Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The middle of my back really hurts and its on the right hand side, its been on and off for two years now, I did go to physio but it got too expensive. I think it may have something to do with posture , it hurts more if i twist side to side and it sometimes twinges... im worried as I dont know what this is or if it is going to last forever ### REPLY: Hi thanks for the query. The complaints of pain in the middle of the back for two years and its presence on and off suggest that mostly it could be mechanical in nature. As you had mentioned something to do with the posture it is true. I would advise you to consult local orthopedic surgeon who might rule out other causes of back pain. If there are no other major causes of back pain i advice you to learn some back and abdominal strengthening exercises from your physiotherapist and continue doing them at your home. There is no necessity to visit physio daily for the exercise sessions. Finally, get good ergonomic chair which provides a good support to your back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im on the pill but forgot to take the pill on the saturday before my 7 day break starting on the Thursday. Usually in this circumstance I would back to back packs but I totally forgot to and then my partner and I had sex without a condom 2 days later on the Saturday. I then got my withdrawal bleed on the Sunday but it only last 3 days which is unusual. I am now worried I could be pregnant. This all happened two weeks ago so if I did a pregnancy test, would I get an accurate result? ### REPLY: Hi thanks for asking on . As you already had with .  To be sure you can do pregnancy test now(better to go for serum beta  test, blood test) and it will clear your doubts. As it is already 2 weeks back, this test can be done now for accurate results. Good Luck Hope this information is helpful and informative. If you have further queries you can directly reach out to me on the following URL:http://doctor.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i dont know what happend but i have found out that i cannot put pressure on the tip ofcando not my thumb. I cannot click a pen. It doesnt hurt ever and there is nothing hard stopping my thumb from applying preassure downward. I cannot write with a pencile or light a lighter...any suggestions ### REPLY: Hello, As mentioned in the history about the inabilities of the thumb to function I feel this should be related to the ligaments and muscles of the thumb to provide the desired output.  If there is any pain it could be related to trigger thumb. For this having a physical examination by the orthopedist will be of the good. But in case if the pain is not present then it will be related to Higher motor functions of the brain. For this, you need to get this examined by the neurologist. I feel you need to take up the call for which is the possible cause so that the precise diagnosis can be made. 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: Im a 27 yr old male. Good weight. Dont smoke rarely drinkAnd good cholesterol. Ive been monitoring my blood pressure lately bc it was a bit high when I took it a few weeks ago. When I wake and am lying down its 117/72 but if I go up the stairs or eat then it goes up to like 135/95. If I sit and relax for 5-10 min it comes back down. To normal. Is this normal? ### REPLY: Hello Welcome to . As per your description, your BP increases on exertion or post food intake. It is normal for the BP to increase post exertion, but is uncommon after food intake. However, the readings are not very high and do not need much attention now. I suggest that you record your BP once a week for three weeks during rest. If all BP readings are consistently higher than a diagnosis of high blood pressure can be established. Since you are young, your arteries are still elastic, so BP can be controlled with regular exercise mostly cardio and diet restrictions with restriction. As of now you need not take any precautions except daily exercise. Please record your BP as advised above and revert with the readings. Wishing you good health Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what is the procedure for renal transplantation. i am resident in Nigeria ### REPLY: Hi Welcome to  forum. Kidney transplant can be done by two ways,1. Cadaveric transplantation2. From a relative with matched HLA /HLA matched human banging simple words, can be donated from a person whose blood and genetic factors match with the person who need it The kidney is removed and implanted in the patients Iliad region(lower abdomen) and the native kidney will be left behind. But before going for this, a few tests will be done to make sure kidneys can sustain further as in blood tests, renal function tests, etc. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i would like to ask if i can take Althea pills over the counter?well,my purpose of taking it is for my pimples , i heard that it is good to prevent from having breakouts.it ever it would be my first time.I;m already 24 yrs old and i have a 2 yr old son now, but since the time that i was pregnant i got a lot of pimples and until now i still have some breakouts its on and off,i tried everything and went to different kinds of dermatologist , but no one ever made it stop permanently so i was planning to try to take Althea. Is it okay for me to give it a try?what would be the side effects?thanks ### REPLY: Hi, Welcome to . Althea is used for contraception in women and also for the control of acne and hirsutism, regulation of the menstrual cycle, reduction of premenstrual tension and relief from pain and excessive bleeding during menstruation. If you are looking for family planning then you can go for it but it's better to consult your dermatologist before you start because it is important to know the cause of pimples. Some women may experience side effects e.g., nausea, vomiting, plasma (plasma) and other skin or hair changes, headache, water retention, slight weight change, breast tenderness and changes in libido. Menstrual irregularities e.g., spotting, breakthrough bleeding or amenorrhea can occur during its use. Most of these side effects are mild and usually disappear after a few months of contraceptive use. 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 this feeling of pressure and bubbles up in my chest - I feel like their is something wrong with my heart but I have a normal pulse.  The pressure and constant bubbly movement that feels very odd will not go away and it is scarying me.  What do you think? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having HERD(gastroesophageal reflux disease). HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain, pressure, tightness, gaseous feeling (bubbles). So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole tablet. 5. Keep 2-3 pillows under head in bed to rule out reflux. Don't worry, you will be alright with all these. 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: Yes I have pain in the left part of my abdomin.  And like I read in the question above this dizzyness is strange I had it for about 4 days and now I am having the pain.  I am 58 years old and 56 inches weighing 187 lbs and have alway been in good health not on any medications other then aspirin for knee pain.  Do you think this is something that will pass and how common.  I do not have insurance so I am hoping that it will pass.                                                                        Carolyn Godfrey ### REPLY: Hi. Thanks for your query. The cause of pain on the left side of the abdomen can be: Colitis of the sigmoid colon. Considering your age., Can be a colonic cancer with intestinal symptoms which develop gradually. Dizziness can be due to the weakness due to the problems you are having or can just be a Psychological factor. Since you do not have an Insurance, you can visit the local Doctor, get examined and ask for the most necessary test of blood, urine and stool and ultrasonography. Take the course of medicines that he might prescribe you. Get investigated to get a proper diagnosis and treatment. I do not think that this is something that will pass. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have had the feeling of a lump in the back of my throat the past day or so and after looking in the mirror i found three large red bumps on the back of my tongue. My tongue is also sort of white, and the bumps do not hurt.Any ideas as to what they could be? ### REPLY: Hello he read your query.please specify your age and do you he any short of tobacco intake habit. If it is so den go to a dentist and get it checked. And for the whitish tongue it may due to poor oral hygiene. Clean your tongue properly and use a God mouthwash.sum times it can be due some fungal infection .in that case u he take sum medicines. Hope this ans ll be helpful. Take disregards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there I ve noticed I ve got a lot of lumps apearing on my body and I m getting a bit worried now I ve got three appeared on my chest bone and a few on my stomach any advise would ease my mind as when I try to get appointed at my gp I can t get a appointment cheers tony ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have multiple lumps in body. Multiple lumps may be due to multiple lipomatous, multiple neurofibromatosis or multiple enlarged lymph nodes. However, they are also present in extremities, neck, back and shoulder. Please tell me in detail about your lump, their size, consistency, painful or not etc. So that I can help you further. If needed you should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis.  Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. 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 pain in my back. I have pain in my tesicle area. I am thristy at night after sleeping. No pain when I urinate no color. I have had 2 blood test. PSA is 0.7 under 1. Very small amount of blood in urine. I have been on anti-biotics for a month and nothing is helping. First they put me on Bactrim, then Cipro. Negative on STDs. They did a ultra sound for kidney stones-negative. They  now want to do a MRI for herniated disk? Does that make sense? ### REPLY: Hi, Basically, all your tests and terms of the urinary tract infection and the prostate are all normal nearby I think your urologist has cleared you stating that your pain is non-urologic in nature. Next step would be to check for a low back pain caused by the musculoskeletal organs or the spine that is the reason why MRI is being requested for you. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, My Mother-In-Law has been diagnosed with non cardiac chest pain and a small blockage, she had high cholestrol some time before. She is taking some medicines as recomended from a Cardiac Specialist. Can you explain what is non cardiac chest pain and what is the treatment and causes of the problems she is having. Thank you ### REPLY: Cannot say in your particular case, but generally, non-cardiac pain is pain from something other than the heart. Anything in the vicinity can hurt for many reasons. Mostly, it's the muscles of the chest and muscle pain medicine over the counter like acetaminophen is often helpful. It can be lung irritation in a minor lung infection that usually goes away on its own. It can be esophageal or stomach irritation and an antacid will lower it in a few minutes s but other medicines are often needed long term, and it often stays if it is gastrointestinal in origin. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got bit by a dog 2days ago and now it has yellow puss coming out of it. I went to the docters earlier but unfortunately it was closed. What can u tell me about how to deal with it please!! Im going back to the docters in the morning but any advice would be very helpfull, thankyou. My name is scott. ### REPLY: Hello, Welcome to , For any dog bite you need to take proper treatment, because disease caused by this is rabies which is 100 % fatal, but it is 100% preventable with proper and adequate treatment. For your condition I would have suggested1. Wound wash under the running water2. Antirabies vaccines on days 0,3,7,14 and 28, should be given intramuscularly to deltoid muscle.3. Rabies immunoglobulin (Rigs) should be administered in and around the wound.4. In TT should be taken5. Oral broad spectrum antibiotics in combination of amoxicillin and clavulanic acid for 5 days.6. Topical metro cream. With this treatment your condition will be cured, and also it will protect you against deadly disease Rabies. 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: About 6 years ago I had kidney stones and when passing them it affected my sciatic nerve. At first it affected my hip and back. I still have pain in that area but about 2 years ago it started to affect my whole leg . My leg feels as if the nerves are on fire mostly but it is mostly on outside of my leg. It makes it had to sit or sleep due to the pain. I am constantly changing position to ease the constant pain in my leg. If i run my hand down the outside of the leg I can feel like lumps. Mostly close to my knee that I had surgery on 28 years ago. I would like to know what I can do to stop the non stop pain. ### REPLY: Hi, Thanks for writing in. It is important to know if you still have kidney stones and whether the pain is radiating from to the lower back. You might like to get an ultrasound scan of abdomen done to confirm if the pain is from kidney stones. Lower back pain radiating to the leg is in most cases unrelated to the kidney stones though both pains might get difficult to differentiate. To evaluate the lower back it is important to get a clinical examination done and if required then do an MRI scan of lumbar spine. This will highlight any disc abnormalities and pinching of nerve roots in the lower back region. If present then physiotherapy usually treats this problem if it is of mild nature. Persistent pain might require short duration nerve pain relief medicine and avoidance of heavy physical activities. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, I am 48 years old and have been feeling unwell these past 4 months, and unable to work.  I have severe abdominal pain, swelling, constipation, constant fatigue, nausea, increased headaches, dizziness and blurred vision.  I have been depressed, irritable, frequent urination and have had urine retention I had to go to hospital several times to remove urine, last time was just 2 days ago 750 cc taken out with cathador.  I have been to my doctor, have done several tests, still to no avail no diagnosis.  Please if you could shed some light of maybe what to look for. Thanks so much for you time. ### REPLY: Hi.4 months is high time to suffer from such a problem and not yet got properly diagnosed. I would advise you the following to get an appropriate diagnosis based on your symptoms which you have noted. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment.Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. Urologists opinion, cystourethroscopy, Intravenous paleography and all the relevant information. Tuberculosis, Cancers has to be ruled out fast. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m an HBsAg positive person for the past 5 years. being a chronic hep b case i also took interferons for a year alongwith lamuvidin tablet. initially the viral load went below 20iu/ml but later it again went upto 1600iu/ml while i was going on with lamuvidin. since then i started entecavir which is for the last 1 & a half year. viral load for last one year has been lowest that is not detected. however i continue to be HBsAg positive. HBeAg has always been negative in my case. Am i ever going to b perfectly fine. But yes i m asymtomatic. ### REPLY: Hello, Individuals who remain Bag positive for at least six months are considered to be hepatitis B carriers. Carriers who have reconverted to Head negative status, in particular those who acquired the infection as adults, have very little viral multiplication and hence may be at little risk of long-term complications or of transmitting infection to others.However, you should keep on monitoring your ALT levels and if they are ever found above 60,then you would require the treatment with interferons and immune modulators. 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 had pain in the right side of my face for about 8 years. Ive been to see a neurologist, had 2 root canals off and on I have this severe pain that goes from all my teeth on the right side and goes up by my nose and generally last for  minute or so. I cannot do anything but hold my face until the pain subsides. ### REPLY: Hello, Welcome to .  I can understand your concern, this pain can be due to periodontal or periapical problem or trigeminal neuralgia also but as you have pain in jaws don't worry don't take so much stress be relaxed and consult to dentist for Act treated tooth that if there is any periapical pathology present in RCT treated tooth causing pain. If there is periapical pathology then go for RE RCT and oral prophylaxis, but if you won't get relief then go to neurologist for opinion. 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 brother had a kidney removed and in the middle of the surgery he threw a clot and went into cardiac arrest.  They massaged the heart for 1.5 hours before they put him on bypass.  Is it possible to have any brain function other than breathing and blinking after this?  My brother is 62 years old ### REPLY: Hello, It depends on how long was his brain without oxygen. If it is longer than 7 minutes then there are little chances that he will be conscious again, but if resuscitation was effective and brain was without oxygen less than 7 minutes, then he has chances to be back. Even in case of long resuscitation there might be chances. But it can tell you only his doctor who has all his data. Take fearsome back of you have any further questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 12 year old son is complaining of chest soreness when he takes a deep breath. It seems to come and go for the last few weeks. There are no other symptoms. Should I be concerned? He does have exercise induced asthma and its not an asthma attack, it almost seems to be heartburn. ### REPLY: Thanks for your question on . I can understand your concern. Chest soreness in child is mostly due to musculoskeletal cause. So better to follow these steps for better symptomatic relief. 1. Tell him to avoid movements causing pain, avoid sudden jerky movements of chest. 2. Give him simple painkiller like paracetamol or ibuprofen.3. You can also cause apply warm water pad on affected areas of chest.Don't worry, he will be alright with all these in 2-3 days. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a friend who is in her early 40s and complains how, for the past 15 years (after her last kid), she doesnt want to be physically involved in any way, shape or form, with her husband of 30 years. its causing a real strain on their marriage. she is a VERY stressful person. she is never not stressed. this can be treated medically correct? ### REPLY: Hello, From your query it looks like the real problem of your friend is psychological., i.e., she is either depressed or anxious person. You also mentioned that she is almost always stressful-such people can't enjoy even if they want to. It's not that they deliberately avoid sexual pleasure or any other relaxation but : they just can't get it... You will help her a lot by convincing her to see a psychiatrist. Go along with her to give detail of the problem as she might hesitate in first visit. Yes, with proper medicines and other measures she will definitely improve. It is a common problem with people with long-standing depression or anxiety (especially in females as they tend to shy away from this topic). Good luck!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 25 yrs old, from last 3 months my periods are irreguler, earlier it was good but the disorder is happening from last 3 months only. in this case my friend suggested to take regestrone 5mg tablets and I followed the same for 2 days with the dose of 1 tab a day. one antoher friend advised taking the regestrone tabs are not good and it causes for side effects. so that i stopped. please advise me do i have any affect / Impact on my pregancy by using of those 2 tabs. ### REPLY: Hello, Some side effects of Progesterone are: Nausea, vomiting, headache, dizziness, mood swings, trouble sleeping, weight gain/loss, change in sexual interest, unwanted hair growth, or hair loss may occur. In case that you have any of these symptoms you should stop the medication and consult your doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So.. i fell about 2 weeks ago carrying my son landed on my forearm / outside of hand.. like opposite of my thumb... what hurts the worse is when i rotate my hand, like left to right. I have about 75% of normal rotation before it hurts to much to continue. its barley swollen, no bruising, its does pop when flipping hand up and down (slowly) . I have loss quite a bit of strength in my hand all around. the pain hasn t gotten any better in the past 2 weeks neither has what little swelling i do have. I don t have insurance so I don t wanna go to the doctor unless i have to. thank you very kindly for taking the time. ### REPLY: Dear patient Considering your case possibility of fracture in your hand needs to be ruled out. I would like to advise X-ray of involved hand anteroposterior and oblique views to rule out bony abnormalities. Meanwhile, start tab diclofenac plus serratiopeptodase combination twice a day for pain relief.  Apply ice packs and crêpe bandage for swelling and pain relief. If X-ray report is showing fracture you need to consult expert orthopedic surgeon with report.  If its normal you have sprained your hand, and it will heal with crêpe bandage and rest. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Went to the cardiologist yesterday for a yearly ultrasound to check my tricuspid valve leak that they found last year for any changes. Well now they told me I have an enlarged right chamber ventricle. Is this dangerous and something to worry about? My doctor told me not to worry to much about it, just to come back in another year for another ultrasound. Please tell me what can cause this enlargement? ### REPLY: Hello, I would explain that an enlarged right ventricle could be related to different possible causes, including a lung disorder or a shunt. I would like to directly review your cardiac ultrasound report in order to give a more professional opinion. I would also recommend performing a chest X-ray study and pulmonary function tests.  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 had a ct scan done in Sept. and it showed several prominent peripancreatic/periportal lymph nodes.  My doctor set me up with a gastro doctor and I went to see him on the 9th.  He said I should have a EUS so they could check the lymph nodes with ultra sound.  I have also had bright yellow loose bowels, abdominal pain, nausea and over all tired.  What could these lymph nodes be a sign of? ### REPLY: HI. Thanks for your query and an elucidated history. Multiple lymph nodes in the peri-pancreatic and periodontal area are to be taken as secondary nodes to Cancer unless proved otherwise. I would advise you to tell your Doctors to get an ultrasonography guided FNAC or a direct biopsy, MRI study to see if there is a primary cancer and get operated if indicated. Get a reference for an Oncologist so that you do not waste much of an important time and get the diagnosis fast and treatment as early as possible ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just started getting a runny nose and watery eyes but that it! I am on aderall so i was wondering if there was anything that could help it? i have no headaches or any other pain just an annoying runny nose and very watery eyes, i cant stop sneezing and having to blow my nose! Im 20 years old, women, about 130 pounds, about 5,5 ft and my runny nose only started about 3 hours ago. I am prescribed with adderall (usually take 20 to 30 mg a day) and have regular pink eyes (got 5 pink eyes since beginning of october) and im on the birth control pill...and i smoke (between 5 cigs to a pack a day) is there any danger of me mixing anything up with any of those products? ### REPLY: Thanks for posting your query to  .runny nose and red eyes are mainly allergic in nature may be due environmental allergen or viral in origin .in both the condition treatment remain same that is symptomatic relief and avoid enc of allergen. The medication you're taking will be not much effective. I advise to take :1. Loratadine 10 mg with Montelukast 5 mg one time in a day to neutralize effect of allergen .2. Multivitamine to improve your immunity 3. Paracetamol 750 mg two times a day to receive inflammation.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 had low back pain since Saturday and have been taking ibuprofin and rubbing Voltarin gel.On Tuesday it was no better so went to the doctor, who said it is muscular and to continue with what I was doing. Im also getting cramp type spasms in the muscles by the side of my spine, especially in bed at night. Is there anymore I can do to relive the pain. I am 71 years old ### REPLY: Dear friend, from my day today clinical practice, I think the vertebral disc that is situated in between vertebral bones has been displaced. So the nerves are getting pressure from the bony parts of vertebral column. And this irritated nerve is causing muscle spasm in the back region.my sincere suggestion is you take pain relieving pills like ibuprofen and take complete bed rest for a week. This will help the vertebral disc to come back in its original position. For short term measure to decrease pain sensation you can put hot water bag in the back and rub Voltarin.in this way you can deal with the pain and get cured with time. 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 had Mitral Valve Repair almost one year ago as well as 1 Bypass.  I have returned to relatively noithrmal life. I am 62 years old. Recently I have been experiencing shortness of breath with very little exertion,  ie walking the stairs up to our bedroom.  I also feel a sharp pain in my lower left chest cavity when I take a deep breath. I feel a tightness in my chest when I lift my arm up over my head. Not a tightness light heart attack but it feels like I may have adhesions in or near the surgical area. Are these reasons for alarm? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult doctor for these symptoms. Your symptoms are more suggestive heart diseases like congestive heart failure (CHF) and coronary artery disease (CAD). So better to consult cardiologist and get done ECG, 2d echo and stress test. You may need coronary angiography if any of these tests is showing abnormality. So consult cardiologist and discuss all these. 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: sever apnea disorder, fell asleep at my desk, hit the top of head on the edge, . My elbow broke in an accident never heeld correctly and hit edge of desk as well. I don t remember the hits however in result my wrist- hand hangs down, I cant move my wrist at all, my finger still can wiggle, I have seen a Dr. was told it may take several months to return to normal, or sergary. This happened 2 weeks ago....... My question is: is there any home therapy I should be doing? Or what should I be doing or not be doing? ### REPLY: Cellophane You for contacting . If you are unable to move your wrist then it needs an orthopedic evaluation. An orthopedic doctor will immobilize your wrist after having an X-ray of wrist to confirm the extent of dislocation. After he fixes the wrist, then you need to take care of the hand by not moving hand unnecessarily. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think I may have an an EDNOS eating disorder.. I am 15 and I found out that I was moving to a new state right after my father went through a big alcoholic phase.I have lost interest in many things and I have very weird sleeping habits and now I don t eat breakfast, lunch and dinner (i only eat dinner when my family makes me sit down and eat with them) otherwise i just have a small snack.So do i have an eating disorder or am I just overreacting? ### REPLY: Dear Anonymous, We can not and DEFINITELY SHOULD NOT, make any diagnosis, let alone a very non-specific and vague diagnosis such as Eating Disorder Not Otherwise Specified (ENOS)----all these NOS diagnoses in both ICD10 and DSM IV classifications are called "waste-basket diagnoses" by us practicing psychiatrist......as they are only made after exhaustive work ups and still not finding the right diagnostic or label to give. From the brief history you have given it seems you do have an eating problem....your age, your apparent intelligence (15 years old self diagnosing with ENOS), your gender, your life phase transition/maturation problems, all seem to support this......but weather they are significant enough or broad enough to be given a diagnostic label needs a thorough history taking. Please ask your parents or carers to take you to a psychiatrist. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My mother had a heart attack on 30.09.2010 and she recovered it by completing 10 clexane injections after each 12 hrs with other medicines as prescribed by doctors during staying at Hospital. She has been now released. The doctor advised us to do Angiogram very shortly to know how many blockages are there. My mother troponin I level was found 180 by blood test which indicates must blockage. In the above scenerioe can you suggest what will we do now as we know during ring implementation, it has a chance to miss my mother whose age is now 57 years. Is there any alternative treatment without surgery? ### REPLY: Hello, After attack, the best treatment available for heart attack is angiography and angioplasty. As it will directly open the blocked arteries. Angiography is nowadays a day care procedure and even after angioplasty patient are discharged on next day itself. So it's not a major procedure. Alternatively, medicines are also effective mode of management. She should be on multiple medicines like Aspirin, Clopidogrel, L-Statin like Atorvastatin, Beta-Blocker like Metoprolol etc. and procedure can be delayed. Hope this helps you and get back if you have any doubts.  Take Care!  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 husband had a stent put into his heart about 6 months ago. He now has personality change, very curt with employees he works with, argues with new employees, down right ugly on the phone with them. Still a good giving person but no longer enjoys work, says he detest working with stupid people. On meds for BP, blood thinner, and diabetes II. Feels better now that he has a CPAP but still hard on the people he works with...basically no different with me...still sweet and loving. I worry about him losing his job after 28 years...he is 55 years old. Quit smoking 2.5 years ago and no longer misses it...what can I do, will this improve? ### REPLY: Hello, Your husband is a diabetic, hypertensive and coronary heart disease patient. He is no medications for the above conditions. He has quit smoking. The history suggest that he is suffering from burn out syn . After a long time in a job many people tend to developed this. He needs a good Psychiatric session for stress and anger management. He can take some days off from work and go on vacation to some peaceful place. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, does rubbing fish oil and vitamin e oil on your butt and wrapping it in plastic wrap for an hour 2  day hp to gain a larger butt? And if this is true do you feel a tingle while oil is on your butt. Also does sal palmetto helps you to get a larger butt as well? Thanks ### REPLY: Hi, I can understand your concern for increasing the butt size. For increasing the size the most important part is improving the fat content of the body. You have not mentioned your age and occupation for better help. If as per your age and height, your weight is slightly less than can lead to smaller but size. You must improve your diet first. Eat a lot of proteins, have plenty of fruits, sprouts and some soaked almonds every day. Take a lot of milk products in your daily schedule. Reduce your stress. Take best of sleep of 8 hours. Stop if any substance abuse like alcohol or smoking is present. Take care. Applying fish oil or taking saw palmetto is just subsidiary help and not the main part of the increasing butt size. Do not use any over the counter product or any fancy oral medication as can harm your body. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having symptoms of eptopic pregnancy for the past 10 days or so...lower right abdomen pain (sharp pain that comes and goes, when i push on the area or sit on the toilet)  bloating, constipation and moody. yesterday i had pain in the left side of my neck/couldnt turn my head very far. should i go to urgent care/er or wait and make an appointment tmrw with my Dr? i am just getting worried and dont know if i should wait because Idk if they will even have any openings tmrw ### REPLY: Hi. Thanks for your query. When there is suspicious of an Ectopic pregnancy, you have to rush to the Urgent Care. Get an ultrasonography and CT scan of the whole abdomen done to confirm or rule out the possible diseases like appendicitis, twisted ovarian cyst and so. Keep yourself nil orally, do not take anything by mouth. You may need an urgent surgery. The pains in the abdomen is so severe that it might have given you spasm in the neck muscles. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2 year old daughter has cold and cough since a day. I started with Mucolite syrup 2.5 ml twice a day. Her doctor has prescribed it along with other medicines such as pecef and zedex-P when she was suffering with pnemonia last month. Can I give her Mucolite and T-minic together or is Mucolite syrup effective for cold and cough both? ### REPLY: HI.please do not mix medicines without medical advice. Some of these medicines when added can cause extremely high heart rates called supraventricular tachycardia. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. She might develop some fever and if so, Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. 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: male, age 43, diagnosed with diabetes mellitus type 2, fatty liver and high cholesterol on Sept 2009 and on medications for the same since then....2 days before my abnormalm lab values are trigly 219, uric acid 8.22, SGOT 51, SGPT 95, GGT 71, HDL 34, VLDL 43.8...and prescribed medications....My query is, is all these values can be controlled and how....i am really disturbed ### REPLY: Hi. Thanks for posting query at . Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. 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: Hi Doctor,I concerns I have been having pain in my chest area for a couple months now, ( its come and goes) it started on the left side then to the middle and right now it seam like it on the left plus all I want to do is burp even after drink water, seams like when I bend over I feel a little dull pain on the left side, and by lie down on the bed you can hear the rumbling sounds in my stomach, Hope you can help me with this ### REPLY: Respected user, thanks for using .come have evaluated your query thoroughly.* Symptoms are consistent with reflux symptoms which may be due to - reflux esophagitis - hiatus hernia - gall bladder dyspepsia - acute gastritis or duodenitis - gastric or duodenal ulcer - others.* Need thorough clinical examination, ultrasound of abdomen pelvis, x-ray chest and upper GI endoscopy for final diagnosis and management. Hope to clarify your query. Welcome for further assistance. Thanks for using  .com & giving opportunity to assistWishing fine recovery. Regards dear. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am in India with my 4 childrens and 3 of them with diarrea. The 9 year old yesterday was going very often to toilet. The other 2 are pretty ok, playing and eating but still with diarrea for a long time, now like 10 days. Sometimes it looks that they get better but is a long time now. Ive just bought Bacigyl-N (norfloxacin and Metronidazole) suspension. Is it ok to give them this medicine? and how much it will be the dose? Kids 9 years old, 6 years and 2 years and a half.I would really appreciate your time and your answer. Thank you!Candelaria ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (LIKE NORFLOXACIN AND METRONIDAZOLE) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having severe stomach pain that wraps around my lower back, so severe that it hurts to walk.  I have had an ultrasound and they found a shadow in my left kidney which led to me having a CT, the results of the CT came back last week and the results were clean.  I again started having severe pain in my lower abdomen yesterday wrapping around to my back and it hurts to walk. ### REPLY: Hi, Since CT scan of abdomen is normal, and you still have pain in lower abdomen the possible causes can be as follows:Colitis. Typhlitis. Urinary tract infection. Enteritis. I would advise you the following in such a situation:Get stool and urine tested and if anything specific you can get it treated. Till then have symptomatic treatment with antispasmodic, analgesics and as needed. An opinion of a Gastroenterologist can help a lot. 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: hai Doctor,My father is suffering from fever n body pain for the last 1 week. his age is 56years.yesterday his sgot/ sgpt levels tested and the result was SGOT - 184 and SGPT-229.What does this indicate?Please advice on the diet to reduce the levels.Thank youRia ### REPLY: Hi dear thanks for asking question. According to history provided by you your father might have hepatitis as fever and bone pain like constitutional symptom present. Do viral marker of your father to rule out viral hepatitis. Following are some suggestion. As your father might have liver hepatitis rest his liver by taking very less oil in diet. Avoid outside food ... Avoid smoking and alcohol if you have habit of it. Green leafy salad taken in lunch and dinner. Carrom seed and cumin seed crushed and mixture of these powder swallow with water. Take papaya seed in lemon juice daily. Udiliv tablet can be taken for few days. Take rest. After month repeat LFT. Then after if liver enzymes elevated then we will think about other causes and carrier of hepatitis b if needed. Till now follow above instructions and your father will benefit from it. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have an abscess tooth that ive had for a while now i havent had the money to have it taken out nor will i have the money any time soon, anyway ive been taking antibiotics and it goes away for a little bit but now my jaw is swollen really bad it looks like i have a golf ball in my mouth. I dont know what to do. ### REPLY: Hello! Thank you for posting here. Removal of the tooth is the only solution.Maybe you can go to the dental school or government hospitals nearby for a low budget treatment. You did not mention where you stay. Further postponement of the treatment will only spread the infection and worsen it. Pain can also worsen and radiate to the jaw, neck and head. Gargle with warm saline thrice daily. Do not overuse antibiotics as this will cause stomach upset. 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: So I went to the ER thinking I had a UTI. The doctor didn t confirm or deny my thought but gave me some antibiotics and some pain reliever. So now I ve completed those meds and have noticed that there is a lump on the the side of my vagina where my lip is on the right side it s a little smaller than an egg but it don t seem connected to anything like I can feel completely around it. And also when I wiped today there was a little blood and I ve had some frequent pain when urinating. Do you know what the lump could be or what my problem is? ### REPLY: Hi! Good evening. I am  answering your query. From the history, it seems that you had an infected Catholics cyst on the right side which was controlled by extensive antibiotic therapy prescribed by your doctor. Also, the pain during passing urine points to a possible co-existence of a UTI. If I were your doctor, I would refer you to a gynecologist, who after a clinical assessment of the lump, would also go for some routine investigations like a CBC, urine routine/microscopic/culture and sensitivity test to rule out a UTI, and after it was treated, might go for a surgical intervention for a permanent cure of the lump. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: It is about birth contol.I was on a birth contol that seemed to work good.  The doctor asked if I would be ok about switching to a generic brand then that way the pills would be sent straight to my house.  She ensured me that they were exactly the same.  I agreed.  I havent been on them long, not quit a year but I have noticed weight gain.  Pants getting tighter from when I wore them in Oct.  Another pair are getting tighter from when I wore them just this past Feb.  Could it be because it is a generic brand?  My eating habbit isnt bad but maybe not the greatest.  I try to eat a yogurt or a meal replacement shake for breakfast.  Fresh strawberries and  ganola bar or yogurt for snake.  Lunch which could be Subway or yes Taco Bell.  Another small and healthy snake and then dinner which is a steak, greenbeans and a baked potatoe, or bbq chicken, or soup and grilled cheese.  I try to eat small portions.  I watch what I eat a lot.  I take vitamens.  I walk alot for work, on my feet all day.  Walking up and down stairs daily.  Hiking up and down hills once a week usually.  I try to walk my dogs at home and usually running around for my son.  So I feel like I am not an unhealthy or lazy person but seem to be gaining weight.  I want to loose this weight to help my self esteem and mood.  I cant afford 100.00 a week for meals from some of these diet plans.  I am trying diet pills but not satisfied yet with them and it has been about a month.  Please help me.  I want to feel beautiful inside and out! ### REPLY: Thanks for using ChatDoctorAs you have mentioned generic brand medication content was same as your previous pills. Change in brand does not cause much difference. If you were adjusted to your previous pills, you can continue same pills. Weight gain is a one of the side effect of birth control pills. Taking pills for long duration is also not recommend. Consult gynecologist to know about other methods of birth control, which ever is suitable for you if you are planning for some more years. As you are fallowing regular exercise and diet, you can maintain a dairy to calculate your daily calorie intake, this would help you know how many extra calories you are taking, and how to reduce that. Have a good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What are the symptoms of a heart-attack. I had sudden pain in the middle of chest while sitting in the Bus. This happened about 18 hrs. before. While I changed my hands position the pain disappeared. I am hypertensive but controlled with medicines of AV-75 and Cressar-40 with the advice of a Cardiologist. Is this pain any sign of heart-attack. I am not a diabetic patient and not alcoholic. Please answer ### REPLY: Thanks for your question on . In my opinion it is muscular pain only as it disappeared with change in hand position. But since you are hypertensive patient, we need to rule out cardiac cause first for your chest pain. So get done ECG first.  If it is normal than no need to worry about heart attack. It is muscular pain mostly due to improper hand position. Try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there i am 36 weeks pregant, my iron levels have dropped to 8.3, i am feeling very tired and have a constant urine infection. my urine result today have come back that i have red and white cells in it, i have alot of discharge and pain in my pubic area... ### REPLY: Hello dear, I understand your concern. In my opinion the presence of white and red cells in urine suggest urinary tract infection(UTI). The pain in the pubic area might be also due to UTI. You might need a course of antibiotics for UTI. As you are 36 weeks and HE is less you might need blood transfusion to improve the HE. The oral iron tablets or iron injections might not serve the purpose at this gestational age. So discuss regarding that with your doctor. The tiredness can be due to low HE.Don't worry. Relax. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had recently got myself in a bad car accident. nothing serious,alot of bruising. this was 15 days ago. well now i seem to be having problems with left leg. very sore,still bruised,i have a large knot and indention in upper thigh area,my ankles are very tender with bruising and swelling around my left foot also has swelling. my whole left leg is very tender to touch. is this something i should be concerned about ### REPLY: HelloThanks for writing to us, I have studied your case with diligence. You may need x-ray or MRI of ankle and foot which can be advised after clinical examination consult your doctor and do require investigation. Till time take medication like analgesic and apply crêpe bandage over foot or use supportive splint. Physiotherapy will help to reduce symptoms. Some nutrients which are important for recovery after injury include vitamin C, folic acid, calcium, vitamin D, IT B12.so supplements of these nutrients will lead to early recovery. Regular physiotherapy and exercises are very important for early rehabilitation as my patients find much relief by these therapies. Hematoma will be there on lower limb due to injury which is painful. This will subside after 3 weeks. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with the answer, please give your review at the end of the discussion. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am Betaloc 50 X BD, S numlo 5 mg OD, Calaptin 120 mg sr and olemesartan 40mg OD since last 8 months. I am patient of hypertropic cardiomypathy non obstructive. With these medicines my BP remains 120/84. At times I feel body drag and fatigue. Could it be because of extra dosage. Echo normal, Thalium Scan normal, holter normal but have atrial fibration. pse advice ### REPLY: Hello, I passed carefully through your question and would explain that chronic fatigue could be related to Below adverse effects.  I don't think that you are taking an extra dosage as your blood pressure values seem to be normal and not too low.  Coming to this point, I would recommend reducing gradually the dose of Below.  You should discuss with your doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi this is regarding my allergy problem it has been 1 year by now i cannot use lipstick as whenever i use (whatever brand)it my lips goes dry and itchy........ so i have been using lip balm from past 8-9 months to make it moist. and when it start itchy on my skin may be on upper eyes arms legs , redness appears and it get marks all around (like swollen bruises) please suggest me to get rid out of it regards ### REPLY: Hello Mona, You may have developed a Type IV hypersensitivity (delayed sensitivity) to chemicals often found in cheap lipsticks but also in expensive ones and patch tests (through a Dermatologist) will help in determining which chemicals you have become allergic to. Patch tests involve a series of chemicals (in tiny amounts) applied to the back and secured with a tape and remains in contact with skin for 48-72 hrs and then read by a skin specialist. Any redness or blisters around the chemical confirms the allergy. Hope this was helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been having the symptoms of severe abdominal pain for the past week my doctor did blood work an  ultrasound and a ct scan and we ruled out appendicitis, ovarian cysts, and pregnancy.  I was put on a antibiotic and a prescription for pain, its been two days and now i have the symptoms of bloating, headaches, slight constipation that is black in color, frequent need to urinate, loss of appetite, fatigue,  and nausea along with the abdominal pain.  I was wondering if you could tell me what these could possibly be symptoms of ### REPLY: Hi. Thanks for your query and an elucidated history. If the appendicitis has been ruled out and CT / USG already done, I would think of a general disease like Typhoid or gastroenteritis of some sort. Please go for blood tests for typhoid / blood culture and sensitivity, urine tests and other relevant blood tests must already must have been done. Continue antibiotics. Your Doctor will change according to the reports and your response to the treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am on bi-pap 18/14 with a ramp setting of 5 for 45 minutes, I have the humidifier at the lowest setting, over the past 6 weeks I have been on steroids and 3 different antibiotics. When I use the bi-pap after 2 hours start coughing, sort of a barking sound that won t stop until I turn off the bi-pap machine. I am concerned witChatDoctorpliance issues, I have contacted the hotline for bi-pap and my pulmonary doctor with no answers. I tried the machine again around 11 p.m. and to turn it off, I had not used the machine for the past 3 days and had no coughing attacks. I have COPD, I also use Flonase with no relief please any suggestions ### REPLY: Hello dear, thanks for your question on . Since you are having barking type of coughing only with BiPAP use, in my opinion you are having problem in tubing of the BiPAP machine. After long time use, tubing s of BiPAP machine tend to develop Humidification, serrations, excoriations, colonization of the bacteria etc. You are improved and not coughing, since you have stopped BiPAP. So possibility of above-mentioned things is high. So better to change the tubing and start using new tubing. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 brown rash that looks like a fungusit isn t circular but it is kinda like little brown bumps in some spots but it is between my breast behind my ears andd between my upper thighs and on my puboc region it dosent itch its just there and it has gotten much more noticable I have had it since I was really young and never like this my husband says it is really bad between my legs he says it looks like im black down there I know it sounds weird im sorry to describe it like that do u have any ideas o what I can do to get rid of this between my breast these bumps that are like pimples will come up and I have tried popping them but they dobt pop just scar and there are no bumps between my legs ### REPLY: Hi, It seems that you may be having seborrhea dermatitis. You are having dark greasy popular lesions in seborrhea areas. Exact cause is not known. It may BAE due to stress, worries and mental upsets, weather extremes, alcohol,some internal disease, fatigue.etc It may be due to overproduction of oil and irritation due to fungus like Melanesia. Diagnosis is based on location and appearance of the rash.SD is chronic disease and controlled with treatment. Psychological distress, bacterial and fungal infections are the complications. You consult dermatologist for perfect diagnosis and treatment. I hope you got my answer. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir my name is sunith my dad is having a kidney problem since one year his creatine levels are going up by 10 points from March of 2014 In the month of September 2014 it went up to 5.3 little worried can u give me an idea He has both sugar and bp His sugar levels and all other levels are good but his bp is not coming down can u please advise ### REPLY: Hello Sunita and welcome to . As a Urologist, you should mention his age, the latest urine micro-albumin,24 hours urine protein, urea, creatinine, uric acid, sodium, potassium,HbA1C,FBS, ultrasound scan report and kidney biopsy, and any other tests, if done. Also, last B.P.records. Diabetes itself affects the kidneys, causing Diabetic nephropathy, and kidney function(urea and creatinine), will go up. Another cause affecting kidney is an obstructive prostate gland, in case he's above 50 years age.(seen in scan). If you can send his reports, directly to me, I can advise expert opinion. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have injured my right hip a month ago while changing the sheets on a bed. the pain is in the lower back, right side of hip and runs down the outer right side of my leg. I am walking with a limp. And it hurt to walk up steps. I am a 64 year old female, in good health and have been active all of my life. ### REPLY: Hi, I have read your query. Usually back pain is managed with painkillers till 1-month period. If it persists beyond 1 month, then further investigations are done. Since your husband has a bad pain I will suggest the following: - Back pain can be due to many reasons. You should get x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. Your husband may need stronger painkillers which are available on prescription only. He can try ibuprofen or naproxen till he sees his doctor. - Apply hot packs for 30 min in morning and evening. I hope it helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband was put into a drug induced coma a week ago, following a road traffic accident.  The sedation was removed on Thursday evening but he still hasnt come round.  The staff on ICU dont seem overly concerned as his temperature, blood pressure, etc are normal and he is breathing on his own.  Should we be worried? ### REPLY: Hi, Your husbands injuries must have been serious if he has needed ICU care therefore it will be a slow process of recovery. His care will be complex, and it would be impossible to make a detailed judgement on his prospects. It sometimes does take some time for the effects of .  Your husband will be in good hands in the ICU and I suggest you keep in touch with the staff who will give you the best information on his progress. I hope he makes a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father Mr. Matiur Rahman is a patient of Dr. Shetty at Max health care. In 2006 under his treatment he has done two NGO plasti. Since then he has been doing well but for the last two months he has been suffering from chest pain and abnormal rise in blood pressure. Day before yesterday his b/p risen 210/118 and he got himself admitted to a nearby hospital. His physical condition is not in control. He is been transferred to the CCU. He is having respiratory and asthmatic problem. Doctors want to do NGO gram here but we want to do it under doctor Devi Shetty, but the question is in this situation how will we bring him in India? Will it be wise to bring him in this situation or we should do the NGO gram here in our country. ### REPLY: Thanks for your question on . I can understand your concern. It is advisable to go for angiography in your country. Because shifting of cardiac patient is very dangerous and can be lethal. His current general condition is not looking good by your description. So better not to danger his life by traveling. Better to get done angiography in your country only. 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: A doctor told me today that I needed my gallbladder removed and scheduled surgery. After doing some research I am very hesitant. Im 35 years old and my symptoms (for two months now) are pain and cramping of my LEFT flank and occur after eating and I can no longer eat as much as I used to. Im having odd bowel movements several times a day. Sometimes its diarrhea, other times its been orange and lately its been dark green. I also have pain in my left hip that feels like its being pulled apart. I understand that this may not have anything to do with my main symptoms, but its presence came with the flank pain. Ive had an Ultrasound, CT scan, blood work, and given a urine sample. The blood and urine showed nothing wrong. The CT and Ultrasound showed a small teardrop size polyp in my gallbladder and no stones. Is this doctor cut happy or should I really be concerned? ### REPLY: Hi, If there is a polyp in gall bladder get it removed by surgery, and endoscopic removal of gall bladder can be done. A polyp can be malignant also. However, cancer of gall bladder are very uncommon, yet there is a possibility. Hence, removal of gall bladder with polyp inside is a better option. Proposed patient risk factors for malignant gallbladder polyps include age greater than 60, presence of gallstones, and primary sclerosis cholangitis. Polyp risk characteristics include a size greater than 6 mm, solitary, and sessile. Please attach detailed reports of CT for further suggestion as all the risk factors have to be accessed. 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 having extremely painful periods.  I am 45 years old.  I had an ablasion in 2011 to help with the bleeding and hopefully the pain.  The pain has slowly gotten worse.  It used to help if I walked or moved around, now nothing works.  The pain is located in my lower back and abdomen. ### REPLY: For severe lower back pain you can take some painkiller like biozobid-plus or zerodol-sp only when the pain is worse enough or disturbing your daily routine along with some calcium supplements like shackled or toscal-gem once daily. Take some multivitamin like spray or neurobian-plus once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on a plain surface. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 3 weeks terrible pressure headaches, BP elevated 170/99, main problem I feel like my heart pauses, with a heavy lingering beat, and then a Rush of pressure to my head, I freak out because I think I m going to have a heart attack, worse at night, I used to love to sleep, not anymore ### REPLY: Greetings. Thank you for your question and welcome to . I understand your concern. Well, the added symptoms like insomnia are coming from the fear that something weird is happening to you. Everything can be explained by your anxiety, you are experiencing from these episodes. Psychological stress is a major factor one producing high blood pressure, which in turn produces the pressure headaches, and the anxiety, which is accompanied by a flush of a .  Extrasystoles are extra heart beats, not generated by the normal pacemaker of the heart, but from an ectopic "beacon". The normal heart beat that comes after extrasystole, is more forceful and produces the feeling like heart is pounding out of the chest or throat - palpitation. Anyway, every single phenomenon you described has a logical and physiological explanation. However, even though my suspicion is low, regarding a possible cardiac origin of your problem, I would like to recommend some tests, to exclude the cardiac origin with the highest certainty, or confirm a possible heart problem:- echocardiogram - to evaluate the function and size of heart chambers and valves - 24-hour blood pressure monitor - to see if these high figures happen one time a day, during stress, or if they are constant throughout the day, in which case proper and immediate treatment should be started to control blood pressure and keep it under 140/90 mmHg. - EKG-cardiac stress test, if seen reasonable by the cardiologist that assesses the above-mentioned tests. I hope I was helpful with my answer. Take care. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a gastroscopy and was diagnosed with the beginning of stomach ulcers , I was put onto a 2 week course of antibiotics (Moxypen & Klarithran) which I m still taking as well as Topzole, for the last 3 days I have had severe swelling of my ankles and feet and even my eyelids are swollen and I feel flushed all the time, could there be a relation between the symptoms and the medication?? ### REPLY: Hi, Thanks for posting your query. I am . The swelling you have in the ankles, feet and around the eyelids is not related to the stomach ulcers or the medications you take. Swelling like these occurs due to either heart, liver or kidney diseases. Puffiness around the eyes usually occurs in kidney disease. You need to get tests done to see which of these organs is affected causing the swelling of the ankle, feet and around eyes. I hope that answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my gall bladder removed 3 weeks ago via laporascopic surgery. The next day I had to go back to the hospital for severe pain which was a bile leak and the flowing day had an ercp and stent put in. Then got acute pancreatitis. I was in the hospital 7days. I will have another ercp in 2.5 weeks and have stent removed. Still having some discomfort on my right side of abdomen but tolerable. Still very fatigued and out on medical leave. My question is would it be helpful to start walking to build up my strength or is it to early? ### REPLY: Hi and welcome to . Usually we suggest patients to walk 10-14 days after surgery so if this passed then there shouldn't be any problem. Bile leakage is rare but possible complication of Custom. Stent removing is simple procedure, so there is no need to be concerned about this. This is done on the same way as stent was placed. More important than physical activity is dietary changes. You should avoid alcohol, fatty food and smoking till your liver Ann pancreas recover. At least 2 months. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Someone I know has an 18 day old baby. Yesterday morning she woke up to breast feed him. She was sitting on the couch and fell asleep while still feeding. When she woke up the baby was cold, not breathing and had blood coming from his ears, nose and mouth. Currently he is in ICU and isn t doing well at all. Could this be intentional or is there a medical reason this could happen? Could this be Shaken Baby Syndrome? ### REPLY: Hi, It is quite unlikely for a medical condition to cause the said symptoms all of a sudden in a previously well baby. There are blood disorders that rarely can cause spontaneous bleeding from nose and mouth, but bleeding from ear is not expected here, and this strongly suggests a traumatic cause. The only possible cause for bleeding from ear, nose and mouth is a significant head injury with skull base fracture. Head injury or significant bleeding can cause apnea and cold skin. The treating doctor will discuss more details, as this needs to be interpreted on a background of examination findings, blood investigations and brain imaging. Take care. 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: I was diagnosed with very low RBC count of 5.8 and an iron level of 2. The docs in the ER were amazed I was even talking. I had felt ill for many months. I recieved 4 units of blood. Wow, do I feel better. Im not bleeding internally, so why did this happen to me? ### REPLY: Hello! Welcome and thank you for asking on ! Your symptoms seem to be related to chronic anemia, probably caused from an iron deficiency, considering your iron levels. You should know that chronic anemia is well tolerated and can lead to such levels of Hemoglobin, without any .  Anyway, I would like to directly review your complete blood count report for a more professional opinion. Hope you will find this answer 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: i have c3/4/5and 6 fused. c4/5 operative. lately getting shooting pain/numbness down both arms to fingertips. Dr has prescribed prednisone, two tablets daily. is it worth taking as i may have candida? Not getting any sleep and discs above and below fusions now bulging hope u can help, thanksforearms very very painfuldave ### REPLY: Hi, Thank you for posting your query. It is unfortunate that you are getting pain and numbness despite having undergone surgery. As of now, you can get relief from medications such as pregabalin or gabapentin capsules. Prednisone is a steroid, which may be safe if used for short term. But in long term, it may have side effects, including worsening of candida infection. I hope it helps. Please get back if you require any additional information. Wishing you good health, . Ly/ ### END