Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 51 yoa, female, 6 240lb been very sick with sinus infection, so went to Dr for care and had to get bloodwork done to refill bloodpressue meds. Cholesterol was good, sugar 101 and triglycerides 308. A year ago these were all perfect. My eating habits have not changed, so I don t understand. ### REPLY: Brief Answer: Remeasure the TG level in blood respecting the special precautions mentioned below. In case of persistence of high levels of TG in blood, then you should see an endocrinologist. Detailed Answer:Hello, Thank you for using . Your blood sugar is within the normal range, while triglycerides are almost twice higher than the upper normal border (50 - 150 mg/DL). Since the triglyceride test is strongly affected by diet and alcohol, the test should be performed at a fasting state and after 24 hours of alcohol-free time. You should eat a low fat meal the night before the test. Restrict food and fluid intake after midnight the night before the test. Repeat the test respecting the rules above-mentioned. If the result is still high, then you should see an endocrinologist, in way to begin a treatment with vibrates. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear friends my wife is 8 weeks pregnant and recently her torch profile reveals that she is positive for igg rubella and igm rubella negative all other virus are negative in both igg igm moleculoes, could anyone tell me whether this has any problemt to do with foetus and mother Quote | Edit | Delete | Tell a Friend | Report ### REPLY: Hi, Ig G positive implies that she had a past infection of rubella and has developed immunity for rubella, so she need not worry about it. It means that she will not get rubella again. So it will not affect your baby in any way. All other virus negative means she has never had infection with any of them. That means she could get them in pregnancy. To avoid these she should take care. Eat washed and cleaned vegetables and fruits, avoid cat litter, eat properly cooked meat these will prevent from toxoplasmosis. Syphilis and herpes are sexually transmitted and can be avoided by using condoms. I do not see any problem for the mother or the baby. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 12 month old who is competely healthy has these tiny, dark red spots under the skin of the soles of her feet. They arent itchy or painful, theyre flat. Shes been drinking and urinating a lot more and has loss a little bit of her appetite. Is this something serious? ### REPLY: Hi...by what you quote I think that it could be a simple viral exanthem, or it could be hand foot mouth disease. Whatever it is I suggest you show her to her regular pediatrician and get the opinion to be on the safer side. 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: Age;22, female, one c-section,wonder what this could be. i have various symptoms, starting with pain when laying on my stomach, cramping in between last months and this months period, i usually have painful bowel movements and when urinating while on my period, and i also have a question about my leaking breasts. i havent breastfed in over a yr and my beast are leaking wht looks like milk but now its a clear fluid ### REPLY: Welcome to ChatDoctorGood Date pain while lying on the stomach may be caused due to an inappropriately healed incision site. You need to get an ultrasound to rule out disorders which can cause these symptoms. Get your vagina swab tested for infections like pelvic inflammatory disease. Regarding the breasts, how far along from your delivery are you. When did you stop breastfeeding. You may need to get checked for hypothyroidism and prolactin level as these can cause milky secretion. You could be having a urinary tract infection for which you need to get your urine tested and be on appropriate antibiotics. Get tested by a Gynecologist and follow his/her advice. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 id like to know that if someone tries to consume a mosquito repelent or all out or a hand sanitiser would it cause there death ?bcause of my litle sister suffering from depression she tries many things to die so do these things cause harm to human body aswl or not ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Mosquito repellant in large quantity, if consumed, can cause death. That is not the case here, if your sister is suffering from depressing and also has suicidal tendency, it is always advisable to take psychiatric treatment. If the current medication is not working, then you should update it with your psychiatrist and get a change in medicines. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The gums under my front two bottom teeth are lower than the rest of my gums, but this is not the problem... every now and then for a few days at a time, the lower part of my exposed teeth and the gums below them get really sensitive and when I take a deep breath I feel not pain exactly, but discomfort that swells during the breath and then disappears. However this happens every time I take a deep breath and eventually after a few days it goes away. Any suggestions? ### REPLY: Hello, Welcome Thanks for consulting  I have gone through your query, you feel sensitivity in lower front jaw as there is Reccesion of gingival that's why you feel sensitivity don't worry about this you should go to dentist and go for Scaling and Root planning.  For temporary relief you can do warm saline gargle two - three times a day Do chlorhexidine mouthwash 2 times a day 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 sis has high creatinin level of 111, her left kidney has parenchymal disease and she had a right kidney stone removed from years back though current result proves that her kidney is clear. she wants to know what are the dos and donts and what are the risks for having this high level of creatinin and parenchymal disease, what important things do we need to ask from her doctor if we have her checked up. thanks alot. god bless. ### REPLY: Firstly I would like to correct that it is 11.1 mg /DL of see. Creatinine and not 111. If the see. Creatinine levels or this elevated for a long time and is asymptomatic I suggest having an AV FISTULA created at the earliest. She may land up any time in uremic seizures, her bones will be brittle n prone to fractures, she would be having loss of appetite and muscle catabolism due to chronic acidosis. Regarding diet absolute vegetarian diets low in potassium. Avoid fruit juices and fruits especially banana, watermelon ... Can have small bites of apple, guava and papaya. BUT GET FISTULA DONE EMERGENTLY COM IT TAKES 6 WEEKS FOR IT TO MATURE AND ANY EMERGENCY DURING THIS PERIOD SHE WILL HAVE TO TAKE EMERGENCY DIALYSIS WITH ITV ACCESS WHICH IS PRONE TO COMPLICATIONS OF INFECTIONS. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 , this is shaik mohammad ali basha from kadapa,a.p ,india , my son 6 moths old he is having nemonia ,Dr. given me Asthalin for him. but he is having cuff and fever is not controlled. hand and legs are very heat but body is cool. i don t have what to do . Drs are not good here.please advice me it is very emergency, thank you ### REPLY: Your son needs to be on an antibiotic if he has pneumonia.  Even though pneumonia can be viral, it is done to prevent secondary bacterial infections.  Fever should be treated with acetaminophen, and you should give him his Stalin to help him keep his airways open and be more comfortable.  Another very important thing to know his that pneumonia and wheezing as well as fever all cause the loss of fluids and his fluid requirement is at least double normal.  Do not worry about his eating food but be sure he gets plenty of liquids like electrolyte replacement liquids, diluted juices etc. Make sure he is having wet diapers 4-5 times a day.  If he is having paleness, blue color, lethargy when his fever is down or very rapid breathing (greater than 40 per minute) and heart rate(greater than 160 per minute) he needs to go to the hospital.  Also, if you cannot get him to .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son (16 days old, 7 lbs 4 ounces) has peeling testicles that have become raw. he screams at the start of every diaper change but screams harder when we wipe his bum and testicles. we use pampers sensitive wipes and huggies little snugglers diapers. can you help us with a solution? thank you. ### REPLY: Hi...by what you say I feel that your baby might be having an eczema. The trick of the management is keeping the skin moist and never allowing it to be .  For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. But... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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: 17th week of pregnancy, I need help understanding my blood results for CMv - is it something i should be worried about - I have been told that the Avidity shows that I got the virus before the pregnancy and therefore I should not worry but I am still not convinced.... 14 march igg 7.0 Igm positive Avidity 0.87 15 april Igg 5.9 Igm positive Avidity 0.92 22 april Igg 5.9 pos Igm 0.6 neg thanks for any advice, info you many have. Zoe ### REPLY: Hi there, Please do not be worried. To have a strongly positive avidity means that you have had the infection before and very unlikely that you will get it again during pregnancy. Having had CMV infection before makes it safe for the pregnant women as once infected she develops immunity to the CMV and will not be infected again. The harm from CMV is when the pregnant women acquire a new infection during pregnancy and this can affect the fetus, but since you have had it before this makes it very safe for your baby. So do not worry and regarding CMV infection as your baby is safe. Hope I was able to clear your doubts. 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: HiI have had pain in the left side of my face for a week now. I have been to my dentist who put me on a 5 day course of Amoxicillin 500. I feel quite sick and periodically feel as if I have a temperature. Today  the pain is just in front of the ear in the top jaw. Also my head feels really fuddled.Any ideas?Linda ### REPLY: Hello, thank you for consulting with . As you are mentioning that you have pain on the left side of the jaw in front of the ear, then there can be two possibilities for it-First is there can be any infected tooth in the upper jaw which is causing this problem. -Second is maybe your joint of jaws (Temporomandibular joint) of left side is creating the problem the problem is of tooth the dentist must treat the tooth as only antibiotic will not solve the problem. And if the problem is arising from your joint then antibiotic have no role in it, as it will be relieved by some muscle relaxant. But for both the conditions you should visit your dentist again and get it confirmed with detailed examination with x-ray of the tooth and joint, 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: The tip of my tongue feels like it was burnt but isn t. The front of my teeth have a metallic feeling to them. The dentist gave me an oral rinse for gingivitis which i don t think i have & isn t doing much for my tongue and makes the front of my mouth feel even stranger. Tongue looks normal slightly red on the right side. Got some suggestions? ### REPLY: Hi Redness and burning sensation point towards dermatitis. It can be cured with help of multivitamins and taking good care of oral hygiene. But it can be due to trauma from opposing teeth due to abnormal positioning of your teeth. Get yourself checked for the same, which can explain, to some extent your metallic feeling in the front teeth. Then either you have to go for or tho treatment or some slight grinding of few teeth. Wishing you speedy recoveryWith best regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a dark ring on the gum line that encircles one of my back molars. It is not sensitive, gum lines are healthy, and there is no pain associated. I did floss it really well yesterday and a small popcorn kernel came out and it has been weeks since i had popcorn. Any thoughts? ### REPLY: Hello thanks for consulting at ,the dark ring on the gum line could be tartar/calculus present.which appears as black line,you need oral prophylaxis- scaling and polishing,you also need to do gum massage with the pulp of your finger,do salt water gargle thrice daily,nothing to worry, also get an Iowa radiograph. To check for alveolar bone loss,consult a periodontist for a check-up and treatment.hope it helps,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: It has been about 4 days since I took out my bottom wisdom teeth, since it hasnt grown out yet they had to preform oral surgery. Right now, there is yellow stuff where the wound is, but it is not coming out of the wound it is just staying there. Do I have an infection? Thanks ### REPLY: Hi, As per your complaint yellow stuff in the extraction area looks like healing tissue and not Infection. This healing tissue is responsible for complete filling of the extraction of the extraction area and helps in making the extraction area a part of normal jaw and gums. Please do not try to remove the yellow stuff as it can cause unhealed socket known as . So better get examined by your Dentist and proceed as per advised. For further discussion you can send me images of the extraction site by going to my profile and click on Ask me a question button. We can discuss in detail. Hope this helps. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I got in a car accident this morning around 4am hit a tree because I fell asleep at the wheel and I had no injuries but never got checked out. I am getting a warm hot sensation in my neck and head. My neck has been sore all day I cant sleep what should I do? Its not very painful feels like a knot or strain. ### REPLY: With such presentations in my clinic, I would first rule out serious damages to cervical column, so a fast and simple measure is to do a plain radiography of your cervical column and consulting your primary care Doctor. If there is nothing wrong with bony structures, then the problem you describe is sort of damage to cervical soft tissues (whiplash) and bed rest, OTC . Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my granddaugher is 12 yrs old and has her monthly cycle. It is literally running the household, my sone is a single father, and since my granddaughter has started her cycle, my son is going crazy a week before she starts talking back, not listening, yelling at him, in general making his life horrible, he says it s her hormones, that s what his ex-wife tells him. I have talked with other mothers and none of them have had this extreme problem. I think it is an excuse to get away with what ever attitude she wants. I worry about my sone (single dad) because heart attacks have run in my family, he is under constant stress due to her problem . I have had 4 strokes, lost my 2 brothers, sister, mother and father all from heart problems. Is this a normal thing for 12 year olds when they have their cycle. I have talked to a lot of others who have had girls in my family and they never went through this! Could it all be mental or put on, or could she get help! It s really ruining my sons and granddaughters lives. He will do anything for her, but right now it s my sone I m worried about he is 50. A professional opinion would be of great help. Thank you so much. ### REPLY: HAI I'm . Hormonal changes do happen in adolescence, especially during menstrual cycle. Mood swings can happen. But this can be over come by take care of her and by proper counselling to her. As the child is not with her mother such problems will magnify. In fact she might be stressed out because of that reason. Ok now coming to overcome this problem, first she need to love and care not only from father but also from her mother.Otherwise, any female to whom she can share her personal feelings. Let it be an aunt or a good friend or friends mother. Let her be free to clear her queries to a responsible and caring female. Once she adapts to it and come to know things and understand about the love her dad has for her, she will be fine. This is the time when a girl need only good company. 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 38 years old female i have pain in my left shoulder joint for the last 3 months i am not able to move my hands back nor lift it high sometimes there is continuous pain hot water fermentation gives me some releif please suggest me some solutions ### REPLY: Hello, As what I see from history is that your shoulder muscles are weak due to which you are getting pain. Please make assure that joints do pain there the muscles surrounding it becomes weak and joint space reduced. Since history doesn't mention any specific type of pain this looks to be totally the shoulder muscle weakness pain. Doing regular shoulder exercises to strengthen the muscles of the shoulder girdle will have optimum help. Please feel free to contact me if you have any other questions. 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: How much am I at risk for heart diseease if my HDL is 78 and my total cholesterol is 268? I have normal triglyceride levels, normal blood pressure, normal liver, normal kidney, normal thyroid, not anemic, and not diabetic. I walk a lot and I exercise about twice a week (not including walking). ### REPLY: Sir your total cholesterol is on the higher side, which you should try bringing to less than 100, and the LDL cholesterol less than 130. Low HDL cholesterol is the good cholesterol, it being more than 40 in a male and 50 in female is good to have, so 78 is excellent, and it is due to healthy lifestyle you described.  Now to bring your total to normal I would just suggest you to Cut on fats, less red meat, egg while, cut on oils and pure carbs.  Rest continue with exercise.  So your heart risk with the value of cholesterol you describe is minimal.  Do repeat the test after 6 months to see the change.  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 suffered with chronic pain in my low back, knees, elbows, and especially now in my shoulder and upper arm. Several years ago a sore place showed up right where my low back hurts. It has recurred several times and is excruitatingly painful on the surface when it shows up. Could it be what kills my back deep inside and what could it possibly be. Family Drs. have thought it to possibly be shingles, then another Dr. thought no. I also suffer with severe clinical depression. Could they be connected and what tests should I have done. ### REPLY: Hi, I have studied your case with diligence. As per your history and symptoms there is possibility of viral infection. Another possibility of polyarthritis Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased you have such stiffness in spine? Clinical examination is also required to diagnose it. You can do blood test for HLA-B27 to confirm it along with it CRP, RA TEST, ESR, CBC will help. If all tests are normal you may need proper exercises and lifestyle modifications. Chronic persistent pain can lead Lt depression. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has experienced,on occasions, numbness in her legs,this has all started in the last 6 months.. As a result she had an MRI scan . Her brain was clear ,however, on her 5th & 6th platelets in her spine they have discovered white spots. The consultant has asked for a lumber puncture and a further MRI scan in 3 months. Obviously she is very concerned. Is this something that she should consider trying to have done urgently - possibly explore having the work done privately. We certainly do not want to find that her condition irretrievably worsens due to the delay. because of the delay. ### REPLY: HiT hank you for your question. Numbness in the legs may be caused by external compression on the nerve or internal pathology of the nerve itself. It is not clear from your description what the white spots are. If you can upload report/images of the MRI that would be helpful. Electromyography and Nerve Conduction Velocity (EMG/NCV) test can find out the exact location of nerve problem. Management as well as need to repeat the MRI in 3 months depends on what the problem is. Please consult a neurologist for clinical as well as MRI evaluation. 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: im type one diabetic. i did have an underactive thyroid and took 137 of t4. im now overactive and will be lowering to 50mg. In Nov I was diagnosed with Fibromyalgia. since then my life has come to a stop. Im being told different thing and Im confused eith whats happening to me.im forty but my body is behaving like a seventy five year old. I have electric shock going down my right arm and numbing my hands.and tendons on both hands and fingers have become hard and sore. i just dont know whats going on. Thank you ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have electric shock and numbness in hands with hardening of tendons. Well there can be many reasons for symptoms you mention in query like decreased blood flow, nerve compression can occur from damage in the nerves, ulnar nerve compression, diabetes, stroke, carpal tunnel syn . I would suggest consulting neurologist for proper examination. Doctor may order nerve conduction test, tests used to determine nerve damage includes nerve conduction velocity tests and electromyography, also known as Eggs. Doctor may prescribe nerve supplement or Surgery that can release entrapped nerves from being compressed in some cases. Doctor may also refer you to endocrinologist in case of diabetes. Hope your concern has been resolved. Get Well Soon. 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 been diagnosed with asthmas approx. 40 years. i have coughing with sputum on a regular basis except when i take teva- levofloxacin 500mg daily. i am on advair 500 2Xday ; ventolin as needed and apo-theo la 200mg once daily. i am tired of coughing!! is there another choice?? i have a respirologist am a senior on a limited pension. cannot afford to pay ### REPLY: If our history is like this it means you are having food related problems if you get blood serum tests for specific antibodies for milk wheat rice potato Chaney nuts egg you will catch it mean time you stop completely milk and diary as they are animal proteins stop antibiotics as they trigger into use of ibuprofen paracetamol vitamins diet supplimentsthis will help you you need to add antiallergigmontelucast 10 mg tossup codeine+CPM 1 SF BD along with others except antibiotic swill stat recovering after test go for elimination of foods coming positive ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffered from jock itch ( tinea cruris ) and still am. I have been to four doctors seeking their medical help. Non of the medication ( oral medication, antifungal creams etc.) I received from them is working. I have also tried home remedies ( selenium sulphide,head and shoulders,tea tree oil etc.) and here as well nothing is working. What should I do to get rid of the fungus and get my skin (area that is affected by the fungus) back to its normal colour? (the fungus is all over my inner thighs,groin and stretches right down into the buttocks ) ### REPLY: Hi.dear Lock hat., Thanks for choosing ., According to your complaint.it could be., TINEA COURTS...it is fungal disease, recurrence more., Course of treatment is advisable., Here U follow ...,1) Every day 2 times bath with Ketoconazole (KETO soap).,2) Apply cream...morning QUA . , (Milford)., Night times ....EBERCONAZOLE 1% (Reddy lab-EBERNET).,3) Tab.TERMINATING 1% (ZIMIG-gsk) daily for 15 dies.,4) Clotrimazole Dusting powder...(CANDID-Glenmark)., thanQ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have a daughter of age 6 plus, she has developed a wrong habit of scrathing or rubbing the ass aggressively to the edge of hard surface. we have been hearing complaints from school and others regarding this since last 2-3 yearswe are helpless to understand this problem, can you help me to diagonise this case ### REPLY: SucChatDoctorplaint may be caused due to worm infestation (perianal itch), bacterial or fungal infections, allergies etc. Careful local examination my show fungal ring, infected wound, rash, urticaria, worms etc. And depending upon finding she may need deforming medications, antifungal, antibacterial or anti-allergic medications. For further queries regarding this disease or its medications you may take my appointment at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 amit im 28 yrs old and i feel in a weeks time i have bump on right side back of my head, somthing like a blood clot or node and its itchy. it doesnt pain too much but sometime it gives a beep of pain and goes and you can feel some kind of work going behind it .. wht it will be can you suggest ### REPLY: Hello! Welcome to . This can be a sebaceous cyst or Desmond or even a lipoma, all benign swellings. Did you have trauma there? So then its hematoma, clotted blood. Local examination is necessary. Pain & itching indicates presence of infection. Antibiotics & anti-inflammatory . In my clinic, I do an X-ray skull to rule out any intracranial extension of the lump & if there is no such extension, excision biopsy i.e. removal of lump under local anesthesia is done and sample is sent for histopathological examination. Hope this helps. Wish you healthy life. Thanks. 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: sir I am of 72 years old and suffering from asthma and have chronic breathing problem and by certain exertion i become shortness of breath. I am diabetic and high blood pressure and taking medication. for asthma doctor has prescribed advair and albutrol puff and oxygen. I want to know is there any medication alternate to oxygen ### REPLY: Hi, You are taking adverse, albuterol puff with oxygen, it is a very good asthma treatment what your doctor is giving. You have also DM'd and HTN with your age 72 years. If your doctor is giving oxygen then you might also have chronic bronchitis and there is no alternative to oxygen when you are having breathing difficulty even at slight exertion. There are other potent steroids inhalers available in market with antiallergic . You can discuss it with your pulmonologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...i have been diagnosed as broncitis ans was given ammox-clauvenic acid but didnt help.then given azithromycin which reduced coming blood in my sputum in the morning but blood is stil coming.plz help ### REPLY: Thanks for your question on . I can understand your concern. You are having hemoptysis (blood in sputum) with bronchitis. So we should first rule out tuberculosis in your case. So get done sputum microscopic examination for AFB (acid fast bacilli - bacteria causing tuberculosis). If this is positive then you can will need 6-8 months course of anti-tubercular . If this is negative then no need to worry. Bronchitis itself causes hemoptysis. Best treatment of bronchitis is inhaled bronchodilators. So start inhaled bronchodilators (formoterol or albuterol) for faster relief. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor , i am priya i am getting marriage soon,in us but i got suntan my face got black because of roaming in the sun is there any cream to help getting rid of suntan please doctor suggest me any us products please ,please help me ### REPLY: Hi ! Priya, Welcome To  forum, Priya, it is very important to use a good SPF medicated sunscreen daily every three hours. Along with this you can use a HY . Use this little cautiously so that it doesn't cause any burning sensation or redness. You can also consider using comic acid creams with vitamin C cream in the morning over the sunscreen. But this would take a while to get the original color back. Hope this answers your query, if you have any further questions, kindly write back to us. Regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: WHAT DO I DO? I am an attractive 21 year old. I lost my virginity at 18 and have had several flings that lasted between 1-4 months since then. Some of these would have turned into beautiful long term relationships but I am so frigid and self consciouos of my body and ESPECIALLY my nether regions (I find it disgusting) that it has made it too awkward. I thought I would let one person go down on me when I was very drunk and on holiday so I wouldn t have to see him again and feel embarassed but I just couldn t enjoy it. I hate being fingered but I think it is all due to my low self esteem about my body. Please please please help, I am desperate. It has caused me severe unneccessary depression and heart break... ### REPLY: Hi, First thing is your family history in most important because of various personality traits along with environment in which your grown is very imp.U should understand our brain gets conditioned according to our childhood family life. Second thing if your not able to form stable relations even if u want ......than do think... whether u assigns a role to very individual in your contact... from your set of principles which other person has to accept because of your forceful nature or your set of rules....if this is the case than u have to consult a psychiatrist because it may b form of personality disorder because of which chronic emptiness, feeling lonely, always in search of company, low mood, rejection,guilt etc. occurs. A good CBT and psychiatric counselling will b helpfulthanx. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 30 yrs old ,160Cm ht and 58 KG wt.My semen analyis report shows  Sperm count- 70 million volume-2.5ml motile-20% active Sulgish-15% other-65% Pus cell- 1-2 hpf morphology normal 40% abnormal-60% PH-alkeline LiquificationTime: 15 Min. Doctor has asked me take VitE tablets and Multivitamin.Will it increase my Motility and morphology? Thanks ### REPLY: Hi welcome to . I have gone through your question. Your semen analysis has low motility (motility should be 30%), and low morphology (70% should be of normal morphology). Vit e and multivitamins have only supplementary role, it can not revert the picture if there is any pathological problem in the system. I would advise doing color Doppler ultrasound of scrotum, to rule out any pathology like varicocele. Hope I answered your question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I recently had a ct scan to check for kidney stones. It showed calcium deposits in both kidneys and I wanted to know if that is the same as stones, or does it mean I could get kidney stones? My urine tests show moderate blood, but no signs of infection. ### REPLY: Hi, thank you for posting. The main kidney stones ingredient is calcium oxalate. Before the stone is created, a high calcium exertion is shown up in kidneys. You have calcium deposits in kidneys, but this doesn't mean that you have kidney stones. This means that is the possibility for a stone creation because calcium deposits in kidneys are a high risk for kidney stone creating. To prevent stones creation:1- Eat low calcium level foods.2- Reduce the amount of salt.3- Reduce the use of Valium.4- Increase the amount of magnesium, by eating high magnesium foods. You should visit your nephrologist. 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: Sir plzz tell me that if i will take manforce50 then can it will increase thetime fr ejaculation??if yes then fr how much time ??and fr how long my penis will erect??and if erection exist fr long time then is there any medicine fr it sir plzz tell me ### REPLY: Dear, Yes man force 50 contains sildenfil compound which dilated the veins of penis which is responsible for the erection to be maintained. Yes it makes you penis stay erect for long.However, you need to be aroused to have an erection. Remember it just sustains erection, by does not cause erection. The effect can be expected within an hour of its consumption to last for up to 5 hours after intake of tablet. Caution can produce tolerance in chronic and regular use, it is to be use for occasionally. To be use in doctors advice. Hope to have satisfied your queryThanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had unprotected vaginal intercourse with a female who turned out to be a heavy intervenious drug user.  We only had intercourse for 2-3 minutes, and I did not ejaculate.  We were engaged in intercourse before she was completely undressed, and when her shirt was off, I saw that she had track marks on her arms from injecting drugs.  That is when I stopped and left.  That was 8 months ago.   About 2 months ago, I got very ill, with sevear headache, nausea, and a presistant strange taste and smell would not go away, and my auxillary lymph nodes (armpit) swelled, but mostly on the left side.  I could feel something was going on in my auxillary lymph nodes, and it gave me a very squirmy feeling, for lack of a better term. I could not sit still.   I was very ill for about 5-6 days, and then, for the most part, it subsided, but not completely.    To this day, most every day, I still have that taste and smell in my mouth, and when it happens, it is accompanied by a very fatigued feeling.  I have also been having consistant muscle and joint pain, and a lingering, but not very sevear headache, that comes and goes, probably due to the sinus pressure I can feel in my cheeks, eye and forehead area.  I find I am tired far more often that usuall as well.  I also have occational pain from my inner thigh and groin area, on both sides, but again, mostly on the left.  I suspect that that is my groin lymph nodes are causing that pain.   And more recently, in the last 2 weeks, I have had consistant dry mouth. I am an active, yet currently unemployed and uninsured 33 year old college student, and have never had presistant symptoms like this in my life.  I have done much research in the last 2 months and suspect that I may have contracted HIV.  Can you tell me your opinion of the level of risk of the situation where I think i contracted the desiese?  Also, is it normal to have no HIV symptoms whatsoever for six months post possible exposure, and then one day, become consistantly ill with multipule symptoms?   I would also like to know what happens for possible treatment options for someone who is uninsured.   Thank You for your Assistance. ### REPLY: Hello Major signs of HIV :1 Weight loss =======1 month.2 Chronic diarrhea=====1 month3 Prolonged fever=====1 monthMinor signs are :1 Persistent cough for one month2 Generalized pruritic dermatitis 3 Recurrent Herpes zoster4 Pharyngeal candidiasis 5 Chronic progressive & disseminated Herpes Simplex 6 GENERALIZED Lymphadenopathies ( as you are having). Antigen antibody HIV RNA test is most accurate. Western blot is most accurate. In my opinion you should get these tests. All the symptoms mentioned are an indication of HIV. About the treatment it depends on after diagnosis establishment. As far as about INSURANCE, I don't know much. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had masturbation more times in my life in such a way that my penis is too small.I am planning to marry by next year.is it affect my sexual and marriage life.if so can you please suggest me a doctor in bangalore in india where i can take up some medicines and get well and fit well well for my marriage life ### REPLY: Degree understand your concerns went through your details. Moderate masturbation cannot affect married life or sexual life. Masturbation cannot reduce the size of penis at all. Such a doubt is baseless. Masturbation is normal, natural and cannot cause any health issues. Therefore, there is no need to worry. Your lack of knowledge and unnecessary worries could lead to anxiety. For anxiety, you may approach a psychological counselor for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has severe COPD. I suffer from it as well, but have been stable for many years due to following recommendations... ie: avoiding public places, public transportation, limiting grandchildren especially when sick, masking when in the store and using hand sanitizer. My mother, newly diagnosed (we have known for awhile but she would not go to doctor) we are trying to advise her about Casino visits, letting dirty snotty nosed grandchildren in the house, groups of church people in and out of home... sharing her phone with out cleaning, bathroom issue with so many in the house.... all these being triggers to her exacerbating her illness. 1) Is this true, or are we misinformed. 2) Any way we can get printed material about this and other precautions for severe stage with 24 hour oxygen? ### REPLY: Thanks for your question on . COPD treatment needs following things to be done simultaneously. 1. Quit smoking if habit is there.2. Inhaled bronchodilators having long acting beta 2 agonist and corticosteroids. 3. Pulmonary rehabilitation and chest physiotherapy with deep breathing exercise.4. Adult vaccination with pneumococcal and h.influenza to prevent infection. And once you vaccinate her, no need to avoid things you have mentioned. COPD patients can live normal life once disease is controlled. And in end stage disease home oxygen therapy is needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am almost 6 months pregnant and the gum behind my impacted wisdom tooth is sore and inflammed. i went to the dentist and he said for me to salt water rinse and good oral hygiene and i should be okay. The pain isnt that bad only a little sore when my tongue touches it. Do you think i will be able to wait after i give birth to remove my tooth? i have only 3 more months. ### REPLY: Thanks for your query. I have gone through your query. The pain could be because of the peritonitis means infection of the gum around the wisdom tooth. You need to take radiograph to see the amount of bone covering around the tooth before removal. Since you are pregnant you can't go for radiograph so take symptomatic treatment like topical anesthetic and analgesics like Anabel gel. Do saline gargling. Do not take any other medicines without prescription. After delivery you can get it removed. I hope my answer 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 entire back is sore to the touch. I went to the ER about two weeks ago for pain on the left side only of my back. And was given tramadol, the brown pills that turns the urine orange, cataflam 50 mg, and another large oval white pill for infection. Since then my period came on and has been ever since. I woke up two days ago and was feeling bad with a deep cough, dizziness , headache , backache , legs hurting, and arms hurting. I thought it may be the flu as I was feeling hot at some points and was about to freeze at others. Today my entire back is sore when I asked my daughter to rub my back. It feels like blisters are all over my back or bruises maybe, except there is nothing there. Help me, I am afraid. What do I need to do. ### REPLY: Hello. Thanks for writing to us. The symptoms that you are having are likely to be due to a generalized viral infection. It is often associated with generalized rash also. Most of the time such illness is self limiting and the symptoms subside spontaneously in a week. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://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: Im 29,male and Ive recently noticed a somewhat increased number of freckles appearing on my body.  I have also had some slight dull pains in my groin area, scrotum and lower back/abdominals, although the pain subsides often.  Am I just getting older? ### REPLY: Hi, Sun exposure is the main cause of freckles and dark spots however dull ache in your groin area might be due to number of reasons. All you can do at home is don't wear tight under wears, avoid using tight clothing too and if your are having some sort of discharge with urine go and see your doctor, it might indicate some sort of infection. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 20 years old and I have so much going on in my life that I cant seem to stay focused.....i have a very good job but for the past couple of months I havent been able to focus 100% on my work....i keep getting completely sidetracked. And uts not just at work....when I trying to have a normal conversation with people just the most randomness noise will throw me off and I completely forget about my conversation.....what can I do to help this situation? ### REPLY: Hello, The forgetfulness is not because of any memory problem - so, please don't worry.it is just because you have some stress on out mind, and it occupies you all time: not letting you focus on anything. If apart from this there is associated sadness, disturbed sleep, anxiety, lack of appetite etc. then we recommend short term counselling sessions with a psychiatrist (try to go for psychiatrist in your case as he can give some short term meds as well if required). You may also go for relaxation exercises and practice them-they are very helpful. Avoiding tea, coffee, cold . Taking to someone close and confidant about your issue can also be helpful. Dotn worry, just see what all approach you can follow and proceed. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor .. we are trying for pregnancy for one year ..but  we r not succeed...i hv done all my test they are all ok ...even mi husbands test are ok... before three months i consulted the doctor he gave me carmax and duphaston for three months...and he if u r not able to concieve in these three months then go for ur tubes test...but last month  i feel i hv concieved..symptoms of pragnancy were there ....but with my mistake ..i hv done some heavy work as washing cloths and cleaning floor ... i got my date on the same day ..what should i do doctor? ### REPLY: Hi, thanks for writing. I understand your concern. Since you both are normal, it could be unexplained infertility. You can take an ovulation induction .  Have intercourse in and around the time of ovulation. Take phaeton from the time of ovulation for 10 days. This can be repeated for 6 months along with GUI. If still NT conceiving, go for tube testing after 3 months. Hope I have answered your queries. Good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my brother has got some problem he cant walk properly for few days .. then doctors said he has some infection near spinal card and they took x ray and mri scan now they said some muscles near spinal card got infecteced and swell up.. what is the reason for this how it happens and they told to take blood test [ trp, rr ,hlad27 mantoux] ### REPLY: Thanks for posting your query to . If radiological investigation showing some kind of infection you should go for blood investigation as radiology only guide you about damage caused by infection not the cause, but you can confirm cause by blood test .no need to worry whatever would be the infection, can be treated by medication . It could be an infection or inflammation due to some unknown cause .so go for investigation .take care .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: 62 yr old man. Hep C that I have had since 19yr of age do to drug addition. been sober and clean since 1988. have been through about 3 0r 4 Liver treatments and the last treatment was approx 7yr ago. on a regular blood test its all good. but when they do a hep panel. my levels ar up in the 10,000.000. what do you suggest for any more treatment? ### REPLY: Hello, Liver enzymes may be raised because of various causes. In your case, some may be more possible but in every case, it requires evaluation of the cause. Most common causes of such liver derangement are Alcohol, Viral hepatitis, Nonalcoholic fatty liver disease, .  Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep control over it. If you don't take it, you need following tests: hepatitis virus markers, Ultrasound Abdomen and HIDE scan. A lot many times, the liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD).  So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this you need to reduce your weight, reduce fat in the diet. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My lump is also squishy but on the right side of my neck over the collarbone. I originally felt like someone had hit me in the side of my head around my ear one morning. I went to the doctor. He ordered blood tests, whicChatDoctore out fine, and started me on antibiotic, Keflex. No change in lump but now there is discomfort in my right shoulder. What are your thoughts? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im worried about my sister because she is very depressed. she sleeps at two in the morning until 8 o clock the next evening. She takes tablets to help her sleep and wont go outside or do anything. We have lost our younger brother two years ago and since then she has lost alot o weight, 8 stone to be exact. I dont want her to die likee my brother did. please help ### REPLY: Hello and welcome to . Thanks for your query. I understand your concern for your sister. From the description of her symptoms, it is possible that she could be suffering from a depressive disorder. The significant loss of weight and the severe motivation / with .  So, it is important that you take her to a psychiatrist as early as possible for a detailed evaluation and further treatment. It is also not a good idea to take sleeping tablets on her own. She needs a detailed psychological assessment by a psychiatrist in order to diagnose her problems correctly and then only appropriate medication needs to be started. So, please arrange a psychiatric consultation for her at the earliest. Wish you 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 received oral sex from a girl about a month ago and three days ago i got a very small bump on the base of my penis where my hair grows after trying to pop the bump only blood came out then i left it alone today is the third day and the bump is almost gone and has a scab over it and i was just wondering if this sounds like i might have herpes or some type of std ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No it is not sounds like herpes. But it looks like some kind of infection. I advise you should do Grams staining from the wound. Once the result is available we can start the therapy. Till that time you can start the Doxycycline 100 mg two times a day. Please take the . Avoid sex during the therapy or use condom while doing sex. Maintain good cleaning and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend has white blood cell count. What causes this. He is under doctors care. Had 3 options to cure this. Blood transfer, bone marrow transplant or do nothing for awhile. They don t seem to know what is causing the low white blood count. Ellen Kay Dirks bone marrow transplant Blood transfusion or not do anything for awhile. ### REPLY: HI Thanks for posting your query.  ABCs are produced in the bone marrow. Low ABCs could be due to some problem in the bone marrow or problems outside bone marrow which suppress bone marrow to produce WBC.  So it is essential to know what is the problem exactly. I would advise you to upload the reports of test done on your friend so that I can advise better.  If a Bone marrow biopsy is not done then better get it's done.  The treatment depends on the cause of problem. Any clarification feel free to ask. Happy to answer. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am Al. I went to work 3 days after a car accident in 2008. I was assisting with an installation of a custom built in refrigerator when I notice a severe pain in my lower back. I was diagnosed with two bulging discs and now a bone spur as well. At the time of the original injury I suffered pain throughout my body. Nerves in my back, and neck felt like needles sticking when I sneezed. Upper thighs and legs were numb. My testes were very painful and lymph nodes in my hands , at my lower back, and near my groan area were swollen and paining. Pain shot from my left side of my lower back to the groan and testes. Since 2008 this subsided after about 10 months of little or no lifting. When I began to lift heavy items again the pain returned and now there are two masses in my scrotum area outside of my testes . This is one of the same areas where the pain was previously most intense. Many issues are now coming up including swelling in my left leg at the knee and a walnut size knot in the same area. What doctor should I see first and what tests should I have done? ### REPLY: Hello, Thanks for your query. I understand you have back pain. These symptoms are part of lumbar disc degeneration with PIED where the nerves get compressed by the protruded disc. You must avoid any activity that aggravates the condition, like bending forward and lifting heavy objects, sitting long hours on computer, inappropriate sitting posture, etc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don't get better with this treatment, I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms 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: i have been experiencing some numbness of arms total numbness of hands during sleep it wakes me up they have no feeling then they turn white with red streaks in the joint lines of the fingers and start to move them around do daily acivities they tingle and come a little more feeling back at a time until they burn like they are of fire and ache up to my elbow its misearble been going on for about 2 months on and off allday ### REPLY: Hi, I had gone through your question and understand your concerns. There is need for an evaluation by a Neurologist for two probable causes of your symptoms and these include Carpal Tunnel syn . There is also for nerve conduction study (EMG) in order to achieve a correct diagnosis. Treatment depends on diagnosis. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had my first radiation treatment yesterday and shortly after I developed breast pain, breast bone pain and am developing a respitory problem (feel like Im getting sick).  The machine is the newer Tomotherapy machine and not supposed to interfere with my lung.  What could the problem be?? ### REPLY: I am very sorry to hear that you have these symptoms. Newer CT machines will not cause many side effects. However, there is a slight possibility of radiation induced pneumonitis. If that happens it will happen after at least 2-3 weeks post radiation. The pain in your breast and Breastbone are because of direct effect of radiation causing inflammation. And your feeling sick because that is from radiation fatigue(which is normal). If you think you're not able to carry out daily activities, and bed bound because of this you should ask your radiation oncologist to decrease the dose of radiation or give treatment holidays. I hope this answered your question and I wish you a speedy recovery. :) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my hands tingle of and on.they have been like this for 15 or more years.they are most likely to tingle when raised above thewaist.when lowered the sensation goes away.this may happen standing,sitting or lying down.I am65 year old male and I am thinking it is back related. ### REPLY: Dairy am glad you shared with us your problem. Those symptoms (especially tingling)can have a lot of causes, all of them are benign and curable. The first cause to be excluded is cervical problem, which is seen on cervical MRI! You should undertake blood laboratory tests to exclude anemia or diabetes. A neurological exam is needed because the examination give a lot of information about the cause. So the first thing you need to do is contacting a neurologists I had helped you Best 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: Hi, may I answer your health queries right now ?  Please type your query here...I have chest pain when I lay down, its not all the time. I am 48 and exercise regularly and dont experience it when  Im swimming.I have had 2 stress tests done in the last 6 years and the doctors have found nothing unusual. I do have moderate high blood pressure...could this be something minor? ### REPLY: Thanks for your question on . I can understand your concern. Since you are hypertensive, we should definitely rule out cardiac chest pain at present despite normal stress test in the past. So get done ECG. If ECG is normal then no need to worry about heart diseases. Possibility of musculoskeletal pain is more likely. So avoid swimming and exercise for few days. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol. Don't worry, you will be alright with all these bit first rule out heart diseases. 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: bacillious Cereus can it cause a spoontanious abortion if persons became septic/ 103.7 fever water broke began bleeding. no heart tones detected... forced to deliver 15 weeks 5 days fetus. Bacillious cereus was cultured positive in all 4 cultures... body was septic. Hospitalized for 9 days... ### REPLY: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that Bacillus is the most common contaminant found in usual culture. Bacillus has found out to be possible abortion causing agent in the cattle but no case is reported in humans. So isolation of bacillus in culture is mostly a contaminant. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 did laproscope on march 2010 since doctor tld ter is a block in tube.they said i l get pregnant within nxt 6 months.but nw its nearly a yr and i m not stil pregnant.doctors tel ter s no pblm n stil giv tabkets lik letoval 2.5 mg_2 tblts from 2nd to 6th day,susten 200 from 16th day , folic acid n metformin tblts for 30 days.i m eager hn getng preg.pl assist me. ### REPLY: Hi rocking to . I have gone through your question. If one of two tubes is patent then you can conceive from that side, But make confirm that she ovary is ovulating. So do follicular scan. Other is if you are not done your partner semen analysis then do that. Then consult gynecologist for further treatment. I would suggest GUI intrauterine insemination is better option. Hope I answered your question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 2 year old daughter whos had a fever for about 4 days now. The fever stays anywhere between 100-103. She has been falling asleep just about anywhere and starts to breathe slowly. I try to wake her up but she wont budge she just lays theres. Shell wake up a few hours later just fine like nothing has happend. Whats wrong? ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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 benign hailey hailey for last 45 years .. Genetic . Used all medicines ... allopathy , homo, ayurvedic , siddha but no permanent relief . For last 2 years frequent flare- ups occur, in groins, armpits legs joints etc. foul smell and occasional lesions occur. Last 2 years using Steroids (Wysolone 10 to 30 mgs) with Candidermaplus cream. Any good remedy in homeo now - at keats 0000%. Whether it is possible to contain , eliminate foul smell, legions etc at least within 3 to 6 months. What would be the costs ..I am a pensioner (Bank retired). And aged 75 years. God s grace , all parameters of tests are normal. ...no sugar etc. kindly advise me. .. Natarajan.mr@ gmail.com Phone 044-0000//:/ 0000. . Thanks ### REPLY: Welcome sir you were using antifungal & steroids while you are saying its genetic. So you can take genetic constitutional medicine which works on your body system and hormones. Not only on your external part of body. Can you write down your full detail account to my patient perform /can you take a proper constitutional Medina with help of the nearest homeopathic physician .he wills each out his proper Medici.otherwise you can try to take that medicine Baptista q, nit acid 200 OD homeopatChatDoctored . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was wondering what would cause the blood pressure in my left arm to be elevated 160/110 and the blood pressure in my right arm, taken at the same time, to be 140/88? I do have nerve impingement from a large C6-C7 osteophyte and have chronic pain on the left side of my upper body as a result, but didn t think that would affect my blood pressure? Thanks for your help. ### REPLY: Hello! Welcome and thank you for asking on ! You should know that there is a physiological difference in blood pressure in both arms, related to the anatomy of the vessels coming out of the aorta. From the other hand, a big difference in blood pressure in both arms could be related to arterial stenosis. I recommend consulting with your GP for a careful physical examination and a Doppler ultrasound of the vessels in your arms. An Antioch scan of the supra aortic vessels would be helpful in the diagnosis of possible arterial stenosis. Hope to have been 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: Hi, my boyfriend is having some testicle pain a few times a day, it has happened for around 2weeks, a few days ago he realised he can t keep an erection he struggles to get it up and then when he does it goes within a few minutes. I was just wondering if you have any idea what it could be. ### REPLY: Degree understand your concerns went through your details. Testicle pain has a number of possible causes. The testicles are very sensitive, and even a minor injury can cause testicle pain or discomfort. I suggest you to ask him to consult a physician immediately. Causes of testicle pain or pain in the testicle area can include Diabetic neuropathy, Epididymitis, Gangrene etc. Erectile dysfunction is mainly due to psychological causes rather than testicle pain. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. 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.........m a doc from west bengal, india. my father is suffering from severe respiratory distress 4m last 5 months....he was a chronic smoker bt not for last 3 yrs before he developed resp distress limiting his daily activities. he was primarily diagnosed to have PAH along with COPD nd was prescribed sildenafil when he developed hemoptysis 5 months ago...not relived nd was added bosentan...again it failed to correct hemoptysis,nd the dyspnoea aggravates. he was admitted here under at burdwan medical college.west bengal india..where i m persuing MD. treated wid various antibiotics bt all went in vain.Rather he developed new onset lower lobe consolidation (lt)along with the pre-existing rt lower lobe. his spo2 goes beyond 71% nd is on LTOT for last 3 months. he was given ANTI TUBERCULAR DRUGS empirically for his B/L consolidation. at present neither his saturation nor his dyspnoea at rest is improving rather it detoriates time to time....WHAT SHOULD I DO NOW? ### REPLY: Hello Thank you for trusting  Dear friend sorry to hear about your father health status. What about echo findings?? Pulmonary hypertension mild, moderate or severe? What about Ra, RV? How much EF??? Weather he is intubated??? What is platelet count and pt/in?? What about leukocyte count?? Possible causes for hemoptysis?? 1.infection (it may be pneumonia, pulmonary tb, or aspergilli or paragons) 2.bronchiectasis???3.pulmonary embolism?? 4.ft with dilapidated Ra and RV with TR with invective endocarditis?? With septic thrombus?? Advice :HRC, D-dimer, sputum culture, blood culture pt /INR, platelet count, USG chest. Treatment :1. If blood pressure normal you can add amlodipine. 2. You can add prostaglandin analog epoprostenol and treprostinil(use nor a . Increase antibiotic reach to area by reducing pulmonary artery resistance 4.add metro or clindamycin if you think he developed aspirated pneumonia. Use ninefold with meropenam. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have swelling and lump on my right side of neck from last five months my blood test are normle but esr is 43 and tb test is normal thyroid is normal and sgpt test is normel so what could be the reason of these swelling and pain on my right side of neck ### REPLY: Hello! Thank you for the query. This swelling and lump can be an enlarged lymph nodes, benign skin lesion or some inflammation. It's hard to say not being able to see it. But for sure you should have it checked with an ultrasound. In case of enlarged lymph nodes biopsy should be done. If it's an inflammation, you teeth, throat and ears should be checked. Antibiotic treatment might be necessary. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am feeling a tight and stabbing sensation in my upper right chest. It occasionally extends down to my elbow. I have also developed a strange rash around where I feel the pain and also am experiencing some skin sensitivity on the same arm, similar to what a rug burn would feel like. I am getting very concerned. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of herpes zoster infection is more. It is skin infection caused by herpes virus. This virus cause inflammatory reaction in nerves. So patient feels sharp, stabbing pain. It also produces rash. And chest region is most commonly involved, so better to consult dermatologist and get done clinical examination of involved area. You need antiviral .  Pregabalin is needed for pain. Anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 drainage from my sinus into my nose and throat for several years. I probably blow my nose 10 ot 15 times a day and have to clear my throat numerous times. The mucus is clear from the nose and light tan from my throat. Been to family doctor and ENT without any luck. One suggested allergy clinic but said it would run into the thousands!!! ### REPLY: Hello, Welcome to . From your history, my impression is you are having what we call "pot-nasal .  The most common cause of these symptoms is chronic rhinosinusitis, which may be due to allergies. I would suggest you 2 weeks of intranasal corticosteroid sprays along with a combination tablet of antihistamine & montelukast daily. Well, this will improve your symptoms currently. As you are having these symptoms for years, I would suggest you daily nasal irrigation/wash with normal saline spray & breathing exercises (or Panama) to recover faster. Please stay away from dusts, smokes & polluted areas. Wish you a faster recovery & best of the 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: my 16 month daughter has a couple of spots on her face and her neck that look like bites. she has recently had chicken pox so i know its not that but she has recently tried scampi and also had a runny egg yesterday could this have anything to do with it?some spots are bigger than others? ### REPLY: HelloWelcome to ChatDoctorWith history of recent intake of egg and scampi to me, it appears to be allergic reaction to egg or scampi. Egg allergy is one of the most common allergys. The allergic manifestation can vary from mild skin allergy to life-threatening respiratory problem. I would like to get her evaluated by a pediatrician as skin diseases are best diagnosed by direct visualization and to give antiallergic like cetirizine or chlorpheniramine for temporary relief. Avoid egg and scampi in future to prevent the recurrence. I hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good morning doctormy wife is having sleeping disorder problem , she did not slept for the whole day +night yesterday , she has greater fear, doubt and anxiety. we have 2 kids , one is 5 year old and on eis 2 months , both are boy. she says she has all the negative thoughts coming , and she had fit of anger yesterday for about 1 hours, than she became normal in behaviour but she shared she di not had control on her behaviour when under the influence of anger. we stays in Gurgaon ,  we are staying in sector 4 Gurgaon.  I have taken appointment at Columbia asia for 13 Mar 14, as todays appointment was not available . my wife is house wife. pls. suggest emergency medicines for her, sleeping problem, anger and anxity. negativity , endless negative thoughts of past and future . ### REPLY: Hello, It seems your wife is suffering from depression. Feeling sad, irritable, having sleep disturbances are all symptoms of depression. Most probably, she will need anti-depressants which will take care of her problems. Since most of the anti-depressants take a bit of time to show effect, she can be given some benzodiazepine in the initial phase of the treatment. As a psychiatrist, I would however strongly advise against any self-medication and would suggest meeting a local psychiatrist as soon as possible. Best Wishes ### END