Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 17 year old son and when I change the bedding I find a lot of pee spots on it. Im sure he probably masturbates as most teen boys do but why does he have spots of pee, theyre about 6 to 8 inches in diameter. Is this normal or should I take him to a doctor? ### REPLY: Hello, Masturbation is normal, natural and there is nothing unhealthy about it. Urination after masturbation is also normal. But you should understand urination is not due to masturbation, and it happens because his bladder is full. Masturbation has nothing to do with urination or vise versa. Therefore, there is nothing to worry about it. But you should make your son aware that you are aware of these spots on the bedsheet. 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 im edna,my husband was taken duspatal retard about a year,the question is,what kind of side effect he could get about the medicine?and what he make avoid if he take duspatal?and he also take diclo 75 sl A1 pharma, im happy if u have feed back about my question coz i been worried about my husband.thanks ### REPLY: Hi, Duspatal (mebeverine) retard is used to treat abdominal pain and cramps, flatulence, persistent, and diarrhea associated with irritable bowel syn .  Its common side effects include vomiting, headache, indigestion, heartburn and constipation. These side effects can be prevented either by reducing the dose of hospital retard or using an alternate effective but a safer medication. 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: My mom is cancer patient,previously we consulting doctors in Tata hospital Mumbai but due to low weight and over age they didnt given chemotherapy after once.they installed a plastic pipe to pass jaundice.n now she is not having any meal or proprietary food not using toilet also.what should we doshould i go to a doctor.if there is a hope to see her back goodplease tell me. ### REPLY: Hi, welcome to  forum.  I am sorry to know of your mothers' health, I can't give you un necessary hopes, and unnecessary advises, by taking her in and out of the house.  I suggest some homemade remedies for just to prolong for some days, I advise you to give her fresh juice of palatable vegetables twice a day. Also give her glucose 10 spoons, in 50 ml of water as frequently as possible.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im under treatment for infertility ,my doctor gave me clomiphene 50 mg daily for five days and dhuphastone .i wanted to know about dhuphastone tablet she prescribed me dhuphastone from the 14th day of my cycle ,twice daiy, for ten days .but other doctor says you should take it till date of your periods.what is the right way ### REPLY: Hello, Thanks for the query, You should continue to take Phaeton tablets 10 mg for as long as your doctor recommends, which may be for 5 days, or taken continually for several days a month and repeated each menstrual cycle for several months as needed. If your doctor has prescribed phaeton for infertility, then following is the dosage. Phaeton 10 mg twice daily from day 11 to 25 of the cycle. Treatment should be maintained for at least six consecutive cycles. If you conceive, it is advisable to continue treatment for the first few months of pregnancy. Hope This helps regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good morning. I did gym and other fitness activities after my first and last episode of status epilepsy that was in 1993. I rose to high position. However, after my negative test for TMT on Dec 3, I travelled. However, I had heart attack on Dec 14. A block 99% was treated by angioplasty. Another block was noted in a small side artery. The cardiologist tried but could not reach. My medicines are: Tab Revlol 25/5 1-0-0; Tab Eptoin 1-0-0, Tab Presudoc 10 mg 1-0-0; Tab Telma 80 0-0-1. Tab Atorva 20 0-0-1, Ecospirin 150 0-0-1; Tab Eptoin 0-0-2. I am 59 and maintain good health. My question to you is: What should I do with the second block? The doctors advised me to forget about it. After angioplasty, I have attained 50 min walking to cover 4 km each morning. My food is looked after very well. A week ago, my physician called me to his home for dinner and offered me a glass of red wine. What should be the frequency of red wine (1 glass)? I shall greatly appreciate your time. Anil ### REPLY: Thanks for your question on . I can understand your concern. No need to worry for that second clot. That clot must be in the distal small artery so that the cardiologist did not Stent it. No need to worry about this kind of clot in smaller arteries. You are taking esprit and atorvastatin. They will look after that small clot. You are also doing good in terms of exercise (daily 4 km walking with good pace). This also suggest that your heart is working fine. And red wine occasionally (once a month) is actually beneficial to the heart patients. So you can take red wine (1 glass) only once a month, not more than this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hard lump deep in my back. It s located about 2 inches below my posterior rib cage and 4 inches to the left of my spine. It is very tender. It feels hard to me and is not moving. I keep reading it s likely a lipoma but this seems to present differently. I ve seen lipomas before and this is different. The lump is at least an inch in length. I am only 38 years old. The lump has been there for at least 6 months but hasn t been bothersome until now. I appreciate any input. I m nervous it s something bad. Thank you. Gina ### REPLY: Hi Gina ! Good evening. I am  answering your query. It seems to be a tense cyst feeling hard with secondary infection giving rise to the painful sensation. Even though the swelling did not bother you so long, I would advise you to get it operated (excision biopsy) and send it for histopathology test. If I were your doctor, I would first prescribe you with a broad spectrum antibiotic, an anti-inflammatory .  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: Hello,I am a 21 yr old male. I have a semi soft lump about an inch or so in size. It is located on my lower back right above the point of my hip. My father has had a lipoma remvoed that was on his waist line. My lower back has also been subject to trauma from being a college wrestler. Any idea about what it is? ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. A semi soft lump, which moves easily is possibly a lipoma.2. Get a Fine needle aspiration cytology of the lump done for confirmation.3. If It's lipoma, it's a slow growing lesion, and you can get it operated anytime. It will rule out other causes and give you peace of mind. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sspeciailists, please mention your problem in as much detail as possible. Do not forget to highlight your Age, Gender, Medical History and Treatment History of the problem you are facing. I recently fell and hurt my knee now when I cough or spit it hurts just below my rib cage on both sides ### REPLY: Hi. Thanks for your query and an elucidated history. You have a typical history of fall on the knees followed by pain bellow the rib-cage if you cough or spit. This has happened due to the muscles of the upper abdomen start from the lower ribs, and it looks they have got sprained a lot while your body tried to balance the fall. I would advise you the following:Take a full bed rest. Take anti-inflammatory medicine like Ibuprofen at 8 hourly duration after food and with Sanitizing. Apply a rubrafacient liniment locally. You can apply an elasto-crepe to the lower chest to support the movement of the ribs. Take laxative to avoid constipation. Let the room be warm. You will be fine soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir .How long can a Lady of 76 live for with Throat cancer .  Unable to swallow food but can drink liquids and talk .A stent cannot be fitted as too far up in her throat .The doctors say it would choke her if they did .I have also been told that her previous horse voice was cancer in the wind pipe . What would be her life expectancy .Thank you . ### REPLY: Hi, Thanks for writing in. Survival of a cancer in the throat depends on the staging and type of cancer. To prevent choking, a tracheostomy can be done, and she can continue breathing through a hole in the anterior neck. This has to be checked regularly and cleaned to avoid plugging. She might lose her voice after tracheostomy. Intake of food is a concern and stent placement is difficult as discussed with your doctor. If she is on liquids then she can continue taking it using a nasogastric tube. In most conditions this can be taken as a stage 4 cancer and in this stage a patient might survive for up to 2 years if she takes supportive treatment and gets good care. 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: my name is christina, i am 34 yrs old.  i have a 3 yr old and 17 yrs old.  i am still wanting to have one more child but still nothing is happening.  I have my monthly periods every month.  I dont us pertection, no birth cert,no condoms.  I have only one partner for 5 yrs which is my 3yr child father.  So what am i doing wrong.  Im getting older not younger. ### REPLY: Hi Christina, Thanks for the query. As you conceived previously there may not be any major problem related to fertility. You once consult gynecologist, get examined and go for ultrasound. If no abnormality is detected you track your ovulation and plan unprotected intercourse around that period. Refer:http://srsree.blogspot.in/2013/07/infertility-1_8.htmlThis will increase the possibility of pregnancy. If needed you can go for ovulation induction with your doctors' advice. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...I am 18 weeks pregnant...took a z-pac last week for a terrible sinus infection was done with it on sat. my doc prescribed it to me. I just started porgesterone shots to prevent pre-term labor. I have noticed that my tongue is yellow and has been for about 5 days. When I brush it it goes away but then comes back the following day. At night I still have a very congested head / nose and now have a very sore throat. What is wrong? ### REPLY: Hello, I have gone through your query and understood the concern. Your symptoms suggest that you have a persistent infection. The antibiotic seems not to ave cured it all. The discoloration of the tongue may be secondary to antibiotic usage and/or due to other medication or food intake. If it is a fungal infection, it is not so easy to remove it with rinsing. You can ask for a throat swab before deciding on using another antibiotic. Meanwhile, you can try steam inhalations, warm saline gargles and .  Avoid all cold food and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A month or so my right calf kind of hardened and strain behind back of knee, like a pulling,what is it? I have been putting a water and aspirin solution and sometimes muscle ointment.helps back kind of sticking around. It seems like it wants to get bette, what s wrong? Thank you Ronnie ### REPLY: Hello, As the history is too brief to comment with the diagnosis but still what I suspect it to be ligament injury in the knee leading to calf muscle spasm and over contracted in a way it appears harder. I will advise for a knee MRI. As this is really going to play a key role to understand the knee soft tissue position. Use knee brace, do hot water fermentation for the knee and also the calf muscles. Post this does strengthening exercises for the knee muscles and the leg muscles. Also, try doing balance board training which has found to be very effective in the majority of the cases. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...kkk siriam hari..age 25..i use to masterbute and now i almost stopped it..from der nightfall started..nd iam loosing ma good health due 2 dis,,,pls help me.ma facial hair growth is also weak. ### REPLY: Greetings masturbation is a healthy way of satisfying your sexual desires and doesn't have any side effects. You can do daily or alternate days. You will be enjoying better if you do on alternate days rather than daily. Semen is produced daily in our body and masturbation will not affect your health or fertility. One precaution is never hurry to discharge, delay ejaculation always by at least 5 to 10 min. Night fall indicates your genital system is intact. So nothing to worry. Hope my answer helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I broke my ankle and sprained my wrist two weeks ago.they put a cast on me now week ago but I can t really use crutches because of my wrist. I still get on crutches and had the usual aches from using them. I noticed the second day of using them that I would get a chest pain. I get the pain mostly when I am getting ready to stand up. It s not pain from Gerd it s a pain in the middle of my chest and it is very painful. What could be causing this ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of musculoskeletal pain is more in your case. But better to rule out cardiac cause first. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. You are mostly having musculoskeletal pain. So take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m unmarried 26 year old girl having breast lump from last 8 years.i have nothing sign and symptom except slight pain (that is on touch and some time without touch not related to cycle pain is sharp and fluctuating type)and light inflammation,i m out of my country so i didnt concern to doctor for this because i cant take Rx from here.what do u think it is benign or malignant disease? may i know any medical treatment for this because i dont like surgery here.please guide me.thank you ### REPLY: Hello there, With your history it is highly likely that the lump is benign. It can be a lipoma or a fibroadenoma both of which are benign conditions. Once you get back to your country a mammogram should be done to see the extent of the lump. If you do not have a genetic history i.e. your mother, grandmothers, aunts have not been affected by any breast related illnesses you can let it remain as it is, and no surgery is required except vigilance on any change in size of the lump. Evening primrose oil may help in reducing pain and other symptoms of the breast lump related to your cycles. Please get back to me with any further queries, I will be glad to answer them. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 surgery for hernia / tangle intestines? he went home on Tuesday and on Thursday started vomiting green fluid - vomited 12 times from thursday morning to friday - has been in the hospital since friday with the NG tube and nutrition by vein. today they took off the NG tube and he drank a bit of juice and hasnt vomited yet- he is resting at this moment- is this normal - how long until he comes home- does chewing gum help. thank u ### REPLY: HelloThanks for query. Though vomiting after hernia surgery is not common it does happen in few cases due to what is called as Paralytic Illus where intestinal movements are disturbed resulting in to distention of small intestines that causes vomiting ... Aspiration of intestinal secretion through NASA Gastric Tube helps to regain normal bowel moments which takes 3-4 days and to stop vomiting. It is better to start with small feeds of liquid diet gradually increasing it to normal diet over a period of week. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. my wife had her last period between 10-01-2016 and 30-03-2016.end of september there was no period. we checked and we discovered she s pregnant. we want her to have medical abortion using isovent 200. we were advised that she takes 2 orally and 2 vaginally at once. ehat do you recommend? thank you ### REPLY: Hallow Dear, Isovent 200 is a tablet of Bisoprolol which is recommended by WHO for Medical termination of pregnancy up to 9 weeks. Bisoprolol can either be taken after priming by Mifepristone or as Bisoprolol alone regime. In the later regime, up to 3 doses of Bisoprolol may be required with interval of 3-12 hours. These medicines should be taken by Obstetricians advise and in appropriate dose and through appropriate route of administration only. They are prescription medicines. These medicines cause developmental abnormalities in the bay; hence in case of failure of these medicines, pregnancy should be terminated by surgical procedure like MVA aspiration. In case of failure in the first attempt of the medicines, they can be repeated once. So, please report to your Obstetrician and get proper dose and take through the appropriate route of administration. I hope this gives you the required message.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 not been to a dentist for three years after a bad treatment when he hit my nerve drilling and now i have  a broken widsom tooth which is in half and a hole in another tooth,my teeth are yellow even tho i brush and my gums are sore and some times bleed and i suffer from tooth pain and i am scared of eating incase i get ooth pain please help me i want my teeth to look nice and pain free ### REPLY: Hellooo...read through your query...first I must say that don't be tensed...not thing I can say is that don't be scared of dentist...BCO of one bad experience...it might have happened by chance that resulted in pain for u.(which I'm also sad to hear)...that doesn't mean every time he causes pain...(so cheer up)...regarding yellowing u don't have to be sad its natural that many people have yellow teeth (including mine).yellowing doesn't mean that u have bad oral hygiene or u don't brush.its due to excessive deposition of dentin beneath the enamel...and regarding hole in the tooth u have to go to a dentist get it filled(if deep root canal treatment maybe required which can be confirmed by X-ray)...and if u still want to whiten your teeth there are procedures like bleaching or veneering which will be done by dentist...to prevent further caries to your teeth brush twice daily use chlorhexidine mouthwash and do floss...these all can reduce the bleeding from gums(gingivitis).so be cool meet a dentist get it done...hope your benefitted something from this reply.have a healthy day!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just recently notice rashes along my lumbar spine & right antereior lower ribs areas & just below my sternum. These rashes are raised bumps, red but not really that itchy. I started to notice them last week & they have gotten a lot more noticable. What is the possible cause? Food alergy? ### REPLY: Hi, I completely understand your concern and I hope I am able to help you for the same. These lesions can be allergic in the form of seborrhea eczema, or they can be satyriasis rose. Treatment for both of these is in the form of topical application of steroids. Take oral antihistamines for itching. You need assessment by a dermatologist for proper guidance and treatment. Hope it helps Best wishes for 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: I am a 59 y.o. male who is having difficulty achieving and maintaining an erection or reaching orgasm. I take sertraline and bupropion for depression, corvedilol and propafenone for a-fib. I also have had a rather weak urine stream for quite some time. is it just age or are my meds interfering with my sexual problems? thank you ### REPLY: Hi, thank you for quarry. As you mentioned your symptoms and medicine used, the above-mentioned medicine in which carvedilol is a beta blocker which cause erectile dysfunction, alonh with sertraline that also cause ejaculatory disturbances. Bupropion increase the libido in some reports and propafenon decrease the libido. The second thing regarding your stream of urine that may be due to enlargement of prostate due to age factor, it also includes frequency, urgency,poor stream. If such patient come to me, I will advise . So its better to consult a urologist for your symptoms. Hope the answer will help you. Wish you a 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 been diagnosed with labrynthitis. This morning I am having a mild attack of feeling sick and palpitations. I am also getting a lot of skipped beats and it worries me a little. do I think this is most likely anxiety related since anxiety is a symptom? Thanks. ### REPLY: Thanks for your question on . I can understand your concern. Yes, anxiety can be the cause for all these but better to rule out arrhythmia (rhythm disturbances in heart) first. Arrhythmia can cause irregular heart beats, skipped beats, palpitations etc. If not treated promptly, arrhythmia can be life-threatening and fatal. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia. Anxiety can be the cause. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had unprotected sex with my boyfriend, he pulled out before ejaculation.. I took Next Choice roughly 45-60min  after intercourse. Whats making me paranoid is that according (checked fertility calendar) to my cycle I am on my last day of ovulation. Im reading all these stories online that on or after ovulation the pill does nothing to prevent pregnancy. Is this true?  Please help. ### REPLY: Hi, Thanks for the query. No, if you take the pills as per the schedule they can prevent the pregnancy irrespective of the period of menstrual cycle. So no need to worry. But emergency pill is having some amount of failure rate in general. So if you miss the period, once go for pregnancy test. Better to avoid repeated use of emergency pills. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had a tick bite and the doc thought I may have lyme diasease. The blood test came back with a IGM p23 present however not enough bands to indicate a positive for lyme diasease although the doc dis start me on antibiotics because i had a rash at the site of the bite. Now i am fatigued, have alot of joint pain and cramping in the legs. Around the same time I told her I was having pain in me finger joints too. What does the presence of IGM p23 indicate? I also take synthroid for a throid condition and crestor. She told me to stop the crestor for awhile to see if it helps. It did not. Now she is saying I should see a rumatologist (I know spelling)not a doc ok..... What do you think? ### REPLY: Hello. Welcome to . I am . Well your concern is genuine. Lyme disease can be caused by bite of tick. Problem with this disease is that it is similar to many other illness and test available for diagnosis shows variable results in many patients. Same is in your case, only one band is not enough for confirmation. You should consult expert infectious disease specialist for this. There is also need to rule out other coinfection like if any. Also, you did not mention which antibiotic you are taking. You should also know that during treatment of Lyme disease some patients show unusual exaggeration in symptoms which subsides after few days.Finally, your thyroid medication will not interfere with this treatment, but you should get your thyroid level done if not checked recently. I hope this will help you. I will be glad to help you further in this whenever required. Wish you a rapid recovery. Please revert with your valuable feedback. 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: For the past week or so I have been experiencing gnawing pain in sternum with waves of nausea. I have been under some real stress latel and the only thing different in my diet is benefiber. 2 teaspoons twice a day. Could the benefiber be causing this. Any help would be greatly appreciatedAnnamaria ### REPLY: Hello Thank you for trusting  Dear beefier won't cause your symptoms until unless you developed allergy to that product. Also, possibility of your suffering from HERD gives same problems with nausea feeling. It may be Costco .  So just stop and see if your symptoms improved OK otherwise take tab. Pantoprazole before breakfast, avoid spicy food. If symptoms not improved consult your doctor immediately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Myself XXXXX,I am 31 yrs old.I am planning to conceive.My last periods was at 31st of jan and still I didnt get periods.I did pregnency st but its negative.I have consulted my gynac ans in ultrasonic she told me that I am having bulky overies. Is this bulky will trouble me in getting pregnent.I will be able to conceive?? ### REPLY: Hi welcome to  forum. The bulky ovaries may be suggestive of poly cystic ovarian syn .  If this is to be confirmed and other causes are to be excluded trans pelvic scaling must be done, if it is P.C.O.S. it can be easily overcome by medical treatment. You can get regular periods and pregnancy.  What ever the cause may be bulky uterus interferes with getting pregnant.  Anyhow you are under treatment by a gynecologist, you follow exactly as your doctor says, so that you can become pregnant.  In the meanwhile try to have a balanced diet, and good health, avoid tension to become pregnant. Wish you an early result of having pregnancy, I thank you for calling. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve been pretty much in bed since Thursday - low grade fever on and off, very tired, heavy head. Went to dr Friday, they did a flu test which was negative. They said it s a virus that should clear up in a few days. I also have bronchiectasis whicChatDoctorpromises my immune system . Low grade fever now, first had it last Wednesday night. ### REPLY: Hello, i can understand your concern. Symptoms like fever, feeling tired, body aches all suggest a viral infection. While testing a flu, we usually do not do tests for each and every strain. So even if the flu test turns negative it can be a due to a new strain. Any viral fever would take a week time to recover fully. Donor pain if you have mild fever, body aches. It would clear on its own. Take paracetamol for fever and a multi vitamin tablet. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an appointment for Monday, but my symptoms are getting worse so I wanted to do some digging on my own.  Ive been dizzy/fuzzy-headed, even when sitting.  Ive gained weight over the last few months and have lessened my intake in the last couple of weeks, but no weight loss.  Im in the beginning stages of menopause.  47 years old ### REPLY: Hi, thank you for asking . I have gone through your query and understood your concerns. From this presentation, it is possible to come out with so many diagnoses. A thorough clinical assessment and some laboratory tests are needed to determine the cause of this. I would suggest you see a doctor for evaluation. I hope that answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you. I wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Dr gave me clomid 50mg starting from second day of my mensuration to the 6th day one tablet morning and evening then progynova one tablet morning and night from 5th day to 9th day for three cycle s yet I didn t conceive so I don t know what is the problem ### REPLY: Hi I think you should go for evaluation first. Get a thyroid profile and prolactin level and an ultrasound done to see uterus and ovaries to find out the cause of inability to conceive. You can get a HSG test done to see the tubal patency. Also get a semen analysis for your husband. If everything is fine, you can try 3 more cycles of Closed with tracking of follicles growth on ultrasound.  When follicles reach a size more than 18 mm, take injection for rupture of follicles. Be in contact with your husband for next 2 fays. Take progesterone like Austen or phaeton for next 2 weeks after rupture is confirmed on ultrasound.  Do a urine pregnancy test after that.  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: Yes, I have elevated hepatic enzymes 2-4 points for each enzyme. I am 74 year old female. a ct scan of the liver showed a fatty layer around the liver. I am asymtomatic.My primary care physcian want a liver biopsy done by a general surgeon. He seems reluctant to do the procedure although he said would only take 15 minutes to perform. It is schudulefor July 8th., but I am confused. ### REPLY: Hi. Thank you for your query. Further information may have been helpful. Are you alcoholic?what is the status of Hepatitis B & C profile? If your NON-alcoholic and Epic serology is negative, then the only concern is mildly elevated liver enzymes. You NEED NOT worry. Its "fatty liver disease" which is reversible. Do NOT .  Then follow up after 3 to 6 months. 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: dr.my son 1 year 3 months old he is suffering from loose motions past 1week. (loose motion lost one or two drops blood colour motion). what is the best way to stop blood colur motions until we go to the doctor for consultation. please help me dr. by. Mother P.Arulmani. ### REPLY: Hi, blood color stools in a child occurs due to acute gastroenteritis due to stomach infection, worm infestation. At this age, child usually puts everything in mouth and as a result, it results in infection in intestine and stomach. Prebiotic like enterogermina ampule should be given once a day for 3 days to increase intestine eliminator. If bloody stools persist then antibiotic needs to be started. Kindly do stool for routine microscopic test and stool for occult blood test. This will help us in confirming the diagnosis. An examination by doctor should be done so that we may not miss any important finding. Review with reports. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My backbone disc slipped midly...so many times when i get up early morning or when i give more stress to my leg or back.. then i feel pain in any one side of my back. Can u suggest me what to do to make my backbone strong again ? ### REPLY: Hello. Thanks for writing to us. Slipped disc is an age related degenerative change of the spine, and you can only stop the further regression of the changes. You cannot revert the changes that have already taken place. For that, surgery is needed. Painkillers with muscle relaxants and an effective physiotherapy regimen will be helpful in decreasing the problem. I hope this information has been both informative and helpful for 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: im 29 years old I have been diagnosed with serve scolisis. my job refuses to accomadate my disability. I have been going to therapy but its not working. they force me to sit for 10 plus hours a day. my spine is curved at 23 degrees from the neck to the tail bone. I have trouble walking, siting or any activity. what can I do pleas help. my left side ribs are sticking out threw my back my muscles are so tight its pulling my nerves what are my options. I live in Wisconsin. ### REPLY: Hello, I have gone through your query and understand your concern. I think they are asking you to wear a brace and sit for many hours. We used to recommend the Braces for the Scoliosis initially, and it is also compulsory to wear to minimize the scoliosis. Usually we do not recommend surgery for scoliosis less than 50 degrees. As your scoliosis is just 23 degrees, you do not need surgery. You can be well managed with conservative management like braces. I understand you may have trouble in walking, siting etc. But it is common in scoliosis patients. If you feel some discomfort with brace, just ask your doctor to change the brace and try another kind of brace. If still the nerve pain is worse and debilitating, then you may go for surgery. Usual surgical option is fusion of vertebra. Hope this helps. Please write back for further queries. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. i got hit in the forehead/sinus by the scope of a gun today during backfire.Ive been consistently spitting up small amounts of blood for about 5 hours. I have a little bit of swelling above my eye and some pain in my sinuses. The blood seems to be coming from mucus. Should this be a concern? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should take your X-ray face done. There is chance of blood and mucus coming from the sinus fracture. X-ray will tell you the nature of injury, if its fracture it is the emergency situation, and you should visit the nearby ER. Fracture should be attended as early as possible. If it remains unattended it can cause further bleeding. You can take tablet diclofenac and pantoprazole for pain and acidity. Please maintain local hygiene it clears the wound rapidly. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 teeth are suddenly breaking. Ive had 2 fillings break loose and just this evening I had tooth structure loss on a FRONT tooth at gum line almost in between 2 teeth - no previous repair to this tooth before.  What in the world could be happening for my teeth to suddenly start deteriorating like they are doing?? ### REPLY: Hello, There is no need to take tension, as the tooth structure you are mentioning at the gum line between two teeth, it can be calculus, which is similar to tooth structure but a debris which has become hard and situated at the same area. And the fillings which has become loose were not done properly. There is nothing to worry just visit your dentist and get complete scaling with re-filling done. 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 have a swollen and hard epididymis. No infection was found but have been on an antibiotic for 6 days. The swelling in the testicle has decreased and there is no pain. The epididymis still feels hardened. When will it feel normal again? Also, Is it safe to masturbate? ### REPLY: Hi, Thanks for writing in. Masturbation can be done while having epididymitis. Though it must be done slowly and preferable 1 - 2 times a week and with use of lubricants. Initially you may wait for 2 - 3 days to allow swelling to come down completely. If mild infection, you should be normal in 15 days. Wear loose inner wear for a few days to give you comfort even if you do not have pain. Many doctors also tell masturbating but not to ejaculate for 15 days. This is to give rest to epididymis and proper recovery. Please avoid sex until you are completely normal. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 looking for an allergy specialist in bangalore My son is 8.5 yrs old about 25 kilos since moving to Bangalore about a year ago having frequent wheezing attacks. Family has history of allergic rhinitis and allergic asthma. for my son wheezing is only since last one year after moving to bangalore ### REPLY: Hello. Thank you for asking at . I went through your children history. For exact treatment, I would like to ask you a few more questions like - Does he have any other allergies (allergic rhinitis/atomic dermatitis)? How many times has he had wheezing in last one year? Does he have cough apart from wheezing? Is he able to be involved in sports and exercise like activities without any complaints? From your given history, I would suggest you as follows:1. Were I treating him, I would suggest him to use albuterol or levosalbutamol inhaler via metered dose inhaler with spacer device whenever he has wheezing.2. If he has to use above inhaler frequently (more than twice a week), I would suggest him taking regular montelukast for at least 3 months.3. If he has allergic rhinitis (nasal discharge, sneezing, nasal congestion, etc.), I would suggest treating with montelukast and levocetirizine.4. Please try to avoid exposure to dusts, smokes and air pollution as much as possible. I would also suggest him a nutritive diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.).5. Personally I would suggest you allergy testing which will identify the substances causing him allergies and also how to avoid them.6. As you have asked about allergy specialist in Bangalore, I would like to inform you that there are many experienced allergists-immunologists in Bangalore. It is always desirable to find an allergist who is nearby to your residence and who is readily approachable. Hope above suggestions will be helpful to you. Wish your son the best of the health. Should you have any further query, please fell free to ask at . Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am presently suffering from a bad cough which makes me light headed and dizzzy, i am ashtmatic and take inhalers regularly but the cough is more persistant lately . I am coughing from really deep down have haqd a chest infection recently but dont feel much better ### REPLY: Thanks for your question on . I can understand your concern. You are having acute exacerbation of asthma. And most common cause for this is lung infection. So your lung infection is not fully resolved and this is the reason for your uncontrolled symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test) to know the severity of asthma. 3. Sputum culture and sensitivity report. This will isolate the causative organism so that appropriate antibiotic can be given. You may need additional inhaled bronchodilators according to severity of asthma. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have 2 rings on my groin where the scrotum touches the leg, on the leg section. These are red on the outside and a yellowish/brown on the inside, and are about 1cm in diameter. My scrotum in the area that touches these rings is red and itchy. Its been there for about 5 days now and isnt disappearing, what could be the cause and solution? ### REPLY: Hall, The fungus that most commonly causes JOCK ITCH is called TRICHOPHYTON QUORUM.  The rash of jock itch starts in the groin fold usually on both sides. If the rash advances, it usually advances down the inner thigh. The advancing edge is redder and more raised than areas that have been infected longer. The skin with in the border turns a reddish-brown and loses much of its scale.  Jock itch caused by T. Rubrum does not involve the scrotum or penis. If those areas involved, the most likely agent is Candida albicans, the same type of yeast that causes vaginal yeast infections. 1. Wear loose fitting clothing made of cotton or synthetic materials designed to wick moisture away from the surface.2. Avoid sharing clothing and towels or wash cloths.3. Allow the groin to . 4. Antifungal powders or sprays may be used once a day to prevent infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Patient came to the clinic with Sat 97% and complaint of shortness of breath, chest pain. Is it right to give him oxygen in the first stage although Sat 97% because we do not know whether it s real chest pain or not? Please help to give your advice. Thanks. ### REPLY: Thanks for your question on . In my opinion no need to give oxygen if saturation on room air is 97%. As too much oxygen may cause side effects too. You should get done chest x-ray to rule out lung infection as cause of chest pain. Get done ECG to rule out cardiac cause for chest pain. If bronchospasm is present than start inhaled bronchodilators. So try to search cause for chest pain and treat accordingly.  No need to give oxygen. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in law is 49 years old. He was admitted in hospital for severe blood vomiting and purging. Hes been having severe abdominal pain, loss of appetite, weight loss, swelling of the entire body and dirty urine output. Doctors told us his liver is failing. Please tell us exactly whats happening with him. Everyday is hell for all of us. ### REPLY: HIT hank for asking to ChatDoctorI can understand your worry, if it is liver problem then it might be portal hypertension, let me tell you in brief about it, it is increasing the venous blood pressure in side the livers main vein either because of liver cirrhosis or thrombosis of liver vein, this is what I could say from the history given here else the complete clinical history and some investigative documents is needed, the prognosis of this would be great with proper treatment and great nursing care you may have words with your words have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my hsbnd was diagnosd wd zero nrmal sperm morphology and zero rapid progressive sperm motility, most of them are nonprogressive, he had undrgne varicoele opration lst april, 2013,he had mdcctions bt tl nw we ddnt dt prgnnt, do we stll hve a chnce of hvng a bb? please answer me... ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No you can't be a pregnant with this semen analysis report. In my opinion you should wait for the three month to get the good semen reports. Because this time is required for the sperm to revive and grow. Please do take some precaution during this period. You can wear a loose undergarment, avoid heat to the testicles as this can interrupt the sperm generation, eat green and healthy food. Take a good sleep and stress-free life. Once you pass this period with this precaution your sperm becomes healthy. And then you can plan the pregnancy. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Son is 3 1/2. He says he s tired 30+ times a day. His blood has been checked and hemoglobin is fine, so they say there is no need to test iron. He is lethargic, and at times pale with dark circles under eyes. I am anemic so I assumed this was a possible problem for him too. I was told to feed him more veggies, but this seems more complex than that. I also noticed recently that his eyes are dilated all the time. I ve done my research and know this is normal in young children, however even in bright light, his barely constrict, and then flicker in and out. Does the eyes have anything to do with tiredness, or are they both separate problems? He is too young to be so tired. Every doctor I see tells me all tests say he is normal, but his daily actions say different. I just want to figure out why my son is so tired and help him out. Thank you! ### REPLY: Hi, Welcome to , I understand your concern and appreciate that you did what is just needed to evaluate his concern. Good thing is hemoglobin is normal. I feel you need to focus more on his diet. Give him regular fruits and plenty of liquids. You can try giving multivitamin syrup once a day. If hemoglobin is borderline normal, its worth starting iron spy also. If he gets excessively tired after regular activity then h needs a complete evaluation including echo of heart to check if heart is normal. Hope I answered your query and happy to help. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother has a dark red rash across his lower back. Hes had it for months and has been to the doctor. No one seems to know what it is. I am concerned that it might be liver disease as he is a heavy daily drinker and is not honest with his physicians about it. Can liver disease cause a rash? ### REPLY: Hi, as you have written about history of taking heavy alcohol .  So, tell your brother not to hide any history to his treating physician because it will help him in taking further steps. The doctor will tell you about some investigations like serum bilirubin, SEPT, SGOT, alkaline phosphatase, liver biopsy and CT scan to know condition of liver like cirrhosis or liver failure sets in or not. Say to your brother for minimizing intake of alcohol as soon as possible. Thank you for writing to . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my understanding that upon finishing the pack of 21 Minigynon 30 tablets, that my period would start. I took the last pill on Friday and today (Sunday) I am still periodless and worried. I had forgotten it on a few days but took the pills as soon as i remembered. :( This is my first set of oral contraceptive , could my body just be responding to it strangely?? ### REPLY: Hi Dear, Birth control pills have to be taken in a prescribed and correct manner in order to produce desired results. Missing few pills (more than 2) during cycle exposes you to the risk of pregnancy even if you have taken them afterwards. Moreover, for maximum efficacy the pill acts best from 2nd cycle. However, you had your last pill on Friday and you can wait for1 week for periods to start. Ali the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter, 34, has. Been diagnosed with one polyp in her gallbladder. She s had a lot of painful symptoms. Doctors say they must remove gallbladder. She already has IBS. I told her to try natural cleanse cure. She also has an ileus, andslow bowel movement. The polyp is the cholesterol kind. Should she have the surgery? ### REPLY: HelloGenerally asymptomatic and small polyps(up to 10 mm)only need follow-up ultrasound. Gall bladder polyps are generally benign findings, and it is not concerning. Since it is symptomatic in your daughters case, she may need cholecystectomy(surgical removal of gall bladder) after evaluation. I advise following your doctors advise. Natural treatment is generally not helpful in these cases. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have above the waist in my back on both sides a pain that feels like a cramping of the muscle that never stops cramping. I had an endoscopy and colonscopy, mri and sonogram and found nothing other than a slight inflammation in the stomach area. IT s like someone is grabbing and holding on to both sides of my back and squeezing it. I also experience the same cramping on my left front side below my breast. I recently had my gall bladder removed. ### REPLY: Hi, Thanks for your query. After going through your query I think you are having muscle cramps. In my opinion these pains are likely to be due to vitamins and trace element deficiency specially that of vitamin D. I think so because you have been removed your gallbladder removed so impairment of fat and fat soluble vitamin absorption. I will suggest you to got following test to see cause .1. Serum vitamin D 2. Serum Vitamin B12 3. Blood sugar fasting and PP. Furthermore I empirically treat my such patients by:-1.EVIAN LC 2.VITAMIN D3(if it is low) 3.VITAMIN B COMPLEX AND VITAMIN C 4.CALCIUM 5. Mecobalmine 6.ANALGESICS such as ibuprofen to relieve pain. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions I will be happy to help. 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: my 7yr old son fell on sat and develped a lump on his clavicle ..took him to emergency room did x-ray came back neg ..had a ct scan said it was a lump of tissue..it was very swollen last night but seems to have went down this morning what caused it and when will it go away..he is still in pain ### REPLY: Hi, Welcome to . This could be due to ligamenta and soft tissue injury around as the X-ray is negative and ct confirms soft tissue swelling. It would take at least 10 days to 2 weeks, as its bony trauma with soft tissue injury. Remedy--Motrin SYR x 5 days -Cold Compresses to control tissue edema-Rest in Shoulder sling. Script from GP and Second opinion from OrhtoSurgeon. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , my sperm count is 127 millieon and active motile percentile is 31% is it normal ?is it fetile? ### REPLY: Hi welcome to  your sperm count is normal... but the percentage of active sperms is less, the normal active sperm is more than 60%. But still you can become father, as 30 % of sperm is active. You need to improve your nutrition. Avoid hot bath more than half an hour. Which will decrease the sperm growth... testis are outside the body because it needs below the body temperature for growth of sperm, this is one of the reason. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In 2005 I got operation of brain tumor of medaballastoma in left cerebellar.It is  malignant,w.h.o grade iv. and under follow up treatment  I took radiotherapy & chemotherapy. In 2010 it recurred.Ihave gone through the same process. In 2011 december I have suffred from lower spine cancer, for that I took radiothrapy in my lower spine.NOW IN 2012 NOV.2012 Metastates drops came in my servical, for that I am taking only chemotheraphy.I want to ask you about my longivity of lifeand want any final treatment ### REPLY: Dear, Radotherapy and chemotherapy are only choice for these type of tumors after surgery wherever applicable. A portion of the nervous system which has once been treated by radical Radiotherapy cannot be treated again by Radiotherapy as it can cause more damage. May be smaller supplemental dose of radiation can be tried.  Lifetime is in the hands of nature but as long as there is remission of the disease one is safe. Truly, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father who is 84 years old is suffering from  metastases of TCC. Currently he is asymptomatic. One Oncologist consulted wants to put him through chemotherapy. A second opinion from another Oncologist says that at this late point it is best to leave the patient untreated.  Need your advise. Also, if any treatment can be provided to avoid pain and suffering, i would like to know about the options ### REPLY: Hi, Thanks for writing in. Sometimes it can get difficult on deciding the treatment of a patient having cancer with metastasis like your father. Chemotherapy can prolong survival in TCC with metastasis. It is important to know accurate details of the tumor in bladder and metastasis location. If the patient is asymptomatic then it is possible to further extend his survival by giving chemotherapy. Chemotherapy agents that have shown activity in metastatic bladder cancer include paclitaxel, docetaxel, ifosfamide, gallium nitrate, and gemcitabine and these are promising as they extend the survival of the patient even with metastasis. I suggest you discuss in detail with the second oncologist and then take an informed decision. Pain relief is an important part in treating cancers and this assumes a greater significance in those with metastasis. Pain relief is given using a step approach and that much of pain relief is given which can allow the patient to stay in comfort. Pain relievers are usually opioids and controlled medications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 20 years old male.I have been taking Citanew(Excitilopram) 20mg and Olepra( Olanzapine ) 5 mg for 4 years because my parents complained I was frustated,angry and depressed.Since the day I took it,my hunger and sleep has increased.If I dont sleep 10-12 hours a day,I feel exausted and drowsy.I have told this to my psychiatrist but he insists I take it.I put the matter before you ### REPLY: Hi.Escitalopram is not so famous (or infamous) to induce sleep, but olanzapine is.and olanzapine increases hunger, thus may worsen your metabolic profile.so you require periodic check-up and also regular exercise.also some dietary modification may be required.you can also try to take it in the evening so that it would not delay your arousal in the morning.discuss the issues with your psychiatrist.have a 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: Hello I am a 41 year old ex-smoker. I recently had a chest xray because I had been feeling fatigued after running (I run approx. 3.5 miles 3 x a week. I have also trained and run a marathon).I received these results:"The Lungs appear somewhat hyperaerated aerated, suggesting that there may be developing chronic obstructive pulmonary disease. There are no infiltrates or nodules"I have made an appointment to have a consult with a specialist who will probably perform a PFT.My question is this, Should I be overly concerned?Should I stop Running?Is this Degenerative?Thank You ### REPLY: Thanks for your question on . I can understand your concern.First no need to worry much for this chest x-ray report. Hyperaereted lungs on chest x-ray can be seen with normal individuals. This does not diagnose COPD (chronic obstructive Pulmonary disease).PUT (Pulmonary Function Test) is must for the diagnosis of COPD. Since you are non-smoker, possibility of COPD is less likely. So don't be so concerned about this. Continue with your running. Get done PFT. If this is normal then no need to worry about degenerative disease. 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: Dear doctor,I am 28 yeras old,trying to conceive for past two months,analysed follicular study.On 13thday right ovary 14.8mm,Left ovary 11mm,ET thickness 8.5mmand on n 14th day right ovary 16mm,left ovary 12mm,ET 8.3mm.please suggest when would i have relations so as it ruptures and i be able to conceive ### REPLY: Hi, I think in 2 to 3 days, your follicles will grow to a size more than 17 to 18 mm. After that only, follicles will rupture. You can also take one injection for rupturing the follicles to be sure that they rupture.  You can be in contact with your husband every alternate day from now onwards till the rupture OS confirmed on ultrasound or if you take the injection, you can be in contact for 2 to 3 days starting from day of injection. Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that. Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I regularly have heart palpitations (no common time/activity) that cause me to cough. After a cough or two my heart rhythm returns to normal. I have a low resting heart rate and have decent cardiovascular fitness (I run 5k & half-marathon events). Is this something to be concerned about? ### REPLY: Hello, Your symptoms do not seem to be anything concerning. Anyway, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  Some blood lab tests are necessary too (complete blood count, blood electrolytes and thyroid hormone levels for possible thyroid gland dysfunction). 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: When I touched my tattoo eyebrow,with some spray-n-wash smell,on my hands.Then,I washed my hands,and applied vasealine to the eyebrow,because it was a little sore.Will this cause an infection? How can you tell if you get an infection,on your eyebrows?I guess that the soreness could be a sign of healing.My eyebrows were tattooed onThursday. ### REPLY: Hello, Well, some signs you should be a concern to are inflammation of the tattoo which means tattoo may be hot when you touch, it is more redness than normal, it hurts to you a lot when you touch, and you find your eyebrow tattoo inflated then you must be worried. Other signs you may take into consideration may be scratching of tattoo or unusual pain. About the soreness you mention, alone with no other sign it is not a problem and Vaseline will help. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 18 years old with abnormal periods and was diagnosed at the age of 16 with the HPV.  She has not been back for a follow up and has not had a period in a little over a year.  This week she began to have hot flashes, should she be concerned?  She cant get in to see the Dr till next month. ### REPLY: Hello, Welcome to , Genita warts are mainly caused by HPV type 6, 11, 16 and 18. While HPV type 16 and 18 are associated with an increased risk of cervical dysplasia and cervical cancer, type 6 and 11 HPV is not associated with an increased risk of cervical cancer. Pap test is the most useful test to determine viral type; it can be used to take samples for typing of viral DNA and if the samples do not reveal HPV 16 and 18, you may not be required to go for such an aggressive procedure. Since your earlier tests have not revealed either of HPV, type 16 or type 18, therefore there is no need for such an aggressive procedure immediately. Probably your doctor wants to be sure about the finding and to rule out even a remote possibility of the high risk HPV types by re-testing. 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: a few days ago I had a huge lump behind my ear &then it went away...now I have 2 huge lumps behind my (left)ear & they feel hard like bone. Ive also had a swollen glands for more than a week, lost my voice for a couple days and now I noticed the roof of my mouth is yellow. is that anything that will just go away? ### REPLY: Welcome to . 1. The history suggest the possibilities enlarged lymph nodes in the first place. 2. Lymph nodal enlargement can be seen after any infection / inflammation, can be localized or systemic.3. In this case you need to get treated the source of the infection. 4. Other possibilities are parotid, sub mandibular, or in fact a bony lesion - which needs to examine.  5. Ultrasound will give the information of the nature of the lump its source and extensions. I recommend seeing your GP get examined and follow accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.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: My son is 17, he has what I would call a heat rash for a couple of weeks now. It did not change until a couple of days ago when it had spread down his arm and now on his abdomen. They are approximately 1-2 mm, light pink and circular. He is afebrile, 98.8/temporal. He has told me it doesn t itch until he scratches it, so of course I told him not to scratch it, but I m sure he has some. What do you think? ### REPLY: Hello, Perhaps it is either a viral exanthem, an eruption that may either precede, accompany or follow a viral infection Or it could be a heat rash. I suggest him to use a soothing lotion e.g. calamine lotion. In addition, I suggest him to take an oral antihistamine e.g. Tab cetirizine 10 mg once a day for a few days for symptomatic relief from itching.  Hope I have answered your query. Let me know if you need any more assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m a 25 years old male, Day before yesterday I was full of sweat and felt vertigo and even was unable to move. next day when get checked my Blood pressure was 140/90. I drink twice in a week. so can you suggest what precautions should i take. Please suggest some medicines as well. Regards A.K ### REPLY: Hello, I don't know about your body weight, height, and duration you have been having high pressure. In order to rule out any disease, I need more information from you.  However, as u want to know only the preventive measures then I would suggest you to cut down . e. u can consume 20 g alcohol once a week if your pressure is not elevated), eat more vegetables and fruits, avoid canned, fat-rich foods, and salty foods. Walk every day for at least 30 mins.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a lump on the top of my butt crack for 5 days now. I started treating it with penicillin and it got worse. Its like twice the size now and hurts like hell!!! Not only can I not sit down properly but I cant walk properly especially up stairs!! ### REPLY: Hi! Thanks for sharing your health problem with us! After going through your description, I could understand that your lower back lump is recent, infective, resistant to penicillin and increasing or disabling.... Therefore, I would like to consider an infected colonial cyst or an abscess only! You need to see a surgeon ASAP as there is infection by penicillin-resistant organisms, and you need better/advanced antibiotics and after that surgical .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m a 25 year-old female with persistent lower abdominal pain. It s usually on the left although some times its on the right. Its crampy pain that interferes with work. A week ago, the clinic prescribed T3s, which have helped the pain to a manageable level but not eliminated it yet. It may be related to possible PMDD. Sporatically, my bowel movements also involve little fluid filled mucus looking sacs with blood. I have had a few of these in the last week, which may or may not be related to the lower abdominal pain. Do you have any ideas? ### REPLY: HiT hanks for your query. The pain on both sides of the abdomen with the history of blood and mucus in the stool is suggestive of inflammation of the large bowel called colitis. This needs a course of proper antibiotics under the guidance and prescription of the Doctor, preferable Gastroenterologist. If the 5-day course solves your problem, great ! If not you may need further investigations like of blood, urine and stool and may be colonoscopy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hard black dot just under my left hip on my thigh. It s not very big and I tried to get it out. but it s deep so I could not. I m almost positive that it s not a tick because it has no head, and I ve seen ticks before this doesn t quite look like it. I also tried methods of extracting ticks from skin and none of those worked. Any idea what is is? ### REPLY: Hi, Dear,Good Early Morning, and Thanks for the query to . I studied your query in details and understood your concerns.@My impression of your Hard back lump on the thigh-is as follows--Could be-Naevus /or Pigmented Mole -is melanocyte hematoma of skin and are benign tumors and could not be scraped or extracted like you did for the ticks. Treatment Suggested-a-Surgical Excision-with primary suturing would get it removed once for all.b-Laser Ablation or RFA-Radio-Frequency Ablation could be done as optional treatmentsThis would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at  clinic. Wishing you fast recovery.!! Have a Good Day. With Regards, . N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 vanessa. I m going to get to the point. I have EBV just concerned for about 2 years now. my wbc is 6.2x10 do I need to be concerned? been to a surgeon, EMT and a Hematologist. Lymph nodes in my neck are swollen and don t seem to get any better. ### REPLY: Thanks for your query at ChatDoctorEBV belongs to herpesvirus family. It is often self limiting but virus persists for life. It is associated with cancers and HIV, autoimmune diseases. I suggest you take investigations to rule out these diseases. There is no specific treatment for lymph nodes in such cases. I suggest you get an ultrasound guided FNAC done and get examine for cytology, gram stain and ZN stain to rule out chronic infections like tuberculosis. Your WBC is OK no need to worry. Get ABV PCR repeated. Follow up with investigations. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on my spine, mid back. I noticed it some time ago, maybe a year back. At first it didn t bother me but as time has gone on the area has become quite painful. My chiropractor is certain it is a fatty tumor, no tests have been done as yet. Is this a possibility or is it possible something more serious is going on? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or something else. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my granddaughter is 3 and she has been sick off and on for over two months now. She gets a sinus infection and gets put on medicine. She gets RSV, puts on medicine. As soon as she finishes her antibiotics, she gets sick again. Right now she has 103.8 fever and coughing. My question is, Shouldn t she get some kind of blood work or something to see if something else might be going on? ### REPLY: THANKS FOR YOUR QUERY. A sinus infection is inflammation or swelling of your sinuses. Normally, sinuses are filled with air. When the sinuses become blocked and filled with fluid, bacteria can grow there and cause infection. Steam and hot showers may be recommended to loosen mucus. You have to consult doctor as the symptoms like cough, fever persist for more than 5 days. The productive, junky cough is usually just part of the cold virus. The signs that your child may have bacterial bronchitis are junky sounding cough plus:Fever for more than 5 days and/archest pains, especially with coughingWheezingHOPE THAT HELPS. ### END