Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir i had sex on 1st june.. my expecting date is after 20 june . I was a safe sex. Still had doubt so i took unwanted 72  after 36 hours. Right now what i am feeling is some kinda stomach ache in lower abdoman. And headache.. n feeling sick... is this just the side effects of the medicine or do i have to worry... and some kind of whitish discharge is also flowing..i dnt knw whats happening..please suggest n help me.i hope this conversation is personal right? ### REPLY: Hello, As per LMP, you did unprotected sex in safe period. Taking unwanted 72 gives protection more than 85% additionally. Here, chance of being pregnant is quite less. Above clinical features mostly resemble with PMS. Though, your period may be delayed for 1-2 weeks due to effect of the pill. Here, you need to undergo one home pregnancy test if period is delayed more than 7 days. Blood test for beta-ChatDoctor is more reliable. Consult with gynecologist following test report. Practice safe sex in the future. Maintain genital hygiene and avoid stress. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i am a professional prationer . i had undergone cystoscopic removal of uretric stone and DJ stand was fixed by urologist which was removed after 35 days.the ivp xray reports showed completly blocked left kidney.but after removal of DJ stand . i felt pain in left kidney during urination and also burning sensation in urethra during urination.i than got urine analysis which showed pus cells 7-8. my doctor prescribed clovam 325 bd and tablet normetro bd for associated gastritis.now i am feeling like one kidney blocked like it was before cystoscoic procedure. please suggest what shuld i do .my name is XXXX aged 47yrs weight 65kg height is 157.48cm. ### REPLY: Taking into consideration your past history of surgeries and the various findings followed by recurrence of symptoms I would suggest you to undergo the following tests1. CBC2. BUN’S Creatinine, S Electrolytes3. Urine examination4. USG of the kidney, ureter and bladder5. IPI am sure that the above investigations will help in determining the exact status of your renal system which will enable one to decide the further course of action. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had a mosquito bite around 1 month ago on my mastiod bone behind my left ear. Now the itchiness and the redness has gone but a week ago I was feeling behind my ear and noticed that my left mastiod bone is much bonier and protruding than my right mastiod bone. After further inspection I also noticed a hard lump that feels like extra bone on my mastiod bone, aroundabouts where I had my mosquito bite. I was wondering if they are related? ### REPLY: Hello, Welcome to , The symptoms of swelling behind the ears following a mosquito bite and the swelling has persisted for more than a month. The swelling following the mosquito bite will not last for this long period. You require physical examination to find out the reason for the swelling, and then we can suggest an appropriate mode of treatment. There are many conditions which can leads to this problem. It may be due to infection of the mastoid process and the middle ear. I would suggest you to consult your ENT surgeon for further evaluation and treatment. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir, I am facing hair fall problem. I have lots of hair fall whenever i do a hairwash. i have loss of hair with touch by hand and when i sleep lots of hair fall on pillow. please give me solution of hair fall. i want to start follihair. is it write tell me? ### REPLY: Hi there.1. Your concern is halogen effluvium.2. don't worry it's a recoverable hair loss.3. You can try dense serum, apply enough quantity twice daily, gently massage into the roots.4. You can try reviles hair supplements daily one after breakfast.5. You can try outriders anti hair loss shampoo weekly twice head bath with . Have reviews about platelet rich plasma for hair growth and plan few sessions accordingly. This will help you swiftly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Tyler and Im 18 and have had panic attacks since I was in 7th grade. My mother had them when she was pregnant with me. Over the years my panic attacks have gotten worse and worse. My freshman year was the worst and I wasn t able to leave home due to a 2 day long panic attack. I have attended a pyschologist and a psychiatrist for my problem and they have gotten better, but I think that is from staying away from the primary areas where I had panic attacks in the past. My panic attacks make me deathly afraid of thinking about places that are far away, heights, and going into wide open areas. They started acting up again, badly, when I went into a huge recreation center that was wide open. Now they are happening again regularly, especially at night. I am on citalopram and clonazepam and have tried exposure therapy, but I cannot get these panic attacks to at least turn to something smaller that I can handle. Any clue on what I can do? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. Panic attacks happen mainly due to underlying anxiety. You are escaping from those areas where you get panic attacks. You are being apprehensive about those areas. This apprehension and anxiety, you should a .  Psychotherapy should help you to streamline your lifestyle and management of anxiety. Yoga and meditation should streamline your metabolism as well as your thinking style, helps you to relax. Consult a trained psychologist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, we got married 4 years ago and have no kids. My wife conceived 2times.but both leads to miscarriage after 4 wks as the baby was not growing.then I was diagnosed with vericocile vein and had undergone surgery last month. After that my doctor gave me levocarnitine tablets USPS carnisure 500 for 6 months to have twice a day.will this help me to increase sperm count and motility? ### REPLY: Hi, Thanks for your query.  I have read your query & I understand your concerns. Your varicocele surgery has nothing to do with abortion. These tablets might help you to increase your count and motility. If your wife has conceived means you don't need to worry about count or motility. Please see an infertility specialist of fetal medicine specialist to evaluate reasons for abortion.  I hope I answered your query. I will be available for any followup queries you have.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Mom is 87 and she fell and result was a dislocated shoulder and a cut above her right eye. ER Doc tired twice to place her shoulder and was unable to due to many mussel spasm. She was sent back to the Nursing Home with a sling and Hydrocodone prn for pain. For 3 nights she screamed out with pain, which I didn t know until Mom s roommate told me of this. I made some waves, then Mom was placed on IM MS and Geodon IM. Mom still hollered out and also talked out needing help from her brother and sisters. Moms meds have been change about every 3 days. Mom continues to holler out and when she is 1 -1 she is her normal self. Could she had a brain injury? Is she doing this as not to be alone? Or is her dementia changed in to full blown Alzheimer s? It is so hard to see Moms dementia change from a happy go lightly person a slit personality. Thanks ### REPLY: Howell come to ChatDoctorI really appreciate your concern for your mother because of the orthopedic injury she must be in pain and this could be severe one as you stated here this is not being rectified, so it is necessary to get IR cure first because her pain are not due to brain injury or anything else, looking to here age she must be given complete nursing care, dementia is nothing to matter here than her orthopedic injury, hope this information helps, take care of her. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, for the past two weeks now i noticed sharp pain on my lower left jaw. last week i checked and saw that the gum surrounding the wisdom tooth is swollen and a lilttle bit of tear by the side. now i have way too much pain and cant even open my mouth.What could be the cause?Am 34 yrs and not sure am growing new tooth ### REPLY: Hi, Thank you for asking question on  usually wisdom teeth erupt between 18-25 years it maybe delayed up to 60 year shave warm saline gargling 3-4 times daily take ibuprofen tablets 2 times daily to relieve pain and inflammation it takes a few days to erupt and then pain will subside sometimes the tooth (3rd molar) is impacted and can not erupt then you should consult a dentist Hope this answer will serve your purposeTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has a knot on his upper back near shoulder blade.My husband has a knot on his upper back near shoulder blade. I squeezed it and white worm like smelly pus came out. It keeps filling back up and getting bigger. What is it and how do we get rid of it?its been there about 8 years before it poped ### REPLY: Hi.noted history of recurrent lump containing smelly pus. Based from your description, it may be a case of a recurrent cyst formation (sebaceous or gelatinous type). It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Definitive management is surgical excision of the lesion (complete cystic excision, including the wall, to decrease the risk of recurrence). Antibiotic treatment will be prescribed accordingly along with daily wound care after operation. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am concerned about my tounge, it has a white coat on it I have had it for about a month now it was bad in the beginning and has gone down a lot.. although it still has the white coat on it I have no other symptoms although around the time I was diagnosed with h pylori.. can this be the cause of the white coat? I also suffer from sever anxiety and am always trying to self diagnose myself.. I am scared that it may be hiv I had an encounter 2 monthes ago and have read that a white coated tounge meand hiv infection please help me I am very concerned I went to thedoctor and they told me that it looks like normal buildup ppl get on their tounge I have also had many blood tests done and nothing seems to be wrong?? ### REPLY: Thanks for your query, I have gone through your query. The white coating could be because of the fungal infection or food debris or leukoplakia or lichen plans or hyperplasia of papillae. Consult an oral physician and get it ruled out if it is fungal infection get it treated by using antifungal agents like candid mouth paint. If it is leukoplakia then you can take antioxidants and keratinocytes. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing pain and tingling/throbbing from my neck all the way to my foot down my back and arm on my left side. Was diagnosed with partial onset seizures. Specialist was 60% sure of diagnosis. In a lot of pain right now and struggling to walk with a normal step. ### REPLY: Your pain will be related to cervical as well lumbar spine.  You can go for complete screening of lumbar and cervical spine with MRI and based on report visit orthopedic as well as Physiotherapist.  Here orthopedic doctor will help you on medication and if needed surgical view.  As well physio treatment will help to relax spinal soft tissues with ultrasound and spinal stretches. Take a good spinal exercise program for strengthening of your spinal muscles. If MRI is normal there may be deficiency of calcium and vitamin D.  So have that from natural supplement range.  You can also use hot and cold pack frequently in daytime. Usually it can not be associated with seizures.  Because classical symptom of seizes is involuntary movement of body part.  And that thing is absent in your case.  So I suggest following all steps as given above and look for good result.  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 do not have money to get my question answered if that is what you need unfortunately... but I am so worried about my 26 year old daughter who has stopped cold turkey taking the Zoloft her physician prescribed for her about 3 years ago for stress/Add & depression . She claimed that she was experiencing bad night sweats & lack of sdrive so she abruptly stopped it. Her mood swings range from being so nice like when she was on zoloft to abusive ### REPLY: Hi there ~ I do not think it was a good idea for your daughter to go off of Zoloft.  However, it would be good to speak with her and let her know that you have noticed her mood has changed since her having stopped Zoloft.  Giving them insight would be primary in making the diseased, better adherent and compliant.  I would think that there will be a change in their attitude when such a change happens.  I hope you understand and can talk your daughter into taking medications.  Hope this helped. Take care and have a good day ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had dizziness and fatigue for almost 2 months. I have done every test imaginable(Ct, heart, blood tests, MRI, carotid, etc..) and everything was fine. I saw a neurologist and was diagnosed with vestibular migraines at the age of 44. My mother and brother suffer from migraines. I still do not believe these are migraines. Doc put me on topamate and i only take 25 mg a day. ### REPLY: Hi, I had gone through your question and understand your concerns. One of the adverse effects of Separate is fatigue, yet the dose you are taking is minimal. I think you can discuss with your doctor the possibility of treating the migraine headaches with other medications according to the frequency and severity of headaches. If the fatigue persists after stopping Separate, there are other conditions to be looked for like chronic fatigue syn .  If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i did my thyroid profile and found that my tsh is 7.3 ant3 t4 are within the range .I read about an experiment done by Dr lakshmi prasaana which is n the following link. WWW.WWWW.WW My ayurvedic doctor has priscribed!.varanadhi kashaya sukshma churnam2.sudarsanam tablets3.kanchanara guggulu4 .amruthakasturi5.apply a few drops of varanadhi oil and wipe clear before bath.what is your opinion about the drugs and am i drugged too much Thanking you Lalitha. ### REPLY: Hello madam, As ayurvedic line of treatment differ in two types. Symptomatic treatment and classical way of treating the disease or a condition. As your doctor prescription is indicated for thyroid related problems but still if your thyroid profile remain within normal limits.i don't suggest any medication for the above quoted value unless there is any relevant or associated symptoms with thyroid problem. Thank you hope I answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 need to know, where to go for a jaundice treatment, its a double jaundice case, quite fatal, best doctors in bangalore have given up hope, where in delhi should we go ? age of the patient is 52 years, a friend of mine so don kno the height and weight acurately ### REPLY: Hi, Thanks for posting in . I understand your concern. It appears what has happened to your friend could be terminal stage of illness which is associated with jaundice. As such, there is no precise treatment for infective type of jaundice. What could be given is only supportive care. Some types of obstructive jaundice can be treated by means of surgery. It would be advisable for you to consult hepatologist or gastroenterologist in corporate or super-speciality hospitals for appropriate management. Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Elbow pain My husband is a very healthy 47 yr old. He has started having swelling and pain in his right elbow in the past year. Nothing seems to help alleviate the pain. Any ideas on what may be wrong, or how to help ease the pain would be greatly appreciated. ### REPLY: Hello, I feel that you need to tell us if your husband is having any diabetic or High Blood Pressure issue. Since there is no history of Fall or injury and just a swelling it doesn't sound to be a major issue with it. There are changes of having a sedentary lifestyle leading to having all this. Doing the regular general exercise for 20 minutes should definitely help. Also, the nature of the swelling is not much mentioned, so we can just say that should get once the cardio checkup. 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: I have an allergy and I am taking Hyrax 10 mg from the past 4-5 years the dose being every alternate day. I have been advised to get off any medicine which can go on for life long and it also makes me sleep for a longer period. I would like to know what can I do to get this allergy cured. ### REPLY: Hello. Thank you for asking at . I went through your history. I would like to know which type of allergy you are having - nose allergy, skin allergy or anything else. However, I would like to make suggestions for you as follows:1. Personally I would suggest you to get allergy testing done which may identify the substances you are allergic to and also to know the measures to avoid them. Avoidance is the best strategy for allergy.2. Any anti-histamine .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 six years old. I believe she has a stomach bug. Her stool is yellowish and has a foul odor and so does her breath. She has been sleeping a lot and not each much at all. Also she had votming twice.  This is the third day. What do you think it is there is no fever. Just cramps in her stomach. ### REPLY: The foul odor in her breath is likely to be due to improper oral hygiene. I would suggest brushing teeth twice daily. Brushing at night is very essential. You also need to teach her the right technique. The direction of movement of the brush should be gum downward. Your child could indeed be suffering from a gastrointestinal infection which may be the cause of vomiting and foul smelling stools. The overgrowth of anaerobic organisms in the bowels could be responsible for the foul odor in stool. Give your child plenty of curd or yogurt since it contains beneficial bacteria. You may give demonic to relieve the stomach cramps and some antiemetic if she has vomiting. Maintain proper HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir,I want to discuss about my wife s changed behaviour.Just after marriage she started taking money from everyone in my name without telling me.She spent all the money and now i have to repay the money to all the persons.She has now even started selling gold jewellery without my knowledge and moreover she has started stealing money.Pls advise what should i do.Regards ### REPLY: Degree understand your concerns went through your details. The given description provides a compulsive pattern. Your wife is being compelled by someone or something to spend more money. The trigger could be anything like just impulses or some real life needs. In any case, she should visit a psychological counselor first to ascertain the basic need. If it is impulse related, she needs treatment for impulsive disorder. You may consult a psychiatrist for further help in that angle. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am 32 yrs. old, i am planning to take nordette pfizer today but i am scared something might get wrong bcoz i don t know the right dosage of intake. Last saturday night, may 25 at 11 pm me and my husband had intercourse and i don t want to get pregnant again and i want to be sure. I would like to ask the right intake of nordette. Thanks a lot. ### REPLY: HelloThanks for your query. You could definitely get pregnant, as you have gone all wrong with the pills. Nordette is ABSOLUTELY not supposed to be used the way you have used it. Also, ECP use indiscriminately will cause various complications to you.ECP is emergency contraception and NOT at all a substitute for regular contraceptive use. Please take a pregnancy test, although ECP does tend to delay periods. Byee ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was prescribed Ginet-84 for my acne and I understand that it is also effective as a contraceptive. Is the efficacy of Ginet-84 as a contraceptive lower than other oral contraceptives? And can you still be pregnant, on the pill and still get the monthly withdrawal bleeds and what are the chances? Thanks. ### REPLY: Hello, All combined oral contraceptive pills have similar protection rate against pregnancy. Unfortunately, there is a 5% risk of pregnancy in a year in women that use it as it is with other oral contraceptives. So, yes, it may happen to become pregnant even if you use it regularly, even though this is very rare the case. Sometimes, there is bleeding in the early pregnancy and the women may interpret this as the next period. If you are concerned you may be pregnant, please take a urinary pregnancy test. I hope this is helpful and answers your query. I remain at your disposal in case further assistance is needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 17 year old, and Ive experienced this pain in my neck, in my left artery to be exact, when I get really angry or annoyed. It feels like it burns and tightens up. I only experience this with my girlfriend, maybe because I just cant release my anger on her, and rather try to ignore the anger. Any help on whether this is common or can be dangerous over time would really be helpful. Thanks. ### REPLY: His admire your positive outlook and congratulate you for the attitude. Now I guess you have some adjustment disorder, and it could be due to some stress in your personal life. In that case, you need some help. However, let me give my opinion here. I think a combination therapy of antidepressant and low benzodiazepine would help you. These .  You can try some relaxation exercise like JPMR or deep breathing exercise. That would keep you calm and relax. For this you need experts guidance by psychiatrist or psychologist. 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: 19 yo Male About 6 months ago, I snorted .3mg of pure methamphetamine in a matter of an hour or two. I ve had a history of amphetamine/coke use prior to this but the symptoms always seemed to be gone after a couple days.. A few days after trying meth for the first time I felt like my blood circulation was off and my legs/feet were Tingly/Sweaty/Numb . Then 2 months later, I had to go see a doctor because my feet were so red, almost purple that It was unbearable for me to manage the pain. Excessive sweating in my feet, hands, depression. I can still feel my feet, had multiple tests done of doctors poking them with a tooth pick. It s just the tingling sensation, the sweating and the urge of not having any desire to wake up in the morning. I feel like all these symptoms are related to REALLY poor blood circulation. I know I don t have diabetes, had a series of blood tests done which all came back negative. I m 100% sure that these symptoms came from meth. My question to you is what should I do to finally get rid of the pain? I know that cayenne, garlic helps with the blood flow. I also started to exercise recently, but that doesn t seem to be helping. My muscles used to twitch a lot all over my body for no apparent reason, and my heart rate was really high for the longest time, but it seemed to gotten a lot better. It s the tingling all over my legs/arms, really sweaty feet and being cold in an 80 degree room that REALLY BOTHERS me..I hope you can provide me with some promising treatments. As for the doctors I saw, they didn t do much. Wouldn t give me any meds for pain or something to improve my circulation or heart rate. They just wanted me to get an MRI then to go see a cardiologist and have some more tests done...I don t have the greatest insurance to cover up all these expenses so I just thought As long as I m not having a heart attack or a stroke, I should be good . But the tingling is really annoying and at times, unbearable . ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You had visited some doctors, and you say that they did not help much. They did not help because that is the treatment you needed then. Doctors never advice Psychiatry treatment unless they feel confirmed. Otherwise, they just motivate the patient and leave them. They know in a span of around of some days, the patient gets better. That is life and its teachings. You should understand that you are not depressed. You are dissatisfied, disappointed. Furthermore, you are anxious due to that. Furthermore, you felt tingling, and you related it with your health or mental health. Now you are obsessed with that tingling and become anxious. The tingling is not actually real. It is just your creation. You must treat your anxiety or obsession. Consult a psychologist for psychotherapy. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 10 yr old son went to the emergency room last nigh because he was urinating blood. He had an ultrasoud of his kidneys to check for possible kidney stones . We will be getting an appointment with a nephrologist in the next week or two, but I was concerned about the findings from the ultrasound . The ER doctor said it could be normal, but that makes me feel that it could also be something else. What does mild pelvic fullness is noted in both kidneys without frank hydronephrosis mean? Thanks. ### REPLY: Hi Scruggs. Your son had acute onset blood in urine. There are so many causes of it but the most common are-Renal stone, ureteric stone, bladder stone, may be stone in the urethra, acute post streptococcal glomerulonephritis and other type of kidney infection, UTI,ingestion of any . But it seems to be from renal stone. Do some investigation like-USG-KUB, Urine for routine, blood for count, urea,creatinine, bleeding and clotting time as early as possible and consult an neurosurgeon or a nephrologist for opinion. Mild pelvis fullness is a vague term it can not make any diagnosis but in renal stone mild pelvic fullness is seen. And HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was little I would get these weird pains in my chest. They would normally occur when I was relaxed or doing arduous activities. I m not sure how to subscribe it other than feeling like a knife was stabbing my heart and it became incredibly difficult to get a full breath- it would hurt to breath. I found that the only way I could get it to go away was to waite it out or drink a ton of fluids. It s really weird, standing still would make it subdue a bit, the more you moved the more it pained. ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, your symptoms are mostly due to anxiety. But better to rule out cardiac cause first for your stabbing pain in chest. So get done ECG to rule out cardiac cause. If ECG is normal than no need to worry much for cardiac cause. It is anxiety mostly. Anxiety can also cause HERD (gastroesophageal reflux disease). So control of anxiety is must in your case. Avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and work on its solution. You may need proton pump inhibitor for HERD.Don't worry much, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 year old son got a hold of a box knife and cut his left thumb just above the big knuckle. it is on the underside of his thumb and towards the outside of the thumb. it looks to be a deep cut, and i applied pressure to it and held it under cold water until it stopped bleeding. now there is a blue coloring (like a vein) from the cut across his thumb and disappears into his palm, he says it doesnt hurt unless you press on it, when you do it bleeds a little, but stops. i cleaned it good with peroxide, and put triple antibiotic ointment on it and put band aids on it to help. he is now on the couch sleeping, with it proped up. will my son be ok? or should i get him seen asap? ### REPLY: Good day! Thank you for choosing  !It's good that you were able to clean it very well. Is your children vaccination updated? If not your child needs to get a tetanus shot for deep wounds like this. How is the bleeding now? Once the bleeding has lessened or stopped, you'll be able to see clearly how deep the wound is. If it is really deep, sometimes suture is needed as well as oral antibiotics. But most often for small cuts, it will heal on its own. You just have to keep it clean all the time and apply the antibiotic ointment on it. I hope I was able to answer your question. Sincerely, Handle Dulay-See, M.D. Pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been prescribed a five day course of 500 mg zinnat. Two days in I feel better but my guns appear to be worse. I have also started to bleed a little from my gums and noticed a little more white puss on them. I was wondering what I should do. Thank you ### REPLY: This medicine is cefuroxime which is in the cephalosporin group of antibiotics. It is a broad spectrum antibiotic. The antibiotic needs to be completed to have the full benefit. You need to be rinsing, brushing and flossing with gentle, but effective care. Warm salt water is an effective rinse. Often some increase in sensitivity can occur as the gums heal. I do not know the condition of your gums when you started the antibiotic. I suggest you discuss this with your doctor. Have you had a cleaning or are you scheduled for more cleaning or a deep under the gum cleaning? Puss on the gums is a sign of infection. You may need an additional prescription. Rinse such as chlorhexidine may be needed to help tissue healing. Please consult your dentist. Some anti-inflammatory medicine may help to heal and make you feel better. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had this lump in my armpit and its the size of a pea and it hurts when i put pressure on it....its been with me for around 2 months....i never have had a cyst in my entire life and its not a pimple...it feels bruised with i put pressure on it ### REPLY: HI, Dear,Thanks for the inquisitive query to .1-I studied your query in depth.2-In my opinion, this painful-lump in the armpit is due to the chronic boil over 2 myths time, as it hurts you while pressing it. It gets bruised also means it is infected and is still not maturing to abscess-due to the low-aggressive bacterial infection-with good local tissue defenses.3-Pls consult surgeon who would advise the right treatment for that lump.4-Hope this would solve your query and worry about your 9 yr old daughter.5-Wellcome for more queries to me On .6-Thnks once again for your inquisitive query. Have a Good Day.!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 72 and in good health but about two weeks ago I began to get these sensations in back of the head. they don t hurt just a bother and I wonder is this PARESTHESIA and should I worry other wise I feel fine. Everyday I feel as though it will go away but I will have my check up on Monday Nov. 20th and I will mention this to my Dr. thanks ### REPLY: Hello and thanks for your question here at . I have read your question and understand your concerns. Paresthesia points to symptoms, the probable condition that may cause such issues is occipital neuralgia that is linked to the upper cervical nerves who may be pinched or compressed. Yes, you should mention these issues to your Doctor since you are going for check up. Your Doctor may undertake other steps to diagnose you correctly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had a Lumbar puncture and I don t want the blood patch. I am experiencing symptomslike headache, loss of appetite, and insomnia. My doctor says that it s tension and I want to know if anyone else has experienced the same thing ana how did they deal with it ### REPLY: Hello, Your symptoms seem to be related to tension type headache, which is a benign type of headache related to psychological stress. Is the headache triggered by standing up or sitting position? Is the headache like pressure or throbbing? How long does it last? How frequent are your headaches? I would first recommend taking melatonin before sleep to help regulate your sleep, which I think will certainly help improve your headaches. 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.. i was diagnosed with high bp 150/100 when i was 15 weeks pregnant with my third child.. since then i was under medication methyldopa 250mg three times a day.  Post delivery my bp came under control, but after a week again it was 140/90, im still under same medicine twice a day for a month, after 15 days after delivery it came under control with medication, and the doc has advised me to reduce the dose to once a day after a month.. When will i be able to stop these medications? ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that high blood pressure during pregnancy can persist for months and even years after delivery. Nevertheless, in most of the cases it is normalized after 6 months from delivery. This is because the hormonal changes and the weight loss. I would recommend continuing methyl dopa for 3 months and then try to reduce the dose. Meanwhile, I recommend trying to reduce salt intake, in order to have a better control of your blood pressure. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 89 yr old mom had a pet scan at 10 this morning, was not very hungry but ate small amount of food. also took bp meds and pain meds throughout the day, about 10 pm she became nauseated and has vomited 3 or 4 times, it s almost 3 am and she is resting at the moment. also has abdominal pain . should we go to the hospital or go to her dr in the am? YOU COULD HAVE TOLD ME THIS WAS A PAY SITE! I WOULDNT HAVE WASTED TIME TYPING ALL THIS CRAP IF I HAD KNOWN THAT FROM THE BEGINNING...THANKS FOR NOTHING ### REPLY: Hi, As per information provided by you, your mother 89 years of age is having nausea and vomiting after more than 10 hours following PET scan. I do not think this is due to any adverse reaction to the PET scan as such. Still going by her age and that she has vomited 3-4 times, I suggest you take her to your hospital and get her examined by doctors. We don't know, but she may be going in for deny . Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i am 36 years old and i am losing my hair since 2010 but process of losing hair accelerated since i moved to UAE couple of years back .pattern of hair loss in my case is particular i mean only top central area  is getting bald and now a days almost losing  50 to 70 hairs per day and my hairs gone weak and thin too, i have dandruff problem too..kindly let me know how to combat my baldness and further hair loss.currently i do not have the facility to pay online fee.thanks ### REPLY: Hello dear, The services provided in this forum are not charged. So, there is no need for any online payment. The symptoms & case history mentioned in your post suggest that you might be having An . Also known as Male pattern baldness, it usually follows a pattern of receding hairline & is related to genetic makeup and male sex hormones. Management includes:1. Minoxidil preparation to be applied directly to the scalp to stimulate the hair follicles.2. Finasteride preparations that interferes with the production of male hormone linked to baldness. But these medications have to be used regularly under the guidance of a Dermatologist...as hair loss tends to return on stoppage of these medications. So...it will be better to consult a Dermatologist & start treatment. Wishing you a Good Health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a ganglion removed from my left wrist 10 days ago. The op notes mention filing down the scaphoid ridge. Since the dressings came off on day 3 I noticed a larger lump than previously. I do not have the full rang of movement with my hand and the tendons along the back of the hand feel painfully tight. Is this all okay and part of the healing process? I have motor neuropathy which affects the stability of the wrist joint. ### REPLY: Hi, Thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As post removal of ganglion, you may face some muscle weakness and pain. Decrease in Joint ROM is also possible. You need to slowly start undergoing physical therapy, as with physical therapy, your pain, swelling, lumps, etc. questions will come down, and later you can have a full ROM of the wrist. In fact you can make it stronger than before. In my clinical practice I have seen such patients, they respond well to physical therapyRegardsJay 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: I think my wife was poisoning me I woke up one day thought their was smoke in the room their was not had dryness to mouth left back kidney pain and appendix pain  she kept bringing me coffee and Pepsi morning and night she has anti depressant pills plus seen javex pills and rat poisoning below sink could any of these cause that severe anxiety and no sleep either ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Anti-depressant pills, rat poison can kill anyone if taken in excess. Here the question is why your wife wants to poison you? Do you have any issue with her which you want to settle? You should find the answers. Talk to your wife. Listen to her. Find if she has any annoyance for you. Ad .  Ask yourself. You should find an answer. Are you anxious? Are you depressed? Are these mental conditions makes you to doubt your wife, where she is really trying to help you? Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had ulnar tunnel surgery in2010, doctor had done a anterior transposition. Ihad went to different doctor in 2011 to see if some thing was wrong, i still had a lot of pain and numbness he said it may take 2 or3 years to get better came back in 1 year if no better. now he wants to test nerves, i ask myself then what will happen, i can"t take much more of the pain nor con i Keep taking ibprophen 500 I have ibs. ### REPLY: Hello, Ulnar tunnel surgery is when there is irritation of ulnar nerve when it runs over the bone. It is called the anterior transposition. If you are still having tingling pain, and numbness, then there might be mild irritation still present, it is more when you move your elbow joint more. I would suggest you undergo the nerve tests recommended knowing the status of the nerve. We will have a better idea after the tests. It won't be anything alarming. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello..I have been having a tooth ache for some time now..so far i have lost my sense of smell in my left nostril. i went to the ENT and he said my sinus was fine. i also have a stuffy nose and post nasal drip. could this be due to the toothache? which i think has gotten infected. i am on antibiotics now, but i still have the ache and no smell in left nostril.. ### REPLY: Hi, Thanks for asking the query,toothache can have affect on the palate, as you have mentioned you have stuffy nose, so loss of smell can be due to ENT problem, I would suggest you to visit to ENT Specialist and get the checkup done. For toothache an x-ray of the affected tooth is required, and root canal treatment has to be performed. Take complete course of antibiotics and analgesics prescribed by the Dentist. Hope this helps out. 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: female age 46, non smoker, social drinker, no previous health problems, exercise regularly, not overweight I have been having pressure in the chest for over a month with a little tickle in my lungs but no cough. No fever but tired feeling all the time. Went to my doctor and he did an ekg and lung function test (where I blow through a tube). He said everything looked fine but was a pattern of allergic breathing? so told me to take Claritin for a couple of days. Nothing improved so I went back to my doctor and he gave me Dulera to take for a couple of days. Still no improvement. I am guessing I need a chest x-ray next but any idea what it could be? ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. You seem to suffer from -HERD with esophagitis with tickle in lungs without cough. The pressure in the chest is mostly from esophagitis with bloated stomach. The accompanied HERD with acid reflux with stomach gases from pyloric and LES(lower esophageal sphincter-Dystonia dystonia) is giving the chest pressure with cough like feeling but no coughing in real terms. The problem is therefore is in the Stomach and Esophagus with legal irritation giving bronchial irritation with accompanied bronchospasm like feel, but no bronchospasm as such. The feeling of short less of breath is from diaphragmatic pressure by bloated stomach. Dos Suggested-In the given scenario as discussed above, You need to Consult Physician and Surgeon to fix the cause of the HERD with acid reflux. Causes of the basic IBS causing HERD with acidity needs to be ruled out. Check up for HERD from IBS due to accompanied- perianal ailments like fissure in ANO, parotitis, Sigmoid spastic colitis with amoebic colitis and other causes like Diverticulosis/Polypoid cold need to be ruled out by-Stool Ova/Cyst test/ photocopy from Surgeon/Colonoscopy / CT Contrast abdomen for Diverticulosis and Crohn's disease. Thus Check-ups from a team of Chest physician /GI Surgeon/Colonoscopies / EGD-Esophago-duodenoscopist would be needed to fix the causes and treat them accordingly. Hope this reply would help you to resolve the health issues with help of doctors attending on you. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . N. Senior Surgical Specialist. 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: I have been suffering from bronchitis for almost 20 years. I am a bronchial asthma patient also. Now a days I am worried especially about dust allergy,  cough, difficulty in respiration while sleeping (especially in winter cold). My age is 24. Please suggest montek lc is worth taking.    Please suggest some medicines and natural treatment and a healthy lifestyle for me. Thanks in advance ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. First, I would like to know what is the frequency of your asthma episodes to make more helpful suggestions. I also would like to know what are the current medications you are taking and how they are effective.2. However, in general, I would like to suggest you to take montelukast-levocetirizine (Monteagle) in regular basis. I would also suggest you to use albuterol inhaler on as-and-when-needed basis for asthma symptoms. If asthma symptoms are not controlled by above, I would suggest you to use regular asthma controller inhalers.3. I would also suggest you allergy testing for common airborne allergens - house dust mites, insect proteins, mold proteins, pollen, and pet dander (if you have a pet). This will help you to identify the substances you may be allergic to and also to know measures to avoid them.4. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms. I would like to mention here that most of the medicines except immunotherapy can only "control" asthma symptoms, but they do not improve allergy.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.5. I congratulate for asking about natural treatment and healthy lifestyle as many allergies-asthma have life-style roots. Natural remedies containing ginger, turmeric, black pepper, basil, etc. are known to improve allergy-asthma symptoms.6. A balanced diet rich in vitamins, minerals and anti-oxidants (i.e., adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also improve your immune system gradually.7. Regular physical exercise and breathing exercises including Panama & Yoga will also help you by improving your immunity and lung capacity in a long run.8. If stress is an important factor in your life, regular meditation and relaxation practices will also help as stress can worsen allergies & asthma. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have small hard lump under the skin just slightly above my Elvis. I noticed it about 5 months ago. Since then it has grown from 2-3 mm in diameter to about 8-10mm . It was first a smooth ball-like mass and now it feels like a double- side by side ball like mass. Not really giving me pain or discomfort at the site. What could this be? ### REPLY: Hello! Thank you for the query. AS this lump is under the skin, benign skin lesion is the most probable reason. It might be a sebaceous cyst or lipoma. Both lesions are not dangerous and do not turn into a cancer. However, sebaceous cyst can get infected and give much pain and swelling. It is also possible that this lump is an enlarged lymph node. I suggest you to consult general surgeon with this problem. In case of any doubts, soft tissues' ultrasound should be done. Lipoma or sebaceous cyst can be simply removed. Enlarged lymph node might need biopsy. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother has a swollen gums i think a damage tooth is the cause. we only have cefixime 200 mg capsule available. my mom wants to take it now, will it work? my mom is 50 years old, about 5ft and 4 inches and around 60 kg in weight.... she has no heart condition and non diabetic... ### REPLY: Thanks for your query, I have gone through your query. The swollen gums could be because of the gum infection or tooth infection. Consult an oral physician and get radiograph done to rule out these two conditions. If it is tooth infection then get the tooth treated with root canal treatment or extraction. If it is gum infection then get your teeth cleaned. You can take definite 200 mg if no other .  Ideal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.. I had a fibroadenoma in my left side of the breast.When i consulted the physician,he said not to operate it.He gave me Danogen-50,and asked me to continue it for 2 months.This my first month and 2nd week,but now am getting some pains in my food path and stomach too.Is this is because of dosage? ### REPLY: Hi, Yes, pain in the food pipe and stomach is due to the side effect of danogen-50. Nausea, heart burn, dyspepsia or epigastric pain may occur with the use of danogen-50. It may be due to the dosage taken. It can be prevented by stomach acid suppressant like antacid or proton pump inhibitor. Talk to your doctor about reducing its dosage or switching to another .  I advise certain lifestyle changes to prevent this problem like:- Avoid lying down soon after taking a medicine-Elevate the head of the bed-Avoid spicy foods, alcohol and coffee 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, I was wondering if you could help? I feel like I may have trapped a nerve in my neck? I am usually quite tolerant of pain but I have to admit this is of concern. As I yawned this morning I got a sudden sharp pain in the left side of my head/neck, the type of brief pain you get when you move your head too quickly. Immediately afterwards I started sweating profusely and had blurred vision, seeing stars. My eyes recovered quite quickly, and although the sweating has reduced, the pain in my neck has continued to persist throughout the day. I am able to look to the right without difficulty, however looking left, downwards, and upwards is near impossible. The pain is greatest behind my left ear and radiates up and down my head on the left side. I have taken 600 mg ibuprofen but this has had no impact whatsoever. Is there anything you could suggest to alive the pain? Many thanks, Jen. ### REPLY: Hello, I have studied your case. There is possibility of cervical spine muscle spasm. For these symptoms analgesic with muscle relaxant and neurotrophic medication can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Gradually neck exercises can be started after relief. I will advise checking your it B12 and it D3 level. I will advise you to MRI cervical spine for better diagnosis. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My name is AbbyGail I am 19yrs old and yesterday morning I was stung in the neck by some sort of bug I m not sure exactly what it was but it stung for a good 5 hours or so. Since then I have been itching more and more often! I used hydrocortisone butyrate lotion 0.1% on my palms and bottoms of my feet at 1:34pm today and I started feeling sick around 10am yesterday morning, a couple of hours after the sting. I still feel bad I have fibromyalgia and lately I ve been taking Gabapentin (Neurontin) 600mg twice a day for the pain and it just isn t working today and I can barely move and I have no appetite, which hasn t happened in many years since my heart failure at 14! I m a little concerned about my health because I thought I was doing better but now I m getting worse. I also take other medications such as, 2mg Prazosin once before bed, 150mg Sertraline (Zoloft) in the morning when I wake up, 50mg Vistaril 3 times a day morning noon and before bed, and 600mg in the morning and 900mg before bed of Trileptal. I m allergic to Celexa, Relenza, latex, Phenergan, oranges. I also was born with a low immune deficiency and Asthma! I have no insurance nor job(do to the fact that I get sick a lot and am an unreliable worker) Please Help me as much as you possibly can thank you. ### REPLY: Thanks for consulting in Healthcare. You have hypersensitivity to bugs bite, because you have allergy from childhood. It seems as allergic reaction from the bite of insect, that's why I prescribe you antiallergic medicine-allegra, its modern and good helper in your situation. Don't apply cortisone ointment, because you don't have effect. .  Eat hypoallergenic food-potato, cauliflower, cucumber, Dali, panir,don't eat chocolate, honey,tomato soup and tomato subdue, nuts,sushi, strawberries, flavor food, juice from market, chips ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: himy mother has a history of liver abcess in 2010 Jan. she recovered by June 2010. Now her bilirubin has again gone up (1.44). Could it be a recurrance of the abcess? She has also been reported to have 50-75 pus cells in urine (although no RBC). She is diabetic since last 15 years with poor control ### REPLY: Hi welcome to  .... She is having poor diabetic control since 15 year... So chance of bacterial infection is very high... Her urine report shows many pus cells so here case is urinary tract infection... Proper antibiotic like levofloxacin or definite taken... . . Fruit juice more ... Cranberry juice extract useful.... Avoid excess spicy foods... For liver here USG done.... It might reveal liver abscess condition... It can be controlled with antibiotic... Although you have not asked I would like to add that diabetes should be controlled with proper diet and if needed insulin taken. Because if not controlled then multisystem complications can occur and chance of high and early mortality... So control it ...by regular taking oral hypoglycemic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Fractured (spiral) my fifth metatarsal 5 weeks ago. In an air cast. No weight regimen. What does a healing fracture feel like? I never had a break before and I am paranoid to make it worse. Sometimes I get a slight burning sensation or a general achyness. ### REPLY: Hello there is already five weeks then you can get this cast removed after one week. There is no harm in walking with putting full weight now. In some patients there is sweeping in the feet which can last for some weeks, but there is nothing to be worried about that. You can apply compression bandage and take hot water fomentation.  I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 Actually I don t have enough milk from beginning so I kept my baby most of the times on lactogen. Now she is 3 months old. People suggest me to start with cows milk or either nan-1 as they say nan-1 contains DHA which is good for brain development.Please help me. M wworried. ### REPLY: Mothers breast milk is the best possible food for a baby and there can be no alternatives for the same. Most of the formula milks are cow milk based and hence hard to digest for the baby. NAN-1 and lactose are both cow milk based formula manufactured by the same company where certain items have been added or removed from lactose to make NAN-1 more like breast milk. DHA has also been added since it is required for the developing brain but do not expect it to enhance brain development. NAN-1 is more preferable to cow milk if breast milk is unavailable. Please try to give breast milk as much as possible and supplement only the rest. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 burning pain in my forearm and at the top of my arm severe lower back pain when I stand in one position for to long and a pain in the centre of my shoulder blades that throbs and feels like it goes straight through to my heart most uncomfortable ### REPLY: Hi I am . .  Hope you feel better soon, I think you may have a kind of spinal spondylosis that may show this kind of cervical radiating pain toward your shoulder and back, I do not want you to worry sometimes such pain subsides with relaxation and even without medications, You may avoid heavy lifting, bad sleeping and sitting postures, vigorous movements, standing for a long time.  For my patients you may use painkillers like Advil tabs when needed, B12 vitamin supplementation, muscle relaxants, hot massages with topical gels will be effective for most of the cases. If pain persists I recommend MRI on your spine and visit your physician for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, I have a baby girl of 9.5 month old. yesterday i visited the local doctor here in saudi, he measured my daughter as weight 8.7 kg, length 71 cm, head circumference is 47 cm. doctor told me every thing is normal but the head circumference is little bigger than average. the baby is responding normally. could you please suggset me what i should do. i am little bit worried now. Regards, Fahim ### REPLY: Hi, I had gone through your question and understand your concernsAverage head circumference of a 9.5 month baby is 44-45 cm. If everything is normal , means physical examination and development normal, it does not seem to be reason of big concern. Ultrasonography of brain (if anterior fontanelle is open), can be done to rule out HY . Most common cause of large head in a normal child is familial, (feature present in other family members) or Idiopathic and also in big baby. You can discuss doing an ultrasonography of brain with your doctor, if he/she considers it to be done, it can be done to be sure that we are not missing anything. Keep a watch on development of your child. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us. Wishing your baby 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: ASLAM-U-ALIKUM DEAR doctor. i have already test of my own body then the doctor told us that happtatists c conducted my body. this test 3 month ago a governemnt hospital, now this time i am could not send my test report. i am absolutely fine and well not any reason and deasess create my body not reliazing tied then please doctor told us what identications of this happatatis c because our face is accurate right please docotor i have needs of yours guideness please tell us. i am waiting of your reply. shani ### REPLY: Hi thanks for contacting  Shane... You have told before 3 month hepatitis c diagnosed... Let me know you that hepatitis c is viral infection of liver by HCV virus.... It can lead acute hepatitis that can present with omitting. Abdominal pain, anorexia etc.with jaundice... Depending on immunity and other factors patient can get converted into chronic case or carrier... Chance of chronic infection is more with hepatitis c virus... So you can confirm your HCV status by ELISA or Molecular methods like RIBS or PCR... In carrier or chronic case patient might be asymptomatic.... If you have hepatitis c confirmed regular follow up needed... For that low fat diet taken... Non veg and junk foods less... Fruits more with green leafy vegetables.... One tsp licorice with honey useful... If chronic active hepatitis decided by HCV RNA marker then antiviral . . Hope your concern solved... With keeping these in mind you can consult gastroenterologist... 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: yes sir i was helping a father look for used needles from his addict daughter and while helping him search trash cans i was stuck by a used needle ,it looked like a allergic type needle very small, needle my middle finger bleed and i sqeezed it and rushed to wash it and poured alcohol on it. i am very concerned ### REPLY: You are at risk for infection with HIV, hepatitis B, and hepatitis C. The risk is low, since the needle and syringe were probably old, you cleaned everything up right away, and you did not inject anything deep into the muscle or your bloodstream. Also did you see if old blood was in the syringe? That would increase the risk. That being said, there is a risk no matter how small that should be followed up. You would want to should find out if the daughter has any of these diseases. If she has HIV, you can take antiviral HIV medicines as a preventative for a short time. You also should get baseline tests for HIV, hepatitis B, and hepatitis C. These tests will need to be checked a few months later if they are negative now as they take a while to change if you've been infected. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my thyroid removed 1 year ago due to cancer. I had the radiation pill last January and for the last 4 Months am on 200 mcg of levothyroxine . since starting the high dose my bloodwork has been right ware my doctor wants it .Is it normal to have sever mood swings anger especially around my period ### REPLY: Hello, Mood swings and anger around your period may be due to premenstrual syn .  This causes physical changes (physical symptoms such as bloating, weight gain, tiredness, etc.) and also mood changes. If your thyroid level is where your doctor wants it to be, it is unlikely that Levothyroxine is causing you the mood changes. The fact that the mood changes are related to the menstrual cycle is another indicator that the most likely cause is premenstrual syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My ultrasound showed an enlarged liver and spleen and a small gallbladder. I am having a burning pain under my shoulder blade that is a constant pain. I am having menstraul like cramps in my abdomen and lower back. I also have a bulge under my left breast. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Usually liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesn't require any specific treatment.  If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required. Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do liver biopsy if necessary. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. 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: Afternoon,My 4 year old daughter has been looking very very pale over the past month & now has red circles around her eyes.  She looks very drained  & says that her back hurts.  My wife has taken her to the doctors, urine tested & is clear.  The doctor thinks its a viral infection, but would it go on for this long?  Worried about her & just want to make sure nothing is seriously wrong.Thanks for your timeMark ### REPLY: Hi, From history it seems that she might be having severe anemia giving all signs and symptoms. Due to lack of iron and multivitamin deficiency one gets this type of problem and red circles around eyes. Go for Hemoglobin estimation. Go for stool test for ova and cyst of warms. After reports your doctor will go for treatment accordingly. Give her high nourishing protein food, fresh fruits and juices, green vegetables. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im living in Uganda and seem to have got athletes foot, Ive tried all fungal creams including some from home (north America) it gets better for a couple of days and then get worse again.  Its starting to get itchy and painful with blisters.  Today the pharmacy prescribed me cephalexin, is this ok?  Will it work? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint Athletes Foot is a fungal infection of feet infecting the webs of toes and fingers of feet. It can occur due to accumulation of moisture and contamination with socks and clothing. It can also be contracted with other infected individuals and infected things in salons, swimming pools etc. It has to be treated with antifungal medications and other home remedies but as Cephalexin is an antibiotic it will not be able to cure fungal infection as it can cure only bacterial infection. You should avoid wearing very tight shoes and wear cotton socks. Dust antifungal powder between the toe webs before you wear socks and shoes. Wash your feet with a mild soap and water and pat . . You can also soak your feet in a solution of one part vinegar and three parts of water. Epson salt water soaks can also e helpful. In case if it still does not resolve you might need oral antifungal medications like oral intake of Terminating or Fluconazole. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i used to chew guthka.... now i am suffring from submucous fibrosis ........i hav learnt the lesson i cant eat any spicy dishes.... my mouth is not opening......not even two fingers wide... help me with some prescriptions since we dont have a dentist in our town ...... is pineapple effective for this since it has muscle degrading agents....should i eat pineapple ### REPLY: Thanks for your question on . Submucous oral fibrosis (SMOG) is a pre malignant lesion for oral cancer. There are no medicines available to revert fibrosis. Best treatment option is physiotherapy. In this gradually increasing number of sticks or fingers are introduced in your mouth and kept them for 20-30 minutes.  So they will stretch your oral opening gradually.  This method can give relief in mouth opening. But for severe cases surgical nicks are put in fibrosis and try to achieve oral opening. Start multivitamins containing zinc and folic acid for prevention of further fibrosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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.. hey doc...respect....well i m down with fever from past 52 days it has been irregular earlier it was cough n fever n a very low fever so i consulted an e n t specialist then the fever went down but after i completed the course it came up again then i took antibiotics for viral for 6 days again it stopped for 6 days n came bak again but the cough is gone so i again went to a different doc he said i have typhoide now today i have completed the course of 14 days  m feeling a lott better only one problem i just felt like m having sum fever arnd 99.4 so should iworry or its just weakness bcuz the red spots n evething is gone only m feeling weak....wat do u think doc i m not losing weight n i have good appetite tell me some good news brother ### REPLY: Hello Since you are having fever (low and high) for 52 days, associated with cough, rashes. Still low degree fever present, may be due to these possibilities, these include:1 Tuberculosis, diagnosis can be confirmed by X-ray chest PA view, blood for CBC, ESR (if >100 mm 1st hour, strongly suggestive of tuberculosis) . Also get in Mont ox test as well sputum examination.2 Resistant nature of typhoid in various strains, diagnosis can be confirmed by Tidal as well serology test.3 Jaundice, diagnosis can be confirmed by serum bilirubin as well GOT, SGPT examination. However, there are so many other causes of such low grade fever but deal as mentioned above. So consult a physician and get his opinion. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had Laparoscopic gallbladder surgery. I was told after that I had a hernia near my bellybutton that needed to be repaired before they could remove the gallbladder. I have had a tearing sensation near my belly button for a while, but did not feel it after the surgery, I am having that tearing feeling again. Is it possible that I have reopened the hernia. ### REPLY: Hi and welcome to , thank you for your query. It is possible but more likely this is just still postoperative pain due to wound healing, so you should be patient bit more till wounds heal completely. If pain persist after 6 weeks postoperatively, then you should consult surgeon again. If there is redness and swelling around the wound it may indicate wound infection. All, in all I don't think this is umbilical hernia again since recurrence of these are rare. 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: does metal valves to the heart, affect your hemoglobin,do the valves break down the red blood cells.my mother is 88, has had her bowel lasered a few weeks ago dew to hemoglobin dropping, she has had 18 bags of blood this year,they dont seem to be  any the wiser ### REPLY: Hello, Thanks for writing to , I am . A metallic valve in the heart does not significantly break red blood cells, to an extent that the person needs 18 pints of blood in a year, there must be some other cause to the blood loss. All patients having a metallic heart valve in place are almost always getting an anticoagulant(blood thinner) which is in most cases Warfarin. This might thin out your blood that that extent that it starts oozing out of minor ulcers or damaged mucosa places of patients stomach and gut. This is probably the case with your mother, She is 88 so not making blood as efficiently as a young person and on the other hand she is losing blood most probably through her gut because of blood thinners. I would advise you to discuss this problem of blood thinners with your doctor, after getting special monitoring tests like INR to see the extent to which blood has got thinned, the doctor can change the dose of warfarin and this can help with blood oozing eventually helping with the symptoms of your mother. I hope this answered your question, If you have more queries I am happy to answer you. Regards. ### END