Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mom has had a serious allergic reaction to something unknown. She has been seen in the emergency room twice in the past week and was given benedryl and prednisone. She has also seen her primary care Dr. twice and was referred to a dermatologist who has referred her to an allergy specialist. The first available appointment is Aug. 23. She is 93 years old. Takes Losartin for bp and Lyrics for peripheral neurapathy. I am very worried about her since all the doctors have prescribed different meds. ### REPLY: Hi I do care for your concern. The allergy may be caused due to exposure to dust pollen and some unknown substance too. In some cases the medicines can also cause skin reactions and hence consult your physician with all the medicines that she is taking. The allergy is caused due to altered immune response that overreacts to normal allergen. Consulting dermatologist would help to find out the type of allergen and treatment usually involves medication or desensitization.  The above measures will help. Hope I have answered your doubts, if you have more feel free to ask. 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 feel tired all the time and my eyes feel heavy even if i jst wake up..i am gaining weight and always feel hatred and angry and a burden feeling..I have lost interest in everything and i dont like talking to any one anymore.i keep forgetting things even if someone said somthing a minute ago.i always bent on negative point of view..i m also having sleep paralysis some times i dont know what to do ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The description you AFE giving here do correspond to mental distress or disorder. But you must also understand these symptoms also happen due to disappointment in life. Disappointment happen when something negative happens and catch us unaware. Imagine, suddenly you are fired from your current job position. Disappointment triggers stress, anxiety, apprehension, lethargy, irritation, anger and all these emotions do trigger tiredness. Therefore, do not conclude yourself. Please consult a psychologist or If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have just been told I have acute cholecystitis and innumerable gallstones from an ultrasound and have been avoiding fatty foods, large meals at night etc, but we are getting visitors and was wandering if it is possible to have alcohol. I normally drink scotch and diet dry, what do you think, also what exact foods/drinks etc should I avoid, would be most grateful for any information ### REPLY: Hi welcome to  forum.  It appears that you are diagnosed with the cholecystitis, due to the numerous gall stones.  If advised you can have the stones removed, by scope, without surgery. With this you can have relief for some time. But you may have relapse.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods for healthy maintenance of the gall bladder.  Avoid alcohol, fatty foods, oils, fry foods. Etc. But may not be very strict absence.  Strictly avoid spices, junk foods.  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: I was prescribed Fucidin 2percent ointment.  The pharmacy didnt attach instructions from my doctor where to use it.  I went to my Dr. With a yeast infection and sores in my nose.  I just read not to use this in your nose. I was also given a prescription for Lotriderm cream, this one must be for the yeast infection, Im confused.  Can you help.  Thank you. ### REPLY: Hello dear, welcome to . I have read your query and understood your concern. Fucidin ointment is meant for bacterial infection. This is your doctor must have prescribed for application inside nose. This can be safely applied inside nose. Lotriderm is a combination cream of antifungal and steroid. I do not prefer to give this steroid containing preparation to my patients for the same. I usually advise plain antifungals like clotrimazole/fluconazole/sertraconazole for treating yeast/fungal infection. You may discuss this with your treating doctor also. Stay healthy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just had a pea sized lump on my inner thigh on my Bikini line it has been there for a while and didn t hurt at all but today I saw a black dot on it and squeezed a little and puss just came out and I continued to squeeze and more and more puss came out the lump is gone now and just a little blood a piece of something came out that looked like a corn kernel or something that was soft should I be concerned? ### REPLY: Dear friend, As you described a lump at your inner thigh, but didn't mention duration. But it may be a simple boil or sebaceous cyst. I would like to know, if it is primary or recurrent ? Exact diagnosis is not possible without examination. If it is recurrent then may be a sebaceous cyst, and you need surgical excision for it, otherwise it will reoccur. And if it is boil and discharged came out, then it will heal itself. It's not a dammed emergency. You can wait for healing. If symptom still persist then you can consult nearby surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hai doctor am 25 yrs old.my height is 154cm.my weight is 80.and i got married since 1yr.i hve no baby,i wnt it very fast,last 6 mnth bre i get a cyst in my utres,and relpace.all check must be done no problem dr,told only wght,and when aftr our sex lot of sperm come out and also during urine pass.and one more thing is my vagina become vry dark in colour,so what  i do to get baby fast,dr,daily i walk 30minalso,but i have lot of bulky somach ,how it can reduce vry fast,am vry tensioned dr,hat i can do plz suggest some way. ### REPLY: Your BMI is almost 34 kg/ m2. As your doctor has rightly said you must reduce weight at least 20 kg. It is good you are going for regular walk. But this is not enough. Consult dietician and find out about what you need to eat, how much to eat and what foods you should avoid. Join gym under instructor to help you reduce weight. MAINTAIN a normal BMI definitely improves your chances of pregnancy. So take this issue seriously. Are your periods regular?  Since your doctor has said everything is normal I presume your hormone tests and Fallopian tube patency test and your husbands' semen analysis are normal. Some amount of semen flowing back after sex is normal. Don't worry about you are still young. So first Work on reducing weight for 6 months.  If you don't conceive in a years time consult your doctor. Then you may need tablets or hormones to achieve pregnancy. Take one tablet of folic acid daily from now on. To increase your chances of pregnancy you both should quit smoking (if smoking) and have intercourse at least three times in a week. I hope I have answered to your satisfaction. If you have any further queries do contact me through   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I Had  2 wisdom teeth removed 2 days ago and I was having a lot of pain , after he looked at my xray he saw my wisdom teeth were impacted and had to come out and it would ease the pain and said after examination they were infected and puss started coming out , he shaved off part of my tooth next to the wisdom tooth when trying to pull my wisdom tooth out, and its scratchy and rough and sharp ### REPLY: Hello, Wisdom teeth especially when impacted or partially impacted, can become infected. Removal and antibiotic treatment should stop the infection. As long as proper healing occurs, pain should decrease, and you no longer should see pus. Take all medication as directed. Keep the area clean, rinse as instructed and see your dentist or surgeon for a follow-up visit. If you feel a sharp or rough area, bring it to the attention of your dentist. This can be polished or may be part of your anatomy not noticed before. A broken section of tooth or filling is possible. An increase in pain may be an indication of a .  This can be extremely painful. See your dentist for treatment and medication. Anti-inflammatory medication such as Tylenol or Advil can be taken, but you need to contact your dentist. Thank you for your inquiry. I hope that you feel better soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ,iam indira ,iam regularly watch your programme .verry verry use ful and learn lot of information.Igot marriage 2009 june but till now i dont have child.my age is 32 weight is 74.5kg hight is 152 cm i have irregular perioud poroblem i took treatment past one and half year. .Regular Period problem last 10 year i take tablet Regestron 5mg tablet 3days after 3 or 4days i get period. i try to conceive but still now get this same problem....... my husband seman test its normal, scan reports all of normal.... but why this problem come to with me i confused. please ,Past three months i take sidda medicine. within three months i spend more than 40,000 theay identify problem through pullse but no improvement now iam in full diet and regular walking .i take only fruits and vegetables.in my friend more than me but he took treatment only six months now she is had baby.Kindly i need your valuable opinnion thankiung you sir. ### REPLY: Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  If it doesn't work then you can go for GUI.  Discuss with your doctor regarding this.  Hope I have answered your question. 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: Hey so I have been an iv user for quiet sometime. The other morning I shot right in the same area as I usually do, but this time right above it cause it was sensituve. I poked it like I would normally, drew back blood came back. When I pulled out no rush no heat like normal. But this numb, fuzzy feeling took over the whole for arm. It s been 3 days. Still same feeling of numbness. Although there is no abnormal bruising or swelling just sensitive too touch. What happen doc. Should I get medical attention or is it something I can do with out. ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion patients using regular IV medication run the risk of developing infection that may spread to the upper limb, moreover thrombophelibitis chances are also very much in such circumstances. You will need the help of an GP to see you and prescribe requires medication as per your findings. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor I have a family history of brain aneurysms it is actually my father who has had multiple aneurysms within a 6 year span he has been dia. with at least 8 to 9 that i am aware of. So my concern now is i ve been recently experiencing a vibrating sensation as if a needle is being punctured from the outside of my skin to in. starting from the beginning of my eyebrow of where my nose is traveling around my eye and then to the same starting point. I also have been experiencing extreme pressure around my left temple area. i am aware that i should receive a MRI scan of the brain but at this very moment out of curiousity i was wondering if you could direct me in any direction. ### REPLY: Hello ! I read your question and understand your concern. I think your problems may be related to contractions the head muscles. Another explication would be a temporal arthritis (an inflammation of the temporal artery), but it would also cause blurring vision, which you don't mention. I would recommend a full blood work for inflammation first, to exclude the temporal arthritis. If no problems I recommended Acetaminophen or Ibuprofen and alprazolam for some days. I don't think these symptoms may be related to any aneurysm. But I would recommend a brain Anglo MRI to exclude a possible aneurysm as an incidental finding given the relative high risk for that, due to family history. Hope to have been helpful! Greetings!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with a kidney stone,unfortunately it is stuck at the junction of my urethra.I am currently on contiflo and tram acetal to manage the pain. My question is,is possible The stone can dissolve from where it is stuck.Otherwise it is really causing a lot of pain in my lower back and whenever I urinate,the last of bit is very painful. What can I do ### REPLY: Hi, Thanks for writing in. A stone getting stuck in the urethra can be painful. I would like to reconfirm if the stone is in the urethra or the version ureteric junction as these are two different locations and might be treated in different ways.1. If the stone is confirmed to be lodged in the urethra then it can be easily removed by inserting a cystoscope. This is minimally invasive witChatDoctorplete success.2. If the stone is stuck in the Mexico ureteric junction then(i) . 5 to 2.5 liters) a day may help flush out your urinary system. This will also allow the stone to enter the bladder.(ii) Please consult your urologist, and they might give you a prescription for a medication of alpha blocker group which will push the stone forwards.(iv) If you are having pain and burning during passing urine then you can take ALSO syrup 15-30 ml twice or thrice daily, dissolved in water for one week. This will prevent acidic urine and stone formation.(v) If you have sharp pain then you can take tablet containing hosting (e.g. HBO Max 10 mg or HYSSOP 10 mg) twice a day for 2 to 3 days, till you have pain. Though side effects are rare, please consult your doctor and take these medications under strict supervision. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir. my mother having bypass surgery recently three months ago is facing chest pain issue many times a day. sometimes light and sometimes strong .pain goes to neck n throat .gets easy on sitting sometimes .no sweating. did medicine echo and it is negative. cardio says its some gastric issue and suggests to get checked .she is having gas formation issue and diarrhea type stool in morning everyday. stomach remains hard n swallowed many times.suggest please to identify the reason of chest pain please . ### REPLY: Thanks for your question on . In my opinion your mother is having HERD (gastroesophageal reflux disease). Her all symptoms like chest pain, gaseous distention, worsened symptoms on lying down and better on sitting can be seen in HERD. And her cardiac work up is normal. So no need to worry much for cardiac cause. So HERD is more likely in her case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So ask her to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid large meals, instead take frequent small meals.3. Avoid stress and tension.4. Take good proton pump inhibitor. Also give ORS (oral rely . 5. Go for walk after meals.6. Keep 2-3 pillows under head in bed to prevent reflux. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 85yrs. Was diagnosed as BIPOLAR at the VA when I was in my early 30s. No physical given at any time. Have endured this stigma to this day. After receiving information?? about the cchr.org Citizens Commission on Human Rights I realized that psychiatry may be nothing but a fraud and scam. I complained frequently that some of the meds I took were actually increasing my negative emotions, to no avail. The meds. were either increased or changed. Until this day after an M.D. lowered me to no psych. meds. and put me on some OTC for muscle and joint discomfort and relaxers, did I realize so much relief and less stress for my age. ### REPLY: Dear serve understand your concerns went through your details. Bi-Polar disorder can be treated with medicines and with the help of Cognitive Behavior Therapy and continuous counseling. Treatment is usually lifelong and often involves a combination of medications and psychotherapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, My 7 year old son has severe air allergies to everything that is blooming, dying, etc.  He is 8 months into getting allergy shots.  The orange groves around us are all in full bloom and he is having a hard time breathing.  Antihistamines(weve tried many) make him wired - opposite reaction than most.  I tried sudafed a few months back 1 tablet, 30mg and it was truly a life saver as it calms him(again opposite reaction).  Well, he took 2 pills this morning instead of 1, so 60mg.  He didnt tell me until I dropped him off at school.  Should I go get him, or will he be okay?  The package says only give 2 tablets to 12 years and over.  Thanks! ### REPLY: You should go to find out the cause of allergies rather than treatmentTreatment can continue for life but if you go is you go for allergy tests you all get reasoning my experience this is milk allergy. Get blood serum tested for milk specific antibodies for milk you can also check for other common foods like what potato rice nuts Chaney Eggo for elimination diet. And ATER for desensitization therapy for allergies mean time you can give montelukast 5 mg tdsfexofenadine 30n mg tossup Astoria 1 SF band tossed 1 SF nightcap use off and on ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my dad went into a coma following a heart attack after two weeks we were told he was in a vegetative state he is recieving no support apart from being fed and is completely supporting himself, yesterday he woke up and tried to talk several times he also responds to some commands does this mean he may recover ? ### REPLY: Hello, The situation you have mentioned is very positive as long his recovery is concerned. He is most probably in the recovery phase.  It all depends on the severity and Reversibility of brain trauma or the cause of unconsciousness. Just keep on feeding him.  Keep his pelvic area washed or moped at least once a day. Keep on giving him passive exercises and keep on changing his posture 2 hourly so that he doesn't develop bedsores.  This will help your patient to be in a better physical state once he is out of the coma. And I am good sure about his recovery.  The extent of recovery will be dependent on the severity of brain trauma, which in most cases is irreversible, if there. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby fell off the bed onto his nose - he had a slight nose bleed which has stopped now but his nose is very red. should I go to the hospital to check it out. he s napping now so I can t check for symptons such as different behaviour and he didn t seem to have any other injuries. thanks. ### REPLY: Hello, You are quite correct. The most important feature to look for is any change in behavior: excessive sleepiness or fussiness, vomiting, eyes looking in different directions, or unequal size of pupils. It is normal for there to be redness at the site of injury. This will fade in several days. Unfortunately, this happens frequently and is no reflection on your parenting. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My seven year old son, has been complaining of pain in his left side just below his rib cage. This seems to be more pronounced after he eats. No symptoms of nausea or vomiting. He is scheduled to see his doctor in two days. What could be the cause? ### REPLY: Thanks for your question on . I can understand your situation and problem. In pediatric patients, spleen enlargement is common. The most common cause for this is infection. And spleen enlargement cause pain in left side, just below ribs. So better to rule out splenic enlargement in your child. So get done ultrasound examination of abdomen. If this is normal then no need to worry much as muscular pain is likely cause for your children symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had a stroke when he was six years of age.  He now is 39 we have started to notice signs of memory loss, increased anger and irritablilty.  Our primary doctor said it should not get any worse however our nerologist said it looks like the first stages of dementia.  I am confused if it is vascular dementia why would our primary Doctor tell us it should not get any worse.  He is showing signs of disoringtation etc..  Please help my utter confusing and should i be worried something could happen to him in the next few years? ### REPLY: HelloThanks for askingHistory of stroke increases the risk of a number of complications and progressive loss of memory is one of them. Repeated vascular insult on brain causes vascular or multi infarct dementia. The dementia is progressive, but the progression can be halted by taking proper medicines. Medicines like cholinergic .  Other medicines like Semantic is also commonly used. Consult your doctor for proper treatment. Get his MRI done to see extent of damage in brain if any. Psychological tests like Mini Mental Status Examination will help in grading the extent of dementia and help to ascertain improvement. 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: 4 month old has cottage cheese like white lumps in her poo and her poo is more green than yellow. Also more gas which is smells bad. Has taken 180 mls less formula than this time yesterday... Ha only taken 520 mls today and one feed to go. Took 900 yesterday. Alert in self and no concerns re urine output. ### REPLY: This seems to be a case of lactose intolerance. Lactose is the carboy .  When the child is unable to digest it, the undigested remains are degraded by intestinal bacteria to produce foul smelling gases while some amount may pass unaltered as cheesy lumps in stool. I would suggest getting a stool routine microscopy (including test for reducing substances) to be done. Treatment will depend on the results. In case of presence of reducing substances, I would suggest changing the formula to a soy based formula and see if there is a difference. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 concern about genital warts. I have a very small white lump to the top of my vagina and it doesnt itch or anything but when i saw it, i went and cleaned myself and it was sore afterwards. First saw it just under a year ago and it has got bigger since but still very small.  Have i got anything to be concerned about and should i see my GP? ### REPLY: HI, Welcome to  with your query. Based on the facts of your query, I would suggest you to consult a Lady gone doctor, as the lump is for last 1 yr and has become sore lately. Going by your query, the white lump has associated infection and inflammation, that caused a white lump on top of your vagina, to become sore after cleaning it. Treatment would be-Confirming the cause and nature of the lump on vagina-Mostly it seems to be subacute Catholics gland infection with good body defenses over last 1 year. Antibiotics/Vaginal Anti-fungal pessaries/Anti-inflammatory . Hope this would help you to plan treatment with your doctor. Will appreciate your review write up and hitting thanks, to help needy patient visitors like you at . Welcome for any further query in this regard. Good day!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My age is 22, I am healthy and weigh around 70 kgs.In the last few weeks , i have a pain at the right side of my chest. I cant feel the pain during early morning, But will be feeling the pain as the day progresses at least thrice a day. Any reason why there is pain?Thanks :) ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. My opinion-In the given situation-You seem to suffer frogger with Acid reflux, the cause of which needs to be verified. For this you need Consults with Physician and Surgeons doctor team. With dietary intake over a day, the pain in the right Chest seems to increase from acid reflux. This could be from accompanied Gastritis or IBS with piles/fissure in ANO. Treatment of the cause of HERD, from Physician and / or Surgeon, would fix the problem of right chest pain as the day progresses-3 times-mostly after each intake over the day, when the acid reflux with each intake increases chest pain. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-http://doctor. .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!  . N. Senior Surgical Specialist M.S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir, i am ch pradeep raju m24 since 2002 on wards iam suffering with fits and i am using medicine zeptol 200 upto 2005 later another changed as epilex chrono 300 from these years i am continuing the medicine daily but there is no change if stopped taking medicine or more tired i am getting jerk.now i am taking in only night time but i have absorbed something in brother marriage it  is late night 2.50 am but  in busy time i used to take in twice a day i dont have any trouble in marriage, but it is my time to have marriage so think what to regarding this can u clarifie  regarding this issue as early as possible ### REPLY: I read your question carefully, and I understand your concern.However, I am afraid that more information is needed in order to try and help you. To start with it is unclear what types of seizures (fits) you have. There are many seizure types and appropriate medication varies according to that. In addition to that you don't mention any tests. Brain imaging, EEG and some blood tests are needed in all patients with epilepsy in order to characterize seizures and determine the best treatment.Furthermore, you mention the .  It might be that the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i had my cervex removed 5 years ago because of cancer, i woke from the operation feeling terrible drilling pain in my tailbone, thought nothing of it at the time as i assumed it would get better as i had had interference down there and thought it would dissapear in the healing process. 6weeks after my op  and returned to be told i needed to have hysterectomy (laparoscopy) because the cancer was found further up. I had the op leaving my ovaries 3months later. I still had this pain in my coccyx. 3months after my hysterectomy i told my consultant about the pain and he looked at my ovaries and said i was unfortunate and i had a cyst on my left hand ovary and that was causing the low pain in my coccyx. I had the ovary removed laparoscopy small incision above pelvis. The pain continued and i mentioned it every time i saw him. He referred me to a specialist who said he would not recommend anything and i am at my wits end now as i have just hurt my lower back some how and feel i am falling apart and i am just 50 years old. Please help! ### REPLY: Hi, Thanks for writing in. The pain you are experiencing is most likely due to referred pain from the back. Such a pain might have originated due to nerve stimulated during or after surgery. There are many nerves which pass through the pelvis on their way to supply other areas, and it is possible that mild nerve irritation might have occurred. The tailbone or coccyx area is not involved, and only you are having nerve stimulation which makes it appear as though the pain is originating at that location. The cyst in the ovary if large then might have caused this nerve irritation. It is also possible that your lower back might be having degenerative disc changes. This might be investigated by doing an MRI lumbar spine if required after clinical examination. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello - My mother was diagnosed with autoimmune cholangiopathy in 2005.  She began her treatment with prednisone and responded positively to it and was then take off of the prednisone.  After being take off, her liver levels elevated again and was put back on steroids and is now on Urso and Imuran for the rest of her life.  Since 2008 she has been experiencing sporadic nausea which has become increasingly debilitating this last month.  Can you please give me a prognosis for autoimmune choloangiopathy in patients who are being treated for it? ### REPLY: Hi and welcome to . Thanks for the query. If there is as good response on treatment then it should not reduce lifetime but some complications such as liver cirrhosis may occur. In case of cirrhosis, liver transplant may be required, but this usually happens in late stages of the disease after20-30 years. Today's therapy is very efficient, and you can hope for normal life. I hope I have answered your question. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have chest pain that comes and goes.  started on right side and now goes on to left side.  feeling tired nausea last few weeks.  also have been in left hand sometimes and seem to have to burp more then i ever did before.  went to the docs. they did a ekg and it said i had some sort of flip on it.  what does this really mean...i am under alot of stress and thought that is why i was having the pain. heart problems runs big in the family. ### REPLY: Hi thanks for asking question. According to history you are taking stress. So stress induce, anxiety induce panic attack can lead you to chest pain with sweating. Try to avoid stress and yoga like medication done. You can take advise from psychiatrist for that.... If still pain increasing and if history of smoking chest x-ray done to rule out fibrosis lung disease or any other restrictive or obstructive emphysema like lung condition. Spirometry pulmonary function test also useful.... 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 had kidney stone surgury on wed. The dr. placed a stent inside. I was ok on thursday and friday. Last night and this morning, I have has very bad pains. worse then when I had the stones. I caled the dr. and he said it was normal and it was pressure from the stent. I am peeing blood and i feel sick and the pain is getting worse. I am taking 2 oxycodone almost every 2 hours, thats how bad it hurts. The dr refuses to remove the stent until monday oct. 3rd. my question is, I have the string outside my penis, can I remove the stent myself. its been 4 days. Or will I do more damage? The dr. said the tube leading away from my kidney may swell shut. Im scared, but the pain is unbariable. please help. ### REPLY: Hi, Thanks for writing in. It is important to put a stent in the kidney after stone is removed to maintain clear passage of urine and .  Stents are thin long tubes with curves in both ends. One end is in the pelvis of the kidney and the other end is in the urinary bladder. If your bladder gets filled then the stent is clear and allowing urine to pass through. Stent can get displaced and cause injury to kidney pelvis or lower ureter and cause bleeding. An ultrasound scan is required to know if the stent is displaced or there is any urinary bladder infection or any other cause for passage of blood in urine. Stent is removed by the doctor, and you should not do it yourself. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir I am a 23 old girl. I had ipill twice in past, first in December 2013, then in Feb 2014. Now, i had unprotected sex on the 25th day of my cycle, and my partner ejaculated inside me. Will it be safer to take an i-pill again ? Shall I consult a doctor? Is taking i-pill harmful for my health & future pregnancy ? ### REPLY: Hello dear. Understand your concern.I advised don't take it again, it is done complication in the future, it inhibits ovulation & lead to infertility, increase chance of abortion. Actually, you did sex in your safe period, if your cycle is regular, then no need to take it. But if your cycle is irregular, then wait, consult your doctor.I advised, use condoms, diaphragm , it also protects you from unwanted pregnancy & STDs. Hope this will guide you. 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: Hi I am 30 years old and suffer from lower back pain 24/7. My MRI results say I have L4-L5 left for aminal disc protrusion and annular fissure causing moderate neuroforamina narrowing. I ve taken medicine for the pain ( Medrol. Norflex, Percocet, Toradol, Keralog and neurontin) but none seem to help. I can t walk , stand or sit for more than a couple of minutes and recently I ve been experiencing a tingling cold sensation on both of my feet and left arm. Is there some kind of theraphy to help ease the pain and help with the other symptoms I m experiencing, or surgery is really necessary??? Thanks T ### REPLY: The cold sensation in feet and left arm is because of the compression of the sensory nerves in spinal cord. Well, looking into your young age you may have several optionsSurgery is one option which may give miraculous results. There are two options - one is open surgery and other is through a scope. The protruded disc material can be removed.Also, Ozone Therapy can be tried. Physiotherapy is a double-edged sword. It may give good results, or it may lead to stoppage of whatever little motion you have left. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 removed cyst from upper part of my inside lip area, this was noticed by doctor, I dit know something was there it sent for biopsy and was negative, after the surgery this had become worst so the Dr.. clean it more by surgery, we thought I will be better it was very painful and stressful result because this become worst then the last time it formed big bump and soar under my chick. I dit not want to be cut again, so Dr.proscribed Amox tr-k clv and methylprdnisonlone I am getting better. My question is will this boil go away with this medication or I would have have to have another surgery to get this bump of my face I look terrible and am stranded in home I am a realtor and have hard time to work. Thank You for Your help. sincerely, zofia Lavarde Would this be some sort of cancer? I am worry. Why is this coming back? I know I may have inflomation in my body would this be causing this problem? ### REPLY: Hi Dear, Welcome to . Understanding your concern. Thanks for your query. Basically cyst I'd formed after infection. When the cyst is removed many times infection left behind which cause bump like structure after surgery. The second reason for bump is that the cyst war formed due to dental infection. If the dental infection was not treated properly the lump can form again due to dental infection. As you mention in query that you are taking antibiotics and the condition is getting better that a good thing. You should continue your medicine and complete in properly. It can be possible that lump will go away only with medicine without surgery. If condition persist even after completing antibiotic course then again visit dentist or oral surgeon for proper evaluation. Doctor will try to find out root cause of infection like dental infection and treat it accordingly. Doctor may perform root canal, extraction or curettage first to eliminate main point of infection and then remove the lump surgically or extend the course of antibiotics. Hope your concern has been resolved. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son got seizures when he was around 2 years. When he was sleeping after his breakfast he got the seizures. He vomited also. Admitted in the hospital. EEG completed. it was normal.2) Again he got the seizures when he is 3 years. In the mid night during sleep. He vomited and his hand and legs are stiff with staring look. he got admitted to hospital. EEG and MRI done. both are normal. Blood test where also normal.Doctors also not sure about the problem. what we need to do now? ### REPLY: As a pediatrician I would like to know some details... For how much time seizure lasted?? Was it associated with fever?? After how much time of seizure MRI and EEG was done?? Prolonged seizure can cause brain damage and many a time it is not detected if MRI was done immediately... I would like to take detailed history and clinical examination... After that a ct brain, repeat MRI or Mr angiography brain may be needed in this case... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 baby fell 2ft off the bed and landed on stomach. She cried but no change in behaviour. 10 hours later she vomited and had terrible gas. She did have a new cereal yesterday as well, had the influenza shot on Wednesday. Then this morning she had diarrhea. Should I take her to the ER? ### REPLY: Hi....whatever symptoms you are quoting are not dangerous and not related to the fall form cot. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15 mg/kg/dose every 4-6th hourly.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a lump come up today on my neck below my jawbone. It is now (since this morning - 8 hours) about the size of a golf ball. It is minimally tender when I touch it, but there is a little tenderness. It does not feel connected to a dental problem, I do not have a toothache. It does not seem to affect my swallowing. We are going into a 3 day holiday. Should I go to the emergency room or the urgent care clinic? ### REPLY: Hi. Thanks for your query. Noted the history and understood your concerns. The fast-growing swelling in the sub-mental region that is below the chin can be due to an enlarging lymph node or Ludwig's angina wherein one get inflammatory mass in the mid-line. This is dangerous and can spread very fast even compromising the airspace once it spread to the neck spaces.Hence, it is obligatory to go to ER, consult a Doctor, get an ultrasound and FNAC and thus get an appropriate diagnosis, get started on proper antibiotic and anti-inflammatory medications to get better and if the problem is serious you may have to cancel the trip of holiday. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 status epileptic patient .I have been taking eptoin 100mg a day for the last 3 years . I have got a seizure on last December,2013 ,After that I have been taking eptoin 100mg a day daily. For the last two months I have no seizure. could I stop taking the medicine. Is there any serious side effect for taking it long for period. ### 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. Phenytoin, when taken can cause few side effects when not taken can cause fits and fits can cause even deaths Please take Phenytoin instead of worrying about the side effects 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


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, m 25 years old n married for 5 years i had first normal pregnancy bt unfortunately my baby didnt survived, after again i had ectopic pregnancey due to which my right fellopin tube is removed & my periods are also not regular. please advice for solution we are desperate to have our own baby ### REPLY: Welcome to  there are a lot of issues which u need to take up seriously.first the cause for ectopic pregnancy needs to be given importance cos there are more chances of getting ectopic in subsequent pregnancy.since u have only one fallopian tube u need to examined thoroughly to rule out any congenital defects in the tube and the uterus.I would advise u to go to an infertility clinic and take their advice.u can very much conceive and have your own baby.all the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY 8 YEAR OLD SON HAS SMALL RED SPOTS ALL OVER HIS BODY THAT ITCH I HAVE TRIED JUNIOR OIATUM BUT IT HAS MADE NO DIFFERENCE HE HAS HAD IT FOR OVER 2 WEEKS AND IT SEEMS TO BE GETTING WORSE THE DOCTOR SAID IT WAS ECZEME AND HE HAS HAD A BLOOD TEST AND WE ARE WAITING FOR THE RESULTS MY DAUGHTER AND MYSELF SEEM TO BE ITCHY TOO ONLY WE HAVE NOT GOT A RASH ### REPLY: Hello, Thank you for asking at . I went through your sons history and would like to make suggestions as follows:1. Were I treating him, I would prescribe him an antihistamine like cetirizine in the morning and HY . 2. If it is eczema, it is important to know the cause of eczema and to avoid the causing factor.3. I would also suggest application of a lotion or moisturizer over eczema areas.4. If he has severe eczema, corticosteroid creams also may be necessary. Please apply them only after consulting a pediatrician/dermatologist. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish your son the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a red mark on my forehead left side, had it for a few months now, my heag feels slightly swollen on the left hand side. head really fuzzy everymorning as if iv,e got bee,s around my head. been under alot of pressure but don t like this every morning ### REPLY: Hello! Welcome on  ! Your symptoms could be related to a sinus infection or an inflammatory lesion in this region. For this reason, I recommend consulting with your GP for a careful physical check up and a sinus X-ray study. Some blood lab tests (complete blood count, PCR, sedimentation rate) are needed too. If the problem persists, a brain MRI study would help exclude any possible brain lesions. Hope you will find this answer helpful! 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 think i have a slow heart rate, but a doctor has never told me that. i have had vasovagal syncope for 11 years and i have been getting heartaches and headaches more often recently. i dont know what i should do or if any of these problems are linked ### REPLY: Thanks for your question on . I can understand your concern. Headache and cardiac chest pain (heartache) can be seen together in hypertension, heart failure, arrhythmia and other heart diseases. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test) 5. Holder monitoring (24 hours continuous recording of ECG) 6. Coronary angiography (if required). You may need cardiac supportive .  If all these are normal then no need to worry about heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad has a large ~3cm round/hard mass in his stomach. His stomach was bleeding, and therefore was really low on potassium, but his blood pressure and everything is back to normal now. However, the doctors just sent a letter saying he needs surgery. I want to know if this is serious. He was in so much pain before, because he lost so much blood. He also had black stool twice, and was vomiting. Also, what is 789.06- ABDMNAL PAIN EPIGASTRIC? ### REPLY: Hi! Good evening. I am  answering your query. From the history of bleeding and a mass in the stomach, the chances of the stomach harboring a malignant mass (needs a hist pathology examination of the tissue to confirm) becomes high, and so the doctors treating him might have advised him for a surgery. As your doctors have examined him physically and must have performed investigations before arriving at the decision to operate, I think they are the best judge, and so you should go with their advice, otherwise the mass may bleed more resulting in more blood loss. The provisional documented diagnosis is abdominal pain and region is epigastric part of the abdomen and the number 789.06 could be some kind of registration or reference number of the hospital where he was treated. I hope this information would help you in discussing with your family physician/treating doctor in further management of your fathers' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on the health problems. I wish your father an early relief. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is it advisable to give nebulizers daily my fqther is 60 years and takibg duolin he has cough which increases in night doctor suggested that he is small multiple cysts in his lungs which gets filled with mucus and causes cough...presently he takes unicontin tablets ### REPLY: Thanks for your question on . I can understand your concern. Multiple small cysts in lungs is mostly due to bronchiectasis. It is chronic lung disease in which patients need to take bronchodilators, bucolic and expectorant .  So along with Nicotine and Dublin, he should also take N acetyl cysteine (NAC).NAC is Pulmonary anti oxidant, bucolic, expectorant and anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pain in upper abdomen, very sore to touch. chest pain also, after eating the chest pain is very bad and breathlessness. i have lost 3/4 stone in past 2 months as cannot eat much. had ct scan last wk, waiting on results but feel so weak and ill. ### REPLY: Hi, thank you for asking . With this presentation, I think the problem is coming from acid secretion in the stomach. It may be gastritis or peptic ulcer. I would advise you try antacids in association with another .  It would be important to do a certain laboratory test called H. pylori test to be sure that these bacteria is not the cause of this problem. If the test is positive, you would need a special combination of  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I am having upper left quadrant pain!  Have been for several months now! Sometimes the pain will move down my left side and also to my back! Sometimes I feel like I cant get a good deep breath! Doctor did blood work says everything looked fine except my platelet count was a little low! He didnt seem to concerned! I Have googled my symptoms and have scared myself that its my pancreas! ### REPLY: Hello! Thank you for the query. Such pain is most likely caused by urinary tract infection or kidney stones. You may have frequent urinating, burning while urinating, lower abdominal pain. Trace of blood can be seen in urine from time to time. Stomach issues like peptic ulcer can sometimes give such symptom as well. Blood work is not enough to find the reason. I suggest you to have urinalysis and abdominal ultrasound as well. Gastrostomy should be considered. 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: I had a MRI and CT scan of my thoracic spine after which I was told that I have a mass attached to a muscle at the T6 level. The appearance favors a benign myxoma,fibroma, or hamartoma . Are any of these likely to grow and should I see another doctor for a second opinion and if so what kind of doctor? The doctor that did all this testing is a neurologist. Should I see another neurologist or go straight to a surgeon? ### REPLY: Hi, I had gone through your question and understand your concerns. All three tumors mentioned are benign and affect mainly muscles. Maxima is found mostly in the heart. All three tumors have a low probability, but present, to be aggressive, so if you have moderate to severe symptoms, I suggest surgery and after biopsy result close follow up. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I am a 54 yr old male. I am having a painful lump under my right side nipples. This has been going on for a week now. I have warts on my nipples and the right side nipples has now dots of wounds. I have hypertension taking up Cozaar and Amvasc. I do not know what this is. Please help me. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some benign breast lesion like cyst, fibroadenoma or fibroadenomas or some cancer.  You should go for mammography and biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a rash on my chest shoulders and back  SMALL WHITE CIRCLES PINK AROUND EDGES not itchy also one eye continues to shut on its own it changes from eye to eye during the day  vision sometimes blurry. Can u give me any idea WHAT U THINK THIS COULD BE ### REPLY: Hi, Thanks for writing to us. These skin rashes could be due to seborrhea dermatitis or ringworm. Seborrheic dermatitis is a type of eczema characterized by itchy red scaly lesions over chest, upper back, face and scalp. Treatment requires steroids alone or sometimes in combination with antifungalsTinea or ringworm is characterized by itchy red ring shaped lesions. Treatment requires oral and topical antifungal. It is advisable that you meet a dermatologist to get you lesions examined, or you could use the premium service of this website and upload images, so that we can help you better. As far as your eye is concerned, you could be having tics. Tics are involuntary movements. For the same, please meet an ophthalmologist. Your skin rash is not related to this problem. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: iv had surgery on my ankle to have metal work removed and a few days after surgery its became infected ,swollen, my hole foot is red and feels under pressure iv been to a & e they said it was boarder line infected and sent me on my way .iv been put on antibiotics and im now vomiting i hav stomach pains and dissiness also shortness of breath can u shed some light on this please ### REPLY: Hello You are passing through a trauma, initially you operated for metal work removal, got infection, took antibiotics. These all developed hyperacidity or gastritis and that is main reason of vomiting and stomach pain. Since you are also complaining of shortness of breath, this may be due to hyper acidity or forceful vomits. You should take some proton pump inhibitors like pantoprazole-d, once or twice in day (although normal dose is once in a day). Also take some antacid. If you got relief in infection stop antibiotics. You can use local antiseptic solution, if infection is localized and minor as it will not produce any hyper acidity or gastritis. Still feel problem or vomiting then consult a physician and get his opinion. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i did 20 weeks ultrasound and doctor said that the amniotic fluid is more so they advice me for stomach bubble sonography other body parts of fetus are normal and my GTT test result is little bit high so doctor said its gestrational diabetes I am worried about all these give me proper answer what happen to baby because of all these. ### REPLY: HI, Thanks for the query. I understand your concern. Gestational diabetes is a cause of increased amniotic fluid.  The explanation is as follows.  Due to gestational diabetes, fetal blood sugar is raised & this leads to excessive urination in fetus (osmotic effect). Which causes increased amniotic fluid in gestational diabetes.  As an effect of gestational diabetes, apart from maternal complications, fetus has high birth weight/pregnancy can turn in premature labor, abnormal fetal presentation during childbirth.  Please don't worry these can be prevented by controlling gestational diabetes by lifestyle changes & few medications (as per advise by treating doctor ) 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 male friend age 57 just found out he has a cyst on his kidney. He already suffers from back pain due to an injury. However he has had stomach pain recently. No blood in urine, no urinary tract infection, no pain while urinating. He is being scheduled for a second scan. Could this still be serious? ### REPLY: Hello and welcome to . As a Urologist, I share your concern fully. Simple cysts in the kidneys, are normal after 40 years of age. If the cysts is complex, it will need further assessment, with CT scan. As the scan report isn't available, I can't comment on it. If you send me the scan, I can give you an expert opinion. You may send the report to me, as a direct question. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a student at Bow Valley College doing a Health Care Aide program. I am doing practical and I have to Reseach a clients medication. I need to find out what these medications are for and the side affects for this client.ASA CHEW 80 mg daily   ATORVASTATIN 10 MG   - CALCIUM ELEMENTAL [CARB] CHEW-  CHOLECALCIFEROL [VITAMIN D] - LANSOPRAZOLE RD [ PREVACID FasTab]  30 MG -  LISINOPRIL [ZESTRILPRINIVIL,APO-METOPROLOL] 5 MG  -MELATONIN 3 MG  -  METOPROLOL [LOPRESOR,BETALOC,APO-METOPROLOL 25 MG -MIRTAZAPINE [REMERON,GEN-MIRTAZAPINE] 15 MG   -POLYETHYLENE GLYCOL POWDER 17 GM  -RISPERIDONE 1 MG   -ZOPICLONE  3.75 MG  -GLYCERIN 1 SUPP   -LOPERAMIDE 2 MGThis client has Alzheimers, Dementia, Coronary artery disease and Peripheral vascular disease,  I know this is a long list but I will be grateful to  know about this. Thank-you!b ### REPLY: Hello Your Clint has Alzheimer's disease, coronary artery disease, peripheral disease. From available medicines I can tell you that he is taking following medicines-- Atorvastatin is a lipid lowering agent. It is given for cases of atherosclerosis. - Calcium elemental, cholecalciferol are given to supplement calcium and vitamin D in blood-Lisinopril and metoprolol are given is cases of high blood pressure. - Lansoprazole is an antacid medicine. It is a proton pump inhibitor. In your patient it is being prescribed to decrease gastric irritation due to so many . - Mirtazapine is an antidepressant medicine, it also improves sleep.- Risperidone is an antipsychotic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 know I am headed for failing kidneys. My dr. said my blood tests looked good but my kidneys appear stress. I am diabetic. She said my albumin was 10 pts. above the max. I got a juicer and have been drinking vegetable & fruit juices. I am serious about lowering my test score. 8o ### REPLY: Hi welcome to . I have read your question and I have understood your concerns. Loss of protein in urine is a sign of kidneys damage in any disease, also in a diabetes. But the most important parameter is S. Creatinine and GFR(glomerular filtration rate). Please just see your reports and discuss with your doc about that parameters. My advice to you - 1. Avoid excessive fluid and salt at it will raise your blood pressure in kidney DISEASE. DON'T TAKE EXCESSIVE FRUIT JUICES - THEY SHOULD BE AVOIDED BOTH IN KIDNEY DISEASES AND DIABETES. SO restrict fruit intake. Up to early stages of kidney damage normal protein intake in diet is allowed. 2. Tight control of blood sugar is of utmost importance. Target will be FBS 3. Don't get panic, in early stages kidney diseases are preventable. Take regular follow up with your kidney specialist and do every 2 monthly blood reports for kidney and diabetes. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i went to the nurse the other day and had a smear. While doing this i asked her to look for the strings of my marina coil and she could not see them. The doc had a look also and she could not find the device. I have to go for a scan today to see if they can find it and to see if i,m pregnant. Im very worried as I was not trying for a baby and have been drinking wine and have not been taking any folic acid. if it is the case i am will the baby be effected by this and will they remove the coil. ### REPLY: Hi, thanks for posting your concern in the . Most commonly the IRENA string becomes invisible when it has hot displaced from its site of lodgment. Your doctor has correctly advised you to have a scan to find the exact location of the IRENA coil. And it should be considered as an emergency. So, scan should be done as early as possible. If it has got displaced or by any chance removed, there is chance that you may be pregnant. In that case chance of ectopic pregnancy is higher. An ultrasound scan can rule out that possibility. In case you become pregnant, and the fetus remains in the usual normal position, consumption of alcohol and no folic acid intake definitely poses risk of development of neural tube defect (NTD). Hence, if there is normal uterine pregnancy, and you want to continue with that, immediate commencement of Folic acid would be needed, and Anomaly scan should be done as per schedule. But, above all, the first thing you need is to locate the missed coil and hence please have the scan done at the earliest. In case you have any new query in the future, you can directly ask me questions @ http://www.ChatDoctor .com/doctors/ .   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 born in 1995. I m 19 year old now. I used to masturbation since when i was 15 years ago. I have a pain in my left shoulder, actually it s opposite to my heart. it has for 1.5, What s wrong with me? By the way, i was surgered for arterial septal defect in 7 december, 2012. But symptoms appeared before the surgery. Openly in 2011. ### REPLY: Hi, I think that is only a muscular spasm or a muscular tear due to over usage of the muscles or hyperextension of the shoulder, a wrong position while sleeping.  By the way the heart is at the same side of your left shoulder and I don't think it is correlated to your heart unless you run or exercise a vigorous sport, swimming may cause a referred pain to your shoulder if this happens I suggest you ask for ECG, echo on effort by your cardiologist. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This is about my father. He is having fever (low grade 99 to 100) with body ache everyday in the evening. He had the same problem 10-12 years back. He was hospitalized for a month, but nothing was diagnosed. About 2 years back he was diagnosed with stone and TB in urater. He was operated for the stone and took medicines for TB. He was well then, no fever or anything. A few months back he was also operated for hernia in abdomem. Now from about a month the fever n bodyache is back. ### REPLY: Thanks for asking in  forum I understand your concern for your father. Evening rise of temperature before might have been due to tuberculosis, so was subsided with treatment.  Urinary problems are very common in elderly individuals leading to fever and backache. So, please provide details regarding your fathers age, any prostate problem and associated illnesses like hypertension/diabetes for further suggestions.  All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a very sore tongue. It started a couple of weeks ago and at times goes away but when it comes back it is worse than ever. It hurts to eat, drink and brush my teeth.. Do have any home remedies that might work for me? Could this be an aspartame allergy? ### REPLY: Thank you for the query. I would like to know your age and gender and whether you suffer from any comorbidities like diabetes mellitus. Sore tongue can occur due to number of reasons. Allergy to any food ingredient can cause it. Vitamin deficiency, is however the commonest cause, and you should immediately start on Vitamin B-complex supplements. You can apply commercial preparations in your mouth for symptomatic relief. Chlorhexidine mouth wash can help. Avoid hot and spicy food. Occasionally fungal infection may be a cause, in which case clotrimazole mouth paint application is advised. Authors ulcer is another common cause for soreness in the mouth, specially in young adults. If the problem persists please do consult your doctor. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My son is 7 months and he has a cluster of bumps that form a linear pattern from his groin to his foot. It stops just above the bottom of his foot, it started with a ern. small bump a week prior and then it expanded into the linear pattern. Please can any of you help me ? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 3 yrs of late she she getting fever in the evenings and in the morning her fever is little less or normal.some time she says he has a pain in her stomach.her chest is congested.is it typhoid.doctor geve her corocine and asked us to moniter after every 6 hrs ### REPLY: Hi, chest congestion with fever points towards upper respiratory tract infection. In typhoid there is history of fever without any focus, and the fever continues to increase. Without treatment fever increases in typhoid and can cause complications like pain abdomen, pneumonia, hepatitis. Kindly do complete blood count, typhoon IGM hand x-ray chest. It will help in ruling out typhoid and chest infection. Temperature chart it should be done so that we may know that whether temperature is increasing or not. Review with reports. 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: ok i think i may have a big problem.... please dont laugh.. about 7 months ago i stick a sausage in my anus while materbaiting to make it feel better when i came.. now at night i feel just one worm in my anus tht lays its eggs i suppose or trys to anyways lol ive noticed tht wen i put toothpaste around my anus it flips out and runs into my intestines were i cant harm it. and then it pops up again at a later time. i have no symptoms at all, the only thing tht i have is  A FUCKING WORM IN ME I DONT KNOW HOW TO GET RID OF! and im too scared to tell anyone how i actually got it.... ive told my mom and she says its pinworms.... as u can tell its not fucking pinworms... someone please! anyone help me out with this. ### REPLY: Hello, It seems you have pin worm infection which can easily be cured. Since if proper measures are not undertaken, this infection is likely to recur. The following treatment and prevention recommended for pin worm infection.-A single oral dose of Mebendazole or Albendazole, repeated in two weeks, is effective in the eradication of pin worms.-Do not use your toothpaste to get rid of the worms as it is not effective in the total eradication of the worms.-You may apply carbonated petrolatum or other antiparasitic creams or ointments to the perianal region may relieve itching. The infection can be prevented by:1. All family members or classmates must be treated simultaneously.2. Personal and group hygiene must be improved: You must wash your hands before eating, and refrain from activities such as scratching the perianal area), finger-sucking, nail-biting, and your nails should be trimmed.3. To reduce your risk of getting or spreading infection, wash your hands thoroughly after having a bowel movement or changing a diaper and before eating.4. Daily morning bathing and daily changing of underwear help remove a large proportion of eggs. Showering is preferred to avoid possible contamination of bathwater.5. Careful handling and frequent changing of underclothing, nightclothes, towels, and bedding can help reduce infection, reinfection, and environmental contamination with pin worm eggs. These items should be laundered in hot water, especially after each treatment of the infected person, and after each usage of washcloths until the infection is cleared. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been told that there is a alternative back surgery method a doctor in Texas is trying which consists of injecting fluid between the disks. Do you know the name of this procedure? I am facing back surgery and would like to explore other options. Thank You. Glenn ### REPLY: Hello, I have studied your case. There are various procedure which include chemonucleolysis, ozone therapy and injection Dylan. MRI spine will show any disc bulge is there or not. And when muscle sprain is confirmed muscle relaxant, analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. 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: im pregnant for 14 weeks now ,i start bleeding from 7 week of my pregnancy till now ,some time is heavy bleeding and some spotting and every time when i had heavy bleeding i went to hospital and they did ultrasound to me ,they said every think is fine and baby is fine and they didnt know the source of bleeding and my doctor said we dont know the cause of bleeding,im afraid from that bleeding ,can help me to understand my case ### REPLY: Hello dear, I understand your concern.It's good to know that you have all the reports normal. In my opinion there are various causes for bleeding during pregnancy like :-1)Thyroid abnormalities .2)Progesterone insufficiency.3)Abnormal pregnancy like miscarriage or ectopic pregnancy.4)Bleeding from cervix.etc. So as per your information all the above causes might have been ruled out by physical examination and necessary investigations. Ultrasound helps to know the well-being of fetus as it is normal you need not worry.Don't worry in some cases even though with the presence of bleeding everything will be normal and pregnancy continues till term and have good outcome.Maybe the bleeding might be from cervix. Anyways relax. Avoid physical stress and intercourse. Take prenatal and progesterone supplements. It might subside spontaneously. Take iron rich diet and iron supplements to combat anemia caused due to bleeding. Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I suffered a fall 2 weeks ago which resulted in half of my front tooth being broken and also damaging my lip. I didnt black out on the fall but some 2 days later I started to suffer with headaches. By the 6th days caouldnt bear the headache any longer and visited A&E. I was advised to take a few days rest and ibuprofen and paracetamol and advised that should the headache worsen to return.Whilst the headaches have not worsened they have still been debilitating and I am still taking painkillers as advised. It seems to ease when I rest but otherwise no real let up.I am concerned as to whether I should go back to A&E as I hate to waste anybodys time but I have an ache in my left cheek and ear and today an ache in my left arm. I would have thought that concussion would be over by now so just want to feel better! ### REPLY: Hello and welcome to  forum, Since your front teeth has broken, i would advise you to visit a dentist to check the tooth clinically as well radiologically. If the fracture involves pulp or periapical region, root canal treatment or pulp capping has to be done. Take complete course of antibiotics too. If the fracture has not involved pulp, please do get the tooth restored using tooth colored filling materials. If the fracture portion has left untreated, it can lead into dentin sensitivity. Avoid biting on hard objects using the tooth. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom is 68 years and lately we discovered her hemoglobin level is 6.2 ,always it was betwwen 10 and 12, however it was now checked after almost 2 years, so i dont know how long shes been at this level can u tell me how dangerous is this and how to treat it thanku doc ### REPLY: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you low hemoglobin is not a serious condition until the hemoglobin goes down very much. I advise you to take tablet Liven Z to your mother for two times a day. Once the hemoglobin level is achieved near 8 gm tablets will be taken once a day. Take tablet two to three months more when you reach the near hemoglobin level. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END