagnosis is required for treatment and cure. Please consult a psychiatrist. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has been taking vyvanse for 3 yrs to treat ADHD . (30 mg per day) She is experiencing major depression , aggression and anger issues, anxiety, major back and hip problem. From the research I ve done, it looks like these symptoms are likely vyvanse related. What is the best and safest way to wean a teenager off of vyvanse? ### REPLY: Hello and welcome to . Thanks for your query. It is not advisable to make treatment decisions without a proper evaluation and advise of a doctor. Though Vyvanse has been known to cause psychological side effects, you can never be sure if her depression and anxiety are co-existing or underlying her other ADHD symptoms. Moreover, stopping Vyvanse can lead to an increase of her ADHD symptoms and this issue needs to né tackled. So, I would advise you to arrange for a consultation with a psychiatrist for a detailed evaluation and planning further treatment options. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I(25yrs) had sex with my boyfriend in the morning of 19May( my last period got over on 14th May) at 8:00am, condom got ruptured and he discharged his seimen inside fully...i took i-pill at 11:00 am( i.e. after 3hrs)...i felt some watery solution coming from my vagina in the morning of 20th May. What are the chances of pregnancy? What precautions should i take now further? If pregnancy occurs...how to avoid it? ### REPLY: Hello dairy understand your concerned not worthier is very less chance of the pregnancy because1. You did sex 5 days after period, and it is safe period of the cycle.2. You tool I pill with in 3 hours. It is highly effective in preventing the pregnancy. (95-97% success rate to prevent the pregnancy)So chance of the pregnancy is 0-5%. Watery solution could be due to side effect of the pill as it contain high progesterone. Your next period could be delayed by 1-2 week or earlier, with excessive bleedingMaintain proper pelvic hygiene. Wash vagina with warm salted water 2-3 times a day and then apply apple cedar vinegarAvoid stress, take healthy diet, . If your period will delay by more than 14 days then go for urine pregnancy test and or blood  to confirm the pregnancy due to failure of I Willie you will be pregnant then still you can terminate intrauterine pregnancy by abortion pill under the advice of the gynecologist. But I think you would not require all these as period will come before 14 days. Hope this may help noncontact further if follow up needed Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have lower back pains and mild to moderate pain from the right side of my abdomen around to the lower back.Also at times I have abnormal urinating. (Sometimes every 2 hrs and sometimes it take a while to get started when I feel like I have to. Im a Black male 61 yrs old and weigh approx 206 lbs.A week ago, I underwent CT scan and the only results found were a cyst on the left kidney. ### REPLY: Hi, Welcome to  forum.  As you describe it appears to be the urinary tract infection, or a stone in the ureter, may be in the lower end.  There may a cyst on the kidney. It may not have any relation with the symptoms. And the nephrologist deals with the issue.  For these symptoms you can consult a urologist for diagnosis and treatment.  I usually prescribe to my patient with such symptoms lifetime, dicyclomine HY .  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,  I have been noticing palpitations in my chest with a sudden light headed feeling and sharp pain in my head when this happens. I almost fell over last night when this happened.  Should I be concerned? I was last checked for heart palpitations in 2006.  Had a stress test and EKG which all turned out normal. I am hypothyroid and on armour...just put on it five weeks ago.  No other meds or health conditions that i am aware. ### REPLY: Hi AS you are hypothyroid you must be on thyroxine, go get you thyroid profile measured asap, as higher THS can also cause severe palpitations. Presyncope is a state of lightheadedness, muscular weakness, blurred vision, and feeling faint (as opposed to a syncope, which is actually fainting). Presyncope is most often cardiovascular in etiology.  Fot this 2d echo of the heart and a carotid Doppler is advice to rule out the left ventricle functions. Plpitations-Palpitations are feelings or sensations that your heart is pounding or racing. They can be felt in your chest, throat, or neck. You may: Have an unpleasant awareness of your own heartbeat.  Palpitations can be because of life-threatening arrhythmias also hence a 24 hour holder monitoring should be done to find out the nature of the beats 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: Sir, When i went to donate blood to my sister on 20-12-2006,Blood screening found that the HBSAg is Positive in it.After that i consulted doctor for monitoring and general check up and the complete tests were done. The HBsAg is positive and the HBeAg was negative as on 27 -12-2008. Since then the doctor advised me to get checked every 6 months. I fear about this illness. Also  now i want to  go to  us due to  work ...any problem coming about this ..plz answer me ### REPLY: Hi, HBsAg can not be completely eradicated in a patient suffering from Herb. However, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised if AST and ALT are > URN and HBV DNA count on PCR is very high. Liver enzymes and Bag status and HBV DNA PCR maybe done regularly every 6 to 12 months, even if HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while Herb markers may be checked every 6 to 12 months. Hope to answer your concern. Let me know if I can assist you further. Wish you good and sound 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 grandfather has a large growth on his scrotum. his health has deteriorated quite rapidly over the last few months. he has problems with his waterworks and  there is blood present in his urine. He has also lost his appetite and has lost quite alot of weight. ### REPLY: Hello, As per my knowledge causes for scrotal mass are:1) HY .  Do not be panic, we have to confirm that. I will suggest you to do ultrasound scrotum and consult with surgeon. Through treatment part of view, treatment changes as per the diagnosis. So, you consult with surgeon or review back here with detailed history and reports. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 20 years old my weight is 44 kgs my height is 5.2" but it is not increasing from 1 year. i am having 1 problem if ia eat heat items like chicken fish meat egg oats bournvita boost i am getting semen leakage in the night if i wat daily any of these items i am getting leakage daily what should i do is there any pill for the problem ### REPLY: Hi, thank you for quarry, As you mentioned your condition It's actually not a semen when erection occur its secretion which is normal in every person though variations are there some secrets less some more.no need to worry about this and no any food cause semen or secretion leakage its just stigma. Good nation, multivitamins helps to improve the situation. Night falls are different thing when the vesicles fill with semen its natural phenomena which occur some time psychological effect also there, just reduce the sexual thoughts, avoid excessive sex or masturbating. Hope the answer will help you. Feel free to ask anything regarding your health prob. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife is having problems since last week and she has been in the hospital she gets a really bad headache then she looses reality and does not know who I am or where she is she rocks back and forth and is mad. she has depression and seizures the doctors says its  anxiety but this is happening everyday seems like no one will help I cant leave her alone ### REPLY: Hi, welcome to  forum.  It appears that she is having hysteria, a functional problem due to some problem in the life, may be the headache, or a tension in the life.  I advise you to show her to a psychologist for diagnosis. The patients with such problem may .  She may need medicines, counseling, and if the doctor feels, may require the shock treatment.  Ask her to take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have blood, general health and resistance against infections.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ConfusionLately ive bin suffering from terrible mood swings,memory loss,confusion,lack of concentration.I hav checked my diet to see if im eating anything different but nothing i can put my finger on.Ive started taking vitamin D an cod liver oil along with a multi vitamin,has that got anything to do with d way im feeling ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. First you should ask yourself why you started vitamin D, cod liver oil along with a multi vitamin. Was these prescribed by a doctor? If yes, you should consult your doctor appraising him of the symptoms. If NO, that is the reason for your confusion. You are worrying too much about your health. Morbid anxiety about health and serious diseases is called Hyperion .  You shall need psychotherapy treatment for it. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. Relaxation and meditation plays an important role in controlling OCD. Plenty of water, oxygen and exercise most important. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,my 5 years old son has a swollen lymph node on his neck and another one -2cm in size- found on the size of his chest with an x-ray last week. now he is going for an abdominal ultrasound to find out if there is any other in the areas. he has diagnosed to have a dust mite allergy over a year ago and since then he is on Avamys. it seems to help but he still gets runny nose time to time and takes his fingers to his nostrils quiet often. lately we even noticed he made his nose bleeding. Naturally, I want to hear that his nodes are related to his allergy hence rhinitis. Any ideas? Thank you in advance ### REPLY: Common causes of cervical lymph node enlargement in a child are infections in pharynx, tonsils etc.However, other serious conditions like lymphoma, tuberculosis, acidosis etc. also cause significant lymph node enlargement. As your child is known case of allergic rhinitis, probably enlargement is due to infection. Your doctor may advise investigations like USG, lymph node aspiration cytology, blood investigations to ascertain exact cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with high blood pressure last Oct. when I was extremely dizzy to the point of not being able to stand up, vomiting and nausea. Since then and once on medicine, I had side effect of dizziness that lasted 5 weeks. Two weeks I was okay after the 5 weeks of side effect and since November 2014, I am dizzy 24 hours a day with a different type of dizziness (more severe than the side effect dizziness) that I was unable to walk straight, etc. for 4 months...now it is milder but dizzy all the time for the exception of sitting. I have been tested and it is not vertigo or any vestibular disorder. YYYY@YYYY ### REPLY: As you were diagnosed as hypertensive and all your vestibular battery tests are normal as said by Yugo for a MRI brain this dizziness can be because of some migratory thrombus which may have occluded any minor vessel in brain...though a feeling of associated nausea and vomiting are again pointing more toward any peripheral disorder (like labyrinthine or possible deniers disease right now I would suggest you to go form brain carotid artery Doppler(look for occlusion of main artery to brain)pure tone audiometryserum vitamin B12 Levels ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 want to ask you doctor awoman has 50 years old and she had ahyperatrophy of the endometrium a pathological examination was done after surgical removal of the endompetrium and the endometrium was completely benign and ther was no atypia by the way i am adentist and iread that women after the age of 50 the have hyperatrophy of the endometrium because of estrogen secreted from the adrenal gland and some other sites of the body 2 weeks after surgery the thickness of the endometrium is 12 cm (thick) i think should this woman be given progestrone hormone to prevent the hyperatrophy she was given tamoxifen drug for breast cancer treatment for 6 years but ithink that there is no relathionship between tamoxifen and hyperatrophy because she did not use tamoxifen since 1 year after the curetage surgery why there is ahyoeratrophy (12 cm) what is your opinion by the way i am adentist and ihave some informations about gynecology and woman hormones ### REPLY: Hi, Endometrial hyperplasia and hypertrophy is somewhat different anyway the exact histopathological diagnosis is preferable. Estrogen plays a role in endometrial hyperplasia. Breast cancer patient should have an annual gynecological check up to rule out the same. The clinical trials like ATC, ATLAS has reported about it. But chance of malignancy is less. So you should better follow the normal breast cancer follow-up protocol. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: will constant stress and anciety cause increase in serum creatinne level which is 1.5 mg i have a sligtly smaller kidney in ultra sound rt 8.2x3.4x4.1 lt 9.4 x4.2 x4.8 with well maintained cmd ratio simultanous creatine value is 1mg but after knowing this ultrasound result after 1yr my creatineresults stand between 1.2 to 1.5 mg done ion 6months interval iam on almost renal diet  i take plenty of fruits and vegetable daily  urine analysiis is within normal limits take 2 lit of water noew i develop back pain lumbosacral area aggrvate on movement isotope gfr was suggested 10yrs back which showed gfr of 60ml split 29 rt and 31 lt with sligtly elevated background activity now i am doing well except for stress of getting  into esrd my bp is 115/80 what investigation i shoud do to confirm i have kidney disease or not please help me iam 40 yrs old ### REPLY: Hello and welcome to . As a Urologist, I assure you, that stress can't increase creatinine levels. Your creatinine values reported are normal. Then why such anxiety. Repeat the creatinine with ultrasound scan at 6 months from last test. Your blood pressure is perfectly normal. Check your urine for micro-albuminuria test also, especially if you're diabetic. Has anybody in your family got kidney disease of any kind. If you've any doubt, you may contact me with a direct question. . Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a hard fall after slipping on ice 11 days ago. Very sore wrists still and sore back just around lower rib area. Waited all day and had a bone scan today. Technician said what did you do to your back - he thought it looked serious. Radiologist did not review the scan today. I waited in emergency until 7 at night to have to attending doctor tell me to go home, see my family doctor In a couple of days for results. The back is uncomfortable at night - it can be sore enough to take Pain med to sleep and feels like something is loose - I can tell exactly where the injured disc is. Should I insist on an X-ray to see sooner what the damage may be? If the spine has not been effected this past 10 days should I just wait to see my doctor with the bone scan results in a couple of days? ### REPLY: Hi. I suggest you to kindly get an x-ray done to rule out rib fractures...if you rule out this then you can wait for your physician appointment... In the meantime I recommend you to kindly do. Lot of icing over painful area.if you have abdominal binder can support the injured area. Avoid lying on the injured side... Take rest as much as you can...you can also get back to us with your reports... Hope this is helpful for you...Revert in case you need any further assistance in this regard... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 turned my back for a second and my 16 month old got the safety latch off the cabinet and grabbed the bottle of lysol liquid disinfectant. The lid was secure but the lid was damp. as if it had been in her mouth. I checked she doesnt smell like the cleaner. But it nearly scared me to death ### REPLY: Hello. I just read through your question. This is a very common occurrence. In this case, however, there is little to be concerned about. It is unlikely that any of the Lysol actually got into her mouth. Additionally, even if a little did, the amount is so small as to be non-toxic. Had there been a toxic amount ingested, you would have seen the effect almost immediately. So you can relax and 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: Hello I ve had a cold/sinus infection for a few days ive been taking dayquil but tonight I took musinex dm. Ever since then my voice is so raspy! Its annoying me beyond belief. Im only 17 and they cut my health insurance for some unknown reason. So I cant really go to the dr. But I just wanted to know if there were anyways to help treat my voice? Its nerve racking. Im coughing up a lot of mucus too. But its all clear. I just wanted to see what you may recommend? Thank you for your time! ### REPLY: Welcome to . I went through the history you have provided here. It seems from the history that you are having raspy voice following a sinus infection. This indicates acute laryngitis secondary to sinus infection. This can be treated by antibiotics and anti-inflammatory .  Salt water gargling and voice rest will provide symptomatic relief and the condition will improve in 4-7 days and voice will become normal. Hope this is helpful to you. Wishing you a good health and speedy recovery. Thank you for writing to us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cough which isnt getting worse or better - have had for the past 4 weeks.  Little if no phlem .. it is a similar feeling to having breathed in dust & not being able to clear it away - specifically one side my left - no problems sleeping just when I get up until i go to bed ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have cough with phlegm which is due to upper respiratory tract infection/ lung infection. Need not worry. I would suggest you to take antibiotics such as Levofloxacin along with cough expectorants. You should take bucolic agent as well. You should consult a Pulmonologist and get evaluated and go for blood tests, throat swab culture and chest x-ray to find out exact diagnosis and start treatment. Furthermore, you should do warm saline gargles and avoid spicy and chilled foods. Furthermore, you should use mist humidifiers in room. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a sore in ma private area.. dis s d 1st tym!!ive been havin itchin sensation.. but now ts al fine.. havent consulted a doctor yet.. i live n gundy.. can u suggest some 1 near by.. and s my condition a serious one?? its almost a month since i have this problem!! ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have itchy sores in genitals which is either due to fungal infection, and it could be due to change in flora. Need not worry as it is easily treatable. I would suggest you to take a course of an antibiotic and antifungal medication. You should take Metronidazole. Apply antifungal ointment containing clotrimazole i it. Maintain hygiene of genitalia. Maintain .  Visit urologist/ gynecologist once and get it examined if symptoms keep on persisting and start treatment after proper examination. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have a slightly red rash on my legs from my thighs to my ankles on the back and front of the legs. It is tender to touch and warm/hot feeling when you touch it. It doesn t itch at the moment though but is slightly bumpy/raised. Could this be because of smoking ice over the weekend? It happened last time I took drugs aswell so i thought there may have been a connection. Should I be worried about this? ### REPLY: Hi I think it is allergic vasclittis.it is caused by . Food allergy etc.it presents as bumps all over the lower legs which are hot to touch and non-itchy. Rule out other associated features like abdominal pain.vomiting.hematemesis to rule out any internal bleeding.it should be cured by vitamin C chewable tablet.an antibiotic twice daily and application of calamine lotion. Use short course of steroids like cyclone 30 mg tapered to 10 mg can cure it ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have two problems which are annoying me, I have convex curve in my back, I do a lot of exercise and I have tried doing yoga , do you know of any ways I can widen my shoulders and straighten my spine? My second problem is I have a permeant blocked nose , my face has swollen all over, my eyes look really small. I hope you can help thanks Aubrey ps I breath through my mouth when sleeping. I have tried breathing through my nose,but if makes me feel like I am suffocating? ### REPLY: Hi, Thank you for your question. I am a spine surgeon and can answer the first part of your question. The convex curve that you have described is called kyphosis when it is in front of back plane whereas side to side curve is scoliosis. The kyphosis if it is postural which is common in adolescent girls and presents with stooped shoulders and slouched trunk. This can be corrected with physical therapy and strengthening of back muscles with posture training. If the kyphosis is structural which means the alignment of vertebrae is fixed in kyphosis it needs to be corrected by surgery which is indicated if associated with weakness in legs or trouble walking and not for the cosmetic reason. Structural and postural kyphosis is differentiated on X-ray of the spine. So answer to your question is- it is likely to be postural kyphosis. See a good physical therapist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 have a little lump I can feel in my lower abdomen on the right side that is a little tender when I push on it. I have not noticed this before. Could it be a swollen lymph node? I am on my period, would that make a difference? Is this something to be concerned about? ### REPLY: Hello! Thank you for the query. This can be a lymph node only if this is located in the groin. Otherwise, you are unable to palpate abdominal lymph nodes. Painful lump is usually a benign skin lesion which has gotten infection. Very common is sebaceous cyst. Infection usually results with swelling and redness. If this lump is soft and located in the groin, inguinal hernia can be the case. Period has rather nothing to do with the lump. This lump should not be the reason to concern. However, you should consult your doctor. Soft tissues' ultrasound can answer about its nature. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Q : I have a problem i do heavyweight lifting and maybe 2 or 3 months i feel that i have started growing a lump near the upper part of groin bit lower than the waisteline. it is painless. it has been there it gives a little pain when i get up after sitting for a long time or sometimes when i have gas. is it hernia or is it swelling of the lymph glands? ### REPLY: HI, Dear,thanks for the query to . I studied your query in details given by you.-Regarding Cause of Groin Lump--As the lump is growing over 2-3 myths, mostly it appears to be an inguinal hernia.-For typing it-I would advise you to consult an ER Surgeon for a clinical check -which is very essential for you to decide the type of the hernia? Indirect or Direct / or if its femoral ?like that.-In your case being a heavyweight lifter -your hernia is Indirect inguinal type.-It's definitely a hernia -as it pains when you stand after sitting / and hence definitely the groin lump is not lymph node. Treatment -I would advise the treatment-a-Mesh repair of the Indirect Inguinal hernia after due investigations to rule out the diabetes. Hope this would help you to plan your treatment with your treating doctor. Wish you fast recovery. Wellcome to  for any further query in this regard. Good Night from INDIA. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 17 yrs old had just got seizures 20 days back and was done MRI and MRI Veno. It showed mild loss of volume in left hippcampus. We do not have any family history at all. At present he is on 500 mg 1-0-1. My question is what is the cause for all this and what are the side effects of levipill. Intially he was on eptoin but he had disturbed LFT and Gastro ent has advised to stop it immediately. kindly advice Regards Vijayprasad, Baroda ### REPLY: Hello Fairbanks for your query. The hippocampus is often the focus of epileptic seizures: hippocampal sclerosis is the most commonly visible type of tissue damage in temporal lobe epilepsy. Side effects of Levitical are .  Serious side effects may include depression, hallucinations, suicidal thoughts, double vision, itching, rash, swelling of the face etc. Stay in touch with the treating neurologist and follow his advices. 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: My Grandaughter has dies her hair a lot and has just been diagnose with liver disease fatty liver c/o weakness,tired all the time and stomach pain. We have ruled out viruses. She is a cosmetologist who has used a lot of black hair dye and does smoke. Do you think the link is credible? E-Mail  YYYY@YYYY ### REPLY: Dye has no link with the fatty liver ad stomach pain. But the smoking has. So quit smoking now. Treament of Fatty Liver1) Lifestyle modification = Low fat & carboy . 2) Medical Treatment = Do lipid profile and start taking oral tab statin 10 mg 1 tab OD (Dose depends on your lipid profile). Treatment for Stomach pain.1) take cap omeprazole 40 mg 1 tab a day at night 20 mins before or after meal.(if the complaint is just stomach pain)If you still have any query do ask me.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has an umbilical hernia repair 20 years ago. Occasionally, I now infections in the area. This week I had a large abscess that burst and is now draining. I am taking antibiotics as well. I was told that it may be caused by the stitch left from the hernia . I was also told that if I got the stitch removed surgically the hernia may come back. Not sure what to do. ### REPLY: Hello, Welcome to ChatDoctorAbscess in the surgery site is most commonly caused by left over sutures. So, the best way to treat it, is removal of these sutures. You complete your full course of antibiotics first, then only after infection has come down, surgery can be planned. If the suture material is not taken out, it will cause repeated infection and worsen the condition. Hope you are happy with the answer. 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: Yesterday my daughter noticed a small lump almost on the jaw line or right underneath on the top of the neck (right hand side). Jaw is very sore to the touch and her cheek looks a little swollen as well. Is this some sort of infection or tooth issue or something more serious? ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as your daughter has small lump on jaw this can be due to some reason like infection in tooth or infection in gum. For this I will suggest you to consult oral surgeon for oral examination and if needed go for investigations Lola X-ray of region of lump. Inmeantime do warm saline gargle two - three times a day and maintain proper oral hygiene. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hI am a 20 year old male, while we doing sex with a girl & we can t comfortable like my cum can easily & fast coming in her p***y. I can cum fast while we have sex it s so frustrating for both me and her is their something wrong with me?!?!?!?!please give us suggestion what we do ?? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Sex is to be counted as a divine act. It is a meditation. During sex, you forget yourself throughout the period of sex and that is real enjoyment. Sex should not be performed in a hurry, laklusturely, when you or your partner is tired, when you do not have the sexual urge etc. Go through the above and see what is your problem. Unnecessary tension and anxiety can also lead to premature ejaculation. In any case, I donor think that you are suffering from some sexual problems. You are just 20 and don't be so eager in sexual matters. Life is not only sex. Concentrate on education, career and future. 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: Good Afternoon doctor, I 37 years age male married, i very much interested in sex, when i try to have sex wife, my ejulate very early and also not able spend more time intercourse . Also i get only 2 or 3 drops of sperms, please advise me how to enlarge my pennis and to increase my sperms by a regular exeercise ### REPLY: Degree understand your concerns went through your details. Please understand, the more you engage in sexual activities, the less you will see the quantity of sperm you ejaculate. Your body has a limit in production of sperm cells in 24 hours. Over and above, what you see as ejaculate, is a combination of many liquids including your sperm. Semen thickness is not a matter of concern. Thickness of semen or quantity of semen is not to be misunderstood for sperm count. You are already 37. I suggest you sex only once per day. That too when you and your wife are totally stress-free and in perfect mood and physical condition. That way you will be able to enjoy sex better and can alleviate anxieties as given above. 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. 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 run a low grade fever not over 99 degrees temp at night, a rash with tiny blisters that started on my chest (collar area) then it spread to first my arms and external vaginal area, then my legs and now it is getting on my face - it burns, feels like a sun burn and looks like I have been scalded; I am retaining fluid where the rash is. This has happened in the past. This started in August, seemed to be about to clear up, and then this past weekend it seemed to start over but worse. ### REPLY: Hi I think it is not a sunburn as unexposed areas are also involved. Rule out immunoblots disorders. Herpes infection.immunoblots disorders can be ruled out by biopsy and immunofluorescence. Whereas herpes can be ruled out by track smear where u will find multinucleated cells. Treat the condition with Atari 25 mg at night. Antibiotic twice daily and use of cyclone 30 mg tapered off to 10 mg within one fortnight and application of gentian violet for unruptured blisters and Unibet ointment for ruptured blisters ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 40 years old and have recently dscovered a lump at the bottom of my tailbone. The pain is greater when I sit or ride for long periods of time. Do you know what this could be or why all of a suddn I am having so much pain. Thank You, Penny Jackson ### REPLY: Hi, The bone at the base of your spine is the coccyx and is quite sensitive if damaged. You may have inadvertently bruised your coccyx. Paracetamol and ibuprofen will help the pain. With rest the pain should subside. Alternatively, you may have a colonial cyst which has become inflamed or infected. This is a small cyst commonly found at the base of the spine which can cause pain when inflamed. I suggest you see your doctor who will be able to examine you and confirm the cause of your pain. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been prescribed 30mg capsules of adderall because my doctor thinks i have ADD, i have take one each morning for the past 3 days and i dont like the way it makes me feel i also dont believe i have ADD  my doctor is not very smart and i am seeking a new one, im going to stop taking them as of tomorrow will i go through withdrawls ### REPLY: Hi there, Thanks for writing to us, Yes Adderall is a stimulant that is used in the treatment of attention deficit hyperactivity disorder. When used regularly for a long duration it causes dependence which causes with .  It has to be stopped by tapering slowly, over a few weeks, under the supervision of a psychiatrist. It may increase your hyperactivity or cause concentration difficulties or even restlessness. 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 had sudden high blood pressure and dizziness.  My blood pressure is controlled with hypertension medicine and it is usually 130 over 80 or 120 or 70 but it spiked up to 160 over 96.  Now is it down to 146 after lying down for 15 minutes.  The dizziness lasted quite awhile. ### REPLY: Hello! Thank you for asking on ! I read your question carefully and understand your concern. It is necessary to perform a comprehensive differential diagnosis between different disorders related to your symptomatology. The main disorders to take into consideration as possible responsible for this clinical scenario would be an inner ear disorder and a transient ischemic attack (TIA) in the vertebra basilar system. I recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests (complete blood count, thyroid hormone levels, kidney and liver function tests, blood electrolytes, fasting glucose etc.). A Doppler ultrasound of the cervical vessels would be necessary to examine the blood flow to the brain. If all the above tests result normal, I recommend consulting with the ENT specialist for a physical examination and labyrinthine tests to rule in/out any possible inner ear disorder. Meanwhile, I recommend to carefully monitor your blood pressure and avoid straining physical activity. Hope to have been helpful! Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a twitching sensation occurring in my back on the right side near my right kidney. It feels exactly like being kicked by a 24 week foetus. I am not pregnant. The sensation has been persisting for about a month now. It is not painful but definitely notable. I have had blood tests in the last month which were all fine apart from cholesterol of 6.6 which I have been addressing with diet. My fathers brothers (uncles) have had kidney stones, renal failure and I have had an ultrasound in the past for PCK which is fine (8 years ago). What course of action would you recommend. Should I be concerned. ### REPLY: HelloThanks for query. Twitching sensation or discomfort in loin could be due to kidney stone and needs to be ruled out. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine 2) Ultrasound scanning of abdomen and pelvis. Further treatment if required will depend upon result of these tests and final diagnosis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 7 year old has been given intelligence tests to see where her strengths and weaknesses are and determine the best teaching approach to meet her needs. Iam very concerned that her overall low score of 78 is labeling her so early as intellectually disabled. Please advise if you know what I should do or how I should view this number.Thanks,KG ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you to take that intelligence test again from another source. If you do not have any doubt about your sons overall intelligence, you should go for another. If you have any doubt about the previous test, get a second opinion. In my opinion, you should get a second opinion. In the case of Learning Disability Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help your son cure his condition. 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: Dear Sir, I have got a high level of IgE, (236.7 IU/ml). Shall it lead me to asthma? Is this allergic asthma infectious? Thanks, Dipak ### REPLY: Hello Disk, A raised IGE level has many causes, most commonly (in the world) include parasitic infections, then atop (tendency for allergy), allergic disorders (such as dust allergy, pollen allergy etc.), allergic asthma, and the (very rare) Hyperion syn . There is usually no need to repeat IGE level but getting specific IGE tests done (blood test) or skin prick test to various allergens may help if you think you have a specific allergy. I hope that was useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got a challenge of excessive saliva and it is very embarassing when you interact with your companions at work or elsewhere. I am a professional and work with clienst and other professionals and, my work also includes lot of public presentations. I need your opinion and medical advice. regardsRuth ### REPLY: Hello thanks for consulting at ,four main methods of managing saliva control problems:1. Conservative methods-It is important to assess for underlying problems that may be aggravating the saliva control problem, for example, the presence of nasal obstruction, dental disease or the use of medication that may be contributing to the problem. IT includes behavioral approaches and techniques to improve sensory awareness.2. Appliances SUCH as vestibular screen.3.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on two antibiotics for bronchitis recently.  I finished both courses and I still have pain in my lungs.  I had a chest x ray that came back clear.  I am a little worried because my mother died at at 42 from lung cancer.  The doctor prescribed two inhalers, but they dont help much.  The pain comes and goes.  I dont feel anxious or have any issues with anxiety.  I am concerned about exercising again.  Do you have any ideas of what it could be?  Maybe the infection is still lingering? ### REPLY: There is a large list of conditions causing chest pain. The causes may belong to any of the systems such a respiratory, cardiovascular, gastrointestinal, Musculoskeletal. There for evaluation of reason for chest pain requires detailed assessment of symptoms, a thorough examination and then relevant investigations. If someone has normal Chest x-ray picture, it's possible that infection is not so much an issue to cause recurrent chest pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 24 yrs male. I have sever dandruff and losing too much of hair daily. Tried every product in the market for dandruff and hairloss but no use. Even tried Segals solutions but it was of no gain to me. No i have lost most of my hair  and iam really worried and get depressed. Please help. ### REPLY: Hello, Thank you for posting on . It seems you are suffering from Seborrhea dermatitis, which secondarily leads to hairball and thus It's important to treat it first hand. I would recommend you a short course of oral antifungal .  Use a medicated shampoo containing ketoconazole and salicylic acid twice a week. Take antihistamines as required for itching. Avoid excessive use of hair oil. As for the hairball, start oral supplements containing biotin and other essential vitamins and minerals (Collinear new) once a day for at least 3 months. Hope this will take care of your query. 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: Hello, After being in remission from breast cancer for 20 years, it has now returned as a tumor in the sternum area of the chest. This recurrence was in May 2010. I was put on the drug Femara. I am concerned about the PET scans (Im having my 3rd one next week) and the CT scans that are periodically ordered by the oncologist. How much radiation is too much? And what steps can I take prior to these tests to best protect myself from overexposure? ### REPLY: Thanks for your question on . I can understand your situation and problem. PET scan is having the highest radiation exposure. CT scan is also having higher radiation but less than PET scan. Permissible PET scan exposure is once in six months. And for CT scan it and once in two months. Anything more than this will cause radiation injury. To prevent radiation injury you should follow these steps. 1.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 shiv dayal from jagadhri(haryana) i am sending my MRI report Impression: MR imaging of lumbosacral spine reveals lumner spondylosis diffuse disc bulgs are seen at L4/5 and L5/ S1 levels causing indentation on the thecal sac, and moderate compromise of bilatetal neural foramina. Mild central canal stenosis is seen.Please sir suggetion me & give good treatment.Sir i am very worried its ill. Last thirteen years i m at bed. So please sir request again you send me suggetion my i.d.( YYYY@YYYY ). Thanking you. ### REPLY: Hellos per description of your MRI reports the symptoms you are having is a Radiculopathy, due to nerve compression at L4-5 and L5-S1 regions of your spine. For definitive management of this condition I would suggest you to visit a spine surgeon and take his opinion. (as it will require a decompression surgery like-discectomy, laminectomy)For now, I would suggest you to avoid bending forward, lifting heavy weights, sitting or squatting on floor. Instead, you should always sit with back rest. For sleeping please use firm bed and flat pillow. Please do not try any exercises now, as you have aggravated symptoms. 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 thank god finally, I am worried because we used encare but we didn t wait 10 minutes after inserting it what are my chances of being pregnant? We only waited like 3-5 minutes because I felt some liquid stuff coming out like it had dissolved already and I didn t want it to all come out before we even started. ### REPLY: Hallow Dear, Encare is a locally acting birth control which acts by deactivating the sperms. Its action is through the foam it forms and through the chemical reagents. Though a fair contraceptive method, it cannot be relied on completely and hence it is advisable to use this method along with another protection like condom. It is advisable to wait at least for 10 minutes after insertion in lying down position. This much time is advised for allowance of the dissolving the tablet and forming a foam. If you do not give sufficient time, it may not act and the chances of failure are there. Since you have performed the intercourse within 5 minutes of the insertion of the tablet, you cannot guarantee its success. In such case, you have the following options:1. Support the birth control by additionally taking Plan B post-coital emergency contraceptive pill within 72 hours of the intercourse.or2. Get intrauterine contraceptive device inserted within 5 days of the intercourse. This can give you further ongoing birth control for few years to come. You may find out the status of pregnancy by:1. Beta  test after 10 days of the intercourse. Or2. Pregnancy test on overnight first morning urine sample after a week of missed period (if you miss it)You have an option of terminating unwanted pregnancy by medicines up to 9 weeks of pregnancy. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell onto outstretched hand. Ihad oain and swelling when it happened july 7th. Had 2 xrays and nothing showed. Have pain when putting weight palm down, extending my wrist downward, grasping with weight in hand, and a burning sensation from tim to time during relaxation. Pain is not in the snuffbox area but directly below. I think its my scafoid. Opinions thanks ### REPLY: Welcome to  I have gone through your query and understand your concern. Burning pain and sensation point towards nerve compression or injury. Its treatment is Mecobalamin and analgesic such as ibuprofen for pain relief. But to clearly exclude scaphoid you need to take x-ray of wrist AP view in ulnar deviation and oblique view. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having dizzy spells, particularly when I am tired and stressed.Probably 6to8 weeks apart. They last for approx 24 hours. I can have them every hour or so over this time period. They leave me drained and very tired. i feel like a black cloud is descending on me. I have had neurological tests which have shown nothing. I don not black out but feel very faint. These episodes are very distressing and I have to stop doing what I am doing at the time ### REPLY: Hello Frequent episodic dizzy spells, tiredness, stress, feeling of blackouts etc. symptoms may occur due to either an episode of Anxiety or it may be due to Mild Depressive Episode. As these are very distressing I would advise you to visit a Psychiatrist for proper opinion and evaluation. Various medicines of SSRI or SARI group like Paroxetine, Sertraline, Fluoxetine, Duloxetine, Venlafaxine etc. are Va useful. They correct the neurochemical abnormality in anxiety and depression. 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 m a 56 year old man, in poor health with type II Diabetes, Hi BP. Severe depression & take about 10 or 12 different meds, I just had an attack of cramps that started in my left leg & then moved to my right, the pain intensity was like nothing I have ever experience in my life!!!!!!!!!!!!!!!! it lasted about 10 min. I took 500 mg of niacin, I chewed up a valium & swallowed another one whole, I drank about 30 oz of water with 1/2 tsp of salt I chewed up 2 325 mg timed relies aspirin & took another whole one. I kept my legs moving while standing & holding onto a counter & the pain passed about 5 more min after taking the above pills. I still have residual pain in my groin while sitting here at the computer, about 10% of what it was at it s worst. I may of been a little dehydrated. Any idea what the hell just happened to me? Gary ### REPLY: Your leg cramps might have been due to serum electrolyte level abnormality. The patients who have high BP usually remains on low salt diets that may cause disturbance in blood electrolyte levels and cause sudden sever leg cramps which relieved with taking salts with water. To avoid these symptoms again take ample water and balanced salt diet. And tab. Carnitine may help to reduce these symptoms 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: OVER LAST WEEK I GOT THIS LIGHT HEADEDNESS FOR WHICH I COULDNT WALK PROPERLY AS IF I WOULD FALL.. AND I ALSO HAD VERTIGO FOLLOWED BY NAUSEA WHEN I WAS IN BED TURNING MY HEAD FROM SIDE TO SIDE BUT THIS HOWEVER WENT AWAY WHEN I CLOSED MY EYES FOR FEW SECONDS..IS ABRUPT AND I AM DECAPACITED...PLS HELP ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Problem : OVER LAST WEEK I GOT THIS LIGHT HEADDRESS FOR WHICH I COULDN'T WALK PROPERLY AS IF I WOULD FALL. AND I ALSO HAD VERTIGO FOLLOWED BY NAUSEA WHEN I WAS IN BED TURNING MY HEAD FROM SIDE TO SIDE BUT THIS HOWEVER WENT AWAY WHEN I CLOSED MY EYES FOR FEW SECONDS.IS ABRUPT AND I AM DECAPITATED...PLS HELPQuestion : What does vertigo and nausea while lying down indicate ? Impression : You are suffering from Lesions in Vestibular Pathway Solution : You need to undergo Clinical Examination, Funds Examination, EEG, MRI Brain and if needed four vessel angiograms. Please consult a Neurosurgeon near you place Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END