Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Im 22 years old and have a 6month old daughter Ive been having problems with my throat! I have what lools like blisters or inflamed taste buds. Went to a fast care dr and she said it looks like my tongue. Then I went to the emergency room got tested for strep and he said its viral pharygitis itll go away! Now I have this burning feeling in my arms, back mainly my spine, the back of my neck, and my shoulders and the spots on the back of my tongue are still there does this sound like cancer or something serious! ### REPLY: Hello, I can understand your concern. No, it does not sound like cancer, so please do not worry about it. Cancerous growths are usually painless to start with. What you are suffering from seems like a viral infection only that has infected your tongue and throat mainly while causing generalized ill ease due to the infection. I would advise you to visit a dentist or ENT surgeon and go for culture of the swab after taking sample from the affected area with the swab. The culture results will show what kind of organisms are associated with the infection and what medicines can be started to clear the infection. Based on that, the treatment can be started. As it is an infection of viral or bacterial origin, it will not go away by itself and will surely need treatment. I hope this answer helps you. Thank you for choosing . I wish you feel better soon. 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: Hi, I am very worried about the way I am acting! I m Male and keep seem to having funny moments of emotions, I will go from being really happy, to suddenly becoming really angry and agitated over nothing, it s really starting to affect my relationship. This has been going on over the last few 6 months or so, and sometimes I will go for a couple of weeks feeling fine, but then suddenly going funny again. I have also noticed my memory seems to be playing up on me!! I have had on a few occasions more so recently where I would speak to colleagues. Heres some examples when it happened: my colleague spoke to me about something in the morning, and then I discussed this again in the afternoon, where I thought it was discussed the day before. another... a colleague passed on a message to me verbally, and later that afternoon I remembered and asked to be reminded what it was, and my colleague advised me she told me yesterday?? I was adamant it was the same day. So is this something that s related and should I be concerned.... any helps/suggestions would be great. I am coming up to 21 years in January. Thanks Olly ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. First let me assure you that there is nothing wrong with you. You just completed a development stage which is called adolescence and is entering into adult stage. You need to identify yourself in the outside world. Your role, identity. In such a complex scenario, every disappointment (life, work) adds up and give you irritation. Because almost nothing happens as you wish. Irritation and disappointment leads to anger and loss in confidence. Even memory problems are created due to these. Keep your cool. Understand you, exercise hard and let your negative energy out. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. 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: Q : Well, I m a 14 year old boy and lately as I grew up I noticed that my nipples have grown rather big. I m only making a fuss out of it because Im very skinny, and tall. It looks rather weird on me. I have not asked a doctor yet, and I m also very active in Sports. I have no idea if it s puberty or something else. Please answer, Thanks. ### REPLY: Dear, Welcome to ChatDoctorWe understand your concerns went through your details. It doesn't happen to every guy, but one of these changes can be the development of breast tissue. It's called gynecomastia and its completely normal and almost always temporary. As this condition is almost always normal and temporary, there is nothing to worry about. You should continue doing your exercises and outdoor games so that your chest muscles become hard and expanded. Sooner your complaints will vanish. 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 detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Happy New Year. 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: this is the first day of root canal, after coming back from doctors clinic once the initial sensation started i have unbearable pain , i have taken Katrol DT and dic+paracetamol tab together but no releif kindly suggest its 2 AM night and i dont know what to do ### REPLY: Thanks for your query, I have gone through your query...the pain could be because of the tooth infection.the analgesics you are taking is enough for the pain to come down, but you have to take a course of antibiotic like penicillin and metronidazole...if the pain is unbearable then you can take intramuscular injection of an analgesic. I hope injection is not required.just take the analgesics what you are taking and consult your dentist in the morning... I hope my answer will help you.take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain in my palms and shoulders from some days,I sit on the computer to do my work after sometime i get pain in my hands and palm.Are these symptoms relate to carpel tunnel syndrome ### REPLY: Hi, Welcome to  forum.  As you describe, it is the pain after exertion. It may be the arthritis, in carpal tunnel syn .  I advise you to consult an orthopedic surgeon for diagnosis and treatment.  You may need to have a C.T. scan for confirmation.  I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, calcium supplements, and painkillers.  Avoid taking potato, other tubers, tomato,egg, chicken, and and seafoods.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age 76, 511, 175# diabetic, in control, coronary artery disease.  Getting head and chest cold with extreme coughing.  Cant stop coughing.  Gave vitamin C, home made chicken soup.  Hot toddy, vicks on back, face and chest, throat.sucking on lemon.  Nothing helping.  Robitussin DM sugar free, sugar free cough drops.  Cant stop.  Anything else I can do? ### REPLY: It seems you have severe bronchitis, Take acetaminophen with anti-allergic and decongestant combination, Steam inhalation, warm saline gargle, bronchi dilator like albuterol or albuterol puffs if not available may be oral and(I do not know which part of world you belong to, but your area is bacterial infection prone you must start with a broad spectrum anti-biotic) As such you are diabetic though under control you are more prone to infections which may have serious complications. See your doctor as soon as possible to avoid complications. Good Luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: DEAR DOCTOR, I AM HEART PATIENT WITH DIABETES, I GOT CABG IN THE YEAR 1996 FROM APOLLO HOSPITAL CHENNAI INDIA, I AM TAKING THESE MEDICINES - 1. IMDUR 60 ONCE A DAY, 2. PINOM A20 TWICE IN A DAY, 3. RANOZEX 500 TWICE IN A DAY, 4. STARPRESS XL50 AT NOON, 5. ROSUVAS 40 AT NIGHT, 6. CLOPITAB A 150 AT NIGHT7. AMARYL M2 AT BEFORE MEAL, 7. VOLIX 0.3 MG BEFORE MEAL. MY BLOOD SUGAR FASTING - 110 PP 180 . SOME TIME PARTICULARLY AT THE TIME OF BRISK MORNING WALK I FEEL HEAVINESS IN THE CHEST, ALSO AT THE TIME OF UP STAIRS. PLEASE LET ME KNOW SHOULD I CONTINUE THESE MEDICINES OR MAKE ANY CHANGE ? MY MAIL ID IS YYYY@YYYY . PLEASE ADVISE ME ACCORDINGLY. THANKS. ### REPLY: Hi, thank you for providing the brief history of you. A thorough systemic assessment is advised. As due to diabetes the body is little slower than expected. The medication taken by you are to control the blood glucose levels in the blood there will be slowness in the metabolism. Which may lead to make you feel such heaviness. Usually there is nothing wrong with you except the slow metabolism. As time passes everything will be fine. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a two year old daughter who was born with Spinal Bifida and for the last past year she has been in and out of the hospital every other month with bad UTI s, high fevers up to 105.6 and her heart rate ends up going up to 220. about a month ago we were told that she has spinal tethering and fluid on the bottom of her brain pushing on her spinal cord and that she needed to have surgery soon. first they said within a couple weeks now they say they want to wait till the end of next month. well now she is in the hospital again with another UTI and High fever of 103-105 and her heart rate went way up to 220 and had hard time getting fever and heart rate down. We also had to start last month doing a cathider on her every four hours because her reflex doesn t work right and her urine flushes back into her kidneys. My big concern is can them waiting to do the surgery hurt her more or could her keep having these high heart rates and high fevers damage her brain and heart more? should I be worried and go get a second opinion? ### REPLY: Hi sir, thanks for contacting us...first, plz don't be sad... I can understand what stress you would be going through...it's not easy to see our loved ones in so much trouble, n worrying s a part of it... 1. Your baby has spine problems which would be the primary reason for UTI, coz that causes abnormal bladder reflexes, leading to recurrent Otis..... (vicious cycle) actually 2. When ever there is fever, heart rate goes up and It's directly proportional.... Fever of 105 worries me, but jam not so worried the high heart rate now...so next time if you feel your baby is febrile (> 101 *f) I want u to do supportive measures like tepid sponging and paracetamol suppository (per rectal) 200 mg every 8 hrs and aim to KP fever down(high fever can affect the brain and trigger febrile fits, though not affect the heart usually)3. Uti here needs to be treated and so the doctors are right to wait, bcoz these are elective surgeries usually when it presents in this age and a month or so should be ok to wait.  4. High heart rates are worrisome if the child has a primary high rate problems without other associated issues like fever, infection etc.....we call it SVT (supra ventricular tachycardia) because that's the commonest, but your child has fever leading to high heart rate, so there is nothing to worry..., continue your care with same doctor and any further queries get 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: I broke my ankle last year had surgery and physical therapy. But now I am having a problem with putting my feet flat on the ground. When I sit in a chair, my toes or heels are up. I have specially made shoes I wear all the time. My feet don t hurt. But I am worried they will start if I don t get this straightened out. What do I do? ### REPLY: Hi! I am  and I will help you with your health issues as regarding your feet. The problem that you are facing post surgery is due to incisions made on the fascia and the tendons of your feet. There is an element of normal post surgical healing in which there is a centripetal contracture and this is called as the third phase of won healing. I would ask you to kindly feel relaxed and take Serratiopeptidase 50 mg three times a day to reduce the inflammatory response to surgery. I assure you that your feet will not begin to pain and even if they do so, they can be handled with NSAID painkillers and topical diclofenac or diclofenac gel. Furthermore, I wish you all the best, and you are free to ask me any private questions at www.bit.ly/ask .  Have a great day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i just started having a huge bad sore throat last night right before i hopped into bed like a pain just shot through it hurts to swallow ANYTHING food drinks and i cant pull my head back to gargle my parents have to work so i cant go to the doctors until 4pm tomorrow and i just dont know whats wrong with me my parents asked me to look online and all i found was that i have some symptoms for the need to get my tonsils taken out i have either i muscle pain or spasm in my upper left arm where people usually call biceps   it hurts to swallow so i dont have the urge to eat i have off an on headaches that turn into sharp pains and makes me dizzy when i get up my mom said i have bad breathe and i have one symptom of strep throat when i looked at the back of my throat i see redness and white spots and some bumps i dont know what to do i dont wanna take anything cause it hurts and im only 13 i dont know what to do!! HELP!?!? ### REPLY: Hi, Thanks for posting in . I have read your description and understand your concern. The symptoms what you have been describing appears that you are having upper respiratory tract infection. Kindly do the following to overcome them. 1. Do salt water gargling with warm water thrice a day. 2. Use steam inhalation to liquefy the mucous for easy .  3. Take mucolytic-decongestant medications in the form of syrup containing Ambrosia/Bromine, Guaifenesin and Chlorpheniramine male ate as ingredients. 4. You can take analgesic medication like Ibuprofen after food in case of pain in the throat. 5. Take medicated lozenges for throat smoothening effect when necessary. You need to strictly avoid consumption of cold items like cold  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello .. i recently applied for visa to work in saduia arabia .. i had my medical check up .. nd the x-ray report came wth scar mark on my lungs .. nd the medcal center just gave me the conclusion that i am unfit for the job my question is .. is there any way i can b abel to remove these scar marks ?? plz help ### REPLY: Thanks for your question on . I can understand your concern. No, there is no way to remove Scar marks from lungs. Actually Scar marks are old, healed, inactive lesions. They are basically dead tissue. So no treatment is required hence available for these scars. You should get done CT thorax and bronchoscopy. If both these are negative for active infections, you can't argue with visa authorities. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i fell yesterday flat on my right knee. I was able to get up and walk to my gate board plane and my knee later started showing discoloration over patella. Tenderness as well. I could still walk. It is bruised and tender. I can do leg raises flex and straighten. Possible fracture? ### REPLY: Hi, Thanks for your query. From description, it seems to be soft tissue injury. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory . I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,This gopi i am facing few years expectoration(flum) in my chest  and Having flum heavily and i want to split every time it is different to normal flum it look in white color and when i take treatment it giving temporary relief not permanently. please advise to my problem. ### REPLY: Thanks for your question on . I can understand your concern. We need to first find out the cause for your symptoms. So that appropriate treatment can be started. Bronchitis, chronic lung infection like tuberculosis, fungal infection etc. and bronchiectasis can cause similar symptoms. So better to get done 1. Clinical examination of respiratory system 2. Chest x-ray and CT scan of thorax to rule out pneumonia and bronchiectasis. 3. Sputum examination for AFB for tuberculosis. 4. PUT (Pulmonary Function Test) for the diagnosis of bronchitis. Treatment of all these conditions are different, so we need to first diagnose and then start appropriate, effective treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, a few days ago, i popped what i thought was a deep under the skin ingrown hair on my vagina. I squeezed it really hard until i heard something pop underneath the skin. since then, that area is swollen and theres a lump.  Should i be concerned? How do i get rid of the swelling and lump? And what do u think it is that i popped, because Im almost certain now its not an ingrown hair??? Thanks! ### REPLY: Hi.based from your description, yes, it could be folliculitis. This usually occurs after shaving or when a hair is accidentally pulled out, and it gets infected. It could also be a cyst, or an inflammatory reaction which is starting to form an abscess. A consult with your gynecologist is best for clinical evaluation. Medical and/or surgical management will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 23 i have been recently experiencing pain in my stomach with diaherria and it hurts when i walk and cough right now i have a small cold with runny nose and sneezing . But the pain in my syomach seems to get worse after i eat. When i move the pain is almost unbearable. The pain is in the middle of my stomach until i cough and its right below my belly button can u help me? ### REPLY: Dear Jessica, hello. Pain in stomach along with diarrhea may be due to intestinal infection that you are having. You should take antibiotic, antiamoebic along with antiemetic and antacids for your intestinal infection. You should take antihistamines for your cold and sneezing. It is advisable that you take the medicines only under medical supervision after getting yourself examined and investigated. I hope this is helpful to you. Thanks and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, I have been doing ab workout since 4-5 days..and today I pushed it hard like leg raises while laying down...n planks...now my lower abdomen is feeling pain n when I checked out I found that my testicles are feeling the same...what can it be?? Is it normal?? ### REPLY: Hello, It seems that you have developed an abdominal muscle strain. It may have been caused because of excessive strain on the abdominal muscles due to the planks you have performed. I would advise you to apply ice pack on the affected area to reduce the inflammation. Also, alternate it with applying heat to help in muscle relaxation. Take an over the counter painkiller like Advil or Naproxen . After you recover from the pain you can perform abdominal muscle strengthening exercises like curl-ups and pelvic tilts which are good muscle therapies. If the pain is not relieved or increases in severity, get yourself checked by a physician. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor , I have pco problem my age 23 and i am taking treatment for pragnancy. my follicles size 24&19 in left ovary and thicknes 9 but no pod fluid in cd 15 report. doctor said not yet ovulated & ask test on cd 17. can chance for ovulate? Thanks for reply ### REPLY: Welcome to  ovulation usually in midcycle period the ovum size is good and may rupture precisely if ovulation occurs and no pregnancy the period will start on 14th day from ovulation you keep your record and may approximately know the time when you ovulate if you can get ovulation detection kit you can get it tested at home for pregnancy to occur you need ovulation and patent tubes along with normal semen in your tract around ovulationpcos should be treated till you get the result ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20 year old son has a hard lump about three inches up from tthe hair line at the back of the neck the size of small marble. Three years ago he had an xray and it showed it was bone nothing to worry about . This weekend he has worn a full face helmet which was tight and rubbed the lump. It looks a little bigger or swollen and he said tender .Today our doctor sent him for another xray just to check , But thinks its proberly the ill fitting helmet has cause it to swell slightly. Is this normal am a worried mum . ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care. Hello rearward welcome to .come have evaluated your query for your son in details .* The lump over back of scalp with this description seems to be sebaceous cyst most likely, needs confirmation with clinical examination. Hope this will help you for sure . Wishing him fine recovery. Welcome for any further guidance. 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 15 year old daughter who is having some issues for the last 2 and a half months now. it started with 1 lump on the side of her neck, which they gave her 2 rounds of amoxicilian, then went back to gp and he sent us for chest x ray and ct scan. Ct scan showed reactive lymph nodes, went to the ent, ent ordered steroids because the swollen lymph noid is pressing against her shoulder nerve. Went back to ent 1 week later for pain and 2 more lumps next to that one. He said it must be viral sent us backc to GP. Gp ordered more steroids and antiviral medication along with long list of blood work to be done. Blood work came back all good except alt/sgpt levels at 51 (normal below 35 they said). Now she has a lump on her spine right below her neck and severe pain with moving neck and arm. They have no idea what this is, any suggestions???? ### REPLY: Hi, Good Evening. Thanks for the query to . I studied it in depth and I understood your health concerns.-Causes -for lumps and pain in neck and arm-1- Mostly it appears to be -Lymphadenitis with pharyngitis of viral origin?of infectious mono?or TB hyperplasia? Lymphoma?2-For to fix the causes I would advise you to show to Physician who would rule out the causes. I would advise Grant detect latent or pre-existing TB .3-FNAC Biopsy by a Surgeon would fix lymphoma ? Or other causes.4-Thus a Team of Physician and Surgeon would fix the causes of the lumps with pain in arm and neck, which mostly could be infective? H-lymphoma.Don't get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to  with more queries till you are satisfied. Have a Good Day...!! . N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chest pain in my sternum when I walk briskly; if I keep on walking it goes away; should I be worried? I take aspirin, and half a hypertension pill and have a nitroglycerine spray. Which I just got today but have never used. Sometimes when I bend over the tub to turn on the taps the pains comes again. ### REPLY: Thanks for your question on . I can understand your concern. Possibility of musculoskeletal pain is more in your case, but better to first rule out heart diseases. You are already having hypertension and taking aspirin tablet, so we should first rule out cardiac diseases for your chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Possibility of musculoskeletal pain is more. So take painkiller and muscle relaxant .  Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Don't worry, you will be alright, but better to rule out cardiac diseases first. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: tonight my 21 month old son was playing and all of a sudden stopped and started crying so i went over and picked him up and he just stopped and put his head on my chest then wouldnt move or look at me it was like he couldnt hold his head up or concentrate and i noticed he had his tounge pressed tightly againt the roof of his mouth. this lasted a few minutes before i got him to drink some water then he just came back into it and started playing again and seemed fine. he did almost the same thing about a month ago and i didnt think too much of it because he was sick and tired but tonight i cant understand why this happened again, any ideas? i plan to call his pediatrician first thing in the morning but would like some insight as to why this happened?? - Tiffany ### REPLY: Hi.... by what you say I feel that your son has gone through a brief episode of complex partial seizures. the staring look and the pressing of tongue to the mouth are suggestive of this. But as this is a single episode and the first episode I do not think that you should worry and start on antiepileptic .  But definitely your son will require evaluation. I suggest you consult your pediatrician regarding this. 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: Having chest pain and shortness of breath. I am 28 yrs old. I went to Urgent Care. xray showed a spot on the lung. Practioner said take no more Tylenol for pain so as not to mask symptoms. suggested either pneumonia or blood clot. I am not coughing. rx d Azithromycin for 24 hrs. If no relief go to the emer room. What do you think. I am a normally healthy non smoker. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should consult pulmonologist and get done CT thorax with Contrast. Because spot on chest x-ray can be due to pneumonia, cyst, fibrosis, blood clot or early malignancy. CT thorax will give you exact idea about size, shape, margins and content of the spot. And all these characteristics are important in the diagnosis. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok. I am still waiting on autopsy reports of my moms death on August 4th. Still nothing. & it s killing me All i know is that they said there was foam type stuff and blood coming from her mouth and nose. On her shirt she died in there is white stuff on her shirt as well as a few drops of blood. any idea what the white stuff and blood could be? ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that white foam and tinge of blood from mouth is all suggestive of respiratory cooking. So most probably death is caused by respiratory choking. But other important parameter is also necessary to some up all the things together. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health 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: My husbands BP rises when he doesnt have good bowel movement.  He eats cereal and apples daily, drinks lots of water, walks and watches his diet.  But he still gets constipated sometimes.  Hes 54.  He also gets anxious before going to a doctor, so his BP reading is never right and the doctor ends up giving him more meds.  When his bowel movement is good, his BP goes down low, sometimes even under 120/80.  He thinks he can cut som meds or at least cu dosage.  Have you heard about or met any patient like ths?  What do you advvise him t do? ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. We deal every day with persons with resistant hypertension or with persons that get emotional high value during medical visits. This is a quite known issue in medicine, we call it white coat hypertension. This means high pressure values during medical contact because of high emotions. Gastro intestinal problems might affect pressure values. If a person experience pains it is normal ti have high values. So, if I was your treating doctor, to decide the correct treatment I would recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to check renal function, electrolyte and the most important in this case a holder pressure monitoring to evaluate blood pressure values during day and night. Only after this we can better judge of mean values, exclude emotional component and have a full view how to treat hypertension. Hope I was helpful. Best regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, im 21 and trying to conceive. I have normal periods, I ovulate every month(confirmed through temping my bbt), and I feel like i ve been trying close to a year. I have always been pretty healthy. No, we have not actually had a pre conception check up so I really don t know how good of a sperm count my fiance has yet. but my question is, I check my cervical position and have noticed in the passed that I have tiny bumps on my cervix. I googled it and it said cervical polyps. I heard it can hurt chances of conceiving, and I m just wondering if there are any home remedies I can do to get rid of them. Like I said, I don t always have them. Just feel them every now and then. ### REPLY: Hello, and I hope I can help you today. The bumps you likely are feeling on your cervix are most likely Nathan cysts rather than polyps.  Polyps are fleshy soft growths that are just out pouching of the normal glands that line the canal of the cervix.  It would be difficult to feel them, and they usually cause irregular bleeding or bleeding after sex.  They do not cause infertility (uterine polyps can, but those are not the same and are not possible to feel because they are inside your uterus. Nabothian cysts are just blocked mucus glands that can feel like knobby bumps on the cervix.  They also are not harmful and do not interfere with fertility. Both of these findings on your cervix can be seen on a spectrum exam, so a GUN doctor would be able to tell you what you are feeling if they looked inside you. Also, regarding the position of your cervix, this also has no bearing on fertility and does not change from month to month, so you do not need to check your cervix regularly especially if you have a yearly gynecologic checkup. Regarding BBT charting for conception, your temperature goes up AFTER you ovulate, so I recommend not checking it anymore if you know around when you ovulate in your cycle and just have sex every other day from the time your period finishes until you feel premenstrual symptoms.  Some women only have sex after their temperature goes up, and they miss the actual time of ovulation. So there is no reason to suspect you will have problems conceiving, and you do not need to be treated for this because it is a normal finding in many women.  80 percent of couples will conceive within a year.  If you have been having sex at the right time and it's almost a year, it might be wise to have a GUN exam and a hormonal evaluation, and also have your fiancé get his sperm count checked, as 50 percent of the time it can be a male factor. I hope I was able to answer your question and that my advice was helpful. Best wishes and good luck with your pregnancy plans,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 2 weeks ago this Monday, I had one lower wisdom tooth taken and both lower 2nd molars taken. Clots formed just fine without much pain. The white film has came off both extraction sites and they look like craters (excuse the crude term). Mild pain where wisdom tooth was, just feels irritated/sore from eating. Is it normal for the white clot to come off? Im paranoid that Ill develop a dry socket. I rinse often especially after eating. Am I far enough along now that I wont develop one? ### REPLY: Hiaccording to the details which you have given me looks like .  When the healing in under process, there will be a soft tissue covering over the extraction socket. After the extraction there is formation of blood clot-then there is white color film- pink color tissue and finally the gum formation. Home care instruction:Avoid spicy food, it leads to irritationAvoid alcoholic and tobacco for a week not suck anything, like ice cubes, etc, it leads to dislodgement of the coracoid having food from the extracted site for2-3 days lukewarm saline mouth rinse 3-4/daily ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had a CT and it said tMild scarring is ween at both lung bases with interstitial prominence. This is more prominent of the right middle lobe. Mild biannual pleural thickening with interstitial prominence is noted. I also have a 3 mm pulmonary nodule in the right lower lobe that they want to watch for one year. I think i am more frightened about what is the interstitial prominence than the nodule at this time. ### REPLY: Thanks for your question on . I can understand your concern. Your CT picture is more suggestive of early interstitial lung disease (OLD). Better to first get done PFT (Pulmonary Function Test) to know if any restrictive lung defect present or not. Treatment for OLD is as follows. 1.  Avoidance of smoking if you are smoker. 2. Avoidance of chemicals, fumes, dust at work place if you have this exposure. 3. Start bucolic, expectorant and antioxidants .  4. Start anti-fibrotic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i had white discharge coming out of my pennis and pee frequently and litle caind of hot burning sensation when pee. 3 weeks ago i went to STD  clinic they test me for cifilis clamidia gonorrea and came negative,  they gave me a shot for gonorrea and two pills of Azidhromycin and i was ok for to weeks after treatment then i have sex whit the same person again my girlfrien and everiting came back againg white discharges pee frequently hot sensation when pee and pee very frequently what can it be? ### REPLY: helloThanks for query. Getting repeated discharge after having sex with same female partner is strongly suggestive of she's having vaginal infection. Please get your routine urine test, urine culture and culture of urethral discharge done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Ask your female partner to get examined by a qualified Gynecologist and take necessary treatment. Get the prescription of medicines from your family Physician.  Ensure to . To keep your urine dilute This will help to control dysuria. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 about one month ago I felt a lump in my left breast. I felt it about a week or so before my period so I thought maybe its because of my period. After my period it decreaed a little but its still there. I shoyld also let you know that about a year ago my right breast was hurting terrible and hurts whenever I m closed to my period. I visited my doctor and after doing various test he said that I had benign breast cancer but not to worry about it. I do drink a lot of green tead because I noticed whenever I drink it the pain in my right breast seem to disappear after a while. I will however like you to tell me what you think about the lump in my left breast. Added to that the partition where my left breast separates from my right hurts a litttle whever I pass my figures there. Can u please help me Thank you very much ### REPLY: Hi.1. What you are having (I would not use the term suffering from) is called benign modularity. This is a common problem having a hormonal basis and there is nothing to worry about. 2. Now I will tell you the way to feel your own breasts to confirm benign modularity. If you pick up the breast between the fingers, you will feel a big firm mass (even normally). And if you feel the breast with the flat surface of pulp of your fingers with gentle rotating movements, you will not feel that firm mass which you felt earlier; instead you will perceive a granular feel (similar to the feel of a gunny bag filled with grains like rice for example). The granular feel suggests benign modularity. 3. Remember while feeling the breast with the flat surface of pulp of your fingers if you feel a firm or a hard mass (irrespective of its size), then it is a cause for concern, and you must consult a surgeon at the earliest. 4. Regarding pain overlying the breast-bone, well, it has nothing to do with the breasts. Such pain is usually self-limiting though it may take some time (maybe months) to disappear. Try some simple symptomatic treatment like local application of a little Index (or any other similar ointment) followed by hot fomentation. In short, at present, you have nothing to worry about. 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: Im suffering from post traumatic stress disorder and my doctor has prescribe me ativan sublingual at half a dose-im very sensitive to medication- it worked for a couple days, but Im continuing to have panic attacks particularly at night. They vary in severity the last two nights were god-awful I thought I was going to faint. A family friend of ours who is a doctor said the most I should take is 2 before bedtime. I got a  bit of sleep but woke up with a panic attack took another pill it didnt do anything so here I am writing to you ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. PTSD is a stress disorder. Prolonged stress or stress related to trauma made some alterations in your neural schema and the new alterations became a habit for your body. You need to cultivate new positive schemas to overcome the old habits. Psychotherapy helps in streamlining mental function and balance. Meditation and yoga helps you in thought engineering. Consult a psychotherapist for more. In any case, recovery should take at least 6 months. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Albumin level is 4.8 according to lab tests. I ve been taking Crestor for several years, does this have anything to do with this? What effect does Albumin have on Kidneys and liver? I also have a high Potassium level (5.3) Are the two connected? ### REPLY: Hi thanks for posting in  I have understood your concern 1.albumin level of 4.8, is normal.2.albumin is produced from the liver3.in case of kidney diseases like nephrotic and nephritic syn . 4.creator prevents the loss of albumin in urine along with control of BP.5.high potassium is a side effect of creator but in the case it is in acceptable level. If it is increasing you have to change that tablet. I can suggest you to get done 1. Serum creatinine2. Serum potassium monthly once3.urine protein creatinine ratio 4.USG abdomen hope this helps you any further questions please let me know 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: sexual problemdear sir,                  i have a problem that when ever i am attract towards my girl friend while romance some stiky fuild come out of my penis continuosly n when i am going to do  sex as i put my penis on oval before inserting sperms gets out n i am anable to do sex properly n nearly about aa month ever two three night i am having night fall ### REPLY: Degree understand your concerns went through your details. The sticky fluid you are referring to is pre-cum or pre-seminal fluid, which acts as a lubricant during sexual intercourse. That is normal and natural. Nothing to worry. Premature ejaculation could be due to anxiety or stress or while having sex for the first time. You may have to consult a psychologist for counseling. Nocturnal emission is a normal act of body and you don't have any control over it. There is nothing to worry about that too. 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: I have a patient here at my facility, 18 y/o male, pre exsisting dx of bi polar disorder and adhd. He has not been on his medications in over 3 weeks. He could not tell us what he was taking before then. He admitted to smoking an unknown amount of the synthetic k2 that was homemade by some friends of his. He said he didnt know what was in it or what it would do to him. We have him on an emergency detention order until a crisis center has an available bed. He has progressivly gotten worse over the last 24 hours. Today we obtained orders for Haldol 10 mg, 100mg benadryl (initial dose), and 0.5mg ativan. This did not phase him in the slightest. He became very aggresive and ended up having less leathal force used against him. After he had calmed down from that incident we obtained orders for 2mg Ativan IM, this has slightly calmed his aggression, however he is still in full blown psycosis. I have been monitoring his behavior since the injection, and he is having very brief moments of clarity, then right back to the delusions. Is there anything else that you suggest we try? ### REPLY: Hello, Thanks for using healtcaremagic. From the available description it seems to me that he is currently in delirium probably due to some medical illness or due to smoking some unknown substance. I will prefer him to continue on the low dose of haloperidol and request you to obtain a EEG report as soon as possible. Rather than over medicating using the lowest possible dose will be in better interest of the patient. I hope I am able to answer your query. If you have any questions feel free to write back to me. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I thought I was pregnant because my menstruation came late but now its on and I have orange colored blood but I noticed mucus mingled with it but prior to my menstruation coming on I have been discharging a lot but it has no odor and its clear could I be pregnant with my menstrual cycle on because thats really the only time I discharge alot ### REPLY: Hallow Dear, Probably you are suspecting bleeding due to abortion. It is likely. Heavy bleeding after delayed menses may be due to process of abortion - it may be threatened abortion or incomplete abortion. Please get your ultrasonography done. If there are any products of conception visualized in the uterine cavity, you are in process of abortion. If the cervical opening is closed and complete baby is seen in the uterine cavity, you are having threatened abortion. If there is no pain in abdomen, it can be managed by bed rest and some Progestational preparation like Austen. If the products are partly seen and/or the cervical opening is open, you are either having inevitable abortion or incomplete abortion. Then the uterine cavity will have to be evacuated. If you are not pregnant at all, the bleeding could be due to hormonal imbalance. Blood examination for FSH, LH, Estrogen, Progesterone, T3, T4 and TSH will throw some light on the cause of such bleeding. Please report to your Gynecologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 noticed unexplained bruising on my thighs (currently a total of 5 bruises). I have tested with a positive ANA (low positive) and have suffered from muscle pain and fatigue for the past 5 years, with no firm diagnosis.  I also have had unexplained blood in my urine, but have had a full work up on my bladder (CT and cystoscopy), with no material findings (my mother also has this).  A full CBC run just a few months ago was normal, except for the ANA. I have also tested postive for the Smith antibody and am positive for MTHFR.  Is this bruising possibly related to an auto immune condition?  Does the MTHFR have an impact?  I am not on any medication, but do take a B12 and folic acid daily.  I also took a very small dosage for predisone about 4 weeks ago, to help relieve inflammation from a back injury (twisted too much in yoga).  Not sure if the predisone could cause bruising so much later? ### REPLY: Hello.thanks for using  .autoimmune condition can cause bruising by platelet destruction. But since you had one episode of blood in urine, i will recommend you to consult hematologist. He may advise you to go for complete coagulation assay.since you are positive for MTHFR you should take active form of folic acid like l-methyl folate.it is less likely that steroid causes bruising so lately...hope I have answered your quarries satisfactorily.have a nice day ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 48 years old,. I feel severe pain some time at ribs joint when breath in and out deeply. I am HLA B27 positive. I also feel pain back bone. I am residing at Ambala Haryana India. Please advise me how can I get the best and cheap treatment and which doctor should be consulted. ### REPLY: Hi, HLA B27 positive with pain over the backbone and on respiration is suggestive of an autoimmune disease called Ankylosing spondylitis.  It is characterized by restriction in movement of ribs and backbones. The treatment is best given by a rheumatologist or a medical physician as well if you do not have access to a rheumatologist.  The treatment is started once the diagnosis is confirmed based on a medical checkup and blood investigations and the medications have to be taken lifelong.  It is important to take medications to prevent later complications like arthritis of the joint and to increase life expectancy. So better to start treatment for this early. 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: Hi my friend had a PTB 7 years ago but already had taken his medication. When he had his x-ray AP view , 2 weeks ago,, theres a fibrous something on his right upper lobe. The impression said its PTB. Could he still have PTB or it was just a scar? Thank you! ### REPLY: Thanks for your question on . I can understand your concern. Since your friend had tuberculosis in the past, possibility of scar tissue on recent x-ray is more. Tb lesion heals by either fibrosis or calcification. And it appears as scar tissue on chest x-ray. This lesion appears as it is for lifelong. So possibility of scar lesion is more in his case. But at the same time, tuberculosis can reactivate and cause active tuberculosis in the same lesion. So if your friend is symptomatic (fever, cough, weight loss) than better to get done sputum examination for AFB and CT thorax. If both these are normal for active tb lesion than no need to worry about tuberculosis at present and his x-ray is showing scar tissue only. Hope I have solved your query. Wishing good health to your friend. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had a cough and shortness of breath for over a month. I ve taken antibiotics, cough medicine and also Neb treatments, nothing seems to be working for me. The Dr s I ve been seeing keep telling me it will go away, but I don t seem to be getting any better. ### REPLY: Hi thanks for asking question. Do you have done your chest x-ray???  Do you have smoking history??? If you are smoking then bronchitis or emphysema like condition has to be ruled out. Chest x-ray and pulmonary function test useful for it.Sometimes you can have allergic bronchitis like condition to particular substances. Blood may show eosinophilic. Allergen test can be done. If you are working in some high risk occupation like textile industry or coal mines then chances of asbestoses like condition ruled out. Chest x-ray useful for it. Examine your sputum if weight loss present, to rule out tuberculosis. Chest x-ray also useful. Rule out cardiac problems if suspected as cardiac failure or pulmonary hypertension like condition can lead such problem. ECG or ECHO.useful for it.Finally, if x-ray showing interstitial lung disease like suspicion then pulmonary function test done. Also rule out atypical pneumonia by chlamydia or cytoplasm like organism by x-ray and other investigations. Osha root, peppermint oil, oregano are good herbal remedy. I hope my suggestion will be helpful to you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I got married before an month.my period has been delayed for 10 days. We both have planned for kid only after an year. Am I pregnant? If i have lots of papaya and pineapple, is there an chance to get my period regular? please help. I really don t want to get conceived now. ### REPLY: Welcome to  Have you been having irregular cycles. Delayed periods could be due to many reasons like stress, hormonal disorders as well. Anyway get a Pregnancy test to rule out pregnancy. If the test is negative for pregnancy you need to get yourself evaluated by Gynecologist for hormonal disorders. Usually for such hormonal disorders, you would be out on oral contraceptive pills to regularize your cycles, but this is not the treatment for every case as specific management is warranted in certain conditions. Try to do relaxation exercises like Yoga, Panama. Avoid stress at work or home, try to relax more. Eat plenty of fresh fruits and green leafy vegetables.  .  Exercise every day to keep fit and for good stress relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 top of my right hand has been swollen for 4 weeks now. 3 weeks ago it was x-rayed to make sure it was not broken. Since then I have been on Naproxen and Codeine with a splint on my hand. It has not changed and now my thumb tip is numb. I do have Parkinson s could this be a symptom? ### REPLY: Hello, Parkinsons disease is not commonly related to swelling of the hand. The swelling is related to accumulation of the liquids, usually due to an infection. I suggest doing a complete blood count for further evaluation to detect an infection in the system. Meanwhile, I suggest using anti-inflammatory medications such as Naproxen to relieve the inflammation. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My Name is James. I am a SE. I was weighing normal during my childhood day, until my 10th Grade , where i started gaining lot of weight. And now, i am 27 yrs weighing about 145 Kgs. I seriously need some sort of assistance to help me reduce my weight. My Hands and neck are same as a normal being. But by chest , tummy and thighs are way too abnormal. My body fat is like a water bed :-). I try to do walking on a manual treadmill , but i cannot do more than 5 min on it. I have slight breathings problems. I user the inhalers to suppress the problem. I was so frustrated that i will need to go in for a surgery . But i also know that , something not normal is always a problem in the future. Can you pls guide? Thanks James ### REPLY: Welcome to , Is that sudden weight gain? Please do the thyroid tests and take treatment for that, try to do breathing exercise (consults physiotherapist), avoid all junk food, chocolate, ice cream, fried food. Include Salads, fruits, raw vegetables like carrot, cucumber, whole grain products. And you can go for liposuction, but before that collect all information about side effect of liposuction then you can do the surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a single mother of for youngest six months old and still breastfeeding, i suffer from asthma i am on a purple and a blue inhaler. Now 12 days ago i was helping the kids school by looking after the chickens , on the Monday i started coughing and have done ever since i am finding that i am getting out of breath very fast with the least little thing i do and i am exhausted after every fit of cough i get into, I am finding that tacking my inhalers are not helping and i was wondering if there was anything i could do to help myself get any better ### REPLY: Hello, Thanks for the query to H. C.M. Forum. Since you are an established case of asthma, so you have to increase your stamina, so that you can overcome your disease. As inhalers not working, so after consultation with a physician, take antihistamine + bronchodilator. I usually prescribe Montelukast + albuterol to my patients and results are very nice. Rope jumping is the best exercise for you for stamina enhancement. If stamina increases, lung capacity will increase, and you will be able to face an asthmatic attack with ease. Hope I have answered your question. If further any question I will help. Get well soon.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell down hard wooden stairs--could have been worse; but my whole left side is bruised and achy..I one abrasion on my left arm. Dull pain on left ribs when I breathe and sneeze.. Difficult to lean down on left side. Should I see a doctor? Should I be resting or moving (yoga, for example)?Thank you!Sandy ### REPLY: Hello Thanks for writing to us, I have studied your case with diligence. Rib contusion is not always visible on X-ray. You may need to do MRI or HRCT to see details of injury. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. 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. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take disregards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having more and more frequent episodes of a creepy crawling tingling sensation all over my body.  Some of these episodes last a month at a time.  There is also a numbness feeling in my arms and legs.  These episodes are debilitating.  My family phycision will not even run a blood test on me.  I am looking for a new doctor.  Should I look for an internal med specialist.  I am really scared. ### REPLY: Hi, Welcome to  forum.  It appears that your symptoms are probably due to the fibromyalgia, or poly arthritis.  I advise you to consult an orthopedic surgeon for diagnosis and treatment.  I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically along with pain medication.  Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods till the pains are completely controlled.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter hit front of her leg really hard 2 weeks on the table doing a cartwheel inside. It left a bad bruise and a knot. The bruise is almost gone but the knot is still there and seems to be the same size as it was when she hit it. What s caused the knot not to go away? Do I need to take her to the dr? ### REPLY: Hi, Thank you for asking question on . Bruise occurs due bleeding under the skin, and it gradually disappears. The n knot will take some more time or may remain very long time though reduced in size. Hope this answer will serve your purpose. Nothing to worry about it. Please feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have costochondritis and was prescribed a strong ibuprofen that made me very dizzy and triggered vertigo.  it is very painful what can I take that will help the pain.  Is it o.k. to rub something like bengay on my chest, and since this is inflammation related will drinking a lot of water also help? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you can definitely apply Bengal on chest. It is safe for external use so no need to worry. Also apply warm water pad on affected areas for better symptomatic relief. You can also .  In painkiller, you can take tramadol. It is safe and gives higher pain 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: I have an anxiety disorder that I take xanax (generic) for. The last ten months I have had a terrible feeling of dread and severe anxiety that last for 10 to 12 hours consistently. It has now started to include irratation and crying. I had a hysterectomy when I was 39 and I am now 53..I still have 1 ovary. I also have depression that I am taking Wellbutrin (generic) for and this terrible dread started around the same time I started taking Wellbutrin. My best friend said it happened to her and her doctor just upped the dosage to 450 instead of 300 and the anxiety and iratation went away. Can you help me? ### REPLY: Hi madam have gone through your question and understand your concerns. Based on history provided by you, I feel that your actually suffering from depressive disorder with associated anxiety symptoms. If I were your treating psychiatrist, I would advise you to stop alprazolam(Xanax) completely as it got high addictive potential if used for greater than one month. Regarding tablet Wellbutrin, recommend dose is 300 mg and maximum dose is 450 mg. But, going to maximize dose may arise new side effects like seizures. So, rather than increasing dose of .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on the lower left side of my head. It hurts a little and the tenderness is now moving up behind my ear. It is also a little numb where it is tender. I was sick for about a week and a half and my cold is now almost gone. Should I be worried? ### REPLY: Hello! Thank you for the query. If this lump has appeared during the sickness, most probably it is a lymph node. Please note that lymph nodes get enlarged due to infection as a part of autoimmune response. Such node is usually movable and rounded. It should not be a reason to concern. Such lump can be also an abscess caused by sebaceous cyst infection. This condition appears in the area where there was a lump before. Redness, pain and swelling of this area should be present. In case of abscess you need to consult a surgeon and have it incised. If it's a lymph node you may wait and see how it will be acting. 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: About six months ago i got a ball to the face, the doctor said it was a concussion, i have been getting headaches ever since. I woke up 2 days ago with a very bad headache and two very bloodshot eyes,Im having a very hard time focusing on anything. I know the redness is not pink eye. Could this be related to my concussion? Im 16 ### REPLY: HI, Dear,Thanks for the query regarding your daughter. I studied your query and understood your health concerns. Remedy-You seem to have raised Intro Cranial Tensions with ? SOL-Space Occupying Lesion, which may be post-trauma by ball on face 6 myths back. Consult your ER Surgeon, who would check and do what is necessary treatment after investigations with Neurosurgeon. MRI of the brain would fix your problem. So Don't worry and act fast as suggested. Welcome for any query to  and me in this regard. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 scheduled in a few weeks to follow up with my pulmonologist but I m scared. I had an abnormal chest CT about 8 months ago and it showed a few Bullae on my upper right lung. He said beginnings of emphysyma. Also, my left lower lung shows scarring/nodule (granuloma) from histoplasmosis. I used to live in Ohio Valley when I was young. Doctor thought everything was benign and not to worry and to have another CT in 6 months to compare. Since that time he retired and I m going to another doctor in a few weeks to follow up. My regular doctor had to order CT and I had that done about 3 weeks ago and am awaiting definitive results. They would only tell me that scarring appears the same but they mentioned in right lung opacities. Is that the emphsyma or something else entirely like cancer? I am really worried and no one will help me any sooner with diagnosis until info in a few weeks. They didn t give me any specifics about opacities. Any info you can help me with would be greatly appreciated. Thank you. I m 45 years old by the way, female, and history of smoking and Im trying to quit. ### REPLY: Thanks for your question on . I can understand your situation and problem. Opacity on chest x-ray can be due to pneumonia, nodule, cyst or malignant mass. But opacity word is not used for ballad. You are having opacity in resent CT at the same site where ballad were seen in previous scan. You are a active smoker. And so risk of development of malignant mass at the site of ballad is very high. So, you need to wait for the CT report and if this is mass than you need biopsy and histopathological examination to rule out malignancy. Quit smoking as soon as possible. It is not good habit. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have regular cold/cough? After taking medicine it goes away for some time but again comes back in couple of week. Lots of mucus also comes out. Some time its very dark color. Some time due to lots of coughing even little blood comes in muscus. What should I do? ### REPLY: Hi thanks for asking question. First long term repeated cough might be due to irritation by acid reflux simply. So if you have acid reflux or acidity history then omeprazole can be taken with preventive measures. Second you have mucus in cough so chronic bronchitis or bronchiectasis like condition has to be ruled out. Chest x-ray and spirometry useful for it. Third if prolonged cough with fever and difficult breathing present then pneumonia or Tb should be ruled out by chest x-ray or sputum examination respectively. Wish you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hhello my na is danny. well over a year i had a root canal and crownplaced. since then iget excruciatimg pain inmy upper right mouth. my dentist of course swears nothing is wrong. mpst dentists wont pull if they think nothing is wrong. what do i do for pain? im at wits ends. ### REPLY: Hello, Thanks for consulting  Read your query as you have pain in tooth after root canal treatment and crown placement don't worry this pain can be due to infection at apex of root or due to periodontal problem. I will suggest you to consult dentist and go for Iowa X-ray of tooth and go for treatment accordingly. In meantime do warm saline gargle two - three times a day, and you can take medicine like AXL OR Novato lb by consulting with you local doctor. 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: hello sir,I have consulted a phsycologist. I didnt say more about the masterbation habit but,, the problems i am facing i discussed,, Insomani, OCD, Shaking of hands, tension, nervness, palpitation, anxiety. When irritated with family stab my neck 20 to 30minute, lot of blood came out. He has suggested me to take Selfit ( sertonin). first 10days 50mg and gradually increased to 100mg now. ### REPLY: Dear, We understand your concerns went through your details. I do understand. Serotonin supplements (Selfie) increase serotonin levels helping depression and other brain-related disorders. Your case is anxiety disorder. I see you also has suicidal ideation. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. When a person fears about something now (which may or may not happen in the future) and if he does it repeatedly, it is called anxiety disorder. These fear provoking feelings are called anxiety, and it may cause variety of physical symptoms, such as a racing heart, restlessness, helplessness and shakiness. Treatment consists of Cognitive Behavioral Therapy, lifestyle changes, relaxation therapy and meditation. Once you learn how to manage your anxiety yourself with the help of the above treatment methods, You will be cured. The process is a bit lengthy and could take any period between one year to 2 years according to the depth of the anxiety problem and the circumstances at which the patient lives. Keep the period of treatment in mind, prepare yourself to take up the treatment and consult a psychologist online or in person. 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 detail possible. Hope this answers your query.  Further clarifications are welcome. 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: I was high on marijuana and when i took a 500mg glucosamine sulfate tablet for my bulging disc, it went down pretty rough. It became very difficult to swallow and i had slight chest discomfort. I was scared so i started breathing fast. Its been almost 2 days now and i havent had any breathing problems. Im scared the pill is in my lung and it will cause future problems. I went to the ER and took an xray but i feel like xrays dont pick up capsules. Should i be worried? I feel like the doctor may have overlooked the seriousness of this problem and i feel as if theres something in my left bronchus. Or it could just be anxiety. Please help thank you. ### REPLY: Thanks for your question on . I can u understand your situation and problem. In my opinion it is mostly due to anxiety. But since you are having high heart rate and breathlessness, we should rule out aspiration of foreign body (pill) in the bronchus. So consult pulmonologist and get done bronchoscopic evaluation to rule out foreign body aspiration. If this is normal than no need to worry about aspiration. It is mostly anxiety related symptoms. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it.Don't worry much, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I experience respiratory distress symptoms (SOB, decreased O2, voice changes) when I am exposed to perfumes and a few other strong oders and flying dust/dirt. What could this be a symptoms of?I am 37 years old, weigh 145, and have no hx of asthma or any other respiratory issues. ### REPLY: Hi thanks for contacting ... Noted when you exposed to particular substance like dust or perfume feeling some resp problems.... You might have allergic inflammation to that allergen.... Try to avoid contact with allergen like dust, perfume etc. .. Take antihistamines . . If needed prophylactically fexofenedine and montelukast can be taken.... Get your CBC done ...to look for eosinophilic. You can investigate with pulmonary function test to rule out asthma.... Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i am anjali Mahindru. my age is 27. I got married 10 months before. after my marriage i am frequently suffering from stomachache in lower part. I got all my test i.e, ultrasound , urine & culture test but every time pus cells comes 20-25 and sterile after 48 hrs incubation at 37c. ### REPLY: Hi. Thanks for your query. This must be due to recurrent UTI- urinary tract infections. This is common after marriage and usually starts as honeymoon- myelitis, meaning occurring after marriage. Since the length of urethra in females is very short, they can get infections frequently and easily. If the pus cells are present, but the culture is negative, one can think about tuberculosis as the commonest cause. . Both of you-meaning your husband also has to take medicines. Go for MVP and further investigations to rule out any other problem like obstruction in the urine out-flow. Visit a Urologist for a second opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had a stomach ache for 4 days, i ve recently got off pristiq, I had diarrhea for the first two days, and the last 2 days I havent been able to go, i ve had a horrible headache, blurry vision, a watery mouth, dizziness, and tingly feelings in my toes. ### REPLY: Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to side effects of Pristine. All the medications have its side effects. In some cases the system get used to the medication and the side effects go away gradually. If the side effects persists or if you have breathing difficulties, I suggest stopping the medication and consult your doctor about an alternative treatment. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having wrist joint pain in the morning I can hardly move this just started about a week ago I can not hardly move my fingers hands and one wrist is swollen at the joint it s also in my shoulder and kness I did not have any of this until about a week ago it s worse I think he morning if I can keep moving its better my lower back gets so sore when I m on my feet to long at one time also please help answer this ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have sudden wrist pain and swelling. Well there can be many reasons for symptoms you mention in query like trauma, arthritis, carpal tunnel syn .  Allergic reaction or local infection can also cause pain and swelling in wrist. You can also put your wrist in hot water tub for 15 minutes daily and take ibuprofen or acetaminophen for pain. Do not lift heavy object with arm and give proper rest to your arm. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI along with physical examination, urine test. Doctor may recommend surgical removal or may prescribe antibiotics, allopurinol along with anti-inflammatory. Doctor may also recommend physical therapy. Doctor may fix the abnormality by plaster, splint, bandage in case of fracture OR may recommend surgery in case of fracture and hematoma. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END