Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 year old and I relocated from NYC to Orlando Fl in October 2014. Since arriving he has been quite sickly, mainly runny nose, consistent coughing, frequent nosebleeds at night and high temps ranging from 99.9 to 102.0. Recently, he was given a nubulizer and abuterol with treatments every 4 hours. Problem was we had no insurance and was taking him only to the emergency room, his coverage started 3/1/2015 and his new doctor has not yet pin-pointed a specifi problem, but I am really worried that he is not doing well in this new environment. Today, his nursery school called to report that he has 99.9 temperature, consistent coughing and has vomited several times day. Any ideas what I should do? I plan to take him to his PCP afterhour care center tonight. ### REPLY: Hi, Thank you for asking question on . Your history suggests that your child may be suffering from Allergic rhinitis. Steam inhalation, local instillation of saline nasal . Montelukast 4 mg daily will control coughing. Antibiotic like Amoxicillin and clavulanate combination and paracetamol will control fever. It is difficult to pinpoint the diagnosis without seeing the patient. Follow your doctors instructions to arrive at a diagnosis. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, my husband is undergoing kidney transplant, I would like know more about the transplant rejection. Could u explain this in detail? ### REPLY: The transplant rejection is condition in which cells from the transplanted tissue of a donor initiate an immunologic attack on the cells and tissue of the recipient. The donated organ, called an allograft if the donor and recipient are unrelated, is transplanted into the recipient, called the host. Rejection can occur when the host’s immune responses are directed against the graft. The rapidity and reversibility of rejection depend on the various mechanisms involved, such as peritransplant ischemia and mechanical trauma, preformed antibody interactions with graft antigens, alloantigen-reactive T cells, and abnormal tissue remodeling. Graft rejection syn .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband who is 72 has a bad cold/flu 6 days. No fever but very weak,tired,listless,head cold, sore throat lessening, now very sore ribs. He is susceptible to bronchitis . Not sure if the ribs are lung related or cough resulting. Doctor is unavailable on New Years . ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain due to vigorous coughing is more likely. Vigorous coughing can cause straining on ribs and intercostal muscles. This can cause soreness. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Apply warm water pad on affected areas of chest. 2. Give him painkiller and muscle relaxant . 3. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain.Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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 mother is suffering from continuous swelling of lower portion of legs. Her Amlodipin medicine has been changed but swelling persists. Uric Acid normal. ESR and CRP is high. Doppler normal - no stenosis, dilation or constriction of arteries in leg - in short doppler normal - no thrombosis. BP high controlled by medicine. No infection - have gone thru anti-biotic treatment. other blood profile normal - shown many doctors - swelling still persists and reduces slightly during night rest (when feet are up) but throughout the day the swelling increases. Totally foxed - pls suggest line of action. ### REPLY: Hello, Next thing is she should undergo renal and liver function test, serum albumin levels, echocardiography of heart to look for the cause.  She should consume low salt diet and water restrictions. She should also be started on medicine like Tab Dy tor 5 mg once a day in the morning. Get potassium levels five days after starting this medicine. Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have beeen taking Ecosprin AV 75 for the last 5 years. I am 48 years old. Last year cholestrol was 137. I stopped taking ecosprin for the last one and half months and now the cholestrol is 217. should I start taking ecosprin av 75?what are the side effects and prevention to be taken? and benefits of ecosprin av75. ### REPLY: Hi, Ecosprin AV 75 contains ASPIRIN 75 mg and Atorvastatin 10 mg. I noticed that you are having dyslipidemia as your cholesterol 217. Indication of aspirin mainly secondary prevention of cardiovascular risk (means you had angina, coronary artery disease, minor stroke). Three is a limited role for primary prevention (for those who had risk factors for CVD such as smoking, dyslipidemia, diabetes, hypertension, etc.).if you have started for secondary prevention then you should continue taking aspirin and statin. For primary prevention, you can reassess your risk factors and then decide whether to take aspirin. The side effect of low dose aspirin is very few. Peptic ulcer gastritis is one of them. To avoid that you can take aspirin after a meal. You make consider taking PPI such as Pantoprazole 40 mg once a day if you have symptoms. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 38 yo female having symptoms of left chest pain that extends into my collar bone and neck. I am a smoker and lately I have noticed a little bit of tightness in the chest with a small rattle in my lungs that when I cough up mucous the rasp usually disappears. I am 52 and I weigh 130 lbs and otherwise healthy except for low thyroid. ### 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 be having-CAD(Coronary Artery Disease) with Smokers Cough with Bronchitis. Low thyroid could be causing high lipids with accompanied Coronary predisposition to Chest Pain. The left chest pain radiating to collar bone, is a bad indication of- accompanied Coronary blockage with impending Heart attack causing Myocardial infarct. To avoid this-You need to Consult Cardiologist- and get investigated for lipid profile and stress test/ Thallium Nuclear Scan may be needed in your case. X-ray Chest would fix the Bronchitis with smokers lungs. Rule out other causes of bronchitis with AFB and IRA Blood test for to rule out-hidden TB lungs. This briefing reply is on facts submitted, which need to be verified from your attending doctors, with whom you can check before starting further changes in the treatment of your dad. 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: hai i am 30 year old man. recently i found backpain and sometimes swelling on the both sides of back. so i consult a doctor and he recommended a US scanning of abdomen.i felt acute pain during night.the result is mildly enlarged fatty liver and gallbladder is replaced by soft tissue masses.and i felt blurred vision in my left eye.so i want to know what is my disease ? and what is the better treatment? ### REPLY: Hi and welcome to . Thanks for the query. You should find the exact cause of liver changes. This can be confirmed only by liver biopsy and then right treatment can be planned. Also you should check your hepatitis markers to rule out hepatitis infections. Till you do these tests you should avoid alcohol completely, eat hepatoprotective diet and regulate blood sugar and lipids. 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: Based on my experience whenever i am exposed to the sun for x amount of time my neck feels stiff and it hurts and i feel heat coming out of it. The pain and stiffness is only on the right side and i do have a mole in that side and i wonder if that is related. ### REPLY: Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, these are not related, usually exposure to sun can cause aching of the muscles, and for that it is required that you take plenty of fluids, do not go too much in sun, i.e. avoid sun, and take regular exercises hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had my daughter 4 and a half months ago. I haemorraged after delivery and still bleeding. I had a scan, no abnormalities. I had swabs, no infection. smear was normal.the doctors arent bothered now really but its getting me down. what can i try next? Ive had tranexamic acid but it eased the bleeding and once i stopped it continued. please help. ### REPLY: Hello and welcome to ChatDoctorContinuing bleeding after delivery despite treatment can be due to disorders of coagulation system. I suggest you to consult a hematologist for clinical assessment and relevant investigations- platelet count, bleeding time, clotting time, prothrombin time and activated partial thromboplastin time. In case any abnormality is detected in any of these tests, further management can be done. Thanks and 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 soaked my impitigo in a sailenesolution and removed the scab and proceeded to put my prescribed ointment, bit now the exposed pink area is turning brown. Does this mean its healing? Or do I have to keep soaking the wound in sailene solution before I apply my ointment? ### REPLY: Thanks for posting you query to .impetigo are skin infection usually caused by Staphylococcus like bacteria. If you are having open wound you need to take proper care of it as there are higher chances of getting reinfection in such cases .so cleaning with antiseptic and . Brown color are suggestive of step towards healing, but you should give care to wound till healing. Hope you would be satisfied with my answer.  Feel free to communicate if any query.regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Ive had sinus surgery twice to open up passageways and drain better. Still, Im plagued with terrible sinus infections that have been with me for over 2 years. Cant breathe, yellow, green smelly discharge. Last round of antibiotics was for 2 months straight, 1 month was Cipro. Infection seemed better, but returned. Tried all kinds of natural methods including irrigation with saline, H2O2 (ouch!!), strengthening immune system, mucinex, now going to try NAC. In the past, did allergy injections with no relief. Other than going on a cleansing fast, I think Ive tried everything. Im tired of this fight and ready to give up. What options are left? Im really, really, sick of being sick! ### REPLY: Hello, Welcome to , After reading your clinical history it appears that you are most probably having chronic rhino-sinusitis. If I were your treating Doctor for this case, I would advise you to take treatment to get early reliefSteam Inhalation twice daily, Saline nasal spray thrice daily, Plenty of fluids, Antihistamines at night antibiotic azithromycin. You will need to see your doctor to get a prescription. 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 experiencing dull ache around my lower right second molar for about 2-3 weeks.I went for a dental checkup and had my teeth cleaned by a dentist under local anasthetics in 2 separate sessions (2 days apart), the first session for the right side and second session for the left.After the first cleaning session, I became very sensitive to cold and hot on the lower right molar.About 10 days after the fist cleaning session, I started feeling pretty sore around my lower right second molar and noticed that my gums beside and behind it were swelling.Have been rinsing with warm salt water and savacol. Its now the 2nd day since the noticed swelling and i see some tiny white spots on the swelling part of the gums.Am wondering if anyone had any idea what could be causing this. ### REPLY: Hello thanks for consulting at .sensitivity is due to gingival recession,u should massage with the pulp of your fingers both buccal(outside surface of teeth) ND lingual(inside surface of the teeth) morning and evening after u brush your teeth, swelling may be BCZ of abscess either due to periapical if dental caries involving pulp, or it could be due to periodontal involvement, since salt gargling is not helping, better consult your dentist for x-ray and check up and treatment.hope it helps,TC ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is aisha, and i have a concern about my husband its been 2 months he started with a bad cough and it just got so worse he lost alot of weight around 10kgs and he started to vomit and he hardly eats or drinks whats wrong with him please doctor let me know asap thankyou ### REPLY: Hello welcome to the  We don't want to neglect this condition It a time for you to consult him to pulmonologist for following work up... _Auscultation _CBC _chest x-ray _sputum examination According to cause identified specific treatment guided Tuberculosis and cancer can be possible as rapid weight loss present But don't worry, with keeping my answer in mind consult pulmonologist and then further discussion will be done Take care Hope this will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter had mild cold symptoms with little drainage and very minor cough last week.  Takes vitamins daily.  Shes still feeling run down, her throat has hurt a couple days and has lost her voice.  She has not had a fever at all.  Is this just a lingering seasonal cold?  She plays outdoor soccer in the cooler temps and the rain. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your daughter have symptoms of cold and cough which seems to be due to upper respiratory tract infection or poor immunity of body. Infection is spreading to larynx region as well leading to inflammation of vocal cords. Need not worry. Avoid intake of cold carbonated beverages. Avoid intake of sharp spicy food. You should apply mist humidifiers in room and take throat lozenges. Visit ENT specialist once and get it examined and start treatment after proper prescription. You should maintain oral hygiene. Do warm saline gargles. You can go for blood and sputum tests as well. You should take proper course of antibiotics along with anti-inflammatory medications. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed pain in the side of my mouth near my gums and assumed it was the growth of a wisdom tooth, I m only 19. However after feeling with my fingers I ve noticed a small bump in the soft pallet right next to my gum. Should i be concerned or is it just swelling? ### REPLY: Cellophane You for contacting . In most of the cases it resolves itself in few days. Main thing it causes is pain while eating or when you touch it with tongue. If pain occurs then I would recommend you to use lidocaine gel on the swelling. Consult local hospital if:> condition does not improve in 2-3 days> any other symptom appears> condition aggravates Hope you will be better soon. 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 Sir,Please need your assistance,My wife have the back pain problem and this problem has been started since 2007 when my baby daughter born through sigerian operation and that time injections given in back side and that injections area only giving the problem. ### REPLY: Hi Welcome to  After going through your query that your wife has chronic backache due to vitamin and trace elements deficiencies. Your daughter birth and spinal needle is unlikely to be responsible for it. It is only coincidence. You are advised to get her vitamin B12 and vitamin D3. You are advised to take analgesic such as ibuprofen for pain relief. Back exercises are useful. Vitamin D3 supplements may be taken if she has these deficiencies. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to answer your queries. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have c5-6 Foraminal stenosis diagnosed 6 years ago.  I was put on soma and that along with accupuncture, massage and specialized manual physical therapy worked well ( I chose to not take any pain medication for those years).  Unfortunately I was rear ended in September of this year and now the muscle spasms and pain are about to end my life.  Soma and Vicodin (I have always taken small amounts with never any recreational drugs or alcohol used.  I was referred to a pain doctor with his own agenda who decided I was a druggie despite multiple sites of injury in my body due to many years in the healthcare industry lifting heavy patients, walking and neck/shoulder injuries)  I hold dual medical degrees so I am knowledgeable and careful with any pain medication and realize the risk/benefit balance.  I have taken soma on and off for 12 years.  I actually was originally given 4 a day and for many years only took 1.   I did not ever experience withdrawal despite discontinuing 2 times due to a period of relative ease.  Now I am older and my body is no longer able to compensate for the structural defects.  I have been told my condition is not a good one for surgery.  What am I going to do?  I only want to work, quilt and occasionally garden.  Any suggestions? I am sorry.  I read your advertisement/website and I dont think you are an ethical company that will actually do anything. so I am not going any farther. ### REPLY: Nowadays, minimal invasive spine surgery is possible, consult a spine or neurosurgeon.it seems laminotomy, laminectomy and or fusion of vertebra are apparent remedies. Lyrica, methycobalamin, tramadol may be alternative medicines. If disc issues are also co-existing, epidurals or ozone therapy may be considered alternatively if for technical conditions you can't undergo surgery. Opioids are best taken for acute conditions as a short course. Use of cervical collar and isometric neck exercises may be done if condition permits.Also, cervical traction if this can be done in your position ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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.  This is embarassing but, I had unprotected sex on August 4th and took emergency contraception the next day.  I started my period a week early on August 10th and it ended August 15th.  On August 16th, the condom broke so I took emergency contraception again the next day.  Now I am having very light dark brown discharge and slight cramping...... what are the chances I am pregnant?  I am scared to death. ### REPLY: Hello, Welcome to . I had gone through your query and understand your concerns. I suspect it is a nothing but an ovulation spotting. You do not need to worry about this ovulation spotting. Ovulation is sometimes associated with brown discharge and abdominal cramping.This ovulation spotting is due is to changes in hormones at the time or rupture of matured follicle in ovary. It usually lasts for one or two days. It is usually accompanied by mild cramping It is the period where you are very fertile as the eggs are released for follicle. If you have any intercourse at this time without any contraception, it will lead to fertilization and pregnancy. If you are still not convinced, check HPT after a week. Hope this helps. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had unprotected sex on the21st  3days after my periods and had postinor2, on the24th ,,my ovulation is suppose to happen on the 26th,,,im worried that i could still be pregnant..is it possible to happen like that.if so how soon can i do a test..thank you ### REPLY: Hi, It is not impossible to get pregnant after taking Posit nor. The emergency contraceptive pill like Posit nor is up to 94% effective in preventing an unwanted pregnancy if it is taken within 72 hours following an unprotected sex. Its efficacy would be more if taken as early as possible following an unprotected sex. Pregnancy tests are done to tell if your urine or blood contains a hormone called human chorionic gonadotropin (). This hormone is produced right after a fertilized egg attaches to the wall of a women uterus. Blood tests are more sensitive than urine tests and may detect pregnancy from about 6 to 8 days after ovulation. The home pregnancy test using an early morning urine sample can be undertaken about a week after missing a period. Hope these answer your query. Let me know if I can assist you further. Feedback is appreciated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 history of Tricuspid Atresia and am experiencing some dull aches in my left chest near my heart while laying down. However it feels like it has more to do with my lungs. Any advice on what I should do to relieve the pain? Should I be concerned? Thank you! ### REPLY: Thanks for your question on . I can understand your concern. Since you are having heart disease (tricuspid amnesia), we should first rule out heart diseases (heart failure and coronary artery disease) for your symptoms. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Lung disease like bronchitis can also cause chest pain while lying down. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). Quit smoking if you are smoker. You may need inhaled treatment if PFT shows bronchitis. If all these are normal then stress and anxiety are likely cause for your chest pain. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have high eosinophils count (14.2%) in the blood. i am suffering from continuous cold, watery/blocked nose, sneezing , chest pain and cough in the night causes wheezing and breathing difficulties.. Sleepless nights.. dry eyes , itching in the eyes and throat...head ache. please advise which specialist doctor should i consult with... thanks.. ### REPLY: Hi, Symptoms described by you appears to be a case of asthma with allergic rhinitis. Please undergo pulmonary function test. Airflow obstruction with bronchodilator reversibility will establish the diagnosis of asthma. Please start Metered dose inhaler formoterol- budesonide(200) 2 puffs twice daily through spacer along with levosalbutamol inhaler 2 puffs 4 times daily initially and then as required. Also start tab Montelukast-levocetrizine 1 tablet 2 weeks followed by levocetrizine once daily. Besides start fluticasone- elastane nasal spray 1 puff through each nostril twice daily. You may use a diary card to record the symptoms you are having and a peak flow meter at home for objective measurement of asthma control. Asthma cannot be cured, but it can be kept under control. You may consult a pulmonologist regarding further advise. Hope, I answered your queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last winter I fell and hit my head on concrete.  I now have a flat spot about 3 inches round on the back part of my head.  I suffered from Vertigo a while later and required medication and now a year later having episodes of Vertigo again.  Is this from the fall? ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that your symptoms do not seem to be related to the bump on your head. They could be explained by an inner ear disorder like Benign Paroxysmal Positional Vertigo. For this reason, I would recommend consulting with an ENT specialist for a careful physical exam and labyrinthine tests. If an inner ear disorder is excluded the next step would be performing a brain MRI. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, yesterday I kicked a wall with the bottom of my foot, like right where the knuckle type things are (but not on the top, but the bottom). In addition, I punched the wall with both fists, however I only hurt the middle knuckle on both hands. And as of now it hurts to walk on my one foot and it hurts to touch the knuckle or clench on both of my hands. How can I help the healing process of my hand and foot and whats the quickest way? Thanks. ### REPLY: Hi, As what I understand that you have a direct impact over the bone this should be a bone pain. If the pain don't subside more than 3 days and swelling is taking the place than I will consider it to be hairline fracture.  An X-ray might be needed if the pain and swelling don't come down.  For a good advice, I will tell you to soak the feet and hand in Luke warm water and use some tight socks and tight gloves to have a good compression which can allow the pain to reduce and avoid any swelling. Also, this can make you functional as well up to 70%. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been having stomach pain on my left lower side and today have had a fishy smelly light yellow mucus when passing stools. I have had this on and off for the past year. i have had small amounts of blood in this mucus coming from my anus after just passing a stool. My stools vary between soft and very hard which is is pretty frequent. ### REPLY: Hi. Thanks for your query and an elucidated history. Your history is very classical:1 year left power pain fishy smelling mucus and blood in stool. Changing bowel habit. I would advise you to undergo a colonoscopy as soon as possible along with ultrasonography to start with and then CT scan if required by your Gastroenterologist. Also needed are routine blood, urine tests; stool - routine, microscopy, staining for bacteria, AFB, cancer cells and occult blood, All this will lead to a proper diagnosis whether this is due to ulcer/ polyp / malignancy or what. The treatment will be best and guided - step-by-step approach to give you the best results. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i suffered ingunial tb was operated with it but i did not take any treatment for it and the wound was healed in a month or so do i still have the disease in me.my wife did not catch it through me is what i feel as she has delivered a baby recently.am i totally cured is my child at any sort of risk ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Yes it can transmit to other family members if you are not completely treated. Wearing a mask can prevent infection transmission to other members via respiratory tract. In my opinion you should test yourself for the TB test. If you are free from the TB there is no need to worry. But if you are currently infected with TB than you should take complete treatment so other family members won't infect with it. Your wife must be having good immunity against the TB that is why she won't infected until now. Your baby will have same immunity as her mother is having, so you can allay the fear that your baby will be infected with it. You can have high protein and carboy .  Avoid single binge-eating, instead you can have small frequent diet. Daily exercise, meditation and healthy living can keep you away from the all the medication. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor I am effecting from skin problem my problem is this 1st there is lot of pimples on my face and 2nd that after shifting in West Indies my face becoming more and more black people called my Blacklish plz sir or mam plz help me if the pimples are finished but their symbol remain on my face solve my problem Name Zeeshan Asghar Age 17 Male I also checked from skin specialist he gave me Ace face wash and tablets Adoxa but no effect byye ### REPLY: Hi. Any products for the treatment of acne takes time to show results. This is because the condition itself is a chronic condition requiring long term treatment. Use the face wash and medication as prescribed by your doctor regularly. Keep your skin clean and moist. Avoid handling the pimples with bare hands or washing them as this can worsen the condition. Follow with a good healthy diet. You can use multivitamins... Reduce the stress levels by means of stress reducing exercises and good sleep. And most importantly you need to be patient with the treatment, you will find results. You can take an opinion from one of the dermatologist available here. You can either take an opinion from a mail or speak with the dermatologist. The link would be http://www.ChatDoctor .com/specialists/Dermatologist/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5 years old..she just got over her strept throat about a week and a half ago..she has a low fever again today and has been very thirsty the last few days..she just doesnt seem to be healthy lately..in fact all three of my children dont seem to be very healthy..my 8 year old boy just had pnumonia the same time my daughter had strept and my 7 year old girl has sinusitis..what is going on? is it the time of year or are my kids just not healthy..worried about my 5 year old though..thank you ### REPLY: Hello, Welcome to forum. From the history stated it seems to be a viral infection circulating in your house Its very common among child .  Please give paracetamol in dose as mentioned on the bottle and also sponge the child from top to bottom with normal tap water with every fever spike. Give the child plenty of fluids and rest. Disclaimer:This provisional advice provided by me stands subject to the actual examination of reports/image and is based entirely on inputs provided to me. It should be correlated with clinical findings ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a swollen Tongue, it started by feeling like an ulcer was coming up but then a pea sized lump appeared to the mid left at the front of my Tongue. I have been feeling quite tired recently and was wondering what could be causing it. I also have slight jaw ache. I Havnt eaten either its put me off eating, maybe because it hurts? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have tongue ulcer and lump.  It can be some simple inflammatory lesion or benign hyperplasia, or it can be squamous cell carcinoma.  You should go for biopsy.  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 blood sugar and also high blood pressure.  I think I may have had this for several years but this got detected only recently.  Although I have been on Glycomet and Prazopress for the past two months, m systolic still ranges between 171-180 and the sugar is also high despite diet modification exercise and Met tablets. ### REPLY: Thank you user for your Burwell since your systolic blood pressure is high, so you have to start atenolol 50 mg along with amlodipine 5 mg. Salt should be taken in moderation. No salt should be taken in form of pickles, seasonings over salad. You have to add gliclazide or glimeperide along with metformin. Rest keep exercising 30 minutes a day along with short frequent meals. Avoid oily and spicy food. God bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two year old who has had diarea for about 8 days now, sometimes its really green other times it is really dark. I noticed that i had givin him grapes one evening and he had the grape skins in his stool. About 10 minutes after that stool he had went again and it was really dark and kinda clumpy like seaweed and had watery slimy stuff around it. I had givin him Watermelon the next day and about 2 hours later he had diarea again and it was dark green almost black with red from watermelon and the white watermelon seeds were there and also slimy. he has between 3-7 stools a day for the past 8 days. they are also very nasty smelling stools. ### REPLY: Hi, Basically, he is having acute gastroenteritis. I guess he was not given any treatment so far for this complaint. If he does not have fever, abdominal pain, blood or significant amount of mucus in stool, you can try giving zinc sulfate suspension 5ml once daily for 2 weeks. Also avoid giving sugary items / fruits / juices till recovery. Besides, give ORS solution after each stool. If he is not getting better by 2-3 days, kindly consult your pediatrician as he may need a course of antibiotic and probiotic too. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have been experiencing a really full feeling below my xiphoid process.it feels as if there is a baseball sitting there. It is very discomforting to me because of me being short chest & waisted. Just started like 3 days ago. I m very concerned but I wanted to see if I could out answers first before taking the next step. ### REPLY: Thanks for your question on . In my opinion we should first rule out cardiac cause for your symptom.  As cardiac issue can present with problem, below typhoid process. So get done ECG to rule out this.  If ECG is normal than no need to worry much. This can be due to gaseous distention of stomach. So try to follow these steps. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7.  Avoid smoking and alcohol if you have these habits.8. Lose weight if you are obese. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sixteen years old and do not smoke, but i have lived with the effects of secondhand smoke almost my whole life. i weigh between 110--112 pounds and am about five foot to five foot one. i also have slight active asthma due to my history with secondhand smoke ### REPLY: Hello. Thank you for asking at . I went through your history and understand your concern. I would like to ask you more questions like - Do you have any other allergies? Do you have any nose/sinus problem? Does anyone from your family have asthma? What is the frequency and severity of your asthma symptoms? Are you still having exposure to secondhand smoke? Does your asthma get worse in any particular season? Etc. Your exact requirement of medicines can be decided only after knowing your asthma symptoms. However, from your history, I would like to make suggestions as follows:1. First, I would like to appreciate that you are not smoking.2. Personally I would suggest you to take regular montelukast. If it is not sufficiently controlling asthma symptoms, I would add inhaled corticosteroids.3. I would suggest you to take inhaled albuterol/levosalbutamol when you feel wheezing or shortness breath despite regular medications.4. Please avoid exposure to dusts, smokes and air pollution as much as possible. A diet rich in vitamins, minerals and anti-oxidants (e.g. adequate green leafy vegetables, fruits, sprouts, etc.) will be helpful to you in a long run.5. I would also suggest you regular breathing exercises which may improve your lung capacity.6. I would suggest you to get allergy testing done to identify if you have any allergies. You may be able to avoid the allergens which are causing troubles to you. Hope above measures will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My name is Chaitra, 30 years old. Trying to conceive, my doctor asked me to do follicular study, Last month dominant follicle grew upto 20mm in size and ruptured on day15 but this month foliicle did not grow beyond 14mm, What could be the reason for this. My doctor told it normally happens like this in 1 or 2 cycles in a year and not to worry. Please advise if this is right. Thank you. ### REPLY: Hi, Thanks for writing to . Ya it happens normally in some cycles. It is due to stress which you take. Let it be any tension it will impair your hormone levels and follicle won't grow. Normal development of follicle depends on many factors like your hormone levels, stress, obesity, high surrounding temperature etc. So don't worry and try to avoid things which are possible. If you are desperate for child I would suggest you to go for ovulation inducing .  This will help multiple follicles to mature and rupture. Thus increasing chances of pregnancy. Hope I have been helpful. 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: Respected Dr. We would like to take your valuable suggestion on the best way we can had our child. My age is 33 My Wife age is 27 Married for 3 years Recently I have done my Hormone Test when my sperm test was noted NIL and the results are : Sperm Count : NIL FSH 29.1 LH 8.5 Serum Testosterene 7.9 Also I am a Diabetic Patient. ### REPLY: Hi welcome to . I have gone through your question. In your semen analysis sperm count is nil is m matter of concern. Nil sperm count cause infertility. Fsh, lh and testosterone level are normal. I would advise doing color Doppler ultrasound of scrotum to rule out any pathology like varicocele, to see vascularity of testes. Consult a urologist with this report. Hope I answered your question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... Hello sir i am 20 year old weighing 55kg of 180cm height.i  have jaundice from last 3 months.during this my s.bill level is between 2-3.5 and sgpt level is 50-65. I am taking liv 52 ds  tablets. Now i got cold  does it means jaundice being cured? Please suggest me and tell me proper cure. ### REPLY: Hi welcome to ... You have jaundice since three months... The cause has to be searched for. You have not mentioned cause.... It could be hepatocellular or obstructive jaundice.... For detection of viral hepatitis viral marker estimation done by ELISA ... For obstructive jaundice USG done to detect gall stone or pancreas involvement.... According to cause treatment guided.Meanwhile, take low fat diet.... Green leafy vegetables and fruits taken more. Sugar can juice, apple juice, grape juice useful... Papaiya seed one tsp crushed taken with lemon juice useful.... Avoid alcohol . ... Non veg and junk food not taken for few days.... Rest done. Fried food less... With keeping this in mind consult gastroenterologist.... Hope your concern solved.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had a gastro virus like symtoms for 2 months now lost over 10 pounds, different types of diarreah and a LOT of loud noisy gas....just read about the cyclospora outbreak and wonder....no doctor has found anything yet and I do not want a colonscopy are there others with this kind of thing?? ### REPLY: Hi, thanks for using  Cyclospora infection can cause diarrhea, bloating, weight loss, loss of appetite, nausea. It is caused by infection by a parasite. The infection is detected by the examination of several stool samples over the course of a few days. More than one sample is needed because the parasite may not show up in a single sample. If you suspect this and live in an area where the infection is prevalent then you can consider sending samples to the lab for assessment. Colonoscopy however would be able to take a detailed look at the colon and determine if there are any other factors that may be causing your prolonged diarrhea such as inflammatory bowel disease. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 year old daughter has bruise-like spots on her back (spine) & abdomen. They 1st appeared around November 1st 2009 on her back and now have spread to her abdomen. What could it be? Her doctor gave us ointment that didn t work and now they are sending us to a dermatologist. ### 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: Hi doctor, I just done my icsi & ivf treatment on 26th October 2013 and i on my day 4 today. I am having frequent urination at past midnight and diarrea only today about 3 times, breast are heavy and painful if i touch, feeling moody and sleepy too. Is that a good sign that im getting pregnant? When can i check my urine pregnancy test? I been informed by the clinic to come and give blood sample on 12th November 2013 and i cant wait till that. What should i do? ### REPLY: Hi, Thanks for the query. Usually it will take around one to two weeks after conception for the onset of symptoms. The symptoms you mentioned may or may not be due to pregnancy. Treatment with hormones during IVF can also lead to these type of symptoms. To get accurate result about pregnancy, better to wait till your expected date of periods. And if you miss the periods, go for pregnancy test as suggested by your doctor. Early testing may not give accurate result and can lead to confusion. If you want early result, you can go for rosette inhibition assay test. It detects early pregnancy factor. For more details : http://srsree.blogspot.com/2012/05/pregnancy-tests.htmlIt can detect the possibility of pregnancy after 2 to 3 days after fertilization. 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 bf is a truck driver and he came home saying he was changing a tire on a semi and he heard a loud pop in his chest. he is hurting now, has limited mobility, hurts when he moves his torso. there is no bruising on his chest or his back. what could be the possible injury?( i rubbed him down, front and back - massaged him) ### REPLY: Hi thanks for contacting ... Here your bf having musculoskeletal pain ... First if ribs are tender to touch then it could be Costco . ... Second possibility could be rib fracture .... For which chest x-ray useful .... If above two condition not present muscular strain could be problem... Here are few advise.../hot compress over chest useful./avoid posture or movement causing pain/proper sleep posture /ibuprofen 200 mg daily two times for five days taken..../rest done for few days/physiotherapy helpful for strain Take care ... You can consult physician with keeping this in mind.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi! my name is jocelyn magbanua fr. philippines. i have 1yr and 6months daughter and she has amoebaiasis for n 2nd time the last was feb. this yr. why? even if i make sure that everything is clean she uses wilkins water also. what well happen if she has always like this. thank you so much... god bless ### REPLY: Hi, recurrent amoebas can occur in a child if there is a habit of eating nails, scratching the wall, are putting fingers in mouth. Another reason can be inadequate treatment during the first time. Sometimes if infestation is more than repeat antihelminthic .  I suggest you to look for above things. You should also do a stool for routine microscopy test. This will clear the picture. Antihelminthic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 high blood pressure, a heart murmur, an enlarged left ventricle, sleep apnea, and panic attacks. I am also anemic. I have daily nausea and migraines. I am only prescribed hct and iron. The high blood pressure is not controlled. For almost a year now, I have been having muscle spasms and they are becoming worse. It is becoming difficult to get through the work day. The air conditioning is out at work, so the heat seems to be aggravating my symptoms. I have been having female problems. My gynecologist has performed several procedures, including an abdominal myomectomy to remove fibroid tumors and a leep to remove abnormal cells. However, the fibroids and the abnormal cells have returned. He wants to repeat the surgeries. My hormones are completely out of whack. My blemish free skin is now cover with acne and I have extremely heavy menstrual cycles that last 12-13 days every 28 day cycle. Can all this be a sign of something worse, as these symptoms have been escalating over the past five years? ### REPLY: what's your age? Is it approaching menopause. So all your symptoms like nausea vomiting headaches etc. can be explained by your anemia, which can be taken care by iron supplements. However under medical supervision iv iron can also be given so that u quickly recover from anemia. Panic attacks can be due to your hormonal problems however u should seek psychiatrist for the symptomatic relief. You’re hormonal problems can be taken care by gynecologist and endocrinologist so u seek both. Hypertension can be treated with beta blockers which will be helpful for both hypertension and anxiety. Or else other antihypertensive can be tried. The prerequisites are u should make the BP chart and show it to local physician. U should also get your sugars, Sr cortisol levels tested. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my appendix removed this august. since then i have daily right flank pain that gets pretty bad at times. I do have a history of kidney stones but i do not feel like these are the pain. it used to happen once every couple weeks or so but now it is daily.it starts in my right flank, sometimes travels to the top of my groin area but then the pain goes back up into my kidney area. i have no problem urinating, it does not hurt when i do so. The pain will go away if i lay perfectly still in bed for an hour or so but sometimes comes back if i get up. I drink a bottle of water when i get up in the AM and this seems to trigger the pain for the day. it doesn t matter how fast or slow i drink it, it hurts within minutes. The pain the past week has been towards the front of my side, not my stomach and not my back but right in between.If i get up in the AM and have no pain, it can start if i am up and walking around for more than about an hour, sometimes shorter.Very confused on what this could be. I am afraid it is something wrong with my kidney.Any suggestions? ### REPLY: Hello greetings would like these details from you to help you further you have nausea, vomiting or diarrhea associated with it? Did you lose appetite and weight recently? If yes how much and in what time?how severe and nature of pain do you feel?in my opinion it could be due to spasm either in urinary tract or biliary tree consult your doctor for ultrasound and urine examination Hope I have answered your question. If you have any further questions I will be happy to help warm 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: 69 yo wm with daily fever to 102 for 3 weeks. feels fine in am and afternoon becomes fatigued and spikes fever . pos nightsweats. crp 200 and esr 78. neg bld cx . wbc 15 k. . no neuro, gi,cardiac or pulm sx noted. exam is normal. no la, normal cardiac, pulm, abd exams. no rash. ### REPLY: HIT hanks for posting to .  Fever most of the time is due to infection. Infection could be due to Virus, bacterial, fungus or Parasite. But fever of 102 F lasting for 3 weeks is most likely due to Bacterial infection.  Now which bacterial infection you are having has to be evaluated. I advise you to get the following tests done and revert.  IGM Ty phi Dot, Smear for Malaria Parasite, Urine Culture, IGM Letospira antibodies, Monte aux test. Kindly revert with test reports. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My niece is 32 and has been told she has fatty liver steatohepatitis. But she doesn t drink and use to weight only 105. Since her last kid she has develop a big stomach. She has gain 50lbs fast and is retaining fluid. Doctor said he didn t know why. I think its because of the hepatitis. Also she hasn t had a period for the last six months. Her OB said her eggs aren t dopping and her body isn t preducing enough insulin. Could the be related. Also is NASH another name for steatohepatitis? ### REPLY: HelloFatty liver may be due to many causes like obesity, hepatitis,alcoholism, metabolic disorder etc. She may need few more investigations like routine hologram, random blood sugar, lipid profile, liver function test, urine RE/ME. Fatty liver often get reverse with treatment of underlying cause. She may need few medicines after complete investigations. She should avoid saturated fat and go for brisk walk regularly. Take a lot of fruits and vegetables in diet. She should also try to reduce her weight. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello my husband has a huge long like pimple that is hard and when i pressed on it it looks like green puss mixed with bowel and blood it is to the right of the anal area but not near it hardly at all he is paralized waist dwn and dnt have feeling there do u know what it could be it is drainig alottttt ### REPLY: Hello! Thank you for the query. From your description it sounds like a rectal abscess caused by rectal fistula. Due to some pathological connection between the skin and rectum tissues around it get constantly infected.  This causes abscess which gives pain, redness and pus discharge. I suggest you to consult a surgeon with this issue. Incision seems necessary and proper diagnostics of possible fistula. 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: Hi, my father has been diagnosed with blood cancer, but the facilities in my country is not good enough to give him proper treatment. We are willing to take him any where to get the best treatment available, so which hospitals is the best for blood cancer treatment? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your father has blood cancer.  Treatment depends on the stage and type of his blood cancer.  Bone marrow transplantation and chemotherapy us the treatment of choice for most of the blood cancer.  You can consult Tata hospital Bombay or AIMS in Delhi for best treatment.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: We started going to the pool. I noticed a couple knots on the upper back of shoulder around neck..then a few days later after sunburn started breaking out in an itchy red raised rash, no discharge.  I then noticed a small bump on the inside lip of my vagina, I have three now. Not painful or pus filled just uncomfortable knowing that they are there. What could be the cause of this..please help. ### REPLY: HI, Dear Carson-Very Good Morning from India. Thanks for your query. I understand your concerns. I studied your query in depth.-I would advise you to just forget the obsession for this lump as it is simply a -mildly-infected Bartholdi glands which grew in to Bartholdi cysts due to the clogged up ducts.-May be your pool visits have initiated it due to the ?infected pool water.-So if you keep vaginal hygiene by proper detail washes of your private parts after the pool visits, that would regress.-Still you need to consult ER doctor who would treat it accordingly.-It's not serious, and you need not worry about it.-You just have to consult your ER doctor-who would treat it with-Tb NSAIDs, Antibiotics for 5 days if need be. Advise not to handle it repeatedly.-IF its chronic cyst-ER Surgeon would Excise and send for biopsy and treat it accordingly.-So forget obsession of lump in the head.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a 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: Hello sir ,in a recent blood test my eosinophil count was 9 Hb 13.9 Wbc 5600 Lumphocytes 55 Basophyl 1 Monocytes 2 Doctor told me i am suffering from relative eosinophilia and llymphocytosis Please suggest ,is there anything serious in my condition and probable ttreatemen. Thank you sir ### REPLY: Hello and welcome to , Increased number of eosinophils can occur in one of the following conditions:AllergyParasitic infections tropical eosinophilic, hyper-eosinophilic syn . The cause of eosinophilic has to be found out, and its treatment has to be planned. High number of lymphocytes can occur in viral infections and chronic inflammatory conditions. Thus, a clinical assessment is required to look of the above-mentioned conditions. Thanks and 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 a wisdom tooth. ( upper left) and neighbouring molar extracted due to a large absess 8 months ago. I have noticed a swelling in my very upper gum, nasty discharge at the back of my throat and a terrible throbbing pain. It reached the extent I have had 3 sinus infections in the last 2 months and my gum oozes a nasty yellow discharge when I press on the swelling. This would come out where the wisdom tooth was extracted. An oral surgeon told me I was badly infected and had a condition oroantral fistula and drained a lot of pus, told me my sinus was badly affected and the bone was soft due to infection. I am now left stitched and in absolute agony due to see her next week. Is this normal to be so painful, swollen on my left side of face barely able to open my jaw. Again I have been put on a week s course of doxycycline. I haven t felt pain in my mouth like this before. Please advise ? Joe ### REPLY: Thanks for your query. I have gone through your query. As far as the frontal fistula is concerned, the swelling, limited mouth opening and pain is because of the infection secondary to this frontal fistula. Nothing to be panic, consult an oral and maxillofacial surgeon and get it treated surgically. Medicines cannot cure this, medicines are temporary solution. So get it treated surgically. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole combination (if you are not allergic). I hope I have answered your query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. My husband had a vasectomy 10 years ago and I have been on birth control since, not for fear of pregnancy but because my periods would always start on time but last anywhere from 7-14 days. We never did a sperm count after the vasectomy and have had no reason to worry about an unwanted pregnancy. However, I stopped my birth control last month. I should have started my period 2 weeks ago but haven t. I had one very heavy brown bleeding when I used the rest room 2 days ago but have had no bleeding since that one instance. I am nauseated, having ocasional sharp pains in my lower left pelvic area. My fear is the slight possibility of being pregnant and having a possible ectopic ( my second pregnancy was ectopic). Any validity to my fears or is this normal after stopping birth control? ### REPLY: Hi, Welcome to . After vasectomy, abstinence or avoidance of sexual intercourse is prescribed for at least 90 days. 10 years is a very long time. Birth control pills prevent pregnancy but can also be used to regularize periods. Stoppage of these pills can cause change in the periods as there is sudden hormonal changes. This can cause symptoms like nausea and abdominal pain. There is no chance of pregnancy. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I would like to know if having diagnosed of osteopenia gives you pain...right now I am having aterrible pain in my left side that I can bear to sit for a long time...and the moment I stand the pain goes right up to my back.. I already took 2 tramadols n 2 paracetamols..I am getting ready for a hot pack...please advice ### REPLY: Hello, As you have pain on the left side of the body, I think this should be related to the weakness of the muscles and intervertebral disc disease. Medicines will act as a symptomatic treatment for a few hours to block the pain from reaching the Brain. There will be a gastric issue associated with it as well.  I will advise you to start doing exercises for the core, spine, upper limb and lower limbs under a guided physiotherapist. This will help you reduce a lot of the current symptoms you were facing. You can still continue to take paracetamol but avoid Tramadol. As on long run, Tramadol will damage the kidney functions and lead to other complications in the body. In my clinical practice of over 12 years, most cases have responded well to Physiotherapy guided exercises and I wish the same from you. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi..ive been having a lower back ache for about a month..went to a hospital,took an x-ray and it showed that i hav a compression in my lower vertebrae...i had physiotherapy for a week,..but tha pain has come back again...what should i do to get my vertebrae back in position? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Compressed vertebrae do not get back to its original position.2. It can only be controlled. Use Lumbar support to support the vertebral column and also try lumbar exercises/ lower back muscle strengthening exercises.3. With activity, pain will increase. Take rest as required and use lumbar support during activity. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi have a couple questionsIm 25year old female , i been have headache threw out the hole day for almost a month already i been having abdomen pain and sharp sting pain on my lower left side above my hip , Im just try to get more of an idea why im feeling like this ? also I been  taken antibiotics for 7 days already but today is my last to take them, that was due to my back wisdom tooth but my question for the antibiotics is being on that can it cause bleeding not heavy but just like a very light red when wiping   only? ### REPLY: Hi welcome to  forum.  You have headache and vomiting since one month. Pain lower left abdomen and hip. You also have wisdom tooth and pain, and used the antibiotic.  All are different problems, abdominal pain could be due to the urinary tract infection or stone in the ureter near the bladder.  Both the problems can cause the headache and vomiting.  I advise you to consult a physician for diagnosis and treatment. You may need to have MRI for diagnosis.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to develop resistance against such infections.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,I am suffering from sever cough allergy, I have taken medication from last two months with no outcome. the moment i stopped taking medicine it starts again. also the medicine i am taking containis steroid for which i cant even plan for pregnancy. pls help me ### REPLY: Hi thanks for contacting  ... You are having severe allergic cough...since long duration .... So needs for identifying causative allergen.... You can consult pulmonologist for physical examination and auscultation... You can do allergy test for identifying allergen like dust, certain foods, mold ,pollen etc.... Patch test is example for it.... And then causative allergen exposure avoided.... . ... Smoking not done if having habit ... Environmental pollution exposure limited... Fruits taken more.... When allergic congestion antihistamines  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taking treatment to solve the infertality. I am suggested with ovuclom(will be taken at the 3 rd day of the last periods) tablet and Gestin Tablet (will be taken at 16th day of the last periods ) . From last month i am taking this treatment. But i got the periods at 22nd day itself.. some times i used to take the tablet late (like if i forgot morning i wil take at after noon ) is that the problem??? whether these two tablets solve my problem(leads to pregnancy) ### REPLY: Hi, Thanks for your query.  I have read your query & I understand your concerns. It is fine if you have taken those tablets bit late. Not to worry. These tablets help you to get pregnant, but chances are around 20 %. Please see an infertility specialist and get follicular growth scan done while you are on tablets. It helps in deciding the best time to have intercourse (during ovulation). I hope I answered your query. I will be available for any followup queries you have.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grandfather aged 92 fell down on the floor and he was bleeding in his nose slightly and some exterior wounds.after first aid and some scans he is now in ICU.doctors say he has a blood clot.What we fear is he cannot recognize any of us but, he is shouting my fathers name all time.my question is WHAT MAKES HIM UNCONSCIOUS.IS IT THE DRUG EFFECT(OR) THE FALLEN SHOCK (OR) BECAUSE OF THE CLOT. pls pls GIVE ME A REPLY ### REPLY: Hi anonymous, your grandfather might be going through a phase called delirium. Which could be because of many things. Either it could be because of his being in new location i.e. ICU, or being around unknown people, effect of .  Clot causing these symptoms is remote possibility until it is significantly large enough u cause some shift in brain structures. The best thing is to look for the people caring him i.e. doctors and nurse and try to find out how is health is progressing... hope to hear from you 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: i have sharp chest pains on the right side of my chest almost in the center of my chest only when i exhale fully, i have had sharp pains on the left side when i use my left arm to push, pull or etc. im male, 24 years of age, 160 lbs at 5 9 . i do not smoke but i do drink ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. Your left sided chest pain is associated with activities like pull, push etc. And this is characteristic feature of musculoskeletal pain. Your right sided chest pain is associated with exhalation. This can be due to pleurisy (inflammation of pleura). So get done chest x-ray to rule causes for pleurisy. If chest x-ray is normal then no need to worry about lung disease. Musculoskeletal pain is more likely in your case. So avoid movements causing pain. Apply warm water pad on affected areas. Take simple painkiller like ibuprofen. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor,i have been suffering from pcod almost since 7 yrs now..initially after 2 yrs of treatment i was pregnant and gave birth to my son who is 5 years old now..after the baby birth initially for about 6-8 months periods were normal but again almost a year now,menses are getting delayed by about 10-15 days.we are planning a second child but the symptoms are really depressing.i really dont want to go through the painful treatments that i Underwent for my first baby.please suggest me if there is any other way i can get pregnant again without any treatments. ### REPLY: Hi actually it is difficult for a PRO patient to get pregnant without medical support. But what you can follow is you can try ovulation induction with medicine only. You can track the follicles' growth by doing ultrasound on 2nd day and 13th day if you don't want scan again and again. Then depending on size of follicles you can take one injection for rupture. If you want to avoid the injection also, you can wait for spontaneous rupture also. Just be in contact with your husband for every 2 to 3 days after your periods stop. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am a 23 yrs old woman, I am going to get married. The person, who i am going to get married, is currently suffering from stomach pain and blood leak when passing urine. My question is: will any problem come between me and my husband during sex? Can u give any good solution? ### REPLY: Greetings from . Thanks for posting your query See first we need to diagnose what is causing his problem. It could be due to kidney stones or Stones in Urinary bladder or infection in the genital region.  One thing what I can tell is it won't cause any problem while having sex but if it is a genital infection you may also contact it if you have unprotected sex.  My advice to you is got a Urine Routine examination, Ultrasound Abdomen Pelvis and examination of his genital. This will tell us what problem he is having and what can be done for that. Hope this information is useful to you. Any clarification 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: Hi, My baby is 4months and 8 days old.She had fever last week for which her doctor prescribed calpol drops and an antibiotic.The fever reduced and she was fine. 3 days back she had cold for which we gave her coltrec. yesterday we noticed slight swelling behind her right ear.We visited her doc again he told us that it may be a infection and prescribed calpol and an antibiotic. She has her milk properly she is cheerful as usual.But I am worried about the swelling please advice ### REPLY: According to the shape and size of the swelling we can determine .mist probably it is an enlarged lymph node which looks like small regular surface mass, could be mild painful with touch .but don't worry with it because it is a reaction from the immune system toward any infection. But if the swelling is not of regular surface, red or hot, it could be mastitis (inflammation in the mastoid bone behind the ear due to in appropriate management of upper respiratory tract infections .in this case, you will need to revisit your doctor to further assess and may need surgical procedure ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,right, I ve been coming out with random bruising,shortness of breath ( I ve also got asthma ),I wake up in the morning, with my body aching all the time? And I don t think this is normal? I ve been getting headaches at least 3 times a day everyday,but they are really painful? And it s also been effecting my eyes? I ve also noticed a few red/pinkish spots under the skin, I just wanted you option,and I just wanted to know if this was normal . I ve also been freaking out as I seen on Facebook that this little girl had all of these issue, and they then found that she has leukaemia? I ve also read that these are some of the symptoms? What do you recommending me doing? Thank you so much,I look forward from hearing from you. From Emily ,age 14 ### REPLY: Do not panic. Simply opt for getting the safest on earth - Ayurveda anti-allergic treatment for your immunity to enhance and correcting the current problem. Asthma is also not curable by allopatry. In Ayurveda, it may cure, it may not cure fully but constant herbal medicine which are simple ones, will raise immunity against side effects and ailment both. In my clinical career of three decades, many complicated cases have been solved using alternative approach. If you agree pl ask direct question with all the advice you need to know. Hope it helps. Pl write direct question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a thumb nail sized lump on the upper right side of my public area.. i have had it work a month or 2 now and it s never hurt unless I squeeze it length wise.. and I have managed to get zit like pus to come out.. but now like 2 days ago it started getting painful and has grown.. should I be worried? I m a 22 year old male and I can deal with the pain it gives but im worried it s somthing I should goto the hospitol for ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. It seems to be infection. Probably an infected cyst or an abscess. You will need proper antibiotics like lifetime or amoxicillin. Further it would be wise to send us some pictures through premium query so that we can have a look at it. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want any further details about this same issue you can use the below-mentioned link:bit.ly/ .  ### END