Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 already had surgery (2008-2009) of my cervical and lumber spine. The pain has returned. The doctor tells me, after studying my MRI, that I need to go under the knife again, to correct my bent lower spine with irons. I do not know what to do. I cannot go under the knife again, and the pain is unbearable. Do you have any help? ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Please share the X-Ray and MRI Images Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a painful swollen gland under my right armpit last thursday... It lessened in size to about the size of a pea. I thought it was Allergies. I am getting really bad headaches, Hot at night, fatigue during the day...I am just really afraid of being sick...can you help me? ### REPLY: Welcome to . 1. Its hair follicular infection - infective etiology with collection of pus within.2. If you are my patient, I would ace examined and ask for ultrasound if required, but for size you have mentioned not necessary.3. Treatment in this case will be a course of antibiotic with symptomatic treatment will help.4. As a remedy - do not press, scratch or disturb the lesion / lump it will help in early healing, avoid shaving until it heals, meanwhile use trimmer to remove hair.5. Maintain local hygiene, clean the area with antiseptic liquid, that will help. Good luck. Hope I have answered your query.Anything to ask do not hesitate. 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 was diagnosed with C-diff about 3 weeks ago I am on my second round of antibiotics as the first round did not work...  I also have had severe dysplasia that has required a leep and laser about 3 years ago.  Can the c diff affect the dysplasia in any way to make it reoccur? ### REPLY: Hi & Welcome to . Recurrent dysplasia is not associated with Clostridium difficile infection. Clostridium difficile infection occurs after the normal gut flora has been altered by antibiotic therapy. It is one of the most common caused of antibiotic associated opportunistic infection resulting in severe bloody diarrhea, abdominal cramps, deny .  The recurrent infection which sometimes occurs in about 30-40% of cases following a course of antibiotics (such as Metronidazole and Vancomycin) does not cause dysplasia of the colon. Recurrent colonic dysplasia could be a pre-cancerous condition which needs to be investigated by doing a biopsy. Hope I could answer 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: first of all i had stomachache and after that i had severe chest pain including back and shoulder pain. i want to ask you whether is it due to gastric? when i went for check up they said its because of gastric so please can you tell me that i am having this problem because of gastric? and do gastric cause all these pain? ### REPLY: Hi, Thanks for posting your query. Do you have watery diarrhea/ vomiting/ spasmodic abdominal pain/ acidic belching? With the available described symptoms, there could be possibility of peptic ulcer disease. Peptic ulcer disease is a combination of multiple pathology including nodular gastritis, follicular gastritis, gastric ulcer and duodenal ulcer, adenocarcinoma and esophagitis. Gastric ulcer may cause pain in abdomen and esophageal irritation may cause pain in chest with radiation to back. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, blood sugar both fasting and postprandial, thyroid profile, serum electrolytes and endoscopy & biopsy. Furthermore, you should also go for urea breathe test for Helicobacter pylori bacteria. Furthermore, you should take proton pump inhibitors along with prokinetics and antacids for relief of your symptoms. Furthermore, you should avoid tomatoes, citrus fruits and oily spicy foods. Take care,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m not one to be concerned about colds and minor illnesses, but on Friday I had a rear molar extracted that had been causing me some trouble,(I had a filling put in 2 weeks before which had caused pain and tingling to the side of my face that travelled to my arm just on the right side) and as I could not afford root canal and a crown I opted for extraction. Not 3 hours after the extraction I came down with cold type symptoms, blocked nose, slight earache, cough, phlegm, etc. This seemed to have peaked yesterday as I began to feel a bit better. However, today, I have been feeling sick, vomiting, and a slight pain in my ear is now complete hearing loss in my right ear, combined with tingling and numbness in the right side of my face from my eye, across my cheek to my chin and ear. The sudden onset of these symptoms have me a bit worried, what is the best course of action, should I ride it out until I can get to my GP on Thursday, or do something sooner? Kind regards Sarah ### REPLY: Hello, Thank you for consulting with . Actually these third molars are in very close contact to the maxillary sinus. The symptoms which you are mentioning it looks that there is a possibility that the infection of molar has extended to the sinus or the dentist might have perforated the sinus. Better that once you should visit an ENT specialist and get a skull x-ray done which will show you the infection. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my name is kshitij khare age 28,weight 90kgs,heighg 183cms.Sir i recently done my sugar and cholestrol test,results are under below:-Sugar:-114.8Cholestrol-134.3Hdl-46Ldl-68.58Tg-98.6Vldl-19.72Cholestrol/hdl2.9Ldl/hdl-1.7Totle lipid-371.5Urin:- pus cell-   4-5         oxelide-    0-1 ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your lipid profile suggest that you're all parameters are within normal range. Few pus cells in urine is also normal.  So no need to worry about your results.  If you don't have any symptoms then no need to worry. 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: hi sir, my uncle is having hepatitis b with jaundice.bilirubin count has been reduced to 4.2 from 9.4.it has been spread to liver ,which makes the situation bit frightening .how shall we proceed with the medication?which hospital offers the best treatment? i am from india,kerala. ### REPLY: Hi, Thanks for posting your query. You need to consult a gastroenterologist/hepatologist. He needs to undergo few more tests to plan the treatment. This includes tests to know whether he acquired the infection recently or earlier, tests to know the viral load and the e antigen status. Other tests like PT/INR, ultrasound scan of the abdomen and serum alpha photo protein should also be done. Your gastroenterologist/hepatologist will discuss more about this. I hope that answers your question. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 8 1/2 weeks pregnant but cant keep nothing down...She is on 3 different nausea pills and plus went to hospital and got fluids because she was dehydrated ..What do you suggest ????? We have tried everything I can possibly think of.. ### REPLY: Hi, I think you should do a thyroid profile.  Sometimes deranged thyroid profile can lead to excess vomiting.  If it is normal, she is having hypermedia gravidarrum.  It will resolve by 3 months. She will be on medicines like dopamine, pyridoxine.  She can take some anti-emetic like ondansetron. If it is excessive, injection will be needed.  Tell her to take fluids in little amount at frequent intervals.  Hope it helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a constant mild pain in the bottom left side of my abdoment. it get more pain if i bent or raise my left leg. I want to know what is the cause? Thanks for the advice. I was it that free advice section and I didnt get any answer yet . I have an impression that this is a free advice. let me know if I need to join? ### REPLY: Hi, Dear,Thanks for your query to . Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-IBS with Peritonitis of Sigmoid Colon. Remedy-Consult Physician and assess the cause of the IBS.-BE on Spinach Soup 1 helping x 2 times a day-Butter Milk -x 1 helping x 2 times a day x 2 weeks-Cap Sporran x 1 x 2 times a day x 2 weeks-Tab Metal Spas x 1 x 2 times a day x 10 days-Stool/ ova /cyst to rule out the cause of the IBS-Proctoscopy from Surgeon to rule out any anorectal reasons. This would help the large bowels to set right in 2-3 weeks time. Hope this would lead to the exact diagnosis and proper treatment with your doctor there. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a sudden stabbing very sharp pain in my chest on the left side. I was watching tv. It was fast but made me yell. My heart was racing and I could feel it skip beats. My collar bone on left side is achy Jere and there nothing steady. My left arm felt like it was asleep and hand felt numb. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion you should immediately consult emergency room and get done ECG and 2d echo to rule out cardiac disease. Because chest pain with racing heart beats with skipping beats with numbness in left arm etc. are strongly suggestive of heart disease. If both are normal then no need to worry. Stress and anxiety can cause similar symptoms. So avoid stress and tension. Be relax and calm.Don't worry, you will be alright. 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: I have excruciating left upper back pain because of the cleaning job that I work on a daily basis...taking naproxen sodium is a joke...lidocaine patches the same...and, I am snapping at people all the time because I cannot stand this constant daily pain! Along with my other health issues... ### REPLY: Hello, I thank you for using  . I read your question and understand your concern. First we need to know what is the cause of your back pain. The most probable diagnosis might be disc hernia. It Can be evaluated through a back MRI. The treatment for this is different depending on the stage of the disease. In acute phase you can have some bed rest for few days and take some tramadol pills. After that you can do some physical therapy and if the problem last very long you can have surgery. Wish you a quick recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 40 years old. And for three weeks now I have been having problems without my heart. I cant sit up or stand without having chest pains and get dizzy bbad and nauseated. But if I lay down it eases somewhat.  I have headaches afterwards too. I am scared to death. ### REPLY: Thanks for your question on . I can understand your concern. High blood pressure can cause dizziness and nausea. So better to first get done blood pressure monitoring. If this is normal then possibility of HERD (gastroesophageal reflux disease) is more. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain (burning) and nausea. So avoid stress and tension. Avoid hot and spicy food. Start proton pump inhibitors and prokinetic .  Don't worry, you will be alright. 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: Hi, Two days ago, a truck hit a fire hydrant and a piece of the metal screw cap on the side of the hydrant split off and hit my lower calf on the outside of my leg. There is a little bruising but it s not very dark. The spot is the size of a baseball. It is swollen a little. I am experienceing pain while standing. The piece hit the muscle tissue not the bone. Anyway, I don t have medical insurance and I am unsure what to do about the pain. Do you have any suggestions? ### REPLY: Hello, as per the description of your clinical symptoms it seems that you have a traumatic bruising of that area. It happens as a result of traumatic disruption of the vasculature of that particular area. Blood accumulates in the subcutaneous tissue and gives it a bluish discoloration associated with pain and swelling. These bruises are usually self limiting but often may form an abscess or complicate further depending upon the nature and severity of the injury. If I were your treating doctor I would have suggested you ice compression(over the injured part), as an immediate measure; then use of Paracetamol (to control pain and inflammation) twice daily after food for 3-4 days. Antibiotic coverage like Amoxiclav -thrice daily after food for 5 days (to control secondary infection) . Use of certain . Hence, I would suggest you to visit your local physician proper evaluation and further management of the wound. 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 im 18 im 5 feet 142 lb and since i was a kid about 2 years old, ive had some black bumps just below my knee on my right foot through out the years it made some huge veins in my legs and it made like five other black bumps ..... do u have any idea what this is and can u help? ### REPLY: Hi, Dear thanks for the query to . Causes for Your black bumps on your right leg--In my opinion its mostly a-Short Saphenous Varsity with Venous lumps-which has grown over years-adding more venous lumps to your leg. You need to consult a Surgeon who would help you for its treatment in the right line. Hope this would help your worry to take proper steps for health. Wishing you fast recovery. Wellcome again if you have any more query in this regard. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing severe pain on the right back side of my neck, down into my shoulder and upper arm, and extending down the right side of my upper back close to the spine.   I have been diagnosed with GERD and had an endoscopy last year.   Will a trip to the chiropractor help this new pain? ### REPLY: **1. The pain to the hand combined with upper back pain indicates that nerves leaving your spine are being compressed; it is likely happening in or around your lowest cervical vertebrae in the neck, C6 or C7. The compression could be caused by a bulging or herniated disc between the vertebrae, so consult an orthopedic surgeon for necessary examination and investigation [X-ray cervical spine]2. Also occupation can be one culprit for the same: postural dysfunction can cause neck/ back pain3.  General Instructions. Maintain straight back posture while sitting or standing.ii. avoid bending forwards and lifting weights.iii. Sleep on hard mattress.iv. gentle massage. Back exercises: Leg raising in dorsal recumbent position, push-ups, swimming. [once acute stage is over]Spine Management:i. Relax the spine completely.ii. Do not lie face down.iii. Lie on your back with pillow under the knee.iv. Lie on the side with a pillow between the knees.v. Distract your mind from the pain, watch television, read light humorous stories, listen to soothing music.4. A Chiropractor or Osteopath can perform joint and spinal manipulations to release pressure on nerves which may be causing referred shoulder pain. PS. People who have osteoporosis, spinal cord compression, or inflammatory arthritis, or who take blood-thinning medications should not undergo spinal manipulation. In addition, patients with a history of cancer should first obtain clearance from their medical doctor before undergoing spinal manipulation.5.  Following preventive aspect can be tried in HERD to alleviate symptoms:. Bland and soft diet, more of milk. Avoid hot .  Give small, non-bulky meals more frequently [since HERD causes hiccups/ irritability]. Head high position at night. [since HERD causes regurgitation/choking]PS. Management of HERD in adults is based on disease severity, the degree of symptoms, and presence or absence of complications of HERD determined by the diagnostic evaluation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two year old is covered from head to toe with little tiny bumps. There are a little red and don t seem to bother him. I think they they are heat bumps but he has them everywhere. HJe is a heavy sweater for a two year old so I think its a heat rash. Could he have it all over his body like that? ### REPLY: Hi... Thank you for consulting in . It could be any viral erythematous illness. But as you quote them as tiny red bumps - the possibilities are Hand Foot Mouth disease/ Chicken pox/ any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY .  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, I have a kind of alegerie, basically in the morning i have itching in the eyes, running nose with the headache and stiffness in the entire body, for past five years. Please let me know, to whom do i need to consult and contact in XXXX(Doctor) or what kind of medicines do i need to take?? Thanks. ### REPLY: HelloWelcome to  You are having symptoms of itching in eyes in morning, running nose, headache and stiffness in entire body. This is happening since last 5 years. It may be due to a number of reasons. Most likely reason is infection in sinus mainly frontal sinus. Chronic sinusitis may cause heaviness in head, running nose, congestion in nose and throat, pain in eyes, and headache in frontal region of head. To rule out this opinion of a ENT doctor is needed. X-ray of sinuses need to be done to rule out sinusitis. Secondly as it is for about five years, continuously and in mild grade. It may be due to somatic symptoms due to mild depression. So if situation persist then opinion of a psychiatrist is must. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor ... Im worried about myself ... im a 14 year old girl but recently i have noticed that no matter how much sleep i get i allways feel tired in schoool and i have fallen asleep in lessons i find it hard to focus in lessons and i dont know how to controll it. I get nose bleeds quite often at random times i have a bruise on my spine in the middle of my back that wont go and i have had it for 2 months now and i get painfull ankle and knee joints and head aces quite often and i just dont know what to do please help ?????? ### REPLY: Increase sleepiness in teenagers is very common, it's related to the stresses about body changes and insecurity. But a few things should be done to exclude organic causes : you need to do a CBC (complete blood counts) to exclude anemia, and thyroid function test.regarding the bruises I recommend doing (Pt, PTT) test, along with the platelet count in the CBC, these pretty much role out bleeding disorders that might cause nose bleeds and back bruises. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, my 2-year-old kid has developed some skin lesions 2-3 months ago, they are very itchy, all over the body, mostly on the extremities, face and neck area. Consulted a pediatrician who did some tests and told this was due to mosquito bites. Blood tests were normal, but has an elevated C-reactive protein of 12. White count was 8900 and platelets were 3.6 lakhs for a normal of 4.0. Doctor just gave some antibiotic and told to take precaution against mosquitoes. These lesions itch very much and the itching is increased just before sleep. Please help, as it has been more than 3 months and this is not abating, still persists. ### REPLY: With the complaints you are describing the diagnosis is scabies. However, face is usually not involved but can be in some severe cases. It is a very small organism that lives in the skin and causes severe itching, more felt before sleep, it is more found at extremities between fingers, maxillae, neck folds. As that organism can be found soiled in clothes, bedsheets etc., so it can affect other family members also. Treatment is simple with permethrin cream application and disinfection of clothes, bedsheets and other garments of all family members by simply washing in hot water to prevent recurrence. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 baby is one month and 15 days old. he has loose motions after every feed and has gas also. he cry s alot and cannot sleep properly. His Doc gave him different antibiotics orally and trough injections.he is still the same. kindly help me. Saima Basit ### REPLY: Hi, A 15-day-old baby can pass stool 7 to 8 times per day and after every feed. The stools should not be watery and should not be found smelling. You with the stools are watery a child is passing stools more than 7 to 8 times per day then chances of acute gastroenteritis are very high. Rotavirus diarrhea can also be a cause. Child should be given breastfeeding more frequently to prevent deny .  Proper sanitation and handwashing should be done while handling the baby. If you still persist, then investigations like complete blood count, CRP level, stool for routine microscopy, blood culture should be done. Early examination by doctor should be done so that we may not miss any important finding. Depending on reports, antibiotic needs to be started. 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: Ive recently been released from the hospital for chest pains and shortness of breath.I have a history of high blood pressure in part due to a poor diet and some heart damage i sustained when i had AML leukemia.   I have an enlarged heart and was told that the left side of my heart is functioning at 45%.  My question is it possible at all with proper diet and exercise / weight loss to reverse the symptoms of breathlessness. Also would this be considered congestive heart failure or a precursor.  I am 24 years old and 5ft 8 inches tall at a weight of 220lbs with the goal of losing 40 lbs. ### REPLY: Hi, There are some medications, such as beta blockers, ACE inhibitors, etc., that any patient with low ejection fraction and breathlessness should take. If you were in hospital, then most probably your physician has already prescribed you appropriate treatment. In your age if you take your medication regularly, lose weight and have healthy lifestyle, there are chances that your heart contractility will improve. So, go ahead and do your best with healthy lifestyle. 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 pain in my neck on left side, my ear feels a little painful, and my eye on the left twitches. I also feel some numbness in my left nostril and the left side of my lip on top and bottom. Two months ago I went to the Dr she gave me antibiotic and steroids for Belles Palsy. What do you think is going on. It wont go away =( ### REPLY: Hi, Thank you for posting your query. You need to get examined by a neurologist to confirm the Bells palsy (or facial palsy). If possible, please send a photograph of the face. Sometimes, the recovery of facial palsy can produce symptoms of pain and twitching. If symptoms do not improve, you may require an MRI of the brain to confirm the diagnosis. At present there is no need to worry. I hope it helps. Please get back if you require any further information. Best wishes, . 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: I have no concentration at all ! My patience is terrible ! The other day I had some food cooking and the tub water running for my son ! My tub ended up running over because I forgot about it and ended up doing other things !! I just can t seem to stay on top of anything not get anything done !! My motivation is gone and I can t concentrate or focus on anything ? ### REPLY: Hello! Welcome on  ! I understand your concern! You should know that this situation could be related to psychological stress and the fact that you have to do many things at the same time. It is quite a normal situation and there is nothing to worry about. All you need is some rest. So, take a vacation and try to relax. Physical activity (Yoga, aerobics, recreational sports, etc.) can help improve your situation. I would also advise checking thyroid hormone levels and vitamin D levels for possible imbalance. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 24 weeks pregnant and my feet, ankles, and wrists are always really swollen and my feet hurt real bad. They even swell even if I stay home and sitting down most of the time. Also my right arm starts tingling like its asleep like at least twice a day. Is this all normal or should I be concerned ### REPLY: Hello, and I hope I can help you today. Swelling is a normal part of pregnancy. Almost every woman has some swelling during the third trimester, and swelling in the joint capsule of your wrist, especially on your dominant hand, can cause symptoms of the condition called carpal tunnel syn . However, being abnormally swollen can sometimes be associated with the pregnancy complication called preeclampsia. Preeclampsia is a combination of edema, high blood pressure, and protein being released into the urine. Developing preeclampsia as early as 24 weeks is a rare complication but can be very serious if not diagnose promptly. It can put a mother at risk for seizures and strokes, and also cause growth problems for the baby. So I strongly suggest you see your prenatal care provider urgently for evaluation. In the meantime I suggest you monitor yourself for symptoms like headaches, blurry vision, spots in front of your eyes. A right-sided upper abdominal pain. If you experience any of these symptoms you should go to a hospital emergency room for evaluation. I hope that everything turns out to be all right with your pregnancy after evaluation. In the meantime try to stay off your feet,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my LMP on 14th may 2014. We have been ttc for nearly 6 years. On 19th of May 2014, my doc performed hsg x ray test and everything was fine.no blocked tube. My periods are always regular and they last anywhere between 2 to 3 days. My cycle is 28/29 days every month. My husband s sperm count and motility are sufficient. I am on cycle day 41 and there is no sign of my period.i haven t had any pregnancy symptoms viz a viz nausea,breast pain. I am 29 years old and a teetotaler. Could I still be pregnant.desperate for an answer ### REPLY: Hi, I think if you have missed your periods you can be pregnant. Get a urine pregnancy test done. If it is positive, then you are pregnant and should consult a doctor. If it is negative, you have to take some medicines for your periods to come. You can try for ovulation induction with natural trying for 3 to 6 months if you are not pregnant. Talk to your doctor about this. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr.I am having severe pain in my rectum area. It hurts to walk, sit, go to the bathroom. Hurts to sneeze, cough, bend over. I am also experiencing upper abdominal pain. My everyday life is very painful all day. Its been going on for a little over a month now. If any insight on what it might be please respond. Thank you ### REPLY: Hi, Thanks for posting your query. Do you have some mass palpable at anus? With the available described details, there could be possibility of thrombosed hemorrhoids or anal fissure. Aggravation of pain due to coughing or sneezing could be due to active wound at anus and persistent injury. You should consult with internal medicine specialist/ general surgeon and should go for thorough check up. You should go for per rectal examination also. Treatment of anal fissure and hemorrhoids differ and treatment depends on exact diagnosis. Meanwhile, you should take plenty of water along with laxative containing Isabella and action. Laxative helps in relieving constipation and cure of local wound. You should also apply lidocaine ointment along with diltiazem. You should also perform hot site bath; put lukewarm water in a tub and sit in it for 15-20 minutes twice in a day. This helps in relaxation of anal sphincters. 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 fell on 1/16/17, on the ice and when I fell I landed on my back in a curve. I went to the Dr. because I was in so much pain, She just checked me over and sent me home. Three days later the pain was worse, I went back to the Dr. she just had me do a few exercises, to see how bad it hurt. That had me in tears, she gave me 3 day supply of muscle relaxers. I went back on the 24, and she finally done an X-Ray, which showed that I a very badly bruised back bone. The pain just kept getting worse as I never stopped working, on the 2nd of March they finally did a MRI, showing that I had a compression fracture at T7 and bulging disc and L4 & L5. All this time I had worked making beds and running up and down stairs and running vacuum cleaners. Now the pain is so unbearable and I am losing feeling in my left leg. The specialist just told me to avoid falls. My question is: since worked and kept doing everything that I normally do, could I have messed my back more? ### REPLY: Hi, I went through your history and have identified the following problems; I have not seen your X-rays or MRI films, so my opinion of this is going to be a limited one.1. The T7 compression fracture: This fracture must have been a stable fracture, as you have been weight-bearing and walking even after the fall. An unstable fracture would have contributed to new neurological deficits that you would have experienced and not allowed you to bear weight at all. And since it's been more than 3 months since the injury, the fracture would have healed by now anyway. Since it takes an average of 6 weeks for vertebral body fractures to heal.2. The disc bulge if severe enough at L4-5 can contribute to numbness over the back of your calf. This would signify a neurological compression. If it was a bad disc bulge or disc prolapse as we call it you would most likely need a surgical intervention. So in conclusion, you wouldn't have messed your back more by this. But I suggest you show a spine surgeon who could take a look at your problems, examine you clinically and correlate with your MRI images and decide whether you need any surgical intervention or not. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor Iam having severe cough since 10days..it is dry cough n more frequent at night..itching is present at throat but there is no fever...I have taken syrup rapitus fr 4days n taken tab.azithromycin fr 3 days and preaently on ambrodil syrup...but still cough s irritating..the more I take breath, more will b da cough. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion we should rule out bronchitis in your case. You are not improving with .  And bronchitis is very common after upper respiratory tract infection (URI). So get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid with antihistamine  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sex with my gf last night, I had no groin pain and my sperm looked normal, today we had intercourse again and my right side above my penis near my bladder hurts and my right testical, also my sperm was dark yellow. What could this be? Please help. ### REPLY: Thanks for asking in  forum Pain might have occurred due to muscle pull/stretch during the intercourse/ blunt injury unknowingly during the act.  So, Muscle relaxant with a painkiller will help you a lot.  Regarding your color of semen, it sometimes varies normally & during infection. So, please for semen analysis if you have any doubts or any symptoms like burning sensation/frequency/pain while urinating.  All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with demyelinating disease in November 2008 but in October the same year I treated carpets & bedding with a household flea treatment after my cats had fleas. I tried not to inhale but I could smell and taste it even though I covered my mouth and nose. Could this be a cause of my condition? ### REPLY: Hi thanks for asking question in . In the desalinating disease, myeline sheath got damaged. It could be because of congenital genetic cause, trauma or inflammation or infection of brain or spinal cord. During house flea treatment mere inhalation will not lead to demyleniting disease. So it could not be the cause. The common etiological disease associated with causing declination is multiple sclerosis. I hope I have solved 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: Hi, I am very concerned.  I just was in the ED and had a CT scan and it read that I have a new cystic area on the right pelvic sidewall measuring 8.5cm in AP by 6.3cm in transverse dimension.  This measures 4.7cm in craniocaudad dimension.  Single septation.I have had a TSH and left oopherectomy and only the right ovary remains.  I am 45 years old and everything I am reading online is scaring me about the size of this cyst.I just had a laparoscopy in April to remove adhesions and this wasnt there.  How could a cyst grow that quickly?Is it a high percentage that large (>7cm) cysts are cancerous?  How can it be diagnosed as beneign or not?  is that only through laparoscopy?Thank you for any thoughts. I am very nervous! ### REPLY: Hi thanks for using . Be relaxed. Only with the ct report we can't tell whether it is benign or malignant. We want more information. Best way to diagnose is to observe under microscopy about the cells characteristics. To diagnose whether it is benign or cancerous you can opt1. FNAC. Under USG guidance. One of the good way to diagnose solid tumors.2. Laparoscopy. Can be both diagnostic and therapeutic. The best way.3. Doppler scanning to see the blood supply. Non-invasive and can tell whether benign or cancerous. But not reliable. Hope this answered your question. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe burning and pain to  the lower back, with numbness and pins abd needles running down my left leg. When sitting or standing I experience excrutiating pain and a burning sensation to both thighs. The pain radiates down  my leg causing cramping in the calf muscles and three toes. At times I experience this on my right side as well.MRI results : shows L4 disc buldge with a super imposed right paracentral moderat sized disc protrusion, causing moderate central canal stenosis and significant narrowing of the right lateral recess. WitChatDoctorpression of the right L4 nerve root in the lateral recess. There is mild facet osteoarthritis and thickening of the ligamaentum flavum.  Also moderate narrowing of the right neural foramina and moderate to severe narrowing of the left neural foramina at L4/L5. ### REPLY: Hello, Thanks for your query.** It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate . Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects. I 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: Hello, I have a blood clot in my right leg. Have been going to the VA but they cannot prescribe anything but warrafin which I have a bad reaction to. Blood pressure increases to ~ 180 and blurred vision. All the local Drs I call tell me to go to emergency room, but I have already been to emergency room twice at the VA. How can I get a prescription for an anti coagulant other than Warafin? Currently I am taking asprine, flax seed oil, niacin, i.e. herbal blood thinners. I took Luvanox shots for one week, then warrafin for 3 weeks. swelling in leg is reduced, but not back to normal. INR on 5 mgs warrifin s 1.1, kidney function 1.4 . It would seem to me I need a anticoagulant metabolized by liver, but VA can t get through the red tape . I have no insurance, can t afford several thousand dollars at emergency room. ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. INR should be maintained at a higher rate.2. If you are having reacting to warfarin, better to go for heparin or other new anticoagulants like Rastaban, i . 3. Being mobile is the most important thing to avoid blood clot in leg or deep vein thrombosis. Meet your doctor to get a prescription for heparin. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor, am XXXXXXX. I have been suffering from spondylosis in L5 vertebra fro the past 2 yr. am in treatment so far, but i have not yet felled any relief from pain, doctors have been changing medications in every review, presently i have been taking etura, vl this have more side effects and how can i solve this problem. will this reflect my marraige? ### REPLY: Hello It looks quite strange for you to develop spondylosis at such a young age. I would advise you to consult a good orthopedic and get relevant investigations done likeSerum IT D, serum calcium and uric acid, thyroid panel, MRI of limbo sacral spine and CBC. In the meanwhile take following measuresReduce your weight for long brisk walkingAvoiding long sittings A proper treatment and man agent shall make you all right completely. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dr.i am neeta my haemoglobin level now is 12 because i take capsule daily after food once.but if i stop taking them my level falls down plz can u tell me what is the solution for this?and why my haemoglobin level is falling down?and does these daily intake of capsule wiil have any side effect on me. ### REPLY: Hi Ne eta, After looking at your history, I think you are taking vitamin tablets to improve or maintain hemoglobin levels at normal. Solution: Vitamin needs to be taken through nutrition. If a nutritional diet is not followed, then vitamin supplements as you are taking is required. Your hemoglobin level will fall due to vitamin deficiency. Daily intake of vitamin capsules does not have any side effects in dosage you are using. You need to take diet rich in egg, green leafy vegetables, red meat, liver, cod liver oil and fish etc. to get all the nutrition through diet rather than capsules. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr. Malpani, I m Mr. Dorji, 29 years old. I have been trying for a baby past 2 years. I have a problem with ED from the very young age. The first time I tried to have sex with my girlfriend, i could not get erection . I then learned about viagra and tried next time. With the help of viagra, I am able to perform and have good sex with my partner. But no matter what and how best i tried, my girlfriend is never getting pregnant. I even tried with my second girlfriend, it never worked. Please help! ### REPLY: Hi I think u should get your semen analysis done and see the amount of sperms and see the motility of sperms. Amount should be at least 40-60 million per CCMM. If it is less we can increase the sperms by taking restore tablet twice daily for 6 months, if it is zero go for ultrasound see for any structural changes in the passage of sperms. If motility is fewer means actively motile sperms are less treat it with Evian LC tablet daily once ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, I am 45 yrs Male in stressful Govt Service (administration and Mgt). I have Asthma for 15 years (Controlled by Seroflo 250 Rotacap BDS + Montair Plus OD) and also Diabetes ( 10 years, Volibo M 0.2 BDS, Pregeb MOD 75 OD, Modlib ASG 75 OD medication , HB1AC normally below 7 above 6, PP Blood Sugar 160-180). Now for last 2 months I am having higher BP average 130/95 and a tingling in my foot and lower leg and mild pain occasionally. What should I do? Should I start BP Medicines?? ### REPLY: Hi, Welcome to ChatDoctorAfter going through history, Diabetes type II, Neuropathy,dyslipidemia, Asthma these are lifestyle diseases and need to be controlled lifelong. Certainly press increases BP and makes sugar control difficult. Your BP is in pre-hypertension range and can be monitored regularly along with lifestyle modification, reduce Salt intake to Take up regular walking 3 to 4 km/day, do practice yoga and meditation, along with Panama which will also help Asthma. If overweight reduce weight also check your Lipid Profile and ECG. If BP is not controlled and rises further treatment with . Your pain in lower limb and tingling may be because of diabetic neuropathy. Discuss with treating Physician your treatment is OK. Take disregards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please write your query hereI m 36yrs old and some of my symptoms are: can t take the heat even 70degrees seems too hot I ve been getting more headaches and migraines i have a slightly crooked spine my stomach is tender and on and off it cramps up close to labor pains I ve had an ultrasound they found a follicle on my ovary but that s not the cause of my pain i wake up my ankles hurt i get random knee hand arm pain i don t know what s going on i have a three yr old i have to take care of and i can t even lift him please help i started taking omaprazole i was getting sick eating a small amount of food its only helped a little. thank you ### REPLY: This is a kyphoscoliotic deformity of your back spine which is showing its bad signs... Its causing damage to You’re nerves. I advise you a magnetic resonance image of the deformed spine to know the extent of damage to your spine as early as possible before it worsens. U need some lifestyle modification n spine braces. If that's not helping u will definitely need surgery. Don't take pantoprazole only. A pregabalin 50 mg every night will work effectively. 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 am taking JAZZ ultra low dose " drospirenone and ethinlyestradiol tablet" past one year  till now..i  want to conceive after 3 to 4 months..shall i stop taking these pills now ? will i concieve after couple of months..number of friends are mine have told me that person who takes pills , chances of pregrnancy becomes less..is it true..i am really worried about it..shall i go for fertility test to check..just to insure that everything is perfect ? ### REPLY: Hi, Welcome to . I am . I will be answering your concerns. Birth control pills do not reduce your fertility. So do not worry about it. There is no need to go for any fertility tests now. Your fertility returns immediately once you stop the pills. Since you wish to conceive after 3-4 months, you may stop the pill now (specially because you are worried).  Not all conceive immediately after stopping the pill. Don't be stressed about that too. 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 have offensive smelling hard like pus that seems to be coming out from underneath the palatoglossal fold. I can scrap it off. It is non tender. When I lift back the fold I can see more built up under there, what is it? ### REPLY: Thanks for your query, I have gone through your query. The pus discharge could be from an infected tonsil or infected wisdom tooth. Consult an oral physician to rule out the cause. If it is arising from the wisdom tooth, then it has to be treated with operculectomy or extraction. If it is consular abscess then you can take a course of antibiotics. For both of these conditions I would like to suggest you to take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having chest pains for the last two nights along with sharp pains in my left shoulder down to my wrist with shortness of breath it hurts my chest when I take a deep breath. Do I need to call an ambulance? I dont feel the need to if it isnt serious. ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely call ambulance and visit emergency room (ER). Left sided chest pain (nighttime), with shoulder pain and shortness of breath are classical symptoms of angina pain. And most common cause for this is coronary artery diseases (CAD). So immediately consult doctor and get done ECG, 2d echo and coronary angiography (if needed). Don't wait at home because of it is CAD then it can be life-threatening. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got stung by what I think it was a bee on Monday on the left side of my head right by my forehead. The area where I got stung is itchy, it doesn t hurt but there s bumps about 2 inches away, they don t hurt. There s also a bump by my ear and that does hurt. Is this normal? ### REPLY: Hello, thanks for the query the bumps you are having are as a result of hypersensitivity reactions to the substances injected by the insect. Itch is a common symptom following insect bite. Avoid to rob or scratch else itching will continue. Symptoms will resolve after a few days but some . So you need not worry, if it had to be serious (anaphylactic reactions) it could have happened earlier, so for now no pressure. 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: hello sir, i am having a lot of pain in the section of my upper right grinding teeth. the pain has now started spreading towards the centre teeth as well. i have consulted a dentist and he examined me with no cavity. he said my wisdom tooth are coming crooked. what shall i do? ### REPLY: Hi. Welcome to  . I have gone through your query and can very well understand your health concerns. As per your complaint the cause of pain in your jaw is definitely due to wisdom tooth if it is eruption out of place or in a wrong direction, the pain is because the wisdom tooth must be either making space for getting erupted and causing pressure on adjacent molar or the adjacent tissues leading to pain and discomfort. A crooked wisdom tooth will not erupt in proper occlusion and the best way to get relieved from it is to get it extracted by an Oral Surgeon. By the time you are getting it extracted you can take Painkillers like Ibuprofen [Advil or Motrin] for pain relief. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 61yo husband has ALS and high anxiety. Was put on Klonipin 5mg takes it once a day. appox 3 weeks. For the last 5 days he has been very depressed, given up, will not get out of bed, hardly eats will not change his clothes. cries but also angry. He was on ativan for almost 2 yrs and felt it wasnt working anymore, so his family doctor put him on the klonipin. He has has times when he would get teary but would snap out of it. I worry that this mood is the klonipin. He said he doesnt have much longer to live and has just given up. Even said he wished he had a gun to end it all. I do suspect he has FTD with his ALS , I am his caregiver and spouse of 41 years. He is just not the same person, but these last five days have been an emotional rollercoaster! ### REPLY: Hi, Medicines like Klonopin and Asian are benzodiazepines. These can help in anxiety but cannot reduce depression. I agree with you that your husband appears to be quite depressed. He will need treatment with antidepressants like SSRIs (Zoloft, Prozac, Learn etc.) or Saris (Effector, Cymbal ta etc.). Depression is quite common in people with chronic neurological illnesses and treating it makes a lot of difference in the patients quality of life. Please discuss this with his doctor and ensure that he gets the best 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: -lmy daughter fell about 6 months ago and got stitches on the inside of her mouth after the stitches and the wound healed she was left with a lump inside her lips the long days now causing difficulty is she keeps biting into it I am worried she is going to bite through it and need stitches again should I take her to the doctor to get it removedthe lamp is visible when she pulls her lip up and a scar is also visible on the outside in the crease where her chinies ### REPLY: Hello and welcome. Thanks for sharing your concern. If the lump remains asymptomatic then there is no need for any treatment but since it is causing interference then it is better to get it removed. It could be a tissue growth developed post treatment.Therefore, please do not worry and get it evaluated once clinically. It might require a simple excision of excess tissue and the problem is solved. Hope it helps. Thanks. 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, THIS IS ALI FROM PAKISTAN. AND I AM WORKING AS A ACCOUNTANT, COMPUTER USEAGE 8-10 HOURS. SMOKING=YES DINKING= NEVER MY PROBLEM IS UPPER BACK PAIN. OTHER SYMPTOMS: SWELLING IN LEGS AND FEET AFTER SLEEPING, PAIN IS SWEAR WHEN BENDING MY BACK. HEMATOLOGY BLOOD TEST REPORTS CONTAIN; H.S= 15.1 W.B.C= 6300 POLY MORPH=53% LYMPHOCYTE= 40% MONOCLE= 1% EOSINOPHILES= 4% PLATELETS COUNT=200000 RA FACTOR= NEGITIVE WIDAL TEST=POSITIVE THERE WERE NO INJURY. PLS HELP ME MY DOCTOR SUGGEST ME TO TAKE VOLFEN 50MG (Diclofenac sodium B.P) 2 tab per day Ul-Safe 40mg (Famotidine U.S.P ) 1-tablet per day Frisium 10mg (Clobazam B.P) 1-tablet per day PLS GUIDE ME WAT TO DO. ### REPLY: Hello firstly back pain is the most common problem with today's lifestyle and as you sit mostly in front of computer, and it may be caused by your abnormal sitting position. I recommend you to consult a physiotherapist, and they will teach you stretching exercises which will benefit you. For swelling in feet can also be caused by prolonged sitting and other causes like problem with our leg vessels.I recommend you to see a general surgeon in this regard ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chest infection and bad bout of  asthma i have been back tomy gp as i am constantly dizzy and feel drunk i have noticed a lump at the back of my head right at the base of my skull on the left hand side is moves about is not completely round does not feel sore but is large enough for me to seee if i holda mirror at the backof my head ### REPLY: A lump over back of neck might be just a boil, lipoma or sebaceous cyst, neuroma etc., it can be removed easily by simple excision by general surgeon which will take hardly 10-15 minutes under local anesthesia. For that u go to a surgeon and get removed it. For your asthma there are many inhalers and nebulizers, tablets like steroids, alpha agonists, anticholinergics are available in market, u can easily go to pulmonologist the get prescribed it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, what is infertility? Is infertility just a womans problem? ### REPLY: Infertility is a couple’s inability to conceive a child after 12 months of unprotected sex. It is widely assumed that infertility has more to do with women rather than men, however it is not so. Estimates suggest that 30% of infertility is caused by male factors, another 30% is caused by female factors and the remaining 40% is caused by a combination of female and male factors. Men also suffer from infertility due to genetic reasons, lifestyle, hormonal imbalance, and age. Learn everything about infertility and IVF at http://www.rotundaivf.comhttp://www.youtube.com/user/rotundaivf ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a 2.89 PSA test 16 months ago. My Dr sent me to a uroligist for the 2.89 score, He did a prostrate biopsey and test was good 16 months ago also. Then my new PSA 16 Months later jumped to 5.0, shouls I have another biopsy done? I have all the signs urinating at night a few times, no sperm production etc. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern.PSA or prostate specific antigen is the marker for the carcinoma or malignancy. Its rising rapidly, this is the indication for the carcinoma of the prostate. Yes, in my opinion you should go for the second biopsy. Because biopsy is the only method which can confirm the cancer and its type. Method for the treatment can only be known thereafter. Till that time you can continue with the medication you are currently taking. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr,I recently had several blood tests and was informed today of the results which i am a bit worried about. The doctor said i have a high Gamma GT presence  in my liver and that i must return in 3 months for further blood tests. When researching online about Gamma GT i found that it is highly related to alcohol but i am a 47 year old female who has never drunk alcohol before.I would very much appreciate if you could shed some light on what this actually is, why i may have it and what course of action i should take or that is recommended for me to take.Thank you very much for your time,I look forward to your response,Kind RegardsNadia. ### REPLY: Hi thanks for contacting . Noted you have elevated GGT...with non-alcoholic....These enzymes present in biliary calculi within and outside liver.... So it can elevate if bile duct damage by stone ... Cholangitis like inflammatory condition also can lead its elevation... Although you are not . .USG and CRP done ....Meanwhile, eat more fruits and less fat... Regular exercise. Hope your concern solved. 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 30 years old from sri lanka/weight is 65kg, Height 5ft. I am suffering pregnancy problem from 5 years. I had polycystic ovary and did R Oophorectomy /remove right side ovary . I tries 4 times IUI .but not positive. this time my dr says u have to do a HSG he decided to do that 14 day from my periods. I want to Know is that correct thing? and he said after this treatment u can get natural pregnancy is that true? ### REPLY: Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: No doctor is wrong. HSG is a test to see tubal patency only. Just having tubes open does not mean you will get pregnant. Your right ovary should not have been removed. Who ever did it was a great mistake. They reduced your pregnancy chances by half. Please see an IVF specialist in Sri Lanka. Stop going to this doctor you have mentioned. I hope I answered your query. I will be available for any follow-up queries you have.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: when ever i have meat i feel it gets stuck in between my last teeth it pains for a while and then ill have to remove it or itll be alright in few min but yesterday same thing happened but nothing was stuck and it started paining very badly and the pain has continued for very long time ### REPLY: Thanks for using . Read your query. Pain in the tooth with or without food lodgment suggests deep caries with or without pupal involvement, usually irreversible pulpits. I would advise you to visit your dentist and have a radiograph done. If needed root canal treatment has to be done. For pain Ibuprofen (if you are not allergic to any medicine) can be taken. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 30 Male, Suffering from tingling , pins & needles sensation in left hand figures since 7 months ### REPLY: Hello. Welcome to . There can be limited causes for abnormal sensations at your age. You have localized the sensations to few fingers which points out the probable origin in the cervical spine. You need to undergo an MRI scan of the spine, which will highlight the definite cause. Nevertheless, you also need a complete neurological checkup, because it is possible that other body sites may be having loss of sensation, if not pins and needles sensation. After, a neurologist has completely noted the sensation loss or abnormal sensation, will any treatment be planned. 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: Years ago my Doctor said since I had low testosterone, he would prescribe it to help with fatigue, weight management and depression. I m Now 65, no heart problems, exercise 5 days a week and I m otherwise active. I jog, row, lift and take Taiji classes. CBS news said that two studies show no correlation with heart problems but the government wants to add a warning to the package. My Doctor is still writing the prescription but is not sure what I shoud do. At my age should I and is it safe? Thanks ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. These three are not directly related to each other. However, Low testosterone levels can lead to fatigue and depression like symptoms. It would be wise to correct the testosterone levels if found low. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link: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: i had a fall in june and severly hurt my ankle but i did not go to the hospital as i thought it was a bad sprain. I have put up with the pain since then and finally had an xray. I received a letter from my doctor to day saying i had to phone for a consultation about my ankle? ### REPLY: Dear patient You have got chronic pain in ankle that might be due to arthritis or loose bodies. So I would like to know what is your X-ray report ? If X-ray Is showing signs of reduced joint space it is arthritis.  In my opinion MRI of ankle is better investigation for chronic ankle pain.  MRI gives detail information of not only bone but also soft tissue and ligaments.  So visit radiology center nearby you and get it done.  Visit expert orthopedic surgeon with report. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 6 and her gums are bleeding out of no where?  Is this normal?  She is really really good about her dental health, and it just strikes me odd that it just keeps happening.  It started about three days ago, and it will start then stop for a while after she rinses her mouth with salt water. ### REPLY: With your query, bleeding gums is a sign of gingival inflammation which is due to presence of food debris leading to formation of plaque and calculus finally results in gingival inflammation causing bleeding from gums. You didn't mention when the bleeding starts are it after brushing or after food? Does she have any specific time or situation for bleeding to occur? If you are sure about your daughters oral health is good then there must be a vitamin C deficiency. So finally I would suggest you to visit a periodontist. Hope this helps you. Till then, she can continue warm saline gargling or a mouthwash like chlorhexidine ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Bhargava,my question pertains to pathology but i cudnt find a pathologist in the change doctor list. However, it is so basic that I think I can burden you with it. Does a urine detailed report (Urine DR, as abbrevited in Pakistan and India) show sperm if passed in urine?best regardsFaridkarachi ### REPLY: HelloS perm leakage in urine may be due to many causes like straining in constipation, overexcited state, excessive fantasy etc. You should avoid provocative literature and videos. You should try to be calm and try to engage yourself in your job. Take a lot of fibers in your diet in the form of salad, vegetables,fruits. You should take healthy and nutritious diet. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi..me and my girlfrnd were angaged in oral sex..she was not undressed..and wearing penty and shorts..and holding my penis in her hands..i dont remember if i had precum on my hands or not..i put my hand inside her penty but just touched her small part of her upper hairs of vagina..can she get pregnant ### REPLY: Hello dairy understand your concerned not worryPregnancy is not possible in your case. To become pregnant, penetrative sexual intercourse or penetration up to vaginal opening with or without ejaculation is required in fertile phase of period. Just touching upper part of vagina by hand does not cause pregnancy. If pre-cum will be there then it will depend on amount of pre-cum and fertile phase of period. Avoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 17 year old kid. im 6 foot tall and 170 pounds. i have had these swollen nodes under my jaw for like a year now and the doctor felt them and said they didnt seem like a concern. however they havent gone down. they are soft and moveable and are on the same place on both sides. should i be concerned? ### REPLY: Hi! Good afternoon. I am  answering your query. As these lumps are about a year now without any increase in size, I feel that these could be non-significant lymph nodes. However, to be certain, if I were your doctor, after a general clinical assessment, I would have advised you for a FNAC (fine needle aspiration) of the involved nodes before deciding on further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I am 29 years old and till now I have maintain a healthy life and never have sex. Suddenly 2 days ago I found blood in my semen and again after 2 days I found this problem again. I am really tance because after a month Im going to be married. So is it caused any any problems in my married life? Can this prob is curable ?Please suggest me waiting for your reply.thanks in advance. ### REPLY: Hi, I have gone through your query. You had 2 episodes of bloody semen and you haven't mentioned if there is any other symptoms like fever or pain. It is difficult to comment on actual cause. As there can be infection (like prostatitis, epididymitis, urethritis), obstruction, tumor or systemic disease. I suggest you to wait for next time if again blood comes out with or without other symptoms, investigations like prostate examination, semen and urine test will be needed. Depending on the cause, it may or may not affect your married life and treatment will be done. Usually these problems are cured. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http://bit.ly/1dYupT2 ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have high normal SGOT and SGPT levels after gall bladder surgery. 34 and 50 respectively. I was in the hospital for over 2 months with acute pancreatitis (gallstone induced) after paraesophegal hernia surgery. My levels when I left the hospital were 15 and 16. I had the gallbladder surgery 2 months after coming home and the levels went up at that point. Any thoughts ### REPLY: Thank you for posting your query. Lab results reveal MILD hepatitis. Nothing to worry. Further history and evaluation needed.GOT (AST) and SGPT (ALT) are liver enzymes located inside the liver cell. These enzymes play an important role in the metabolic processes. An increase in the level of these enzymes reflect an INJURY to the Liver. Medically, the condition is known as Hepatitis. Hepatitis maybe caused by- Virus (A, B, C, D, E) one of the most common causes - certain . Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Six months ago I believed the pain in right grone was sciatic nerve I couldn t walk or drive Family Doc gave RX for swelling. Days later Cscan confirmed S1 is now stage 2 @ L5 is stage 3 and said I have DD also Spondylolisthesis . Thought a Spine Doc would help but he said after Xray I should go to Gastro Doc but wanted MRI. Checked with Family Doc. Who ordered Scan only to give oral Prednisone it helps me walk but I am still swelling in my stomach could they of miss a hernia or is this swelling four sizes my future ### REPLY: His think what is probably happening in your case is that the sciatica, as confirmed by your MRI also, is the original thing that was causing the pain. Now your doctor has suggested some steroidal therapy to you as well for the purpose of relief from the pain. Now while the therapy is effective, one must be aware of the huge list of side effects of steroids. One of the side effects of steroids is excessive gastritis. And I think that it is this excess gastritis that is causing you trouble and making you feel like you are bloating. I will suggest addition of antacids like sanitizing or better still omeprazole. This may help you. Best of 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 experiencing a dull aching pain in my right hip that travels down the side of my buttocks, the side of my leg just past the knee. It has been present for the past three days. It keeps me awake until I find a psosition that reduces the pain. Usually laying on my back with pillows under my right knee. ### REPLY: Hello, As you have this radiating pain it sounds to me the pathology of the lumbar spine and the nerve root entrapment. Due to which the symptoms are followed down the line of the waist in the lower limb. Using the lumbar brace, hot water fermentation will help reduce the muscle spasm at the lumbosacral region. Taking an MRI will be of good choice to understand the soft tissue abnormalities. Kindly do McKenzie maneuver as it will centralize the pain and use hot water fermentation after that. You can find about McKenzie maneuver online anywhere. Post the centralizing of the pain do core stability and lumbar spinal muscle strengthening exercises. Also focus on lower limb strengthening this will help correct the posture. In my clinical practice of over 12 years, most cases with lumbar Radiculopathy recover with conservative therapy in 3-4 weeks of time. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 17 and had a big test today so she was very nervous. my wife got what she thought was nerve pills but i found out it was my blood pressure pills they are small pills that i have cut in half. she said she took 2 halfs at around 8 and one other half at 8:50 what should i do, also she said she feels fine. ? ### REPLY: Hi, Dangerously low blood pressure and heart rate can occur. Accidental ingestion of BP lowering pills in child .  She must be taken to the emergency room of your nearby hospital immediately if she shows the symptoms of dangerously low BP as mentioned above. Please see that these medicines are not be kept in refrigerators. Rather they should be kept properly in places unreachable by child ### END