Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Around near my spine, I m getting a weird feeling in my rib/lung/muscle .. It s like a flicking feeling or a tapping feeling. It doesn t cause me pain but it feels weird. It s been happening for 2 days now and I m scared( I don t know why though) maybe I m just overreacting. It s hard to describe but I feel the sudden urge to cough after I feel it cause I feel a slight shortness of breath or something. Maybe it s not related to that as I ve had the flu recently but it s a weird flicking or beating feeling. ### REPLY: Thanks for your question on . I can understand your situation and problem. But you need to relax first. Since you have flu recently, possibility of lower respiratory tract infection (LETI) is high. And symptoms like pain on coughing and breathlessness are seen in LETI. So get done chest x-ray to rule out LETI. If this is normal than no need to worry much. Your symptoms may be due to muscular cause only. So try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had an opperation recently and I am taking antibiotics to prevent infection. My hands started feeling wierd and now have many, tiny white dots all over! These dots/spots are bumpy and are not itchy or sore in any way, what could be the cause of this? Is it the antibiotics? ### REPLY: Hi, Yes. >An antibiotic rash can be mild or severe, depending on how sensitive the individual is to the medication. It can be red or purple and can spread across the body. It may also show up as hives, which are red or white bumps that develop on the skin. Or, it may appear as a maculopapular rash with areas that resemble flat patches. 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: One of my relative has Multiple Myloma. His age is 72 years, 5 8 height and will be around 70 kg of weight. Along with many test, he had the bone marrow. In which it was detected that its around 88%. What should be further course of action and what are the chances of his survival? ### REPLY: Thanks for your question on . Multiple myeloma is tumor affecting bone marrow. So it is rapidly spreading and very notorious in course. Usually it is responding to the chemotherapy.  And pain in bones are treated by local radiotherapy. Surgery is not indicated as most of the time, at the time of detection IIT is already metmetastatize to distal organs. So chemotherapy is the corner stone of the treatment. And multiple myeloma has various types. And prognosis is based on types. Usual five year survival rate is 60-70%. And life expectancy is usually more than 4-5 years. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: for no reason ill wake up in the morning roughly early and vomit bile atleast 2 or 3 times and this occurs 3 times in a month im not pregnant but for the last two days i have had a burning sensation stretch across my 2 upper abdominal quadrants and if i tried laying on my sides the pain would increase its not so bad if i lay on my back ive never had any problems like this before and i still have my gall bladdrt ### REPLY: Hi and welcome to . It sounds like gallbladder issue and this is the most common cause of such pain. You need to do ultrasound to see is there some stone or other gallbladder disorder. Also it may be caused by gastritis or herd so if gallbladder is ruled out you should do endoscopy to verify your stomach mucosa. Till that try to change your dietary habits, eat fewer fats, fried food, alcohol and coffee. And ask your doctor about some antispasmodics and antacids medicinesWish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 year ols son has an indent on the top left of his head. It does not hurt him. He has had it since he is small. The thing is. He is having real problems reading and writing at school. Thus, we were wondering if this indent in his head is causing his literacy issues? ### REPLY: Hi, Welcome to , Normally if such a deformity is there since birth then it is usually normally provided he is developmentally normal but of you have noticed a deterioration In his learning and cognitive skills then It's worth to evaluate that part of his head mainly because its on the left side and that is usual dominant side thinking that he is a right-handed person. So if I were your doc, I would get an MRI of the brain to rule out any gross structural abnormality. 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: Minimal small 3mm areas OD deep white matter change. One within the right frontal lobe a d second in left mid frontal lobe! These results were in 2008. I was having memory problems then. 10 x worse. Cannot remember what I do with things, it s getting very embarrassing . I cannot talk mind just goes entirely blank. I have a multitude of other issues, do you think I should ask for specialty neurologist? ### REPLY: Hello! Welcome on  ! Your symptoms are suggestive of dementia. Other possible causes to consider would be: vitamin D or Vitamin B12 deficiency, or thyroid dysfunction. I would like to know if you suffer from high blood pressure or diabetes? These conditions could lead to small vessel disease in the brain, which could cause those small lesions. Coming to this point, I would recommend consulting with a neurologist for a careful physical exam and some cognitive tests. It is also necessary performing some blood lab tests (complete blood count, vitamin D, vitamin E and vitamin B12 plasma levels, thyroid hormone levels, fasting glucose). A new brain MRI study is necessary. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello there doctors my name is ben, a medical technology student. I had an oral sex with my partner (that was on october 23rd) and a week after i had a flu-like symptom and had a sore throat. My muscles (arms) also hurts that time. I noticed also that i had red spots or blister-like thing on my arms (i thought its a pimple but its not recovering). Until now the signs and symptoms are present. I dont wanna pass the infection if i acquired some. Am i infected? What could be the infection? ### REPLY: Dear Ben, Thanks for posting your query to . You may get infection during sex if your partner was infected . Your feature is suggestive of infection but to know the type of infection and for which you do :1.complete blood count examination 2. If there is any discharge from blister, do culture and sensitivity examination .these both test help us to make a diagnosis and type of infection. Presently you can take :1. Amoxycillin with clavulanic acid 625 mg thrice a day.2. Aceclophenac 100 mg twice a day.this medicine will help in relieving your problem.medicine should be taken under supervision of your clinician . Keep protection to avoid reinfection. Avoid further sexual contact till get cured. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Name: dhrubamani deyage:21+weight:52kgI have been suffering from this problem(nightfalls) for 3 years..some it become ok and sometimes again it starts...very early morning i see dream and suddenly i wake up from sleep and i find my trousser is wet.now a days i feel my self very weak....now what should i do? ### REPLY: Thank you for query.it is quite common in young age to have night fall (to discharge semen)due to hormonal and desire. You can occasionally go for masturbation. Masturbation reduces the desire to have sex. If followed in a hygienic manner it will not transmit STDs or HIV. There would be no problem of having child . Follow hygienic measures. You can take multivitamin tablets for your weakness. Get back directly to me if any queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother, age 88 was diagnosed with metastatic urothelial carcinoma. just 6 weeks ago.  we were told she had 6-9 months with pallative radiation. she passed away last week. in the end, she could not turn over, sit up or do anything but lie on her back.  the pain was so intense. she had been fairly healthy up until this.  how can cancer be so aggressive and cause someone  die so quickly?  im still not believing what we just went through. ### REPLY: Hi, dear I have gone through your question. I can understand your concern. She had metastatic epithelial carcinoma.  It is already stage 4 cancer.  It spread very rapidly to other body organ and everyborgan and system is affected.  I am very sorry to heard about her, but it is natural course of cancer.  We don't have any treatment for cancer in that stage. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My question is I am a 30 year old male and have been having spasms in chest and sometimes throughout my arms when I am lying down or standing. My primary care doctor seems to think that it can be a related to something neurological. Can you please advise? ### REPLY: Hello. Neurological problem is less likely but can be ruled out only by doing necessary investigations. I would like to know if you have a habit of smoking or . . It can be simply due to severe gastritis, but other important causes have to be ruled out by above said investigations. If that is the case taking omeprazole + risperidone along with sucralfate syrup will solve the problem in most of the cases. If you have any previous investigation reports mail them to me. Good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am 27 and have recently been diagnosed with Functional Dyspepsia. I started having pain in my upper right side just under my ribs in September. The pain moves around a lot depending on the position I am in. I also have had back pain for a while...Maybe like a year but I forgot to mention that as I just thought it was a muscle from picking up my daughter who is now two. It hurts right in the center of my back and ib profen seems to help. The doctor also told me that my liver enzymes were slightly elevated to 50 or so. he said I could have a little bit of a fatty liver. The rest of my blood work is completely normal. They have done an ultrasound, a CT scan, an MRI and a upper endoscopy and didn t find anything. Any ideas? Is the back pain normal and could it have presented itself before the abdominal pain? ### REPLY: Hi. Thanks for posting query at . Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor , My child has loose motion . She was adviced to take Gnorm Sachets for 3 days ( Morning and Evening) . I gave the first sachet at night and in the morning i found her cheeks and eyelids were swollen , unable to see her eyes because of her cheeks covering the whole face. Her complete body was filled with rashes of uneven sizes . We took her to the same pediatric and was given medicine for allergy along with Gnorm . She got fever and finally after five days she recovered . In a gap of another five days the rashes started to still appear . It used to disappear after some time and appear later . She was taken to doctor and was given allercalcin syrup . Five ml morning , Afternoon and night . 10 days over but still rashes are appearing . Once when the medicine is given it disappears for 4 to 5 hours and then reappear .My daughter is 1.5year old . Not knowing what to do ? ### REPLY: OUR DAUGHTER IS ALLERGIC TO MILKSOP EXTERNAL MILK AND DIARY PRODUCTION MOTHERS MILK AND MILK AND DIARY FREE DINETTE CASE IS EXPLINEDLOOSE MOTIONS WERE ALLERGICGAVE MEDICINES IT FLARED IN SKIN AND FORGIVEN MEDICINE FOR FACE IT AGAIN REAPPEARS TRY MY TIPS NO EXTERNAL MILKING AND DIARY FREE DIETS YP ALLEGRA 1/2 SF BDS YP GENUS 21 SF APPLY MOMETASONE LOCALLY GO FOR BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR MILK AND GO FOR SLIT FOR CURE ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 three children my daughter is six and second child has lower back pain and abdomine pain. Ive taken her to the pediatrics and theyve checked her urine and have seen small amounts blood but they told me it was nothing to worry about. But my concern is still their because her urine smells really bad! What should I do? I dont know if this is important, but when I was expecting her, her right kidney was dilating. My physician kept a close eye out it stopped by the time I was seven months. Then she was born 37weeks by csection because she was having respiratory distress. After that the doctor ruled out any other after they stabilize her breathing. Then as an infant she had breath issue that were dx as asthma then a urinary tract infection they gave amoxacillin. Please help!! ### REPLY: Thanks for following up, it seems your daughter has dismetabolic nephropathy. It can be salts in kidneys. You give to daughter -cyst one 1 tab 2 times 1 month, It E 400 mg 1 capsule 1 time for normalization membrane of glomeruli, give to her plenty of fluid, follow diet number 7 and in addition exclude-chocolate, spinach, peas, Rama, tomato, market juices, sour fruits. Give to her potato-cabbage-carrot diet, green tea with lemon., milk,Dali, panir every day. She should urinate every 2-3hours, remind her. Do at least ultrasound control every a half or 1 overall the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has been advised to take Shelcal-CT as she feels tingling sensation in her right thigh...Also she was diagnoised with Diabetes recently which was above normal limits but not by huge margin... Can you help with why Shechal was prescribed & will it be okk to take it.. ### REPLY: Hello! Welcome on  ! You should know that Shelcal-CT is a .  It is really helpful in case of osteoporosis or vitamin D deficiency. But, I don't think that the tingling in her right thigh is related to such disorder. As she suffers from diabetes, it is very likely that her symptoms are caused by a peripheral nerve damage, probably a mononeuropathy or a pinched nerve. For this reason, I would recommend performing a nerve conduction study. If the diagnosis is confirmed, I would advise starting treatment with Gabapentin or pregabalin, to help improve her situation. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is now 30months old. She has been suffering with fever since last week the temp been on and off. She is complaining about pains in the body and have completed the course of anti biotics(Microcef-100) twice a day for 3 days and crocin/meftal When temp is there (2.5ml) with a gap of 6hrs. And after 5doses of microcef we found that there is a CRP count as 69.6mg/l how it should be treated orally or through iv ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.METAL CONTAINS METONYMIC ACID WHICH IS A NSAID. IT CARRIES THE RISK OF GASTRITIS AND RENAL PROBLEMS IN THE LONG RUN. PLEASE DO NOT USE METAL. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told that my HIDA Scan was normal. My ejection fraction is 6% and I have had 3 ultra sounds due to pain in my back and right side. I ve been told that an ultrasound will not diagnose a poorly functioning gallbladder. Shoudn t the results of the HIDA Scan been evaluated further? ### REPLY: Hi, How are you? My name is .  I am a liver and pancreas surgeon and I hope to answer your question today. I am sorry that you are having these symptoms. An ultrasound can be used to see the contractability of the gall bladder if the first scan is done on a fasting state and a second scan is repeated after a meal. The GB usually contracts to empty its contents into the intestine after eating, esp a fatty meal. Unfortunately this is not a very sensitive indicator. A HIDE scan on the other hand provides real time imaging of the GB and hence can visualize the GB contracting and emptying the radio active substance given into the intestine and based on how much content it empties, the percentage contractility is measured. Your ejection of 6% is definitely on the lower side esp if the function was measured in response to a meal or a special hormone administered during the scan. I take it that they have not found any GB stones on any of your USG scans as it could explain your symptoms. I would advise you to get an amylase level done the next time you suffer a bout of back pain to rule out pancreatitis. Hope this helps and hope you start to feel better. Pl do not hesitate to contact me for any further clarifications needed. 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: my husband has been taking the Bydureon pen 2mg and our deductible has gone up and we can t afford it so our doctor suggested we call our insurance company to see if they had something else that we could afford and this this is what they suggested or should I say what would be cheaper, my and they said Glimepiride is the only thing that they could suggest that would be cheaper, my question is will this be just as effective as the Bydureon. ### REPLY: **Thanks for contacting  with your health concern1. Byron [eventide] is a member of GLP-1 [glucagon like peptide] and because of their glucose dependent mechanism of action, it is associated with low rate of hypoglycemia and Since glyceride is inexpensive but has no durability, so please consult an Endocrinologist [Planetologist] for other possible options.2. As people with type 2 diabetes have very high incidence of heart disease [associated metabolic problem] so one has to make sure that his blood pressure, blood sugar and lipid levels are adequately controlled to prevent long term complication’S] ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Married for 7 months.My sugar level and my Ovary ultrasound and my Thyroid evevry thing is normal.My insulin sugar level is ok.My husbands semens report is normal.My doctor have prescribed my tab- Siphene, Metmorphin,Ovcane and Folic. Can you suggest me how it will help me? ### REPLY: Hi, Oh, the main point you aren't mentioning is wanting to become pregnant. Several points.1) the average is 5 months before pregnant, and often it just happens to be longer without anything being wrong.2) I am not sure if metamorphic is metformin--a diabetes . Some others are vitamins that might improve fertility but are certainly a good idea if one becomes pregnant. 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: Good Morning Sir, I want to you ask you about my wife s health. Sir, my wife s age is 31 years. I have two children, but I want one more. Three miscarriage happened due to weak fertilization within three months. Guinea Doctor said that there is problem in the wife s egg formation. A weak eggs are forming to my wife. Sir, I am requesting you to give any suggestion/medicines about the better eggs formation, so that I and my wife will be highly grateful to you. Thank you sir. ### REPLY: Hi, Thanks for your query. I read your query and I understand your concerns. There is no concept like weak or strong fertilization. 31 years is not an old age. I don't think there is any problem with egg formation. If there is miscarriage once, it does not necessarily repeat. If there is miscarriage again, we can think about treatment options. There is no need of anything like that as of now. Hence, I suggest you please try for pregnancy again, and it is possible that your wife will conceive. All the best. I hope I answered your query. I will be available for any followup queries you have.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 9+yrs daughter is suffering from cough and cold....while sleeping there is some sound from her throat...doctor has prescribed tab romilast L4 daily one at bedtime. i would like to know is it safe and is she suffering from asthma? she does not always has that sound whenever she coughs ### REPLY: Hello dear, The sound originating from the throat of your daughter while sleeping is wheezing. It is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma). Romilast L consists of Montelukast +Levocetirizine.1. Montelukast preparations are used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma2. Levocetirizine acts as an anti-allergy medication and provides symptomatic relief. So, the medicine as suggested by her Doctor is correct. Please continue it as advised. If symptoms still persist, she needs to take a cough expectorant syrup and a course of antibiotics against the causative organism. Wishing her a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hiya i have a 1 yr old girl who has a bit of a cold she has a runny nose very snoty when sneezing there is a little bit of blood there i took her doctors yesturday for this and asked for something for her and they told me there is nothing they can give her what is ur opinion ### REPLY: Hi, As per your query, your child has symptoms of runny nose and sneezing which is due to upper respiratory infection.  Need not worry. I would suggest you visit Pediatrician once and get it examined. You should get routine blood tests done to check the level of infection and start treatment accordingly. You should avoid the use of spicy, sharp oily and fried food substances. Furthermore, you should take a combination of antibiotic Levofloxacin along with anti-inflammatory medication. Furthermore, you should avoid cold carbonated beverages. Apply mist humidifiers in the room. 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: My 8 year old developed a rash overnight. Small pinpoint bumpts (flesh colored) with very minor itch at times. The skin surrounding the bump is slightly blanched. Began on hands//fingers and ankles, now elbows and legs and knees. Several food allergies, no anaphylaxis reactions though. ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: two years ago I had a sexual encounter with a woman I didn t know to well. During which the condom failed. I immediately stopped and replaced it. About a week later the skin on my penis became very sensitive and began to peal. I went to the Urgent care and they said it was nothing. The pealing went away, but remained sensitive. I went to my Urologist who check for STD s and I came up clean. Started having issues with urinating and went on a month of Cipro. No help from the Cipro. I then started experiencing major sweating and tingling in the groin area. To the point of having to change underwear after walking no more than 300 yards. This continues today. I have tested positive for Enteroccoculs facialis in my semen but then did a month of Amocicilian and tested negative. I have also done a month of flaygle, not sure on the spelling but anti fungal medicine. The skin on my penis, scrotum, perinium and back of thighs/buttocks continues to experience severe sweating and once that starts they feel as if they are on fire. I have seen a dermatologist but he seemed only interested in giving me different sample creams. None of which worked and a scrape was never taken. This is really taking over my life. What would you suggest I do next? ### REPLY: Hi, The peeling of skin following your sex contact could be due to sensitization to condom itself. As long as your blood results for STD/ HIV were negative you need not bother about STD. Sweating of groin, scrotum,penis, perineum, buttock have no relation to any of the STDs. If urine contains more than 5 pus cells on laboratory investigation, it indicates infection. Otherwise, ignore the same and continue to . Increased sweating and tingling may be due to your anxiety and aversion to the thought of STD. Nothing to worry. Follow your physicians' advice.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: for three months I have had severe pain, starts on right side under rib cage and wraps to the center of my back then center of sternum. I have to throw up in a wrenching motion for 10 to 15 min. then the pain is a little better. I have had bowel movements that range in color and size. My stomach always feels bloated and soar. I am worried. Made a dr appointment but they can not take me till the 20th of this month what should I do? ### REPLY: Hi ! Good evening. I am  answering your query. From your history, it seems that you have got an inflamed gall bladder possibly due to stones in the gall bladder. However, it has to be assessed by a general surgeon. So I would suggest you to take an appointment with a general surgeon in your area, who after a physical examination, might advise you for some routine blood tests like CBC, ESR, LFT, serum amylase and lipase, Blood urea, serum creatinine, serum uric acid, and an ultrasound of abdomen. If confirmed to be a case of cholelithiasis, the surgeon might advise you for a surgery. If not, further management would depend on the results of physical assessment and reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My problem has been for 4 years now. It started with vomit in morning after getting up and pukish feeling lasting up for whole day. I diagnosed for the reasons and went through tests as guided by a physician (SGPT,SGOT count was reported high) last year(2012) but nothing particular came out and my doctor advised that this might be due to anxiety/depression. I was advised to take Trika Plus 0.5 by one of our family doctor for sometime, which i took for 6 months. Last year i referred to one of renowned psychiatrist in town as i was not getting permanent relief, he then advised me to take Clonotril 0.25 (Clonazepam) , Prothiaden and Rexipra 10mg (Escitalopram). I am on above said 3 drugs for last 1.5 years and during this time my pukish feeling was fine but i turned out too lazy ,sleepy, inactive and also sometimes suicidal thoughts crossed my mind. Now from 4 months back,I reduced the dose of medicines slowly, but now when i m further trying to reduce Rexipra i am unable to do that and also my symptoms are returning back i.e. pukish feeling round the clock and vomit sometimes. Now i feel that i am still there where i started and i am unable to decide that whether this problem is really due to anxiety/depression or do i have some kind of infection in my liver as recently( 7th Oct 2013 ) i went for a physical checkup and my report indicated : Lymphocytes 40.4 h (20 -40) Bun/Creatinine ratio 7.3 L (10 -24 ) Total protein 8.3 H (6 -8 ) SGOT (AST ) 46 H (0 -42) SGPT (ALT) 77 H ( 0 - 42) ANION GAP 16 H (5 - 15) CHOLESTEROL 211 H (LESS 200 ) LDL-CHOL (CACULATED ) 130 H ( LESS THAN 100MG/DL ) NON HD CHOL 150 H Please let me know whether i should keep my treatment running from psychological point of view or do i need to get my checkup through a gastroenterologist? ### REPLY: Dear Friend. Psychologically you can have vomiting but not deranged ALT ANF AST. Are you taking any ? Do you consume alcohol? I would like to know your age, total, direct bilirubin levels. Get your complete Liver function test, Bag, Anti HCV antibody, these both are to see for viral hepatitis. Get your USG Done to see for fatty liver. If you don't take alcohol, there is a condition called Non-Alcoholic Steaohepatitis NASH. We would like to rule out that. Review with us with the reports. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 28 yr old female. I have been having random, painless but very obvious pulsating on my left ribcage (it feels like a flutter). I say on , because it seems to be surface and is visible, as an eye twitch. This would lead me to believe it is a muscle spasm. However, I m concerned that if it is Not, it should be checked out (although I don t have insurance), as it could have to do with my intestines. I ve experienced gas that felt similar, but this is way higher than any gas I ve ever had. For background info, I have always suffered from low iron, and lately have had higher blood pressure. I smoke and have been drinking more lately. Very stressed. ### REPLY: Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. U seem to have generalized weakness and deficiency of vitamins, calcium,minerals proteins and micro-nutrients. This causes weakness and pulsating muscles. Though temporary, it will eventually be ok. Take rest and some healthy protein powder supplements. And very important, You should quit smoking and . YOUR LIFE IS PRECIOUS Denoting to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: SIR GM           MY AGE IS 40Y, MY PROBLEM IS SIZE OF MY PENIS IS 4 INCH WHILE ERECTION WITH A DIA OF ONE AND HALF INCH ONLYN SUFFERING FM P.E. WITH IN A MINUTE WHICH IS NOT SATISFYING ME OR MY PARTNERHER AGE IS 35 SHE REQUIRES MORE TIME NOW PSE GIVE SOME GOOD SUGGESSIONS ### REPLY: Hi, From history it seems that your problem is more psychological than physical. Length of penis is genetically build up. And having this size of penis is quite normal as initial few centimeters of vagina is sensitive, so there is no problem to satisfy your partner. Initially before intercourse go for some foreplay like kissing, pushing, verbal talking, fantasy etc. by which your partner will be sexually excited and will go for orgasm speedily. With this foreplay you to get more sexually excited and will get strong erection. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When will the blood test give accurate result for malaria? My daughter started her fever last nite and she has spiked up again early this morning. I am going to request her pediatrician for a blood work. Is it too early to tell ? We travelled to Asia recently and that is the basis of my concern ### REPLY: Hello, Welcome to , As your daughter is having the spikes of fever from last one day there are many conditions which can have these symptoms. The most common would be viral infections, malaria is one of the condition which can leads to spikes of fever. I would suggest you to wait for some more days and the fever may subside if it is due to some other etiology. It is very early to suspect malaria as you have visited Asia. The incidence of malaria has come down worldwide and your daughters spikes may be due to infection with other microorganism. So I would suggest you to wait for few more days by this time the fever would come down. 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: Hello i recently got diagnosed with mono and i have a few questions. I started feeling symptoms a week ago and go diagnosed mid way through the week, and now i feel pretty much 100%. I have no symptoms anymore and do feel great but I am not sure when i can go back to my regular activities. I like to drink and also work out with heavy weights but i was told to avoid these things because of inflammation in my liver, but now that i feel good and the symptoms didn t last long at all, I m wondering if i can drink and work out sooner rather then later. How long until i can do these things again? ### REPLY: HI, thanks for using  The impairment of the liver that can occur with this viral infection normally resolves on its own. It can take 2 to 4 weeks for complete resolution to occur in some cases, so you may want to hold off the use of alcohol because it would aggravate any liver injury. In terms of the exercise, you can consider restarting slowly if you are feeling better. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my aunt aged about 65 years is not inclined to eat any thing for the last 60 days and only taking soups . All the relevant tests have been done and finally she has been diagnosed TB . Due to less severity , one month course is recommended . More than 15 days have passed from the date of the usage of medicines but no improvement is found. she is non diabetic and has high BP she has become very week Kindly diagnose the correct treatment and advise us ### REPLY: Hi welcome to  You have not mentioned which site tuberculosis is present.... Treatment of tuberculosis with AKT depend upon site and severity of TB infection... TB should be confirmed by sputum AFB, chest x-ray examination for pulmonary TB and gene expert molecular study for other site tuberculosis... If needed (according to history) than HIV and thyroid problem should be ruled out. Mostly AKT treatment needed for six month duration Consult nearby general physician first for examination and accordingly work up ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 year old has tonsilitis was given antibiotics and ibruprofen for his fever on wednesday night almost 2 days now and fever still on and off tonsils still look huge and he has realy puffy eyes not sure if i shoud take him back to doctors or keep at the meds. ### REPLY: Hello! I read your query and I understand your problem. If your son was my patient I would suggest you to wait a couple of days more, in order to give time to antibiotics to work. I would also suggest you to take care that your son gets plenty of rest and .  Meanwhile, I would also suggest you to teach your son to wash hands frequently; teach your son to not use other persons cup, glasses, toothbrush or other personal utensils; teach your son to not kiss friends and relatives until he is completely over the tonsillitis; teach your son to cover his mouth when coughing or sneezing; buy a new toothbrush to your son once he has started the antibiotic.  I would suggest you to call your sons doctor if his condition gets worse: he has difficulty in breathing or swallowing, his symptoms do not improve within a couple of days. I hope I answered your question. Furthermore, I hope your son will get better soon! Best regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in my left knee. I woke up this morning unable to walk on it for several hours. It is still sore and I have trouble bending my knee. When I went to bed last night, I was having pain in my hip all the way down to my ankle. I took some pain medication and went to sleep. I have had an abdominal blood clot repaired in the past and this is worrying me. What do you think? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have pain and soreness in the knee. Well there can be many reasons for symptoms you mention in query like damaged Menisci, tendinitis, osteoarthritis, gout, bursitis or Chen .  I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order certain tests like CT scan, MRI and physical examination. Doctor may prescribe muscle relaxant along with anti-inflammatory and recommend physical therapy. Doctor may also recommend surgery in severe damage. For now apply warm compresses, take proper rest and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a mild case of shingles - two spots plus sensations in my neck. It has been one week and the two spots are improving but I have been getting this pain in my back. A shooting pain and achy feeling when I turn certain ways. Is this from the shingles or the medication they put me on? (valacyclovir and prednisone) ### REPLY: Hello, Yes, unfortunately shooting pain or any other strange sensations can be linked to shingles. It causes nerve related pain or symptoms. It is not likely related to any of the medicines that you are currently using. There are medications that can help with nerve related symptoms or pain for example, gabapentin, Lyrics, Regret, amitriptyline et cetera. If the symptoms continue, then you can speak to your doctor about an additional medication. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,i took the morning after pill on Feb 2nd...i started spotting on Feb 7th...my period never comes till the 25th ish...well on the 7th i was spotting browinsh red color now today the 17th i am still bleeding and its been very very heavy and alot of clots....should i be worried. ### REPLY: HiT hanks for posting your question in ChatDoctorGoing through your query it appears that you were due to have your periods by end of February. Assuming you had a normal period in January it is not unusual to have some spotting and a bit of imbalance in your periods after taking morning after pill. But having said that it is better to have it checked by your gynecologist to rule out miscarriage. Hope this helps. Would be happy to clarify any further doubts. 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: Sir, I am having a 1 year old baby girl (weight 9.3 Kg). When she was in the age of 7-8 months , she had her food nicely. But now she is not taking enough food. Almost she refuse to have. She canot drink cow s milk when she awake but when was sleeping she will have. now i am giving her neopeptine to improve her appetite. whether it will work or not.please suggest any other medicine for heror any other way. e ### REPLY: For small child . Neo peptide is good but it's a synthetic preparation. Maybe it shows burst of effect but would it sustain. On the other hand slow acting Ayurveda has sustained effect. For such babies ARVINDASAV is the best remedy. 5 ml of this liquid and 5 ml of water mixed may be given twice a day. Additionally, if you can get cherubic myrobalan (Habitat - better if you get big one), grind/ rub it against some clean, hard, rough surface like stone etc. by adding little water  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 spend almost all of my time in my basement.  Within the past two years I have experienced occasional increases in my heart rate from a resting rate of 50 - 55 to a resting rate of 100 plus.  My cardiologist has suggested an electrical study and cardiac ablation.  Is it possible the cause is basement mold spores? ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that it is less likely for your symptoms to be caused by mold spores. It is important investigating for the possible causes of your increased heart rate. For this reason, I would recommend performing some tests: - a cardiac ultrasound to examine your cardiac function and structure- an ambulatory 24-48 hours ECG monitoring to examine your heart rate for a prolonged period of time-complete blood count for anemia-blood electrolytes for possible imbalance-thyroid hormone levels for possible thyroid dysfunction. Only after determining the possible cause and the type of cardiac arrhythmia, the possible treatment options should be discussed. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started feeling nauseous as I lay down for bed tonight, fell asleep and was awaken by shaking, and jittery feeling. I am having slight tingling in my left side and my chest feels warm from the inside... should I be worried. I am a 29 year old female, overweight but active.Also feeling extra gassy. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain, gaseous distention of stomach, nausea, burping, belching etc. Obese patients are more prone for HERD. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small. 2. Avoid stress and tension, be relaxed and calm. 3. Lose some weight and stay fit and healthy. 4. Take combination of pantoprazole and levosulperide twice daily on empty stomach. 5. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am 17 and I have been getting frequent yeast infections lately since the summer. My doctor says that the reason my first yeast infection occurred was because I was on doxcycline acne medicine. I went off the medicine, but still got yeast infections months later. My mom said that she always gets frequent yeast infections and that its probably in my genes but Im not sure. Im scared. Last year, I had oral sex with a guy, but I dont think he came. Shortly after that, I had gotten strep throat and an abscess under my armpit that my doctor had to drain. I am really scared and freaking out because I read on the over the counter yeast infection medication, that frequent yeast infections could mean that I might have HIV. I am scared that maybe the oral sex from last year gave me HIV, and that maybe the strep throat I had and abscess under my armpit I had  shortly afterward I had oral sex with that guy were early symptoms of HIV. I currently have been dating my boyfriend now for almost a year and we have unprotected sex all of the time, and he is clean. He got checked. I know I most likely dont have HIV, but I really need to make sure from you because Im really scared and freaking myself out and wont be able to get an HIV test anytime soon. Please help, ASAP! Thank you ! ### REPLY: Hello, Welcome to , As you are having fungal infection for which you have visited your doctor and got some treatment. The affected region is more prone for fungal infection, as it is a normal commensal of this area which is kept under control by the helpful organisms, whenever there is a change in the environment either by the change in the temp, other infection or poor hygiene will invoke the growth of fungus and produces the symptoms. For your condition I would like to suggest1. Keep the area clean and . 2. Topical antifungal cream like ketaconazole3. Single oral dose of Rifleman 150 mg. These measures will help you to control the infection and makes you comfortable. 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: Dear Doc, My daughter is suffering from fever 104 F her head and face is hot but hands and feet are cold. I am giving her Pedadol 100mg and oxmapox 125 mg for her throat and chest infection. I cannot take her to a doctor as it will be to difficult. The fever is not coming down for last three hours please advice could I give her calpol syrup after every 4 hours. ### REPLY: Hi, There might be having viral or bacterial infection giving rise high temperature. But as antibiotic medicines are continued, nothing to worry. Give Cal pol syrup round the clock to bring down the fever. But important is to give plenty of water and keep her well HY . If high fever continued then consult your doctor and go for investigations like complete blood checking and routine urine check up. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 6 year old female, had sinus infection and finished antibiotics about a week ago. Today she was lethargic, and complained of sore throat, fever of 102F, diarrhea x1 and vomitted x 1. Gave motrin, fever is down, but still tired. Intake/appetite is much better. Lymph nodes are not swollen. Allergies, food poisioning?? ### REPLY: HI, thanks for using  She may have a new onset upper respiratory infection (cough/cold) since she has a sore throat. These are normally viral but can be associated with vomiting and loose stool (diarrhea not diagnosed unless 3 loose stools have occurred). Allergies do not usually cause an increase in temperature. Treatment with the pain/fever medication was a good idea and should be continued. Allow her to rest and use fluids. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I tripped in the garden3 days ago and at the time only had pain in my big toe but a day later and since I have had a mild pain on my right under my ribs. Thinking on as I tripped the wash basket I was carrying may well have pushed into my side. I have no pain when breathing only when bending or if I touch when there is discomfort. ### REPLY: Here good if you Don't have pain while breathing in. This shows there is no internal damage. But as you have mention that there is pain while bending this shows there is a soft tissue micro level damage. Here nothing to worry even if there is a crack in rib because the rib is supported with other bones like sternum in front and spine in back. As well, it is well bundled with soft tissues to support it.  So now you need to use regular hot and cold pack to reduce inflammation and relax the soft tissues. Chances are rare but at any time if you have breathing difficulty with sever pain at affected rib area then do visit an orthopedic take an x-ray to test the damage level too. And last do not do activity which pains and take rest. 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: last night I had severe pain in my right side mid abdomen. It hurt while using restroom and continued while I walked to my bed. It was painful to walk and to try to stand straight. It lasted about 3-5 minutes then I was able to get back into bed. Today I have dull pain in the same area. Slight body ache, headache, and slight nausea. ### REPLY: Hi. Thanks for your query. You have got a classical history of pain due to a stone in the mid-ureter. Your history of sudden pain while going for restroom and then a dull ache indicates the stone in the ureter. I would advise you to have urgent ultrasonography, Urine tests : Routine, microscopy, culture and sensitivity. Once the diagnosis is made you can have treatment as per the situation which can be a lithography, ureteroscopy or open 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: i am 43 year old woman with severe neck pain towards lower head and shoulders to fingers.numbness and tingling in fingers, more pain in left hand. my MRI shows multilevel cervical disco vertebral degenerative changes with disc desiccation with kyphotic deformity intending the cervical cord at c4_c5, c5-c6 level with signal changes in the cord. diffuse disc bulge wiyh bilateral para central protrusions at c5-c6 causing thecal sac indentation and neural foraminal narrowing, intending the cord and existing nerve roots. centralprotrusion with annular tear at c4-c5 indenting the spinal cord. haemangioma involving the entire t12 vertebral body extendin to posterior elements.pain causes me sleeplessness ### REPLY: Hello ! I read carefully your question and understand your concern. I am sorry about your problems. You seem to have a very problematic cervical column. In my opinion you should consult with a neurosurgeon. It is not just a matter of pain. The signal change in the cord is indicative of a cervical myelopathy, which is caused by compression from the dislocated discs and the narrow spinal canal. With the progressive narrowing of the cervical canal you will also have gait problems besides the pain and difficulty in your everyday activities. So it is important to treat the problem before aggravating. For the pain I would recommend you to hold a cervical collar and start Gabapentin or Pregabalin which are two .  Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 what I thought was flea or mesquito bites that keep showing up. I can be sitting in the car and they just pop up... Or at work or school.. It s very odd. No one else on my house has anything at all. They itch so bad and then kind of fade. Help! ### REPLY: HI, The itching with popping out bumps coming all of a sudden & fade away after some time . Indicates allergic reaction.  Anti-allergic pills available over the counter I pill 12 hourly, after food can give relief. Consult your family doctor in case it is not relieved within three days/ it recurs again/ it does not give any relief.  You need some investigations to confirm allergy/ determine allergens. long-standing allergies can be treated by de sensitization.  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 had breathing problems for a few months now. Had an infection upper respiratory. I suffer from severe fibromyalgia and also have a hiatus hernia and stomach problems. I have asthma too but have not been too bad with it before now. I have been having pressure in my chest when lying down and have what feels like hard bone type excess on the left of my sternum. My doctor put me on a steroid inhaler as I was having bronchal spasms and loss of breath at times with alot of pain in between my shoulder blades. Due to chronic fatigue I lay down alot and havent had a cough as was congested with laying down so much. Im really scared of cancer and am at my wits end. I take antispasmodic meds also with pain relief. Im currently trying to stop smoking so have had alot of these problems in between stopping . I think the problem is my lungs and possibly something constricting my breathing like that lump at side of sternum. It is tender to touch. Upper back shoulder pain and spasms have been definitely related as its been of oing for months. Ive recently had a course of antibiotics which has helped the bronchial spams. Please help advise me how to get the necessary checks done! ### REPLY: Hi. I can understand your concern. Asthma is most common allergic disease which is not a curable disease but definitely controllable, by controlling the same you can lead a symptom free life. Usually presents with cough, wheezing, difficulty breathing and chest tightness. If not treated appropriately can be life-threatening.Don't worry, you will be alright. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of Asthma. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)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 Doctor, When I was 20 I had to face a surgery. I experienced a severe pain inside left testicle with a lump. Surgeon suggested me to do a surgery on both testicles. He said it might spread to the right side too and eventually killing both of them. Now the problem is, after sometime, my left testicle stopped producing enough sperms. Now it is getting smaller and smaller. And also it looks like there is another issue. Right testicle does take more time to involve in ejaculation. Probably tighten. Even before the surgery it took like 30-40 minutes to ejaculate. But I feel it is somewhat blocked. Due to this condition at left one, I also experience some abdominal pain (not sure if it is the case) if I ejaculate often (daily) leading to some loose motion. What should I follow to recover from this? Thanks! ### REPLY: HelloThanks for query. You have undergone surgery for left testicle in childhood, and it has atrophied. Your Rt testicle is functioning normally. At the outset I would like to state that Testicle does not play any role in process of Ejaculation. The semen that is being ejaculated during ejaculation is stored in ducts of seminal vesicles and ejaculatory duct before being ejaculated. It is during ejaculation it is forcefully propelled in to prostatic urethra. As regards pain in lower abdomen and loose motions it is not related to frequent ejaculation. It may be due to colitis. You may need to take antibiotics like Ofloxacin with Metronidazole for five days. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor my name is mubeen akhter i am suffering in hepatitas .c for last 3 years, iam very worry about it please sugggest me about my health .now i am using carduus mariuanus and chielidonium both medicines are homeopethic. please tell me the medicines  i am waiting of your early act. ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. Before starting the treatment for Hepatitis C, the following tests are to be done -1. HCV genotype2. CV RNA quantitative test3. Liver function testate conventional treatment includes Injection regulated interferon once weekly and C. Ribavirin daily. The duration of the treatment depends on the response and the genotype. A newer and effective medication Sofusbuvir has been approved by the FDA recently. All these are to be taken under medical supervision only. So consult your gastroenterologist to discuss these treatment options. Since you are at the risk of developing liver cancer periodic follow up should be done with Ultrasound scan of the abdomen and serum alpha fetoprotein. I hope that answers your question. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I got my semen analysis done after abstinence of 4 days. The report is as follows: Total No. of sperms per ml: 9 million. 30% spermatozoa alive at the end of 1/2 hour. active sperms at the end of half an hour - 3.6 millions. Rapid Linear Progressive - NIL. Sluggish Linear Progressive - 20% (after 1/2 hour) and 10% (after 2 hours). Non-Progressive Sperms - 5% (after 1/2 hour) and 2% (after 2 hours). Abnormal spermatozoa 54%. Kindly suggest whether pregnancy is possible with this count. if Not, Kindly suggest what foods will help for better results. We have been married for 6 years. Please help ### REPLY: Hello, As per the semen analysis, the sperm count is low; the motility is also less and the absence of rapid linear progression is significant, the abnormal sperm count is also high. Sorry to say, but, natural pregnancy is not possible with this semen analysis. I advise you to see an infertility specialist to discuss the prospects of ART to aid you. Try to avoid stress, heat exposure, smoking and alcohol. Wish you 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 daughter is 7 years old. Few months before we noticed that she is loosing hair in left eyebrow. Last week we found that she is loosing hair from left eyelash . No hair fall from head. We took her to nearby dermatologist. He gave folifast hair tincture and few other vitamin tablets. He said it will take longtime for regrowth of hair and it was due to some viral fever. But she was not treated for any viral fever at any time. We changed her shampoo from Johnson baby to Dove. She had allergic reaction on her forehead only on the day we apply shampoo and lot of hair loss from head. We found that at 4th time that it was because of shampoo and changed back to Johnson baby shampoo. Now she doesnot have any allergy and no hair loss from head. Is it because of same allergy, the eyelids and eyebrow are loosing hair now or any other reason? I am very much worried on this. ### REPLY: Hello, Allergic reaction to shampoos (and hair dyes) manifest with itching, redness of skin and is known as contact dermatitis. Simply losing hair from specific areas (such as eyebrow or eyelash) is not a sign of contact dermatitis (also known as delayed hypersensitivity). It is also unusual to develop this at this age. Chemical hypersensitivities are checked using patch tests that must be discussed with your dermatologist or allergist. Systemic disorders such as thyroid abnormality, lupus (with the screening ANA test), other features such as weight loss or eating disorders (such as anorexia nervosa) need to be considered if they are relevant. Please discuss these with your doctor. Blood tests such as complete hologram, VitB12, folate, iron levels, ANA, Lots, TSH fT4 are minimum investigations to exclude systemic disorders. I hope that was useful. Best Wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is under 19 years old. His attitude has changed a lot after he spent one year in UBC as an international student with an excellent scholarship. He lived in the university residence alone without me because we stayed in Saudi Arabia.  We provided him full support emotionally and financially. When he came back, he was overweight and he was depressed. He also failed in 5 subjects because he couldnt handle all the stress. We accepted these facts and got okay with it but he is still depressed and is now not as confident as he used to be. We need help ASAP. Thank  you for your time. ### REPLY: Degree understand your concerns a days higher study is not as expected. Your son might have depressed due to so many causes such as exam performance, peer pressure, role and identity conflict, unsatisfactory study habits, lack of positive outlook about future or goal etc., etc., etc. Therefore, you need to consult a psychologist to ascertain the causes associated with his depression and treat it with psychotherapy. I can help you online if you desire so. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I was diagnosed with ethmoid sinusitis disease. Why is disease attached to diagnosis? The ENT put me on an antibiotic called cefdinir 300 mg. Is this the correct type of antibiotic that i should be on? The doctor feels that if it doesnt help come back and will talk. Mean while if been back and fourth 4 times and the problem hasnt gone away. Ive had Ct scan and MRI and Doctor doesnt think there is a problem even though both CT and  MRI both say its mild to moderate ethmoid sinusitus disease. Every day I have a headache and pressure by eyes,nose etc.. Please write back and let me know what I should be doing. ### REPLY: Hi, Welcome to , Sinusitis can be treated with medicines like antibiotics, decongestant, antihistamines and anti-inflammatory .  And yes all your pain over head and pressure by eyes, nose is most likely due to ethmoid sinusitis. Surgery is not a must for everyone. But if sinusitis does not reduce with conservative medicines, and if sinusitis is recurring very frequently, may be 3 episodes in 6 months then we advise for surgery. And if the sinusitis is associated with nasal polyp, nasal mass, fungal sinusitis then also surgery is a must. Surgery for sinusitis is an endoscopic surgery. In this surgery mainly we clear the sinuses and provide good ventilation for the sinuses. We do have to cut the soft tissue, debride,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fallen 3 years ago and broke l1,l3 AND L4 LUMBAR after several operations to fuse together and paralyzed to a sertain extent in legs and incontinent and have problems with constipation and male sex organs. My question is this    besides ducolax and some liquid fiber my intestinse dose not seem to push the poop on its way. Is there something I can do or is this a permanent problem I will always live with? I have to use the finger to help with getting it out. What can I do ### REPLY: Spinal injury leads to weakness in both lower limbs and inability to control bowel and bladder. Unfortunately there is no surgical treatment available, although research in stem cells are going on and initial result are promising. I would like you to tell you that apart from dunce lax you can take stool softener like remain plus syrup. This syrup make stool jelly like, so it passes comfortably. Apart from that you should .  Avoid constipation because when stool remain in bowel for long time, water get absorbed from it and make it harder which does not passes easily. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wife was diagnosed with H:Pylori in October, 2014, which she was treated and a recent followup test was negative. During her endoscopy in October, it was determined that she had a fatty liver and subsequent tests disclosed high liver enzymes. Subsequently she was directed to lose some weight, which she has been trying to do without much success, even though she exercises 60-90 minutes a day and eats very well. We even joined a weight reduction team at our health club and while she loses some weight, it seems to go back on. Can the fatty liver create a catch 22 situation, where a person cannot lose weight, because the liver is not functioning properly and slowing the metabolism down? Thanks...Arnie ### REPLY: Hi, I do care for your concern. Initially fatty liver has nothing to do with the metabolism of liver, as it continued to happen normally. And fatty liver as such cause no symptoms. Weight reduction is advised as because of elevated liver enzyme, as it may lead to metabolic syn . In weight reduction process its diet which is more of a concern then exercise, therefore to have good weight reduction diet and exercise is a must, and fatty liver has no role here. Hope I have answered your question. If you have any further questions I will be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 uncle is suffering from chronic cough,extremely laboured breathing. he was admitted in ICU CMRI for 5 days due to laboured breathing. he was being given supplemental oxygen. dr. said he has respiratory tract infection and lung infection. please tell me what to do so that he can be subjected to better treatment? whom should i consult? what diagnostic tests are required? ### REPLY: Thank posting you query to  .you should be investigated for culture and sensitivity testing of sputum. It will guide you about bacterial cause of infection and provide you sensitive antibiotic. Some time viral illness also present with same manifestation, so you should contact to medicine physician he will treat you accordingly. Hope outside satisfied with my answer.  Feel free to tunicate if any query.regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 3 year old daughter has had a really bad cough for a few weeks now and a few days ago was sicj fir about 12 hours but recovered well left with the cough still only niw she has list her appetite and tonight is considerably upset and complaining of any lights being on what could this mean please help ### REPLY: Hi, Your daughter might have upper respiratory tract infection mostly due to viral infections of pharynx, sinus,larynx, epiglottis or bronchitis. You can do some routine blood tests with sputum examination and chest X-ray to have confirmed diagnosis as per your Pediatricians advise. Anyway, she should be given oral antibiotics (quinolones or accolades) in full course for about 7 days with bronchodilators (beta agonists, anticholinergics) syrup and nebulizers with steam inhalation to get rid of complete infection from throat or chest. Consult pediatrician for further advise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Ross. I am a 47 year old male. I have what I think to be the flu this week: Chills, Hot, achy, terrible headache, but a couple of days in I started having burning urination with some visible discharge which has lessened and is now a little itchy but doesn t burn. I feel my fever has broken, but still very tired. Thanks. ### REPLY: You need to be checked for urinary tract infection and sexually transmitted disease. A variety of infections can have a general onset with chills, fever, headaches, and body aches, and then symptoms specific to a certain body area develop soon afterwards. Burning urination particularly with a discharge suggests the possibility of a urinary infection or an STD. If it turns out to be an STD, you also what to be checked for other STDs, such as syphilis and HIV, as you can acquire more than one at the same time. The flu-like symptoms you had initially could also be caused by hepatitis, the flu, other viral infections etc. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, after I urinate the tip of my penis burns and it burns alittle after I defficate. I was checked for all STDs last month and was negative. Last fall I was treated with antibotics. The MD was leaning towards a Prostate infection. Does it sound like I might have another infection? Im 43 years old. The symptoms above have lasted for about three weeks. Thanks ### REPLY: Hello, Welcome to , The symptoms are suggestive of urinary tract infection, the burning micturition is a classical sign of UTI. I would like to know whether there is any history of high grade fever, chills and rigor which will suffice the UTI. You may be required lab investigation like urine examination for pus cells which helps to confirm our diagnosis of UTI, as you are getting frequent UTI you should be completely evaluated. For the present symptoms you can take oral antibiotics like of lox and metro, which will improve your condition. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: It feels like there is a dry spot in my throut that makes me cough uncontrollably then it will go away for maybe an hour and it starts again keeping me all night. ,I do not have a sore throut or flu and I do not feel sick my dr. Gave me sinus med. but it did not work ### REPLY: Hi thanks for asking question. Let me know you do you have acid reflux disease???? Because acid reflux can lead to cough for prolong duration. For that omeprazole can be taken. While sleeping keep head below pillow. So reflux will be less. Avoid smoking. Avoid excess spicy food. During daytime . Take fatty and fried food to a minimum for few days. I am giving above advise because although no fever previous attack of pharyngitis or sore throat can lead to long time  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: bilirubin level is increasing on every test ( more than 3 test in the span of 3 weeks)around 1500(1200>>1400>1500) now,but SGPT is coming down(166 now), [for hepatitis B diagnosed...]..is it ok?....how much time does it take  to settle down the liver swelling? ### REPLY: Hi thanks for contacting ... You have diagnosed with hepatitis b infection... I initial phase hepatitis increased In severity... Gradually with time and by our immunity hepatitis going to be decreasing... Here you need is to rest liver by taking low fat diet.... Excess fried food avoided. Sugarcane juice, apple juice and grape juice helpful in jaundice.... Take one tsp carom And cumin seed with water daily in morning for few fays... Avoid strenuous work by taking rest.... Some good food for liver taken like ....-papaya -carrot -dandelion -aloe vera -lemon juice -golden seal etc... It will take two month minimum for full recovery. After six month repeat Bag detection to rule out chronic case. Take care. Consult gastroenterologist with keeping this in mind. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had brain surgery to remove a beneign tumor.  It was a nine hour surgery.  Then nine days later he underwent another surgery to block a nasal passage that was leaking spinal fluid as a result of the first surgery.  This second surgery was a four hour surgery.  It is now five days later, and he is still very groggy and just wants to sleep most of the day.  Is this within the normalcy range.  He is 75 years old if this is a variable. ### REPLY: Hi, Thank you for posting your query. The recovery after surgery for brain tumor (the first surgery) and CSF leak (the second surgery) depends on multiple factors. Older age (as in your husbands case) is one of them, which delays the recovery. Recovery also depends on the location of tumor and any damage during the surgery. Occurrence of infection or electrolyte imbalance after the surgery (in the post-operative period) also delays the recovery. So, one has to be patient in the post-operative period, and take care of his diet and nutrition in addition to the medications, to ensure a rapid recovery. I hope it helps. Please get back if you require any additional information. Wishing you good health, . Ly/ ### END