Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son (age 13 years) is suffering serious dry cough for the last five years. At night whenever he sleeps, no cought there till he gets up from the bed. Inhealer like seroflow 100/formonide 100, tablets like montair/cetrizine/levocentrizine are prescribed. But no fruitful result. Only metaspray nosal drop cures for three months but stopped by Doctor. Presently suffering severe dry cought. Grateful for kind advise. ### REPLY: Thanks for consulting at . Your son if suffering from cough since 5 years and is on inhalers and medications for Asthma. He had transient relief for 3 months when he was prescribed steroid nasal spray. Causes of chronic cough in child . Relief by steroid nasal spray suggest that your child is probably suffering from Allergic Rhinosinusitis along with Asthma. I think for proper treatment your son needs to examined by ENT specialist and Pediatric Pulmonologist. Investigations like CT PNS, Pulmonary Function Tests, Tests for Allergens etc. can help in diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How long can you go if your heart stops before brain injury occurs. My very dear cousin had a massive heart attack on Saturday after running a marathon. They performed CPR on her for 9 minutes until the abulance got there and shocked her. It took another hour to get her back to a regular rhythm. ### REPLY: Brief Answer:The first brain damages begin 3-4 minutes after the heart stops beating, and after 9 minutes the damages are irreversible. Detailed Answer:Hello, Thank you for using . The timing, in the case mentioned above, seems to be good. Continuing performing CRP until help comes is the only and the adequate way of trying to save the patient. After the AED is available, and the trained staff to perform electroshock is present, then she could be shocked. The time needed to the patient to be converted in normal rhythm depends on from the patient, his basic pathology that caused the cardiac arrest, and the time when the electroshock is performed. The first brain damages begin 3-4 minutes after the heart stops beating, and after 9 minutes the damages are irreversible. This happens in case when no CRP is performed. I think, the patient in this case has had a good management, and there was a good timing of all the steps of CRP and life support.  Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes, i am 36 years old male, Married 3 years back, I dont have kids, i get Semen Analysis report normal in USA,After i come to Indian start treatment my wife One of doctor asked me for Semen Analysis in reports showing NORMOSPERMIA WITH EVIDENCE OF INFECTION, What does it Means,please can you Asnwer ### REPLY: Hi, Thanks for writing to . Normospermia means you have normal count of sperms with adequate motility and good quality fluid to nourish sperms. Normal pus cells will be 0-5. More than that is considered as mild infection. This infection could be anywhere from the organ which produce semen over its path. Any infection in these organs cause pus in semen . Treatment for this is one-week course of antibiotics and maintain good hygiene. Repeat semen analysis after 2 months. If infection is still there then further it should be investigated to know the cause. In majority, it subside by antibiotics like definite and ofloxacin combination.  You can discuss this with for doctor. Till infection subsides maintain distance from your wife. Hope I have been helpful. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: edema throughout the body, cannot digest any type of food or drink, everything turns into edema, irregular heart rhythms, dampness and wetness throughout the entire body, etc..... so many other problems.  Primarily though as soon as food enters the mouth my entire body has unusual reactions including edema.  Have tried every doctor for 20 years, ayurveda, acupuncture, western medicine.  No doctor has answers ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You should cause of edema. You should go for complete kidney function test, s. protein level, echocardiogram, and thyroid function test. Furthermore, you should search the cause first then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a several bumps come up between my eye and nose and several more popped up towards my eye brow. My eye is swollen and woke up this morning my left side of my face swollen. This started Thursday and seems to be getting worse. Ive put antibiotic cream on the bumps that have opened up and warm compress. What is this? ### REPLY: Hi ! Good morning. I am  answering your query. From your history, it seems you have contacted some kind of infection of the skin which could either be a viral infection (herpes) super added by bacterial infection. For a definitive diagnosis, and proper treatment I would suggest you to consult a Dermatologist/general surgeon in your area soon so that further spread and complication could be avoided. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had a 3 day fresh embryo transfer on 1st of March this Monday went for blood test pregnancy test my ChatDoctor was 100 up until 2 days ago I was having mild cramping and lower back pain now its stopped Ive had no bleeding/ spotting is this normal Im worried Ive miscarried , thanks ### REPLY: Hi, Welcome to  forum.  As you describe, the progress was good, but there are so many factors responsible for success of the pregnancy like the anemia, infection, anxiety etc. Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have good health and resistance.  It is important to take bed rest, avoid the irritant foods avoid sex etc. are important.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had a high platelet count b/t 460-620 for about 3 years.  Is this normal?  I have suffered with chronic depression and stress- can those be factors?  The only other out of range blood count was my esinophils.  My red blood cells are within range but on lower end and my white blood cells are within in range but on upper end. ### REPLY: Welcome to . My dear friend your platelets count is slightly high. Patients with this platelets count are usually asymptomatic. No need to worry. There are not any relation with slightly high platelets, eosinophils and depression /stress. You did not mention your eosinophil count. I suggest you that reduce your stress with some mental relaxing exercise, meditation and yoga. You can also consult with psychiatrist for depression and stress if yoga and meditation not help you. Thanx for query. Always welcome for further question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 19 year old white male.  I have been smoking hookah for approximatly half a year now, about twice a week on average.  I have a dull pain in my right lung, around the nipple area.  I also have a strange feeling in the back of my throat, like its swollen, but it hasnt affected my breathing at all.  Do I have lung cancer? ### REPLY: Hello rearward welcome to .come have evaluated your query in depth.* These symptoms do not indicate the lung cancer.* There are assembly of lot many features than this to get suspicious regarding the lung cancer.* Advisable to get once doctor check up with x-ray evaluation to find out the root cause and get treated accordingly.* Gentle suggestion to stop smoking hookah from this very moment. Hope this clears your query. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had gallbladder surgery on 12/04/12 and for about 4 days i have been short of breath and i have sharp pains when i breathe in and out. The pain only started when i would breathe deeply but now a simple inhale and exhale is very painful. What could this be? ### REPLY: Hi.noted history of gallbladder surgery and sharp pain on post-operative site associated with shortness of breath and pain upon inhalation and exhalation. Post-operative pain/discomfort usually occurs even after years of surgery. It is best if you do a follow-up consult with your surgeon for physical examination and clinical evaluation. Costochon .  Analgesics as needed may temporarily alleviate the pain. 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: Hi I have 18 years and I have a lump on the left side of my pelvis, the pain is very bad when I sit or when it touches something. went to the doctor and he said he could be a hernia and had a fever today. this pain I have it for a week and yesterday I did a lot of excercise and today dawned inflamed and I have much pain that may be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have inguinal hernia or some inguinal lymphnodeeenlargement.  You should go for examination by surgeon.  Hernia can easily diagnose by examination only.  If needed go for ultrasound study.  Then you should take treatment accordingly.  Surgery is the treatment of choice for hernia.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Am 24, i have been masturbating since i was 16, now i dont have strong erection like i used to when i started this masturbation thing, this has kept me single because am scared of going into relationship because the girl will ind out my problem, and am also scared of my future for ill soon be thinkin of getting married, the semen analysis i went was ok though the amount was less but it active (20 million, though i dnt really understand what it meant), av recently indulged in sex-drug which helps, but a doctor adviced me to stop it so i will not get addicted to it, pls i dont want to use drugs on my future wife, pls help me with a solution out of this problem. Thanks ### REPLY: Hi, Masturbation is not injurious to health, but if you are worrying much or feeling guilty, then you will have lesser erection. You will not get erections as in your teens (frequency and hardness) hereafter. That is common for all. Don't bother about semen quality at present. It is quite ok. When you hug a girl or kiss her, you will regain your full erection. So nothing to get worry and get ready for marriage. As you are just 24 years, you need no .  Reduce your frequency of masturbation or have an abstinence for two weeks, you will regain your erections back. Have a great 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 been in remission for the past 11 yrs( Non Hodgkins Lymphoma) This last exam showed changes in two of my blood test results. I have gone from yearly exams back to 3 months. They want to re check my bloodwork for changes before ordering a cat scan. I have continued with night sweats off and on the past year I have had profuse sweating even in the day. It seems to happen every time I do anything physical. Should I be worried ? ### REPLY: Hi, Thanks for writing in, Rarely a lymphoma might return after 11 years, and it is important to detect it early and suppress with treatment. However, it is possible that other conditions might also cause similar symptoms like profuse sweating and tiredness. It will help to know if you recently had an unexplained weight loss or swellings appeared anywhere in your body. I guess your annual blood work done 3 months back shows normal results but doing a repeat test is always recommended. You might also get tested for non cancer conditions like thyroid dysfunction keeping in mind the symptoms. Getting your results reviewed is good. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father has hepititis and as a result scirrosis and recently had an emergency with varices bleeding they did banding to stop the bleeding. What should he expect after this has been done? He is currently two days post procedure and is feeling abdominal discomfort he says, bloating. ### 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. Yes, this is normal since liver may be enlarged and during banding it may be irritated, but also there may gallbladder stone, so you should repeat ultrasound to rule this out and measure your liver size. 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: Hi, my daughter has been experiencing some pain in her underarms like the glands and random acts of dizziness when standing up causing blurred vision and to the point where she have to sit down before she faints. Can you help to tell me what this is and how to treat it. She is 13 and not on any medication. ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that her symptoms could be related to low blood pressure or orthostatic hypotension. The glands in her underarms indicate possible infection. For this reason, I would recommend consulting with her attending physician for a careful physical exam and some tests: - a chest X-ray study- a cervical spine X-ray study-complete blood count for inflammation or anemia- PCR and sedimentation rate for inflammation- blood electrolytes. A Head Up Tilt test is necessary to exclude possible orthostatic hypotension. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I have ingrown hair deep under my skin and out . I have very coarse hair and been taking different medation . I was trying to put the hairs but also founding holes under my skin and white heads and infected all on one side on my face. so tired dealing with it . I neeed the best way to get rid of it ### REPLY: Hello, Infected whiteheads are treated with antibiotics to reduce inflammation & infection.  Medicated creams, ointments & gels (Benzoyl Peroxide, salicylic acid) also work well.  Keep your skin clean, avoid excessive sun exposure, remove makeup before going to bed, refrain from squeezing or scratching the whiteheads. Neglected whiteheads can become acne. Acne can cause emotional distress. Get examined by a dermatologist & get treated.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an accident in work about 2 months ago, and found out that i had bruised my muscle tissue in the left side of my spine , had a whiplash like injury to my spine and bruised my sciatic nerve . I have returned to work but i am doing lighter duties while my back heals. The pain has slowly got better but i have noticed a twinge in my lower back near my coccyx, and i still experience a dull ache in both of my legs. I have also noticed i cannot walk very far without the twinge getting worse and the aching in my legs getting worse. I worry because it is my back and i worry that the brusing is permanent, is there anything that i can do? ### REPLY: Hi, Thank you for posting your query. Based on your symptoms, it appears that a few nerves arising from the lower back region have compressed because of disc prolapse. This may have got aggravated due to the injury. If an MRI of spine has not been done, it should be done to determine the severity of problem. Treatment options include medications such as pregabalin, physiotherapy and surgery. The exact choice would depend on the MRI findings. 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: Hello, I have noticed a lump in my chest approx. 4 cm wide, a fist length down from my sternum. Its been 4-5 months now and its seems to get slightly bigger. It doesn t hurt at all and is quite soft and squishy to touch. It is noticeable to see from a distance as its slightly raised out of my chest. I thought it was just going to pass as a cyst but hasn t. ### REPLY: Hi ! Good afternoon. I am  answering your query. From the history, you possibly are right in tentatively labeling as a cyst. However, the cyst would not get cured of its own. To know the exact diagnosis for the kind of cyst it is, you might have to take appointment with a general surgeon, who after a physical examination and related investigations, could arrive at a definitive diagnosis, and then plan an appropriate treatment for it, possibly a surgery. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an abscess drain (my third one in the past 3 months) I keep getting seromas and infected abscesses due to a hernia repair with an Alloderm graft 5 months ago. I am flushing my own drain with 10cc s of saline and am confident I can pull my own drain (it is not sutured into the skin)....it s a size 14 tubing...I can remove the wafer and mylar disc and just pull, right? ### REPLY: Hello Dear. Do not do anything without consulting your doctor. You need to go to your surgeon periodically once in few days as suggested by him/her and get the procedure done. Also ask your doctor you can do yourself at home. Do not become a doctor of your own. It may do more harm than good. Hope I have answered your question. Feel free to contact me if you have any more questions. I'll be glad to help you. All the besting warm regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 44 years old woman. Overall healthy. My right side shoulder hurts when I move it towards should level. It hurts when I sleep on my right side. It also hurt when I look to the right (towards the end of the rotation). It has been 3 months. I do not remember any injury hapenned. I just woke up and it hurts. I took neck x-ray and my chiropractor said it will take time to heal. All he did was crack my neck to left and right and do the machine that vibrate on my shoulder. He told me to ice it and take warm shower. Is there anything else I could do? ### REPLY: Hi, Thanks for your query. Although it isn't possible to diagnose your condition without an examination and a few tests, your history is suggestive of Adhesive capsulitis(Frozen shoulder) or Calcific tendonitis. These conditions are easily managed by regular physiotherapy (Range of motion exercises, stretching and strengthening exercises). Over-the-counter pain relievers, such as aspirin and ibuprofen (Advil, Motrin), can help reduce pain and inflammation associated with this condition. I would suggest getting this evaluated by an orthopedic nearby for an accurate diagnosis and appropriate management. Your doctor after diagnosing the condition might refer to you a physical therapist. A physical therapist can teach you stretching exercises to help maintain as much mobility in your shoulder as possible do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husbands son is said to have an enlarged liver. he is 12. his mother said that his liver could explode if he is playing in sports. Is this so? Also, they said that the liver was swollen because of excess fatty foods and after dieting for a month that the swelling would go down. Is this true? Thank you so much. ### REPLY: Hi and welcome to .  I understand your concerns and I will try to help you as much as I can. This is not true so much. Liver can't explode, and he may do sports if he feels fine. There are many causes of liver enlargement but in his age this is usually result of Epstein bar infection or fatty liver. Treatment depends on exact cause.  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 less common, but it should be ruled out with blood tests such as AST; ALT and Bag, so you need to consult pediatrician about these tests. 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: I recently found out I had h.pylori and I took all the antibiotics prescribed. I took Omeprazole and probiotics but the heartburn has return with a vengeance and no matter what I eat It just stays. I don t want to keep taking more antibiotics. I want to know could the h,pylori be gone and I still have heartburn and what can I do about it? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some ulcers in your upper gastrointestinal tract.  You should go for endoscopy.  Furthermore, you should also go for the h. Pylori test.  If it is still there you should take antibiotics and proton pump inhibitors. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother-in-law is 63 years old, she has a collapsed spine and vocal chord, on oxygen machine, and liver disease but drinks alcohol heavily. All last night, part of the day today, and all tonight, she has had dementia! My husband and I thought maybe it was because she took to many pain medicine but tonight she had taken none! What she has been doing She will talk into her hand as if it were the phone, pick invisible things up off the floor, take invisible pills , ect. She will hold her hand as if she were smoking but she has no cigarettes, and brings it to her mouth as if to inhale. When I asked her if she needed anything her response was I m scared I packed my cigarettes too tightly, they stick together. The motels are too close together, you know where Kmart is, I saw a dog like ****our dog*** Why is this happening? What do I do? Could the dementia be cause by... 1.) Stress?...We recently had our Gas and our Water cut off, about to be evicted. Could this just be a mental break down?? 2.) Drinking alcohol?...She has liver disease from her past drinking habits and now she drinks HEAVILY! She won t stop and says she is grown and can make her own decisions!...now, she thinks it s 2001! 3.) Old age? Alscheimers? Not sure how to spell that sorry. I am 23 years old and too young for this, if someone could please help me!! ### REPLY: Hi Amanda, Welcome to . Your M.I.L. may be suffering from Alzheimer Disease or as you put it she may have had a mental break-down. Please try to prevent alcohol reaching her and be especially careful to keep all medications out of her reach. She should be given medication under supervision of a medical expert and by a responsible person in the household and do not permit her to take medicines on her own. Incidences are known when they take too many pills not remembering that they have already taken the pill, leading to very serious conditions. She needs constant monitoring and do consult a Doctor for her ailments. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Sahib, Please suggest best tablets available at Lahore_Pakistan which full control my brain , heart and give me powerfull erection pleasure during sex. Waiting your reply. Sheikh Imran. E-mail:kaleemexchange@hotmail.com I answer your health queries right now ? Please type your query here... ### REPLY: You only have the power, no tablet can give you anything, so do not wonder here and there. Control yourself, develop self-confidence, try yoga and medication which will increase your brain power and gives you mental stability, eat good healthy food, . these is the only tablets you need. If you really feel low, get your self examined by your doctor and take medicines accordingly. Do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am joseph.Two weeks ago i tested for typhoid and the results were as follows.Salmonella typhiO 1:160,H 1:80.I was given amoxicillin whit took 7 days to complete.I DID NOT IMPROVE AND AM FEELING SO ILL AND FATIGUED.Sometimes even nose bleeding and memory loss.What do i do coz this typhoid has been recuurring for years now even after medication? ### REPLY: HelloSign you are diagnosed as a patient of typhoid fever. When such patient visit my clinic I prescribe them to take CIPROFLOXACIN 500 mg one tablet two times in day for 14 days. If orally not adjusted take injection ceftriaxone 1 gm I/V twice in day for 10 days. Usually all patient respond this treatment very well. Since this is a prescription medicine so consult your physician and get a prescription. If patient is very weak then he may need some intravenous fluid as per requirement. Hope this will help. Since this is an intestinal disease, so even after treatment patient remain a carrier of salmonella for 6 month time without any fever or symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am continuing to have severe lower back and pelvic pain on my right side. It started last Thursday when I felt I could not hold my urine any more.... then frequent urination got worse.... only a little at a time... and I went for a urine analysis. I just got notified that I have way too much protein in my urine...and my doctor wants me to go to a kidney specialist now. I cannot sleep because of the pain... and I don t know what to think any more? If you could possibly shed some light on this subject.. I would greatly appreciate it. ### REPLY: Hi. Thanks for the query. If you have severe back pain and increased frequency of urination it could be an infection. You need to do an ultrasound to rule out underlying obstruction or stones which could explain the pain. Presence of proteins in urine can be due to infection. However, it is often a sign of underlying kidney disease.Therefore, you need to see a nephrologist who will review all the results and order further investigations to find out the cause and advice further treatment Hope this helps 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 am spitting blood randomly mainly in the morning and sometimes at night, sometimes during the day it happens for a couple spits then goes away. Its not a lot of blood, I dont really have any chest pain or anything like that, my doctor told me a couple months ago I have some kind of sinus issue, can it be from that? ### REPLY: Thanks for your question on . I can understand your concern. Blood in spitting can be due to either diseases of oral cavity or due to lung pathology. Sinus disease cause blood from nose, not bleeding in spitting. So better to first Getaway done detailed examination of oral cavity to rule out oral pathology. If this is normal then you are mostly having hemoptysis (blood in sputum). So get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung infection and bronchitis. As both of these can cause hemoptysis. So better to first diagnose yourself and then start appropriate treatment. Sinus pathology is less likely in your case. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sometimes i feel pain in left side of chest, BP normal, Pulse about 90, clear angiography, relife after belching for sometimes, is it a some kind of heart problem or purely gastric paroblem, kindly reply i am a male 54 years from india, during pain i felt depressed........  YYYY@YYYY ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart diseases as your angiography is normal. Your pain is relieved by belching and this is suggestive of HERD (gastroesophageal reflux disease). So your symptoms are due to gastric problem only. So avoid stress and tension, be relaxed and calm. Avoid hot, spicy and large meals. Take pantoprazole and levosulperide combination. Go for walking after meals. Lose weight if you are obese. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: are their any side effects or after effects of typhoid? its medication or treatment? i am 33 yrs old lady suffering from typhoid. is coconut water beneficial? 20 days have passed by but still i feel weak and exhausted. are their chances of reoccuerence of this disease/ if yes what precautions should i take? ### REPLY: Hello there, Typhoid does make you weak for some time. Coconut water, bananas are beneficial to get rid of the tiredness. You can also have a diet that includes plenty of fresh fruits and greens and take care of your protein intake. Buttermilk, curd, whey protein can be added to your diet. Avoid oily or heavy food as it will make you more lethargic. Precautions that you can take is always .  Either boiled or filtered. If travelling carry your own water bottle or  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 foot surgery 5 wks ago and just got ou of my cast two days ago. I have been dealing with painful calf muscle since. I had occasional cramps with cast but now it is constant tightness. I did not have this issue when my other foot was done last year. I am drinking lots of fluids and have taken muscle relaxer methocarbonal but no real relief. Should I be concerned about blood clot? ### REPLY: Hithank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you had a foot surgery and just out of the cast there will be a little pain in the calf muscles. Also, formation of the clot is a rare chance so nothing to worry. Besides, using a quick icing technique should help reduce the pain. After which physical therapy might be needed as per the advice of the surgeon later-on. RegardsJay 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: My name is uttam and i am 37 year old.I have a pain in my joints and I have shown to doctors what they say is that I have some cartilage problem. When ever I bend and straight my leg there is always a sound like tuk . I have thyroid problem for whichbi am talking altrocin . Suggest me what to do for my knee. ### REPLY: Hi, thank you for providing the brief history of you. A thorough clinical musculoskeletal assessment is advised along with MRI of knee. As you knee makes click sound and also as per doctors clinical examination says you have cartilage issues, an MRI will help understand better. Post understanding the soft tissue status in the knee joint, physical therapy shall be tried. As it will help to regain the full ROM and Strength in the knee joint and muscles. Also, with physical therapy one can get even the overall body benefits too. In my clinical practice, patients with cartilage damage undergo intense physical therapy to regain the functionality backRegardsJay 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: What does the Spleen doe for the human female body? My friend has a mass that has recently had a X-ray . The doctor wants her to get an MRI . She and I don t know what a function the spleen does for the human body. Mass could mean Cancer ? Please help me. Lloyd Dorsey ### REPLY: BHI. Spleen is one of the important organ of our body. It helps to produce blood cells and fight against infection in the body. This is an important defense system in the body against infection. Enlarged spleen can be caused due to many reasons. It's very unlikely that it could be cancer. Most of the time it could be because of infection. But you can get enlarged spleen in blood.cancer and lymphoma. But you have said there is mass in spleen, if it's not enlarged but there is some mass in normal spleen, then it needs to be investigated. I recommend you to undergo MRI scan, it would help you find the cause for mass in spleen. Based on that further management could be done. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Small brown oval shaped itchy bumps in the fold between my left thigh and scrotum. First appeared about a year ago with itching in that spot, but nothing was there. Noticed it around the time I was going to the gym working out and sitting in the steam room. They seem to be growing really fast now and traveling. I sent a pic to my doctor while I wait a couple weeks for my appointment, but he does not know what they are. ### REPLY: Hello, Welcome to , The history and symptoms suggest me that it may be a fungal infection, but it should be confirmed by physical examination. The genital and perineal area is known for fungal infection, as you are regularly going for the gym you may sweat a lot it may provoke the growth of fungus and produce these symptoms. I would suggest you to follow1. Keep the area clean and . 2. Apply Anti-fungal cream on the affected area.3. Oral Antihistamines to reduce the itching and swelling.4. Single dose of Rifleman, 150 mg orally. The aforementioned modalities will help to reduce the symptoms and improve the condition. 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: sir i am 34 years old i had got married before 02 years when i test my semen analisis my count and motility was low and varicocele after the 06 months treatment like proxceed,clomid,vitamin E,,reparil,padutin now i had repeat test my count is 28 milion/ml motility 30% fast,progressive 10%,morphology 26%.please advice me to improve motility and other parameters.thanking of you ### REPLY: Hello, The sperm count and Morphology seems to be improved with medicines as they are within the normal range. But motility is still little low.  You can take multivitamin tablet and hey Forte like tablet for that. You can discuss with your treating doctor and such medicines can be prescribed.  Don't take the stress and avoid excessive heat exposure. Smoking and alcohol should be strictly restricted as it can affect motility. I suggest you get checked your testosterone level as well.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir my father in law had deep fallen in Paralysis and here Doctor is saying that his 75% brain is totally dead and he is abount to untreatable.he has gone about Coma.so please as soon as suggest me where can he recoverRam Kumar DewanganRaigarh(C.G.)Mo.:-0000 ### REPLY: Hello Ram! Welcome and thank you for asking on ! I am sorry about your father-in-law, but you should know that his situation seems to be really serious. He may have had a stroke, which has damaged most of his brain. From the other hand, you should know that after the stroke, this part of the brain which is damaged begins to swell and compress the remaining part of the brain. This leads to coma and irreversible changes. The prognosis is very reserved, because there is not much to be done. Unfortunately, there is no cure to this clinical situation, and the only thing you can do is to wait and hope. But, there are really low changes for him to wake up from Coma, considering the degree of brain damage. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since last year i meant 2014 March. I have been having is problem when i go to bed sometime i will found myself wet.... i was thinking that it s just a sign of heat unknown that is my sperm that comets out every night Apart from that if i want to make love to a woman. sperm equally kick too am highly frustrated in my life .....I m seeking for help and better solution.... I grow up with one scrotum i don t really know it was the causes ### REPLY: HelloThanks for query. Getting night emission is normal and natural at the age of adolescence and there is nothing to be worried about it. Normally it gets resolved itself spontaneously without any treatment. As regards what you have mentioned only one testicle from childhood. It is likely that you have only one testis and the other being descended and located in either inguinal canal or abdomen. You need to consult qualified Urologist for clinical examination and get Ultrasound Scanning of the abdomen and pelvis to locate the position of other testis. He will advise you to regard treatment for the same depending upon the location of testis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 keep getting bad pains in my lower left abdominal , pains in my right hand side cheats, mega headaches feeling dizzy and sick, pains in tops of my arms do you no what it could b ? All i evea get off doc is its stress go home and take some painkillers (i cnt put up with all this pain anymore :( ) I m a 22year old female thanku ### REPLY: Hi. Thanks for your query. Female 22 with headache, pain in left lower abdomen, right chest, dizzy and sick feeling, consulted a Doctor who says this is due to stress and asked to go home with painkillers. I would advise you the following:-Get a second opinion of another Doctor, who would do clinical evaluation, actual physical examination and ask for investigations:Blood: Tidal, thyroid profile since you are young with multiple problems, sugar, liver and kidney functions.-Urine and stool. CT scan of the head / Brain to rule out any problem. Agreed, this may partially be stress causing these problems or on the reverse many problems causing stress also. You need to take the following medicines. Medicines for the stress. Antibiotic, metronidazole and medicines as per the reports of the investigations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Could anyone tell me what this could be? I just noticed an almost golf size knot, bump, lump whatever you want to call it on the lower left side of my head. It caught my attention when I layed down on that side and it is sore. When I touch both sides of my head the lower left side of my head is bigger. What is it? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have golf ball size lump on head.  It can be due to reactive hyperplasia of lymph node, soft tissue tumor, Desmond cyst, skin adnexal tumor or some other lesion.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir i have done semen analysis in 6 days of abstinent.motility report is as followes : 40% active motility , 35% sluggish motility ,25% non motility,  morphology, normal forms-70% obnormal forms-30% pus cells 2-3 /hpf. What each indicates and what is the problem in my sperm ### REPLY: Hereafter going through these reports I want to tell you that Motility should be 100 % while in your case it is 40 % (active) . Morphology is 70% , abnormal cells 30 %, for normal fertility It should be > 13 % of exhibiting normal morphology. Now read this carefully, as this may help you. Extensive studies suggest that normal FERTILITY is associated with sperm counts > 48 million/ ml with a motility of >63% (in your case it is 40 %, much less)with 13% exhibiting normal morphology. But subfertility is associated with sperm counts As far as about conception you should consult an INFERTILITY specialist 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: Dear sir, I m always suffering with sneezing problems. I normally sneeze 50 to 60 times a day. Whenever i shave, gets dirt in my nose , smell a bitter , i starts sneezing. I feel pain at the joint of my nose and eyelases. I don t know from where this much cougChatDoctores in my nose. i feel myself helpless. ### REPLY: Dear concerned, Thanks for writing to us., In addition to being an atomic individual you may have other co morbid conditions such as DNS(deviated Nasal septum), Turbinate Hypertrophy, Nasal Polyps which may require ENT Surgeons intervention. Investigate in detail including Sinus Endoscopic exam etc. and routine blood(AEC Inclusive) and urine investigations. An immunologists assessment regarding the allergen which has been responsible have to be found out by injecting various antigens. Later they will do desensitization therapy for a period of time. Pls avoid dusty places/vehicular smoke/passive/active smoking. Regularly do steam inhalations. Take anti-allergic medications such as Oral fexofenadine/Oral Cetirizine/oral Chlorpheniramine Mallet tabs as per your MDs prescription for a temporary relief. Timely use of Mast Cell Stabilizers(Sodium Chromoglycate Spray) will prevent severity of Allergy. Steroidal Inhalants such as Fluticasone also helps many. Wishing you a Speedy Recovery., Best regards., .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I feel very funny. Something like being on weed. but i didnt take any drugs now. my head kinda hurts and i dont know what is going on. all my touch feelings are delayed, a lot of stuff is actually delayed for example if i touch my feet, i only feel it after a while. especially with cold objects. and i feel like what is going on here? no idea whats happening. what could it possibly be and how can i feel normal again? ### REPLY: Hello, I believe the best approach to solving your problem would be to the exam you neurologically to see how your CENTRAL AND PERIPHERAL nervous systems are functioning.  The type of perceptual delay of tactile stimulation really has no organic basis in terms of neurotransmitters, neuronal circuit abnormalities, or cortical pathology that could reasonably explain such a "trapping" if you will have sensory signals and only transmit them at some point in the future.  Nevertheless, I would do a basic chemistry workup on you to also include things such as Vitamin B12, D, B1, B2, and folate.  I might also check thyroid function studies such as TSH and FT4.  If these come back normal then, your symptoms are more likely than not related to anxiousness, stress, or variable severity of depression. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a stomach virus for 3 days with dry heaving. I now am having trouble swallowing due to the dry and acid burning feeling in my throat. It feels as if I have no saliva there, and it burns terribly. I cannot sleep, and am sill occasionally vomiting. Whenever I vomit it is excruciating due to the acid burn...what can I do to relieve this pain? ### REPLY: Hello, I understand your concern. I am , Infectious diseases specialists, responding to you. All your problem is related to acidity. I advise you to take pantoprazole and risperidone as antiacidity and anti vomiting agent respectivelyCertain lifestyle changes like eating less spicy foods and stress-free life, complete sleep is all necessary. I will be glad to answer your further query. Thank you for your contact to . Wish you the best health. Thank you, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dermatology::::72 yr, old male -- has a white film on the gums -- gums are irritated-being a little bright red in places and a bit puffy......just had a biopsy @ Univ. of MN.  dont know the result yet.  Ive had this white film for many, many yrs.  at least 40 yrs.  but not the redness..a little information would help.Thanks ahead of time for your wonderful website and your caring thughtfulness..Bob P. Fargo,ND ### REPLY: Hello! Thank you for posting here. You did not mention if you have this else where on your body and if it is removable. Are you a smoker? Using tobacco in any form can cause this too. This can be a white lesion, a biopsy gives definite diagnosis. Quit tobacco in any form. Maintain a good oral hygiene and healthy lifestyle routine. Avoid spicy foods. Maintain a stress-free lifestyle. Monitor your blood sugar levels as this can delay healing if you are a diabetic. Have an anti-oxidant rich diet. Check if you are low on immunity. You did not mention why you neglected this for 40 years, consider it serious. 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: which medicine is aptable for wheezing? whether it is English medicine or homeopatChatDoctoredicines? please help me on this? ### REPLY: 1. wheeze or wheezing is not a disease but sign of underlying disease which can be acute (Anaphylaxis, Exacerbation of Asthma, acute bronchitis, Pneumonia, inhaled foreign body) etc. OR can be chronic like (COPD, Lung cancer, HERD, Smoking,Emphysema, Bronchial Asthma, CHF) etc. so treatment or effectiveness depends upon the underlying health problem.2. i. talk to your doctor, doesnt matter whether he/she is allocate/homeopath/or Ayurveda Physician, if wheezing is happening for the first time, is recurrent, or causing difficulty in breathing, while ii. seek emergency care if along with wheezing there is catch in breath, blood is coughed up and appearance of hives and swelling in the face and throat.3. Treatment of wheeze will depend upon the underlying cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 some bruising on my right arm just above the wrist. It just appeared and it looked like if I poked it with a needle it would oze out blood yesterday. Today it looks more like a bruise. There are two spots about the size of 1/16 or an inch and 7 dots. What could it be? ### REPLY: Hello, In my opinion, it could be many possibilities, mostly nothing to worry about, this could happen to female patients having periods, and it can be a blood platelets problem due to many causes. A full history is needed, and a picture would be ideal for proper diagnosis. Hope I have answered your question. Let me know if I can assist you further. Amman Darragh, Physical Therapist or Physiotherapist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 boyfriend has had a large, hard and often painful lump just above the shin bone and just under the knee. It hurts him so much he is often in tears, is familly doctor said that he grew too fast and that there is nothing to do to help it, or get rid of it? Can he do something to take away the pain at least? ### REPLY: Hello and welcome to , A painful lump over bone shin needs to be investigated. The lump could be due to soft tissue lesion or a bony lesion. A imaging study-CT scan or an MRI is required to know the site of lesion and its origin. Nerve growths are usually painful. On the other hand there are bone growths or tumors which are painful. After knowing the exact location of the swelling, an aspiration or biopsy may be required to know the origin and character of the lesion. Management can be planned after diagnosis is made. I suggest you to consult an orthopedic for clinical assessment and relevant investigations. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. Prasad,I would like to undergo herpes test in Bangalore.I recently contacted a close friend who was suffering with herpes.Please let me know a good hospital to get tested and also advice me what tests and treatment for herpes.ThanksHarshal ### REPLY: Hello, Welcome to , The tests to detect herpes infection are to detect antigen or antibody against this virus. The ELISA tests are being done to detect these organisms. The P24 antigen of the virus is the earliest test to detect the organisms. There are many hospitals in Bangalore which can identify and isolate these organisms. I would recommend you to visit either St Johns Hospital or AIMS, Hospital Bangalore, for complete evaluation. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a growth of some sort on my right upper thigh. I have had it for sometime but it s getting a little bigger and it now hurts. I am not sure what kind of physician I need to see or what I may have. It s not hard, I don t feel a lump but it s a Lethe mass ### REPLY: Hello, I have gone through your query and I can understand your concerns. As per your description it seems that you have a lipoma over your thigh. It is a benign (non-cancerous) condition and can be cured easily. But we have to rule other condition by physical examination and investigations. You have to consult a general surgeon and get evaluated. Surgeon will perform a clinical examination to make a diagnosis. If it is diagnosed as a lipoma simple excision of the lump is performed. If there is any diagnostic confusion. A biopsy may be needed. In which a portion of the swelling is taken and examined under the microscope to make a diagnosis. As of now you can take simple analgesics like ibuprofen for pain. Hope I have answered your query. Wishing you good health. Regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi so as a kid I had hot tea spill over my chest leaving a scar and whenever I would get cold on my chest I would have trouble breathing as if my rib cage tightened up. Only after warming myself up wud the pain and the tightenness subside. Now a days I m 21 years old and lately I feel like it s my intercostal rib cage muscles that are contracting. When I try to crunch my rib cage or expirate forcefully the pain wud increase. Should I be concerned? It s been like this my whole life but now it s bugging me and doesn t stop even if I warm myself. ### REPLY: Thanks for your question on . In my opinion you should consult pulmonologist first. And get done chest x-ray and PFT (Pulmonary Function Test) to rule out infection and bronchitis. And chest wall scarring does not give rise to breathing problem. If all the above are normal than it must be anxiety related only. So better to avoid stress and anxiety. Be relax and calm. Consult pulmonologist and discuss these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 would like to know about a patient who is going through dialysis every 4th-5th day. How healthy life he can live? How long he will be able to live if he doesn t get a healthy kidney? Will marriage be a safe option for him? Any treatment other then transplant available? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that your friend has Chronic Renal Parenchymal disease. It is progressive disease and one can not pull on lifelong on dialysis and has to get renal transplant done. Life span depends upon the creatinine level and effect of renal disease on other organs and systems of the body, I would advise not to go for his marriage. Renal transplant is the only option till then he has to undergo dialysis till he gets kidney donor . .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The tip of my penis has been feeling wet and clammy recently. Almost like the feeling you get when you get a small drip of urine in your underwear. This has been a pretty constant feeling and it is very annoying. I am not and never have been sexually active. I am 18 years old, and masturbate frequently. ### REPLY: Hello, Welcome to . I can certainly understand your concern. I have worked through your query in detail. The symptoms in your case are possibly related to retention of minor quantity of urine in the preputial fore skin, which later . This may predispose you to develop infection of the glans penis particularly bacterial infection. Procedure like Circumcision will help prevent this urine locking in the prepuce area, thereby preventing the locking of urine.It's advisable to consider the expert option of a urologist on this. Please check with your physician if he shares my view. Post your further queries if any. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have brief sharp stabbing pain and random twinges of pain on the right side lower part of my abdomen and I would like to know what the most likely causes are. They said there are no ovarian cysts on the right side what else could it be? The symptoms don t really fall under the stereotypical appendicitis category. Help? ### REPLY: Hi. Read and understood that you have pain in the right lower abdomen. They have ruled out ovarian cysts and you don't feel it to be classical appendicitis. The causes can be :Colitis meaning inflation of the large bowel. Nephritis of cecum Lymph node mass Irritable bowel syn .  It looks that you have undergone Ultrasonography, it does not show many of the problems I mentioned, hence yes need of contrast enhanced CT scan of the whole abdomen. And also needed are proper investigations of blood, urine and stool as guided by a general surgeon after clinical evaluation. This way a proper diagnosis will be made and a curative treatment done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Got MRI report of my mother who is 64 years old and the impression given is as follow. MRI Study shows degenerative spine changes with: Transitional verterbra at the lumbosacral junction(complete sacralisation of L5 Vertebra as counted from C1 level downwards) Diffuse bulge of the L3-L4 intervertebral disc with associated bilateral facetal degeneration and ligamentum flavum thickening causing secondary canal stenosis with thecal sac compression and bilateral foraminal narrowing Diffuse bulge of the L4-L5 intervertebral disc causing bilateral foraminal narrowing(R L) with thecal sac indentation. I want to know the treatment option for this condition ### REPLY: Hello and thanks for the queryThe the best treatment as per MRI report is surgery, but nothing can be said without the clinical examination of the patient. The decision can be only made by both clinical examination and MRI report. If the pain in legs are worse and numbness or weakness present than you can go for surgery. Else medicinal treatment with physiotherapy and lifestyle changes can help you in getting painless spine. The best treatment can be planned under the guidance of spine surgeon. So feel free to consult your spine surgeon and planned your mothers' treatment. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I wake up in the night with servere pains down the centre of my stomach, (from just under my ribs down to aroubd my belly button) the pain is so strong for the first few minutes I cant move or turn over. I am able to go to sleep after around 5 mins. What can cause this!? ### REPLY: Hello! I read carefully your query and understand your concern. A severe abdominal pain that awaken you from sleep is a complaint to be taken is consideration, it can be serious. Possible causes can include:-gastric or duodenal ulcers- gallbladder disease- pancreatitis-renal stones etc. If it was a single self limited episode that resolved then can wait to see if recurs, as long as you don't have others concerning symptom. If this severe pain persist, or you have other episodes like this one, you need evaluation. A detailed medical history, complete physical examination, abdominal ultrasound and probably upper endoscopy are needed. Hope my answer has helped. Take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I am Soumaya from Tunisia.I am 29 years old .I am 157 cm tall and I weigh 48 kilos.I do not suffer from a hard desease ,but I usually go through very stressing periods.I sometimes can not sleep at night .My problem is that I have new grey hair and I want to avoid that so much.I take care of my hair but I do not know how to avaoid early greyish hair.Could you help me please? ### REPLY: Hello, Thank you for posting on . Greying of hair occurs when the melanin of a particular hair follicle is permanently exhausted. Premature grain of hair is attributed to many factors like diet, nutrition, UV rays, pollution, cosmetics/dyes/colors, genetics, medications etc. Treatment of gray hair is pretty challenging and results are not very encouraging. I would advise you biotin and calcium pantothenate combination tablets for at least 6-8 months. Apply Alexis gel containing Militant, which is a new compound that has shown good results in premature grain of hair. Also, a novel hair sunscreen cum hair serum Q era black has shown good results in prevention of hair damage from sun and pollution. Use gentle shampoo and conditioner for regular hair wash. Use coconut oil twice a week for scalp nourishment. . Try to limit your smoking and alcohol intake. I am sure this will take care of your issue. 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: Ok for a long time, we lived in a hotel that was majorly infested by bed bugs they came out to treat it and even switched the beds out. The bed bugs never left but the next time I was bitten a lot on my vagina, in about four different spots very close to each other. It makes everything very painful sex, walking, using the restroom, washing, etc. should I do about it? ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern. Bed bug bite can be dangerous when bugs are infected with some microorganisms. Otherwise, only treatment for bite is sufficient. For bug bite I advise you to take cetirizine tablet, paracetamol tablet, calamine lotion, apply moisturizing cream. Maintain the local cleanliness also do regular . Always prevention is better than cure. I advise you to clear the bug from the bed. You can call the professional insecticide sprayer they spray your whole room and cleans it guaranteed. Glad to answer your further concern. You can contact me on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor i am Jayanth, i have a problem from past 1 year like having compression in both my shoulders, becuase of this i got a health problem called(fitts), i became unconcious and doctor advised me to consume Levipil 500mg morning and evening 1 tablet per day, this is to continue for 3 years. Now i have a side effects like anxiety , loss patience, hari fall. Please suggest me some advise. ### REPLY: Hi Mr Jayanti, Thank you for posting your query. Fits (or epilepsy) is a common problem, and it is well treatable with medications. Level (levetiracetam) is a safe and effective medication for controlling epileptic fits. However, if you are having side effects, then, please discuss with your doctor. The doctor may be able to substitute level with another anti-epileptic .  Wishing you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can an enlarged spleen (2-3X normal showed on an autopsy) be from massive hemorrhage?  I have been told different things--that the spleen should shrink if there is a massive hemorrhage in the liver--also been told that spleen could be enlarged because of massive bleed. ### 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. No, this is not true. Massive hemorrhage would be seen as free blood in abdominal cavity and enlarged spleen is not sign of massive hemorrhage enlarge spleen may be sign of some hematological or liver disorders and may contribute to various death causes but if there was no blood seen outside the spleen in abdominal cavity then this is not massive hemorrhage. 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: I have a burning pain in my left thigh with numbness to my leg and foot, along with shooting pains down my right leg and left arm. I also get some shooting pains in my left leg, but it s more the burning pain that is bothering me there. I am 27 years old, weigh 105lbs and am generally healthy. Im not sure what this is or what I should do? ### REPLY: Welcome to  I have gone through your query and understand your concern. Looking to your age it is most likely an acute disc prolapse. It can be confirmed by MRI of lumbar spine. Till then, it requires rest and analgesic such as ibuprofen for pain relief. Rest is advisable in lateral position with both hips and knees flexed. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. 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 am 59 year old female... I had a high temp and just a sore throat over the weekend... starting on Monday I noticed a few blister like spots on my hands... I thought it was a reaction to gloves I was using cleaning at work... but Tues my whole hands broke out... today.. the roof of my mouth and the edges and heels of my feet have the same type blisters... I take no meds... only aleve at night... ### REPLY: Hi, thanks for using  You may have hand, foot and mouth disease.  This is a viral infection that is contagious. It is normally seen in child . It is not usually associated with any significant complications. Treatment mainly consists of : (1)preventing transmission to others- it can be transmitted via contact with skin lesion, nasal secretions, contact with contaminated surfaces, feces(2)antiseptic and analgesic mouth washes may help with the lesions in the mouth- e.g. Islam, colonia, chlorogenic(3)pain medication for any discomfort condition can last for a week to 10 days. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a polyp on the roof of my mouth by my uvula. It has been small and pink for years. This morning when I awake it is more swollen and has black and blue spots. I do not have money for a doctor. Should I go to ER. If this is cancer is time and emergency room use critical ### REPLY: Hello, This is a definite change and a professional exam is recommended. Do you constantly monitor the area? Was there any recent trauma, exposure to irritants or burn? Do you have any other medical conditions or medications that may contribute? Are you up to date on your dental exam? Viruses, Strep and assorted infections can cause a response in the throat. It is difficult to advise you without a clinical exam or detailed history. You may need a prescription medication to resolve the area, rest. Or a biopsy to evaluate the tissue. Aggressive cancers can exhibit abrupt changes associated with pain and nonhealing lesions. Seek immediate care if a severe condition develops. Thank you for your inquiry. I hope you will schedule an appointment to confirm a diagnosis and put yourself at ease. You can rinse with salt water and try some Anti-inflammatory medication while waiting for your appointment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, im very nervous, I am currently on the pill and i have taken them regulary. My boyfriend and I had intercource last monday on the 11th of october, then my period was due wednesday the 13th it was late i didnt get it untill the friday (15th october) and it ended yesterday (monday the 18th) it was very light. yesterday i was really warm and had headaches on and off all day i now feel emotional. my boyfriend wore a condom wile intercourse, as well as im on the pill. but he said there was some seamen at the bottom of his penis as he took the condom off. could i be pregnant??? and when should i take a pregnancy test to be safe ### REPLY: Hello dear, I understand your concern. In my opinion the hormonal pills are effective of all contraception methods. They protect against pregnancy if they are taken regularly. As you have taken them regularly the chances of pregnancy are very rare. The light period might be due to hormonal imbalance due to stress regarding the thought of pregnancy or anything. So don't worry. The regular pill intake, condom usage, and the onset of period make the pregnancy unlikely. In order to test you can consider doing a urine pregnancy test. Usually the pregnancy test gives accurate results a week after missed period. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have engioplsty in three arteries.taking Cardace 10,Zoryl m1.clopilet,aspirin and atorsave and Carca 12.5.I was weighing 89 kg post engioplasty.I could brought down up to 79 kg in the beginning.as the dosage of cardace increased gradually from 2.5 mg to 10 mg,my weight again raised upto 87 kg.I take controlled diet,50 mts of brisk walking and Gym & swimming 40 mts.Is Cardace responsible for weight gain.Howerver 2d echo and stress test are ok.sould I discontinue cardace or any subtitute be taken.I am much worried about wight gain.AC RATHOD,Rajkot,India. ### REPLY: Hello, All the medication you have mentioned for the heart does not cause increase in weight. The benefits of Candace to protect your heart and kidney is far more and should be continued. Moral for your diabetes may cause increase in appetite and henceforth weight gain. However, I would stress again, do not stop the medications, if there is any swelling in the lower limbs than you may consult your doctor, consider ruling out thyroid, if everything normal a dietician consult may help. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking apple cider as a supplement, but recently I doubled the dosage and the following night I developed severe stomach pains that have since migrated to my lower abdomen are. Is it possible I may have overdosed on vinegar, is there a home treatment option? ### REPLY: Hai.yes apple cider vinegar is an acid base fermented liquid containing significant amount acetic acid and citric acid. It will cause stomach irritation and pain in high dose. Dosage will be depended on age, weight,indication etc. If you get acute problem on your over dosage. Be fixed your daily dosage level. Avoid taking it on empty stomach. Acid in vinegar will react to your inner wall of stomach and cause some discomfort. You can take honey or yogurt, or cheese to settle the problem.don't use vinegar until you get the stomach problem solved. 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 just had a baby 6 days ago. I was fine in the hospital for 3 days, but I started swelling when i got home. I only have swelling in my ackles now but am having chest discomfort. my lungs feel like there is something in them and it is uncomfortable to breath. I decided to check my BP and it is at 137/77 heart rate is at 45. i normaly run 90/60 what should I do? ### REPLY: Hello! Welcome and thank you for asking on ! I carefully passed through your question and would explain that your symptoms seem to be related to preeclampsia. This disorder is more common in the latest months of pregnancy, but can occur even up to three months after giving birth. Your blood pressure values are high. I would recommend consulting as soon as possible with your doctor for a physical exam and some lab tests: - complete blood count-fasting glucose-kidney and liver function tests-blood electrolytes- urinalysis for proteinuria should discuss with your doctor on the above issues. Meanwhile, I would recommend reducing salt intake and avoid straining physical activity. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI I HAD A HEART ATTACK 14 WEEKS AGO WITH ONE STENT PUT IN.....MY HEART RECOVERED NICELY AND HAVE BEEN GOING TO CARDIO REHAB. DURING THE SUMMER I LIKE TO VISIT AMUSEMENT PARKS AND I AM A NUT FOR ROLLER COASTERS. WOULD I BE ABLE TO RIDE ROLLER COASTERS AGAIN WITH HEART DISEASE AND A STENT? ### REPLY: Hello and thank you for using Healthcare magic. After reading your question, I must say that your concern is very just. My understanding is that you have suffered a heart attack (myocardial infarction) and have got a PCI (percutaneous coronary intervention) done with a stent placed in the coronary vessels that caused the infarction. In this stage you are considered cured. Amusement parks and roller-coasters during their rides produce joy and excitement by raising a .  This means THT the heart has to respond to these stressed condition with faster heartbeats which means more work for the heart and also there is the possibility of stress induced coronary artery spasms which may lead to chest pain and myocardial infarction. My opinion is that you should undergo one of the functional stress test exercise ECG, stress echocardiography or nuclear stress test. After the test you will know how your heart responds on a dressed conditions and if the test results are better than I would say that you can enjoy amusement parks in moderation. I hope you got the answer you were seeking. If you are satisfied please rate my answer. If you have further questions feel free to contact merest regards, ### END