Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello DR,I have a long going problem with excruciating left side pain and for the last three years I have had many exams to look for non existant or not detectable kidney stone(s). My question is : Can stones in the spleen change aspect of urine as in blood, protien, calcium  AND sodium crystals. Thanks in advance           Mr Gethen James. ### REPLY: Hi there, left sided pain, one of the cause could be a kidney stone. As you have already investigated for the same and not found any, either they a re very tiny and pass out in urine so are not found on ultrasound or x-ray or the cause is something else, and you might need a more thorough investigation for the same. Stone in the spleen is not heard of and no even if that was a possibility it would not cause an alteration in your urine report. But if the stone was in the kidney then it may definitely show in urine with probably blood or protein or sodium crystals as you have suggested. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter, 31, is 5 3 , 100 LBS AND EXERCISES DAILY. Her EKG last year showed a slight ST depression with no recommendation for any follow-up. She just had an EKG (routine) in December and the ST depression was negligible. Recommended having an echo. All else was normal. Any reason to be concerned? ### REPLY: Hi, a slight ST depression is NOT a cause for concern for a young 31-year-old. In this situation, I suggest my patients an exercise electrocardiography to confirm the goodness of this change. However, the conduct to wait a few months and repeat the exam is also right. I believe the echocardiogram would serve to rule out a mitral valve prolapse as the cause of this change on the electrocardiogram. Hope I have answered your question. If you have any further questions I will be happy to help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 3yr9months old daughter (15kg) has cold - started with running nose and sneezing; now coughing and occasional vomiting while eating/drinking. I have given her ambrodyl s (4.5ml x 3 times a day) and levolin inhaler (two puffs thrice a day) [she was prescribed levolin on earlier occasions and doctor has advised future use on SOS basis]. She doesn t take steam inhalation/gurgling. Now she has a little phlegm also. Is my step OK? Pl suggest medicines ### REPLY: Hi...the history suggestive of common cold, that is simple viral illness. If she doesn't have wheeze or noisy breathing, ambrosia S or leveling Neb does not help the child. Use levocetrizine 5 mg half tablet twice a day. It takes 5 - 6 days to subside. If cough persists, then child may have wheezing problem and then consult your doctor. Steam inhalation and gurgling doesn't help much. If you are happy with my answer kindly rate me. 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 TAKE NO MEDS EXCEPT ZYRTEC BECAUSE OF A DOG ALLERGY. TIRED FOR QUITE A WHILE. HAD SEVERAL TICK BITES LAST SUMMER AND AGAIN BEGINNING IN SPRING. STRANGE SENSATION LIKE A SHOCK IN MY HEAD. EXPERIENCE SUDDEN EXTREME SLEEPINESS AT TIMES PARTICULARLY WHEN DRIVING. HAVE DEVELOPED WHEEZING HUSBAND SAYS WHEN THIS HAPPENS HE CAN NOT SLEEP, HAD CHEST XRAY SHOWED NOTHING NO FLUID BUILD UP OR TUMORS. LAST ROUTINE BLOOD WORK WAS GOOD. MY DR. CAN FIND NO REASON FOR EITHER THE TIRED FEELING SHORTNESS OF BREATH, WHEEZING. BLOOD PRESSURE ALWAYS GOOD RUNS ABOUT 110 OVER 68 PULSE RATE 62 WEIGHT 189 LBS. ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. First, I would like to know more about all your symptoms since very beginning. i.e., nose symptoms, cough, wheezing, their frequency, day/night variations, seasonal variations, any skin symptoms, stomach symptoms, headache, whether you have dog, how dog allergy was diagnosed, etc. This will help me to understand your complaints better and also to make suggestions for you more specifically.2. As you have allergies and developed wheezing/breathing difficulty, with X-rays and other reports normal, I would first think of possibility of asthma. I usually suggest my such patients Spirometry with post-bronchodilator reversibility testing which helps to measure your lung capacity as well as type of your lung disorder, if any.3. I would also suggest you allergy testing for common air-borne allergens like house dust mites, molds. Pollens, insect proteins, animal dander, etc. This will help you identify the cause of your allergies as well as to know the measures to avoid them.4. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve your allergy symptoms.5. In general, I would suggest you to avoid exposure to cold air, dusts, smokes and air pollution as much as possible.6. For control of symptoms, I would suggest you fexofenadine or basting or similar antihistamine (they cause relatively less sedation among other antihistamines) + montelukast.7. For wheezing, I would suggest you to use albuterol or levosalbutamol inhaler on as-and-when-needed basis. However, spirometry testing will also help your doctor to choose more appropriate type of inhaler for you.8. I would like to know your height and body mass index as obesity/overweight could also contribute to your tiredness/sleepiness symptoms. For patients with body mass index more than 25, weight loss as low as 5-10% of the initial body weight can improve symptoms. In that case, I would suggest you to consult a professional dietitian and physical trainer.9. Regular physical exercise including breathing exercises and a healthy diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & 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: Today I felt a hard sort of lump on my left upper arm. It hurts when you rub over it and when I lean on that arm sitting up. I ve read everything I could on what it could possibly be but all I ve seen is that it might be tied to cancer which I m really fearful of. Also for the last week or so I ve been having really bad wrist pains and I don t know if it ties into that. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your lump may be malignant may be benign tumor.  You should go for fine needle aspiration cytology or biopsy of that lump to confirm diagnosis and treatment accordingly. Your wrist pain may be related to your mass. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, I did the ECG test twice in one day because my doctor said that there has been a change, and that I need to see a specialist for it. I asked if there was something wrong with my heart but the doctor just said that he didn t know for sure. Is there something wrong with my heart? ### REPLY: HelloThanks for posting here. ECG is a test that records the electrical activity in the heart. It can give us a lot of information about heart conduction disturbances, disturbances in heart rhythm, heart attack etc. however it has its shortcomings also. EKG may show capabilities from normal in person to person hence some changes may be present which are termed as non-specific changes. Your doctor must have asked you to repeat EKG because he has found some non-specific changes. Also, an EKG may be normal when there is no chest pain or associated complaints. Do in order to go ahead and determine whether you have a heart disease, please get a treadmill test done which will show if there are any blockages in the heart. Treadmill test has a good sensitivity of about 70%, that means it will diagnose 70% of patients with significant heart blockages. If treadmill test comes positive then you must get worked up further for heart disease. I usually advice all my patients above 40 to undergo a TMT annually. Wishing you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to a doctor and he scanned me in the stomach as i have been having diarrhea every now and then and sometimes pain. i also have a lot of gas and acidity in the stomach. in the scan results there is a point written - Liver shows mild impairment of echotexture. what could this mean? thank you.Yunus. ### REPLY: HelloSign impairment of liver echo texture may indicate liver parenchymal disease. You may need clinical correlation and investigations like routine hologram, random blood sugar, complete liver function test, renal function test, lipid profile, urine and stool RE/ME, viral markers. For acidity, you may take proton pump inhibitors like tablet pantoprazole 40 mg. You may also need upper GI endoscopy after evaluation. You may need proper evaluation for recurrent diarrhea. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I had a wisdom tooth removed last Monday. All seems well, except for a very small, hard white bump on the inner gum area at the extraction site. Its extremely hard, almost like a piece of tooth. Im wondering if its an abscess or some type of infection. ### REPLY: Hello, This may be part of the normal healing process as the gum becomes firmer during the healing process. You may feel a bony edge not noticeable before the extraction. If the area is hard and flexible, it may be a piece of tooth or more likely a small section of thin bone. If you have the sensation of a splinter and irritated tissue, you may need to have the dentist remove the remaining hard structure. Continue to monitor the area and rinse well. Return to your dentist for a follow-up visit if you continue to be concerned with the healing process. Total healing will start from the bottom by a blood clot forming and continue healing for weeks to months. You may continue to be aware of changes. If the area develops severe pain 3-4 days after the extraction, be concerned about a . Thank you for your inquiry. I am glad to offer guidance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr,  I am Ashok, aged 58 years, weighing 81 kgs, and my height is 5 ft, 7".  Recently I had a very severe low back ache which stretches down till my left knee running down through my glutal region.  I find very difficult to get up from bed.  But i dont find difficulty in walking.  Could you tell me the treatment I should take by return mailAshok. ### REPLY: Hi Mr Ashok, As you described your complaint there are two different problems. Both are commonly age related problems.1.backache radiating to left lower extremity. This could be due to lumbar spondylosis. Which is age related degenerative process causing compression of nerve root on left side. If it's a recent onset problem than you cocktail of analgesics, antacids, Pregabalin, methylcobalamine and good anti-inflammatory medications for pain relief. BUT the main stay of treatment would be lifestyle modification, wt loss some back care and exercise of back once pain subsides. If after a month pain persist or increasesThan go for spine surgeons opinion.2.knee pain on standing up also seems age related osteoarthritis. In that too.lifestyle modification like avoid sitting crossed leg, squatting or sitting below the level of knee height, prolonged standing, prolonged walking(can walk for long distance, but after short duration of walk take more rest by sitting in between) will help to slow down the degenerative process. Sos analgesics can be taken on rise in pain. And last but not the least accept you are getting old. Know your limits. Avoid extreme physical activities. Visit orthopedic and follow the 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: hii am 29 yrs female. its been 2 yrs of my marriage after miscarriage i am not conceiving:(. MY gyni dr. said there is not problem mild PCOS, my cycles were regular but this month it was due on 22nd march but till today no sign i did two pregnancy test but came out negative i ve severe breast tenderness n stomach cramps. now plz tell me what should i do  am v tense:( ### REPLY: Hi, Thanks for the query. You once consult gynecologist and go for blood test for pregnancy. If the test comes negative, you go for:Ultrasound, thyroid profile, prolactin levels. By this workup the possible cause for your problem can be identified. And depending on that treatment can be taken. After getting the periods track your ovulation and plan intercourse around that time. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Afternoon, I have had bleeding for almost 3 years and the dr s do not have an answer for me. I had a colonoscopy and the GI said it looked great but I still have bleeding. I will be just standing or sitting talking to someone and all the sudden it feels as if I peed myself and it will be a large amount of blood with what appears to be blood clots. any suggestions. oh and my blood work is perfect and I went to a colon surgeon per my GI request and said he doesn t know. ### REPLY: Hi, Welcome to  forum.  As you describe it appears to be due to the hypertension, amoebic colitis, or intolerance of foods like milk and milk products, wheat, barley etc. malignancy may not be there because it is not found.  I advise you to consult a gastroenterologist for diagnosis and treatment.  I usually prescribe to my patient with such symptoms, Lorain, ornidazole, styptochrome, ranitidine, and lactic acid bacilli.  Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 25 year old female who just had a baby 4 months ago. i have had this lump in my kneck that looks like an adams apple but it sits higher, i have had it for about 10 years and when i got pregnant it seems the lump has gotten bigger and is noticable now. what is it and what do i need to do to get rid of it? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some thyroid swelling, salivary gland enlargement or lymph node enlargement.  You should go for ultrasound neck study.  It will give you exact diagnosis.  Then if needed to go for fine needle aspiration cytology or biopsy and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a breathing problem that so far no doctor or specialist can find a cure or reason for it happening ( NZ or Australia). every minute i will suddenly take a quick breath struggling to get air in. This isnt something i do intentionaly my body just does it randomly, This can last up to 6-8 weeks at a time, i am highly fit and it can worsen when i am playing reugby league or in the ring for my professional boxing. wake up one day and it will be gone, i havehad an ECG test done as well as the running treadmill test, Xrays, ultrasounds, everything comes back fine with my heart lungs etc, When im suffereing from this i also can not finish a yawn properly which is so frustrating. do you have any ideas ### REPLY: Thanks for your question on . I can understand your situation and problem. Since your cardiac work up is normal, no need to worry about cardiac cause. I advise you to consult pulmonologist and get done PFT (Pulmonary Function Test). As possibility of bronchitis is high in your case. So PFT is necessary for the diagnosis of bronchitis. This will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT and rule out bronchitis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.. Im not trying to be pregnant and my period was about 1.5 wks late. I had very light spotting once or twice couple days before starting what I had thought was finally my period. At my heaviest i recognized some clots and when I wiped myself i saw a gray purplish like blob of .. Im not sure even what to call it. I have been using a tampon and when i told my friend who went through an abortion before she recommended i use a pad. every since then i only bleed when i use the restroom and clots are still coming out. my abdominal pain only lasted two days. The types of blood has been changing from flush of mucus dark red to bright red to now very little purplish sandy blotches. I started wednesday night. and now it is saturday. I do not have a doctor to go to . I cannot go to my parents. All I can think is that Ive had a miscarraige. Although this whole event might have been an accident I have been feeling very emotional and angry and tired and confused. I have not been feeling like myself the past couple weeks. Thinking I was PMSing till i got my period. ### REPLY: Hi, Thanks for the query. The possibilities are:-Delayed periods, due to some hormonal imbalance.Maybe the tissue you mentioned is overgrown endometrial tissue due to delay in periods.-Miscarriage. As you are not able to consult gynecologist now, you go for urine pregnancy test once. If the test comes positive there is possibility for miscarriage or if the test comes as negative, the bleeding could be menstrual flow only. In case of miscarriage, if the bleeding continues you have to consult gynecologist once. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i m 30 yr old guy and i am suffering from high bp past 3 year.my bp mesurment 140/90 and 150/100.some times i blackout and heavyness in my eyes.i take half tablet nebistar h from 6 months.and now from 5 days before my bp raise 160/100 and i rush to hospital.and they have done ecg.everythings ok.bt nw from two days i feel heavyness in my head like pressure and i feel indiegation badly too..nw i started homeopathy medicine..how can i get best results to get rid from high bp..please suggest ### REPLY: Hello, High blood pressure is commonly due to stress, inadequate sleep, unhealthy diet, kidney disease, thyroid issues, genetics or being overweight. Unmanaged hypertension commonly triggers CAD & Stroke. Quit smoking, alcohol, fatty food, cut on salt intake, cut on high protein diet & red meat. Do regular exercises, maintain a low BMI, avoid sedentary lifestyle. Stay well HY .  You are suggested to see a GP & get physically examined. Get blood (CBC, Lipid profile, stress test, T3, T4 TSH, Urinalysis, etc.) & Imaging tests done to detect thyroid, kidney or any developing CAD. Your treatment will depend upon the pathology detected. You may need diuretics. Hope I have answered your query, take care. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently been noticing that a few bumps have been forming on the inside of my mouth (the oral mucosa , if I m not mistaken in attempting to be specific)... And, to be honest, I truly do not possess any intellect about these growths whatsoever. I just refer to them as gingival polyps , however; I ve even been squeezing them so they could be removed, but it seems like more of them form after I consume something. Do any of y all know the information on this condition I currently have? ### REPLY: Hello, thank you for consulting with . Actually gingival polyps are those who grow on the gums. If the bumps are on any other area of oral mucosa, they are not gingival polyp. But if they are occurring on gingival only then they can be infection of gums or tooth. To confirm any bump you have to visit a good oral medicine specialist and get them properly examined with an x-ray. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Ive had this sickness for roughly 3 weeks now and it mostly happens after eating its starts of with a tingling sensation running from my legs to my head and then i get either a hot or cold flush then i feel like im about to be sick but never am its a really uncomfortable feeling and Ive been to my doctors and they said it could be some sort of panic attack but im not so sure about that if you could help i would be so grateful. ### REPLY: Hi there ~ It is not uncommon to have this feeling of hotness or feeling flush after a meal, particularly a spicy or a heavy or an unusually warm one.  Everyone's physiology is different.  However, if you feel that it is unusual for you and that it is causing you discomfort in any and every situation, I would recommend that you see an endocrinologist first since it could be hormonal.  If you have ruled this out, an unusual form of anxiety disorder may be the case.  However, you would need to consult a psychiatrist for a detailed evaluation.  I hope this helps.  Take care and have a safe 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: good morning sir my name is sudheer , sir i am getting some pain in left leg (from thie to bottom )  some what serious some one saying that it is a sciatica  whats the remedy to this case i am unable to bear this pain sir , so please give me nice suggestion to  get out of this thanking u ### REPLY: Hello Sheer! Welcome on  ! Your symptoms could be related to sciatica, which is an inflammation or irritation of the sciatic nerve, probably as a result of a fiscal hernia in the lumbar spine region. For this reason, I would recommend taking painkillers (acetaminophen, ibuprofen, fetoprotein, etc.) and have some bed rest. I would also advise performing a lumbar spine CT scan to exclude possible hernia, which may need surgery. A lumbar brace may help. It is also important avoiding lifting heavy weights. 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: hi my mom is quite healthy but her neck muscles have become weak due to that there is a losening of skin and a kind of hollowness is seen in submandibular region which we usually seen in elderly persons n doctor has suggested RUDDOX ..is it beneficial? ### REPLY: Hello, As medicine is given should be helpful to her. You should even try to make her do simple exercises which will help her muscles to become active and do correction of the same. In aging, this is possible to have some abnormal changes in the muscular system and with exercise, things can become close to normal again. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is mike , my day was bite on yhe neck not sure by what we dont know. we live in minnesota he had joint pain now has a rash on left side of face and his head hurts to the toutch on the left side and a tooth hurts also had a sore throt also the bite was on the left side bite was as big a a golf ball ### REPLY: Cellophane You for contacting . These symptoms are due to allergic contact of fly with your skin. If a patient comes to me with similar symptoms then I would suggest cetirizine 10 mg at night for 5 days & acetaminophen for pain. Apart from that take a cloth piece and warm it over flame and then place it over the area of pain. It will give soothing effect. Report to hospital if:> Condition starts to deteriorate.> Condition does not improve in 2-3 days> Any unusual symptom appears.> There is difficulty in breathing. Hope I have answered your query. If you have any further questions I will be happy to help. If you do not have any clarifications, you can close the discussion and rate the answer. Wish him 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 took my birth control pill(low-ogesteral) and then pretty much 2 hours later had one episode of loose/watery stool with stomach cramps.will this effect my birth control? ive heard it has to be severe for days to effect it but i am worried since it was shortly after taking the pill ### REPLY: Hallow Dear, Loose motions may be or may not be the effect of the pill. Low Estrogen pill means Progesterone dominant pill. In fact progesterone does cause gastritis leading to nausea and omitting. Moreover, it causes sluggishness of the intestinal motility leading to constipation rather than loose motions. So this episode of loose motions is most likely by gastrointestinal disturbance due to some other cause. Whatever is the reason, please support yourself with oral rely .  After each motion, take a glassful of warm water with 2 SF of sugar and a pinch of salt in it. Otherwise, many oral rely ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 receive an odd reaction to certain foods, and I was wondering if it was a food allergy or something else. The area below my ears down a little ways of my neck tingle a lot. It is a lot of pain and am not able to move my jaw or sharp pain will ensue. Please let me know what this condition is called and how it can be fixed. ### REPLY: Hi and thanks for this query. I am so sorry to hear about what you have been experiencing with certain food stuffs. If this has been happening and repeatedly with the same food types, then it is probably an adverse reaction treated t some element found in the food. If the symptoms are too severe, then please avoid consuming these food types and wait until the condition is ad .  However, if they are minor and not incapacitating to you, you may choose to continue eating it while you seek medical attention. Treatment of most of these conditions require an anti-allergic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 21 year old began with a sore throat. She woke yesterday with a pretty high temperature. She has run one all day and still has a sore throat. She now has a rash around her neck. We ve given her Ibuprofen, PE, lots of water and honey for her sore throat. I assumed it was a virus but the rash had me concerned. ### REPLY: Mostly sore throat are caused due to infection of beta hemolytic streptococci bacteria. Your daughter needs to go for following tests titreCRPESRculture of throat swab.it will confirm the strain of bacteria. Meanwhile take following medicine tab coamoxiclav 625 mg thrice daily tab pan40 once daily in morning before breakfast. Tab govern Sr 100 two tabs twice daily. Three times gargling of mouth with warm salt water. All for 7 days.thank you 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: female patient admitted in the hospital complaining about joint and muscle pain, accompanied by fever her lymph nodes and spleen were enlarged patient exhibited a butterfly like red rash on both cheeks and across the bridge of the nose. what might be the problem. and what would be suggested as a treatment regimen ### REPLY: Hi, thank-you for providing the brief history of you.a thorough musculoskeletal assessment is advised. As you were admitted in hospital for systemic pathology. Due to the stay in hospital, medication, immobility, etc. there is joint and muscle pain. It happens to most patients admitted in hospital. Where post discharge they can undergo some physical therapy for maintaining their muscle property and joint mobility. As with meditation, Breathing exercises and general body exercises you will be back to normal. Also, exercises improve the metabolism and immune system which helps the healing of the body and also improve the overall feel. The aches and pains arises is due to the imbalance in the physiological system occurred due to the systemic illness. With exercises most patients bounce back. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m a 24 yr old female. For the last few days I ve woken with an itchy rash on the front of both legs.. It has been disappearing by lunchtime but today there are more spots! I have just finished a week course of amoxicillin and a steroid based inhaler for a chest infection. I am also asthmatic. Any ideas what the rash could be? Should I be concerned? ### REPLY: Hi, It seems that probably you may be having atomic dermatitis. . As you gave history of asthma. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. Antihistaminics like levocetirizine and steroid in tapering dose may be taken. Apply mild steroid cream on the affected areas. Avoid soap bath. Avoid contact with suspected allergens. Avoid stress and anxiety. I hope this would help you. 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: my grandson just went to the doctors from his knee down have turned purple the doc sent him for exrays haven t herd anything yet for the results but our doc said it was a lack of oxygen to his leg what would cause this he is seventeen years of age im worried ### REPLY: Dear Sir, no need to worry, I have understood your concern, see its very common to have bluish discoloration due to injury, see as due to injury there will be a phase of inflammation and swelling due to compression of small vessels, this may due to injury to soft tissue ligament and capsular strains. But its temporary, and within 3-4 days it will be resolved if there is no fracture, currently need to apply ice massage and compression bandages and Apply foot elevation swelling and inflammation will slowly reduce. I hope you have satisfied with this answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Suresh and I am 24 years old. Normally I use to masturbate twice a day since two years and at the begining I have noticed my pennis use to be in a medium size and use to get stronger and bigger when I get emotions but after few months its being a big issue of not getting my pennis bigger and stronger after masturbating for couple of times a day. But sometimes when I dont masturbate for 2  or 3 days I feel like getting medium level of pennis size and stiffness but I need to shake it for me some time to get that better but not exactly the same as I had before. As I am about to get married in couple of years I would like to get this treated as soon as possible before letting this issue to cause any kind of serious problem in my relationship. Please help me ! ### REPLY: Hello, It may be due to performance anxiety. For that you may require testosterone level, lipid profile, electrocardiogram after physician consultation. Along with that avoid stress. Take balanced diet and proper rest. Avoid smoking and alcohol. Till then, you can take tablet sildenafil one hour before sexual act 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 am 23 years old and me and my husband have been trying to conceive for about two years now. After about a year I went to see a GYNO and he supscibed me fertomid to use for 6 months. I used it as he said and after the 6 months was done, I still wasn t pregnant. I am now off fertomid for 4 months and all 4 months my cycle was 35 days long, but this month my period is late? I am too scared to take a test.... If I m not pregnant then there is something els wrong. Please help ### REPLY: Hi and thanks for the query, The commonest cause of missed or delayed periods in a female of reproductive age is pregnancy. This might be difficult to ascertain in some females with abnormal cycles. Doing a good pregnancy test, prefer a blood beta  test or at times at obstetric ultrasound might be useful. This could have an added advantage in offering other insights in relation to other causes of disease like ovarian cysts. An appointment with your infertility specialist is worthwhile. Thanks and best regards, Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have been having really bad abdominal pains and middle back pains, I am having normal bowel movements. I m also having migraines and it feels like a lot of pressure is being put on my lower abdominal area. I m just curious to see what is causing this and what I need to do. I also just passed a blood clot while using the restroom and I am not on my menstrual cycle.. Thank you. ### REPLY: Hi. Thanks for your query. The occurrence of lower abdominal pains with backache and the passage of the clots in spite you not on your menstrual cycle indicates that there is a problem with the uterus. This is so because your bowel movements are normal as per your history. I would advise you the following:Consult a Gynecologist for clinical evaluation, physical examination, tests of blood, urine and stool and ultrasonography of the abdomen and pelvis. Migraines may not be related to this existing problems. Take the treatment under the care of a Neurologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 18 year old female. I have had this pea-sized hard bump on my head for as long as I can remember. Its very ugly, and it doesn t hurt. The bump is very annoying in a sense that it can be clearly visible at times if I part my hair a certain way. I m very sick of it and I often contemplate chopping it off completely myself. Can someone please help me I just want to know what is it. If it s cancerous. Is it too late for me to go to a doctor? Thank you! ### REPLY: Hi, Since you are only 18 years old female a bump on head there is no chance of it being cancer. So no worry about cancer. The commonest cause at your age of such a bump or a lump is a sebaceous cyst. The best way is to consult a General Surgeon for clinical evaluation, examination and get surgically removed for a possible cure and good aesthetic. Stop worrying unnecessarily. Take care. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 33years old and female. I have a lump behind my right ear that I discovered yesterday. It is flesh colored and feels hard and bony. It is the size of a dime right on my mastoid bone. I have not been feeling Ill. Am wondering if my glasses could be rubbing on the bone causing inflammation or if it is more serious. ### REPLY: Hi! Welcome to ! Well, if I were your family physician for this complaint of a flesh colored and feels hard and bony lump behind the right ear, I would just think of some benign conditions and convince you not to worry at all! However, possibilities are : 1. Neurofibroma/dermatofibroma2. Enlarged lymph node due to chronic infection in the scalp, Dan .  Benign osteomaOnly a microscopic examination and clinical assessment can confirm what is it therefore pleasing don't worry and see your doctor for relief or revert to us if necessary!wishing you good health!w ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes I have what looks like a rash on my penis that is fire red. It has been there for about 3 weeks. Now fluid is coming from the sides and when i pee the urine splits and that part is blood shot red and the entire penis burns all the time and more when urinating ### REPLY: Hi Dear, Understanding your concern. As per your query rashes in penis seems to be due to allergic reaction and could be fungal infection of skin. Need not worry. I would suggest you to apply coconut oil. Take hot site bath. Keep area clean and .  Wear loose and cotton clothes. Take oral antibiotics such as Cephalosporins as it will give immediate relief. If symptoms keep on persisting visit dermatologist once and get it examined completely and start treatment after thorough examination. Hope your concern has been resolved. 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: A few months ago I developed what my dentist called extreme jaw disfunction.  I had a night guard made for my lower teeth.  About 3 weeks after wearing it my neck started to crack when I moved it either sideways or even up or down.  Sometimes I get a star burst feeling in the back of my head after a loud crack which can be heard across the room that I sit in.  Sometimes I have a light headed feeling too.  Do you have any information about this.  I am seeing a cranial massage therapist whom I am hoping can help me.  Thankyou. ### REPLY: Hello, Your night guard is designed to prevent some stress to your jaw and preserve your teeth. Are there other dental treatment recommendations made by your dentist to ad .  You can consider seeing other dental specialist including an oral surgeon and orthodontist. X-rays and scans may provide additional details for a diagnosis.  I am concerned that you may at risk with some nerve damage in your neck. This may require an evaluation by a neurologist or orthopedic doctor. Do you have a history of any back or neck trauma? This can include a fall, car accident or sport activity. A chiropractor may offer you relief and take X-rays for diagnostic information. Anti-inflammatory medication may assist relief for muscle tension. I suggest you discuss additional steps with your dentist and the massage therapist. Thank you for your inquiry. I hope you feel better soon. I am available to answer additional questions if you can provide your medical history and further description of your condition. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Just want to ask coz oct.20 was my embryo transfer and yesterday oct.31 and today nov.1st im bleeding and 3days from now is my pregancy test.But im worried about the blood.its not really heavy but till now i have a light bleeding and i saw some clots:-( ### REPLY: Hey thanks for your faith in the .I have gone through your question and understood your problem.in most cases this bleeding is inconsequential, but it could also indicate problems such as inadequate hormone support for the luteal phase, thereby causing the endometrial lining to start to slough.  It could also indicate that the period is starting or that an abnormal pregnancy exists or is being miscarried. When the bleeding is light, usually no intervention is required. Hope I have answered your query. If you like my answers and wish me to answer in the future, bring it to my attention ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been tested for HSV 1 and 2. I am married and have a partner. I told my partner about it as soon as my husband told me. He got tested and told me he didnt have it but he was exposed to it. Is there such a thing as being exposed to it. I thought either you have it or you dont. Now hes telling me he just wants to be friends and not be together anymore. I feel so ashamed and rejected. I cry about this every day because before he was ok with it and we were careful and then all of a sudden he just wants to be friends. Do he have it or not? ### REPLY: Dear patient, I totally understand your frustration and how this is affecting your personal life. Regarding HSV 1 and/or 2 infection the following points should be taken into consideration in order to understand the situation better.1- In case someone got infected by HSV 1 and or 2 then the virus will be always present in the body but wouldn't cause a recurrence unless there are certain circumstances like stress, sun exposure, other infection, immunosuppression ... So if your partner has been exposed to the virus meaning he has the virus, but the virus is not replicating (sleeping mode).2- Recurrence means that the virus that was sleeping is now replicating and this will cause symptoms (vesicular lesions with an erythematous base : blisters with redness of the skin) and pain. Any patient who has been previously exposed to the virus can have a recurrence.3- The way to know if someone has been exposed to the virus is by doing Egg and IGM against HSV 1 and 2. If they are positive it means that this person has the virus. However, to detect if certain genital or oral lesions are due to HSV (meaning recurrence) then a testing of the blisters (tank smear and culture) or a PCR from a swab from these blisters can give you the answer.4- there is no cure for HSV, however in case of recurrence the treatment will be acyclovir 400 mg three times daily for 10 days. I recommend that both of you to do the labs mentioned above and hence know your status before taking rapid decisions. 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: Sir, I undergone gall bladder stone removal surgery by 2 months before. At that my liver was in normal by ultra sound. Now I have pain in my upper abdomen,so I undergone CT scan. Now reports come out with enlarged liver by 17cm in craniocaudal axis. What medication can I need? ### REPLY: Hello Enlarged liver may be due to many reasons like hepatitis, infection,fatty changes in liver, tumour etc. Your liver size is mildly enlarged in size. Besides clinical correlation, you need investigations like routine hologram, random blood sugar, complete liver function test, urine RE/ME, lipid profile. You may need to take some medicines after complete investigations. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO  I AM 40 5-10 AND 265LBS.  I LIFTED A HEAVY WINDOW UNIT AIR CONDIONER BY MYSELF.  THEN 2 DAYS LATER AFTER I WOKE UP FROM A NAP ON MY COUCH I START FEELING A PAIN ON MY RIGHT SIDE OF MY LOWER CHEST ABOVE MY ABDOMEN AROUND MY RIB CAGE AREA. WHEN I MOVE A CERTAIN WAY OR WHEN I TAKE A DEEP BREATH AND IT HURTS WHEN I SLEEP ON MY SIDES.  COULD I HAVE HURT IT AND DIDNT FEEL PAIN FOR A COUPLE OF DAYS ### REPLY: Thanks for your question on . I can understand your concern. Yes, possibility of musculoskeletal pain is more in your case due to heavyweight lifting. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3.  Avoid bad postures in sleep. 4. Sit with proper support. 5. Apply warm water pad on affected areas. 6. Take painkiller and muscle relaxant .  Don't worry, you will be alright with all these in 5 - 7 days. 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: Just recently yesterday morning i noticed a slight bump on my penis close to my pelvis and was concerned that it was something serious. i first noticed it when it bled slightly, but after that it just remained a little swollen and had a small entrance mark resembling a cut. Up until now the swelling has gone down a little,  i wasnt sure if it was a bug bite or maybe something more serious, what are your thoughts on this? ### REPLY: Hi, it sounds strange. Did you suffer any trauma to the area or any sexual encounter in the recent past? These things could explain why it happened. Other than that it would be difficult for me to say, specially without examining you. You could observe it or better would be to show it to a Surgeon who can examine you and suggest accordingly. It is probably nothing serious, but it would be better to be sure and get it out of your mind by seeing a Professional. Take care, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr. Sam , My name is sue , I want to ask about my husband , he had pain for the last week in the middle of his back going through his left side down tummy. his doctor thought a stone in kidney but in xray didnt show any what it shows the enlarge prostate which he already got it and he is taking medicine but it seems it is getting bigger .during this weekend I just need to know the pain in his back because it is really very painfull.thank you ### REPLY: Hello, There are plenty of causes for the symptoms you have mentioned i.e. Pain in the mid back. As your doctor ruled out the kidney stones, it may be due to other causes such as Overuse, muscle strain, or injury to the muscles, ligaments, and discs that support your spine or Myofascial pain that affects the connective tissue of a muscle or group of muscles. As he has pain radiating to tummy, it could be due to mobile small kidney stones or appendicitis. My advice is to do ultrasound abdomen to rule out any stones or appendicitis. If everything is normal, better try any bed rest and painkillers like Diclofenac or Ibuprofen. Hope this helps. Please write back for further queries. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hii had c ssection a week ago and three days ago i started to have upper abdominal pain very sharp like contractions. Yesterday after using glycerine suppositories I noticed that my stool has blood.Ipain is still  there....what could be causing this ### REPLY: Hi.] Noted your history of C-section a week ago. But started pain in upper abdomen along with blood in stool after taking Glycerin suppository. The most probable cause is colitis that is giving upper abdominal pain as well as blood in mucus. I would advise you the following:- First, to consult the operating surgeon for clinical evaluation, examination and investigations like X-ray of the abdomen in standing position, ultrasonography, tests of blood and stool. This will help to get a proper diagnosis and a plan for the treatment. If there is no relief, further tests like CT scan be necessary. Surgical exploration may be needed if there is a suspected post-operative complication. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I have been told by my doc that I have a prolapse of the utrus I have a low abdomen dragging discomfort that eases so much when I lay down and the low back pain eases aswell but when I get up in the morning all is much better till the day is going on then when I have been on my feet it all starts again I also feel that if I keep my bowels empty with less food consumption it also eases it, what is going on. ### REPLY: Dear patient Your lower back pain and abdominal pain is attributed to uterine prolapse. Prolapse leads to stretch pelvic floor muscles and intestines with it and hence pain occurs. This typically happens on standing and mobilization as with gravity pelvic organs prolapse occurs, and you get pain. But when you rest in supine position pelvic organs go into their place and prolapse is reduced by itself which relieves you of stretch and pain. You need to visit expert gynecologist and ask for treatment of uterine prolapse.  You may either opt for hysterectomy with pelvic floor repair if your family is complete or asks for sling surgery and pelvic floor repair if you want to preserve uterus.  All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was travelling to my native town .It had been a 24 hours journey.so took a break at my cousins place and there was no AC except a cooler.the next morning i woke up to enter the washroom and collapsed and dont know how was awakened to find self on the floor, with brother trying to sense me up.now i am back to work and i can feel the sensations behind my skull and internal feverish body.What should i do? ### REPLY: Hi, Thank you for posting your query. Most likely, you suffered from syncope (common fainting), which was precipitated by exhaustion of journey, heat and micturition (passing urine). There is no need to worry, as generally it does not recur. However, it would be useful to consult a neurologist to confirm the diagnosis. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: so ive been infected with scabies from my girlfriend who had it to , shes doing her second treatment tonight and it already looks like its going away but mine has spread to alot of places .. i did m first treatment bu theres also a rash on my thigh from it , but in bumps almost i just want to know if its bites from the scabies or a rash from putting to much stuff on it because after my treatment i put on tea tree oil . could take pictures to show ### REPLY: Thanks for posting your query to  .you can send me picture of your lesion.first you should confirm your diagnosis weather it is scabies or some other infection. I wanted to know also what medication you have taken so far for this problem. If proper treatment is not taken, scabies may get infected secondarily and in such cases along with treatment of scabies you need to take antibacterial infection also .you can contact to dermatologist for making a diagnosis and taking correct treatment.thanks .feel free to contact . . Profit Infectious disease specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bp readings routinely very high (204/114) normal for me is 154/98 with 4 different bp meds, fatigue, indigestion, headaches also have angina have no idea what is going on i am only 46yrs old 20 extra pounds of weight and i smoke. ### REPLY: Hello, thanks for your question. I understand your concern. - Angina and hypertension can develop in people that are 46 years and younger. -Factors like long time smoking, atherosclerosis etc. increases the risk of developing both hypertension and angina. -In order to help with your symptoms, I normally advise my patients to quit smoking, eat a healthy diet and maintain a normal weight by exercising. Please always remember to take all your medications as prescribed. War regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have been diagnosed with TB and started the course today only. The Doctor prescribed me 2 Forecox tablet before break-fast and 1 Benedon tablet anytime a day. But after taking the medicines severe itching started all over my body and i noticed some rashes also. Kindly suggest me something to reduce this itching. Please also suggest me food that i can include in my diet to get rid of this allergic reaction... Thanks female,23 ### REPLY: HelloThanks for asking us. I am  and I will be answering your query. See TB treatment is of 6 months if you in categorize one which means you took tb treatment before and also the medicine is freely available in government hospitals. You should go to a government hospital and start your treatment there under DOTS. In my opinion you are having allergic reaction to the . As you already got itching and rashes all over your body. Did you get fever also? Consult a TB specialist for your treatment ans  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Female, age 60, with osteopenia. I fell on hip 3 weeks ago and after about 3 days the bruise showed with little pain except to the touch. Now bruise is gone but hip has more pain with lump at the previous bruise site. Is this normal? The pain seems to be radiating from inside out. Maybe I should not have gone dancing or continued with exercise. At what point should I go to the doctor? Thanks, T. T. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion you should immediately consult orthopedic doctor and get done 1. Clinical examination of hip joint 2. X-ray of hip joint. Since you had fall 3 weeks back and having gradually increasing swelling and pain, possibility of fracture is more. So don't wait at home. Consult orthopedic doctor and rule out fracture. You may need painkiller and anti-inflammatory .  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: my friend had a picc line removed back in july after being treated for acute leukemia. As of Sept she has felt a lump form around the site where the picc line was removed. As of 2 days ago she as been getting these really bad spasm and sharp pains shooting down her arm and the lump seems to have gotten bigger since sept. What do you think it could be? ### REPLY: HIT hank for asking to ChatDoctorIt is really sorry for your friend, long term insertion of IV line catheter can cause local area inflammation and could be a thrombophlebitis, but it will go away generally no medicine is required in it, at the most we can try local heparin preparation for thrombosis, otherwise it won't hurt nay more, only ting is to watch for any infection part have nice day and take care of your friend bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lupus, and recently my toes have started turning very dark purple, the skin is hot and extremely tender to the touch, they are hot and the skin is tight around my nails, they are swollen and my joints ache constantly. This is all my toes, not just the big ones. Please help ### REPLY: Hi & Welcome. It is suggestive of Reynolds phenomenon. Raynauds phenomenon is an important complication of lupus due to spasm of the smaller digital vessels of the fingers or toes. It causes the blood vessels of the hands and feet to spasm, especially upon exposure to cold. The blood supply to the fingers and/or toes then becomes compromised, causing blanching, whitish or bluish discoloration, and pain and numbness in the exposed fingers and toes. In view of the above I advise you to consult your treating doctor for further evaluation and possible use of certain medications like calcium channel blockers to prevent this complication. Hope this will 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: I have pericoronitis that started yesterday with mild trismis. Today, the entire left cheek is swollen as well as lymph nodes. I have radiating pain to my head, ear, eyes. I had a routine dental xray on Tuesday for referral to Oral Surgeon. Dentist called in penicillin for me and Ive already taken 2,000mg today (per recommended dose). Im using saline rinses every 2 hours or so and taking ibuprofen. What else can I do for relief? How long should I expect these symptoms to continue? I cant talk or open my mouth enough to brush. ### REPLY: Welcome to  forum, As you said that you Have peritonitis, cheek swelling and mild Erasmus. Consult doctor for cleaning the area below operculum(flap covering wisdom tooth) with Betadine and normal saline. Afterwards place a thin cotton pellet soaked in local anesthetic agent under the operculum after flushing it. It will give you belief. Follow antibiotic prescription and Take FLAIL tablet for swelling. Maintain good oral hygiene. Do warm saline rinses after every meal and use antiseptic mouthwash. Apply hot fermentation to reduce Erasmus. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband was diagnosed today with having mild to moderate blockage in both of his carotid arteries.  I am looking for something naturally he can take to help.  I take red yeast rice and I thought it was for that....will that help and do you know of any other supplement?  Concerned 59 year old wife. ### REPLY: What goes in should be proven to help. Natural doesn't mean safe. The most poisonous chemicals are natural. The only proven treatments for someone with carotid disease are to seek control of blood pressure, lower cholesterol and possibly a baby aspirin every day. The extract that you take is actually the .  The natural way of lowering cholesterol is effective but requires strict adherence to a diet similar to that popularized by Dean Cornish. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just released from the hospital on May 21st. I was admitted because I could not urinate which was brought on all of a sudden. They treated me for low potassium levels of 2.4 and inflamation of the intestines. For the last two days all I want to do is sleep. I feel exhausted and can t stay awake ad I having stomach cramps again. Should I go to the hospital now or wait till morning and get a doctors appt. I don t know if this could be low potassium again. I don t want to over react. ### REPLY: Hi. Thanks for your query and an elucidated history and understanding of your problem. The over sleepiness and exhaustion can be due to low potassium levels as you have suspected correctly. The cause is the inflammation of the intestines, not allowing the absorption or the loss of potassium into the intestines from the body, what we call a third-space loss. You need to go back to the hospital. And get investigated urgently, particularly the serum electrolytes. And get corrected the balance of electrolytes, get proper supportive treatment and the treatment for your intestinal infection as unless it is corrected the other problems will prevail. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in a fatal mva in April 2011. I still suffer with whiplash and c5 and c6 are bulging. Will this ever settle down? I have been to the melbourne whiplash centre and still going to the gym. I have been doing weights and told to bwck off. It gets very tight and I hace alot of headaxhes. Is there anything more I csn do to try and relieve the pain? ### REPLY: Dear Patient, if seems in your case the whiplash is taking too long to heal, moreover do you have radiating pain in your arm, which could be due to the disc bulge you have. Regular physio as advised will certainly make your headache better, just be sure to see your euro doctor just to be safe and see if it's the whiplash only that is causing the problem and not anything else. Take care and get will soon, Thanks for contacting ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with MS 25 years ago, The doctors working through hospital. The Royal Edinburgh. The hospital for people that connot cope with their lives. You`ll be very aware. I was given a tablet was very effective. I stopped smoking cannabis, and I became more aware of the things that was going on arround me. I cannot remember the name of the tablet name ### REPLY: Hi, Multiple sclerosis is a desalinating disease of the central nervous system. Today, there are a lot of effective .  Tablets approved by FDA include dimethyl fumarate and trifluoride. Both these tablets came within the past 6-7 years. 25 years ago (1995), interferon injections were in use. For some, azathioprine tablets were used. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there Dr How are you?My name is AAAAA and I have an extremely sore back... Its an on going injury and my Dr (G.P) has prescribed Naproxen, Codine phosphate, Baclofen, and Paracetamol to attempt some relife from constant pain.Today as I got out of the pool I tweaked it again and nun of these drugs has given me relief. Right now Im laying down on my stomach with a hot wheat sack on my lower back.My question is... Can you suggest a better pain medicine than the ones Ive already listed please? ### REPLY: Hi I am .  Hope you get a speedy recovery. In my opinion you should have camped capsules 01 caps twice daily at least for a week. it's a good and effective painkiller. It contains tornado. Also get a MRI of back done as soon as possible to look for the causing factor as it helps in long term treatment. You can add Keegan 1 tab 75 mg daily to start with. It helps relieve neuropathic pains as in your case. 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: Before some day ago on Monday I have pain in my chaste than I go hospital and check to Dr. he say for ECG & Xray after found that report I will go and checked him. Dr. say I am all right, he say the reason of the pain is some tension taken by me. Now after that day I have realise little-little pain in my chaste since 2 or 3 days so what can I do? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart and lung diseases as your ECG and chest x-ray are normal. Sometimes undiagnosed stress, anxiety can also cause similar kind of chest pain. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. 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 there, for the past couple weeks i ve been having some breathing difficulties. 1) its hard to breathe through my nose, feels like its blocked but theres mucus 2) lungs sometimes feel heavy or tight . I did have a cold about a month ago and cough up a bunch of phlegm. When i breathe i can feel a rumble in the middle of my chest, sometimes it goes away. I am a smoker and i also have anxiety disorder. Ive been to the ER 3 times last year because i felt like i couldnt breathe. They gave me an ekg and xray, said everything is fine. Saw my primary doctor in May and told her about the rumbling in my chest and heavy breathing, she said my lungs sounded fine... It feels like my breathing has been getting more difficult and just wanted to ask on her for advice before going back to see a doctor. My lungs dont hurt, its easier to breathe laying down. Could this just be my anxiety? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, we should first rule out bronchitis in your case. Bronchitis is common after cold (viral infection) and show similar symptoms like breathing difficulty, wheezing etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). If PFT is normal then anxiety is the most probable cause for your symptoms. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. You may need anxiolytic .  Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband was diagnosed of PTB activity undetermined his Dr. from his pre-med told him to take 4 capsules of myrin p forte 30 min. before a meal everyday but after taking the capsules for almost 1 month we decided to check another dr. for radiologist and examined his x-rays told us that his ptb is stable and don t have to take treatment is there any possibilities that the 1 month of taking myrin p forte affects his body or triggered the PTB ? ### REPLY: Thanks for your question on . I can understand your situation and problem. Any lung insult either tuberculosis or pneumonia or trauma after treatment show healing. And healing occur by any of the following mechanisms.1. Fibrosis.2. Calcification.3. Rarely complete resolution. Fibrosis and calcification are ore common and produce scar tissue which is visible on chest x-ray. So your husbands previous x-ray may show old fibrotic lesion. In this scenario activity of lesion is determined by sputum examination for AFB. So for your current situation I advise you to consult pulmonologist and get done1. CT thorax2. Sputum examination for AFB3. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis for TB.CT gives much better idea about fibrotic lesion than chest x-ray. BAL is far superior to sputum in detecting AFB. If all are negative than no need to worry about tuberculosis. The lesions on chest x-ray are just inactive scar. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, whilst having sexual intercourse with my girlfriend on Friday night my penis slipped out as I trusted causing me to jar my penis awkwardly. Although I suffered a shooting of pain at the time I didn t think too much of it. However since then I have noticed deep bruising along the back of my shaft and following a line downwards through my scrotum and a bit of swelling. Whilst I m not in any sort of discomfort or experiencing any pain unless I accidentally create further trauma to the area my girlfriend is becoming more concerned on the matter thinking more so long term fertility. I am not experiencing any problems urinating or anything. Is there any major concerns I should really have or any advice? Many thanks Jamie ### REPLY: Hi Jamie, Such injuries can sometimes lead to a serious condition of Fracture Penis. So, if you continue to have normal erections then you have not fractured it but if there is a problem in achieving full or complete erection then it could be a fracture. You should therefore see a Urologist or a Surgeon to get yourself examined and rule out a fracture. The bruise you mention is a streak of blood that has collected under the skin and then clotted leaving that color. Therefore, you have sustained some trauma which has led to the breaking of the blood vessel. These injuries can be repaired, provided medical help is sought early. I suggest you see a Surgeon earliest and let him decide. Take care, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 4 year old daughter has asthma,bronitisis,fluid around heart,inflammation in her gi trac,swollen lymph nodes,body pain,very pale everyday with dark circles under eyes and around mouth,and visible small blue veins now on chest.her bloodwork just showed her lymphs absolute and calcium high.should she have further testing?the hematologist said by exam ?do you have any suggestions on what this may be all caused from?WE HAVE BEEN DEALING WITH THIS FOR A LONG TIME,SINCE DECEMBER 2013 SHE HAD PNEMONIA TWICE. ### REPLY: Howell come to ChatDoctorSuch symptoms in pediatric age group is matter of concern and this can not be left like that only and this would be immediately brought to investigation, one more thing, if such symptoms let untreated even for a couple of weeks then this could turn into medical emergency may some time serious one, but nothing like that happened with thin this year's, so this may not be that much serious as it is described here, still better to get done certain tests, like x-ray chest, CT of thorax, ECHO, these would clear the diagnosis, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i am Sharmin,32 years old,weight 64 KG, from Bangladesh. My marriage life is 3 years and 4 months. From the first day we are not using any protection,i mean i am trying to be pregnant.FYI, my husbands Simen already tested and found ok as per doctor in Dhaka. I also did several test within last two years.Last six months as per doctor suggestion i am using GONAl-F injection on 3rd day and 8th day after period start and eat LETROl tablet from 3rd to 7th day after period start.But till now result is negative.I am very much worried because my age already 33 years. Pls advice me on what i can do for concieve as soon as possible . ### REPLY: Hi I think you should monitor your cycles by ultrasound whether eggs are growing and ovulation is occurring or not. If ovulation is happening then you can go for GUI as you have already tried for 6 months. GUI will increase the chance of pregnancy but not to a great extent. After trying GUI for 3 months if it doesn't work then you can go for IVF. Hope I have answered your question. If you have any other query 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: I have a cough that is caused by the feeling of a dust particle in the back of my throat. I cough to clear the throat . It is a dry cough. But one cough often leads to more immediate coughing for 6 to 8 coughs. Sinuses are clear, no mucous. Very irritating. Age 67, no allergies, and in good health. Normal weight. ### REPLY: Hellos you mentioned that you are having" .  This means either some sort of allergy or throat infection. When such type of patient visit I usually advise them to take dextromethophan + chclopheniramine male ate + guaiphenesine cough syrup (2-3 T S F three times in day). Take some dextromethorphan longer for throat clearance. Take some antibiotics like among clavulanic acid three times in day. This treatment will cure within 5-7 days. Avoidance of dust, mite, pollen, molds will help. Hot coffee also provide relief. Hope this will help you. Still no relief within 7 days, consult a physician and get his opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear DocI am a 60 year old male.  My right testicle has reduced in size over the last 2 years dramatically by 2 third the size of the right. I have had no abnormalities or any discomfort. They both feel fine and spongy.I have normal erections and a good flow of seamen .No problems during sex. Why is it so ?  Jeff ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Some testicular atrophy is common in the older age. But this should be common in both the testicles. As you are mentioning it is seen only in the right testicles. It sounds somewhat abnormal. I advise you to do physical examination of the testicles along with ultrasound and if necessary biopsy after the USG examination. Many a tine shrinking in the scrotum can be because of the malignancy underlying this above effort will guide us regarding the cause of swellings and so you can act like that. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I ve had the implant in for 1year and 3months now. in the first year I experience headaches , feeling sick which on 2 occasions I was sick and dizziness , but just recently I keep getting pain and movement in my lower stomach area. sometimes I have to stay still til the pain goes, i m getting worried that i might be pregnant because ever since i ve had the implant put in i ve had no periods and gain quiet a bit of weight. please help. ### REPLY: I am not sure if you are talking about a progestin implant in the arm or the IUD in the uterus. Both cause amenorrhea or lack of menstruation. There also associated with weight gain. Progesterone can also cause some bowel distention and increasing glassiness. I would recommend that you take a pregnancy test. My guess is that you are not pregnant because the long-acting reversible contraceptives such as the arm implant or IUD have a very high effectiveness more so even than contraceptive pills, but the pregnancy test will answer this question completely. ### END