Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 female aged 41, 1.70m tall and weight 96Kg. I have breast cancer and have just finished chemotherapy. I was given 3 x 3wk cycles of docetaxal and a trial drug called artemis and then 3 x 3wk cycles of FEC, with one of those weeks with the artemis trial drug. I am due to have a lumpectomy in a couple of weeks, which I should have had earlier this month, but a CT scan showed that I developed a blood clot in my right lung during chemotherapy. I am on the blood thinner enoxaparin sodium. Earlier this week, I noticed a lump on my head which was not there before, and I have also been getting headaches. The lump is not sensitive to touch although the top of my head has been tender since I lost all of my hair around the 5 cycle, which is now growing back. Is this something that I should go back to my cancer health care nurse/oncologist about or is it just a lump with normal headaches given what I have been through recently? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have breast cancer with lump on head. It can be Desmond cyst, skin adnexal tumor or lipoma.  However, possibility of metastatic carcinoma from breast is also there.  So you should go for fine needle aspiration cytology or biopsy of that lump first.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor ...Hope u r doing fine ..I need help as I am passing hars stools and have pain ...few days before some bleeding too ...and now its difficult to sit in office ...there seems to be a skin protruding out of that ...what can I do ..I am scared that I have to get operarted ? Are there any home made remedies...please advice Thanks in advance ### REPLY: Hi, Do not jump at the conclusion that you might need surgical intervene. You seem to be facing constipation issue. Are you a complete non-vegetarian or known alcoholic? Focus on fiber diet for the next 2 weeks and get lactulose syrup - Cupola. 5ml or 1 spoon twice a day morning and evening after breakfast and dinner, and you should be fine. Avoid standing for too long. If you face gastric issues as well as take Pantoprazole twice a day morning and evening. Hope you will get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I MS suffer told me that there is a disease that mimics MS.   I a still in the stage that they seem to think that they believe a am 97% that I have MS.   My neurologist after recently having a MIR sent me now to have blood tests.Could this mean they are considering something else. ### REPLY: Dear there area by disease which has similar symptoms that's why doctors make a lot of examinations before determinate the diagnosis. Blood tests don't really helps in degerminating MS but exclude other pathologies. MS diagnose is made by clinical findings, MRI,PEV and CSL examination. Anyway you should be patient and wait the result of the examination.Don't hesitate to contact me for further questions, wish you all the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom is takng bp medices from the last two years and now she had some knee pains for which dr. advised to take  macpod -o and bio d3 max  and nova sp but taking these medicines her bp rises as she feels some kind of head realing . kindly advise if these medication should be continued or not ### REPLY: His can understand of your concern about Mothers health especially of HBP & Knee pain, You are asking about Tab. Machado is an antibiotic .  Bio D3 Max is of it d3 supplement, so this medicine is also not increasing of Blood Pressure, Another one is Tab. Nova Sp, this is control of pain of knee but may increase your mothers Blood Pressure. You should advise for x-Ray of painful knee join if needed and share @  also some detail to detail study of your mothers complains viz;1) Medicine for Blood Pressure, which is taking regularly,2) Height3) Weight4) Blood sugar reports both, F.B.S., P.P.B.S. Any other you want to share.  Take care.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi the first x ray of my child suggested a right lobe mycoplasma bacteria , the xray after one week after hospitalisation suggest mucuos has spread to left does that suggest the concentration of mucuous has broken down and that he is improving, he has no fever and not so bad a cough. he is 9. ### REPLY: Dear I can understand your concern. I would like to inform you that you can't say anything about cytoplasm on the basis is x-ray only. For diagnosing which bacteria are involved, we need to do sputum examination and blood tests. X-ray can only tell if there is any area of haziness in lung field or not that is suggestive of pneumonia and much other diagnosis . If your child has no fever or cough etc. Then there is no need to worry about that. You can only discuss your problems with your physician. Specially about infection resolving or not. Hope this will help you.  If you have any other concerns please feel free to message me.  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: Hi i have ashtma and my doctor gave me oxycodone when i broke a rib coughing i took it for 2 months and had sweats chills vomiting and so sick i felt i would die and liver pains they put me though 6 ct scans a gal bladder check and still kept me on this med. i have not took it for a week now i am stll so sick. now she gave me ultram, but i am scared to take it. ### REPLY: Hi, Your main problem is coughing which is here causing your rib pain. But instead of just giving ultra- tramadol an analgesic . As you have already asthma and must be taking treatment for that. Cough could be due to acute bronchitis, allergic bronchitis or upper respiratory infection etc. You may undergo routine blood investigation with sputum tests and X-ray chest to rule out any other pathology of lung. You will require full course of antibiotics (quinolones or cephalosporins) with anti-inflammatory and antiallergic (antihistamines or steroids) with supportive treatment. Consult pulmonologist for further advise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi WE HAVE BEEN GOING THRU INFERTILITY. mY SEMEN ANALYSIS REPORT AND EVERYTHING IS PERFECT. mY WIFE GOT PREG ONCE WITH CLOMID. bUT SHE MISCARRIED IT. aFTER THAT WE HAVE BEEN TRYING BUT NO LUCK. sHE HAD iui IN LAST 2 CYCLES BUT DIDNT WORK. WHAT SHD B THE NEXT STEP? ### REPLY: Hi welcome to . I have gone through your question. As already 2 GUI intrauterine insemination fail, I would advise taking a chance for 3rd one. But make confirm that your wife follicles getting mature up to the mark that can rupture. If 3rd GUI cycle fails then take break for 2/3 cycle. Consult gynecologist for further treatment. CSI intracytoplasmic sperm injection and IVF invited fertilization are good options. Hope I answered your question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi have a very small what seems like a spot in the lower part of my mouth in front of my front lower teeth. It is not painful in any way and comes to a point when i can pop it. It gets small but wont completely go away! I keep touching it with the tip of my tongue which I probably shouldnt do but I am starting to worry about it :/   When I pop it sometimes a bit of blood comes out. It has a ting white dot at the tip. Is it signs of cancer! I am worried!! Thanks Hayley ### REPLY: Thanks for your query, I have gone through your query. The white dot could be a frictional keratitis, or it can be a candidiasis. Nothing to worry the white dot could not be a cancerous lesion. Consult your oral physician and get your oral cavity examined and rule out these lesions. If you have the habit of smoking stop it. Do not keep touching with the tongue. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor , my age is 28 my i have one daughter 3 years but now we are trying to next child but form one year its not possible , so we consult doctor and he suggest feryl 50 mg from periods 2 nd to 6 days last month try this medicine but not successful so please suggest me can i try this month fertyl 50 mg for pregnancy ### REPLY: HelloThanks for your query. Fertyl is camphene citrate. It is given to women with difficulties in menstruation and difficulty in ovulation due to hormonal imbalance, polycystic ovaries etc. Almost 80 % of women ovulate spontaneously in response to ferry, and 2 - 3 cycles of camphene citrate can be tried before going in for more intensive treatment. Please ensure that your basic hormonal profile, semen analysis of partner and patency of your fallopian tubes is confirmed. 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 have what I think is calcium build up on the tibia bone just below the knee . I have had this for a long time ,many years , now it is swollen and hurts a lot . I went to ER about 3 weeks ago and they said it was brutish but im not sure that is it. the swelling has not gone but it does not hurt as mush as it did .but I am a finish carpenter and need to be no my knees a lot at work and I am trying not to be on it but I have to and im worried it may get bad again . not sure what to do, help ### REPLY: Hello, Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability. It sounds as though you might have what we call prepatellar bursitis. This is due to pressure on the area such as prolonged kneeling. Apply some ice to the area and take simple pain medicine such as ibuprofen or Tylenol.  Avoid kneeling, for the moment. When you go back to kneeling make sure that you wear knee pads. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby is currently in his 9 month and cried complete night ...i guess it was due to stomach ache..may be food did not get digested. However morning he had a free motion after which he got relief ...in these cases ..how can we identify the problem and what medicines needs to used. baby Weight :8.25 kgs Age: 8months medical history - none , general medication is in process. ### REPLY: Hi... Thank you for consulting in . This is called evening colic and is quite common in this age group. This happens when the baby consumes food very fast and in eagerness to .  Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is -1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 34 years old,trying to get pregnent last 6 months.my periods cycle is absolutely noomal but flow is scanty.why not i am geting pregnent. mydotor advice me to take medicine siphene from day 4&dupfaotom from day 16,injection i.v-f from day 4.my question is am i  going to concive amultiple pregnency ### REPLY: Hi, As your cycles are regular, it means you are producing eggs every month regularly. So your pregnancy chances are good. Medicines like Sphere have a chance for multiple pregnancy, but chances are not so high to worry about. If result is negative do get your tubes evaluated by HSG (X-ray with dye) or SSG (Scan with dye) or Laparoscopy. As you are 34 yrs old, don't delay pregnancy attempts. 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: well i have off late pain in the back right side just above butt and front side down to thigh. Sometimes it reaches toe.the pain is pulsative like a pulse beat; the pain starts stops and again starts. sometimes it extends to right testicleis it kidney stone? the pain may also go to sholder to neck also but not always. ### REPLY: Hello am . I have read your message. I think, on the basis of the symptoms, there are 2 possible causes-1. Kidney stones2. Lumbar and cervical radiculopathy. I suggest the following tests-a. MRI lumbar and cervical spine. Ultrasound abdomen. Do let us know the reports. Based on the reports, further suggestions and treatment options can be discussed.Meanwhile, simple painkillers like ibuprofen with antacids like rant ac may be used. Best of luck,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband was recently diagnoised with Testicular Cancer of the rt testi and had it removed. The CAT scan however shows that he has an enlarged lymph node in his back she said 45 cm and that the liver has some spots that were inconclusive. What does this mean about his stage and how does the liver come into play here? ### REPLY: You have not mentioned the histopathological subtype of the testicular tumor. Most common are the germ cell tumors with two subtypes seminomatous and non-seminomatous germ cell tumors. Apart from lymph nodes in back (retroperitoneum), serum tumor marker levels (including serum alpha-fetoprotein, serum beta-ChatDoctor and serum LDH) have to be taken into account for treatment decision and response monitoring. If only lymph nodes are there, it is stage 2 and if liver involvement is also there it is stage 3. Good thing is that Germ cell testicular tumors have such good prognosis (outcome) that there is NO stage 4. Please discuss it with your oncologist. If you can provide the above-mentioned information, would be more than happy to comment on treatment options as well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 14 year old son has a hard lump on top of his shoulder. It s about the size of a grape and we just noticed it, he s not sure how long it s been there. . He says it s painless and it seems to be stationary. I made a dr appt for next Monday. I m very worried it could be some sort of cancer. What could it be? ### REPLY: Thanks for your question on . In my opinion you should not worry much about this swelling. By your description of swelling, I think your son is having either Desmond or lipoma. Both are soft tissue swelling commonly occurring. Both are painless, non-itchy and non-tender. Almost 100% benign. Dermoid contains fibrous tissue while lipoma contains fatty tissue. So no need to worry much. Get done excision biopsy from the swelling. This will give you correct diagnosis.  It seems Desmond mostly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m having irregular periods and i m suffering from pcod. my age is 21. i m using glyciphase tablets from 5 months. now iam getting periods for every 30 to 35 days. i m using fertyl 50 from the 5th day of my period from 3 months, but i m not pregnant. pls tell me when will i ovulate and which day me and my husband should intercourse. almost everyday we are in sex but i am not getting pregnancy. please help me ### REPLY: Hi, you should be in contact with your husband every 2 to 3 days, not every day. You can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. It will make sure that you ovulate. Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that. Hope I have answered your question.  If you have any other query I will be happy to help. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my son is six. Before he was born they found a cyst near his left kidney. He had this remove at a few weeks through key hole surgery because the cyst was large. The cyst then grew back and had attached itself to his left testicle which had failed to drop into plac. The surgeons again removed it through key hole including the testicle when he was two.  In the past two year the cyst has grown back and we went to see how much it had grown as they were thinking of removing it again in December it is a lymphagiona. Today at his ultra sound they have found not only has this cyst grown he now has another cyst wrapped around his spleen. I am now worried as I have to wait for an appointment with consultant and not really sure what it means or what could happen as it was the ultrasound lady who told me is news. ### REPLY: HIT hank for asking to ChatDoctorYou mean to say that the same cyst grows up every time, because it sounds like that, but that must not be the case, in fact different lesion growing up at different organ site, one thing you should get it clear,the histopathological examination of removed cyst, and discus about it with the surgeon, until and unless I know the type of cyst I may not be able to advise you, have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother has severe ankle pain. He was advised to take some tests and the reports are as follows 1. Cyanmethaemoglobin method- 10.2gm% 2. Total WBC - 6900 Per cumm 3.Polymorphs - 70% 4.Lymphocytes - 28% 5. Eosinophills - 02% 6. ASO,CRP, RA - Negative Are there are any known issues that can be found using the above reports. Kindly advise. ### REPLY: Dear patient Your brother has got low hemoglobin level. Normal is between 14 and 16 GMT.  Other reports are normal except slight increased lymphocyte count. Nothing to worry. Has he met with trauma and was X-ray done? If not I would advise X-ray of involved ankle anteroposterior and lateral views to rule out bony abnormalities. Visit radiology center nearby you and get it done.  Start tab diclofenac 50 mg twice a day for pain relief.  You need to consult expert orthopedic surgeon with report. 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: Hi, my 3 year old daughter has a blister in the corner of her lip... they seem to be coming out on both sides, they dry and heal and come back again... thats been going on for almost over a month... I took her to the dr he gave her antibiotic but didnt work... Now I dont know what to do.. since it keeps progressing... ### REPLY: Hi, welcome to . Blisters on corners of lip is called charities. Charities is mainly due to multivitamin deficiency or superficial infection at corners of lip. Since, you have already given antibiotics, there is no need to give antibiotics now. In my opinion, you should give syrup Devon 5 ml two times a day for 1 month and apply Byte lotion locally at the corners of lip. Since, our mouth is constantly in function that is why it takes more time to heal. It should take around 10 days to completely heal. I hope this has helped you. Take care. Regards - .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife was having dengue fever and she is almost cured from the disease.She had fer for the first five days and there after no fever. Furhter she had no other symptoms like body pain .head ache rashes or vomitting but only fatigue.As the platlets counts were not alarmingly decreased the doctor didn t hospitalised her Advised to take rest and enough fluid intake to avoid dehydration.Today she is pukka ok and decided to join for her duties on monday. But today we checked her PLT & SGOT as which is shown as below PLT 323 thousands/cu mm SGOT 96 IU/L fever started on 2.06.17 evening and taken to Doctor on 3rd. Blood test:0 3.06.17 - Platlets-146 thousands/cu SGOT 55 IU/L Dengue NS1 Reactive Ab ig G and Ab IgM- Non Reactive 05.06.2017 Blood test PLT 74 (manual) 74 thousands/cu mm SGOT 127 IU/L today we have to see our doctor again.Why doctor her SGOT level is still seemed to be increased.Kindly let me know as I am that much worried. Thanking you Sankar ### REPLY: Hi, It is dengue fever as platelet is decreasing and NS1 is reactive. Management is purely symptomatic, but you need to hospitalize her immediately. Make sure she didn't get any injuries.  As per my knowledge, there is no medicine which increases the platelet count in allopatry. However, Ayurveda suggests papaya leaves are known to increase platelet counts. There are preparations also available for its extracts, so you can start it at earliest. 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: Im 33 5ft 5inchs im 9 stone weight. Have had a dose of witer vomiting bug in march have been tired since then . my bloods are all fine but i got chest infection 5 weeks ago and doctor put me on 3 different antibiotics and the last one cleared it for a week then got really sick with it and had trouble breathing so he sent of phlegm sample and they said flucloxacillin would work been on it 4 days 3 times daily 500mg have 3 days left but chest is still tight and a bit wheezy even though i feel a bit better think i should be better then i am what should i do.thanking you ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of bronchitis is more. Bronchitis is inflammation of airways. It can cause cough, phlegm, breathlessness and wheezing. Best treatment for bronchitis is inhaled treatment. Since you are not taking this, you are not improving. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a severe back pain from past 5 years, I tried lot of medicines but it will help temporarily. Recently I went to a doctor and gave me 3 types of tablets which should be used when there is lot of pain. And he suggested for excercise only nothing other than that. Is there any final solution to my ache please. ### REPLY: Hello, I had gone through the case and found that you must go for the MRI of spine and know the exact cause of pain. Also do vitamin D3 blood test. There might be lumbar spondylosis, slip disc, herniated disc or sciatica. Take calcium once day and Vitamin D3 once a week. If pain is severe then go for physiotherapy. Otherwise, do back exercise After getting the diagnosis. Different type of exercise for different cause. But take medicine what I suggest you for 3 months. Your pain will subside. Hope my answer will be effective for 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: Hi Doc. My mother is suffering from ILD disease since last 7 years. Her age is 47. So, now we want to bring him in India for better treatment. Would you please tell me what can we do now? Which Hospital, Which doctor & treatment will best for her. I will be very greatfull if you give me proper advice. Pls Help me. ### REPLY: Hi I can understand your concern... Your mother having interstitial lung disease OLD .... But you have not mentioned cause. ... So following has to be ruled out .....-Interstitial pneumonia -asbestos is or silicosis like occupational lung disease -hypersensitivity pneumonitis by dust, pollen etc.-Idiopathic pulmonary fibrosis -some immune disease like rheumatoid arthritis, scleroderma, acidosis etc... For correct diagnosis along with x-ray, lung tissue biopsy needed..... According to cause treatment guided.... Your mother might need steroid to reduce inflammation... If pneumonia cause then antibiotic given... Measure your blood oxygen level, if low oxygen therapy given to protect heart . So you can consult good pulmonologist for your condition nearby hospital in state ... Take care .... Hope your concern solved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wondering if you have any idea why I get these leg problems at night. Only at bedtime do I have these problems. I get a sensation starting in my lower foot (the arch of my foot) and it runs all the way up my leg..it feels like an electrical impulse. It wakes me up at night, I can t sleep. The sensation itself is soo intense it sometimes takes my breath away. I don t understand. Please help. ### REPLY: Hi, Such type of pain is peculiar for neuritis, sometimes, neuralgia may also be responsible. Both of these are nerve conditions. Pain is worst at night because of two reasons first is loss of diverting sensations and second is loss of muscle gone. You need to take is some vitamin B12 supplements along with anti-inflammatory medication for a week. Take care. 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: 61 year old man faced left side paralysised whose left hand is swollen and slight pinching on the entire left side , he is very strong person plays cricket and takes exercise daily,also goes for walk ,How a person who takes exercise for last 40 years can suffer this? please reply quickly thankyou ### REPLY: Hi, I am .  I have read your question and understand your concerns. Let me try to help you Question 1 : What treatment is suggested for paralysis noticed on the left side? Answer 1 : This depends on the cause of the paralysisQuestion 2 :, How a person who takes exercise for last 40 years can suffer this? Answers 2 : Exercises can only reduce the chance of Atherosclerosis. They cannot totally prevent atherosclerosis Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi dr,i went for follicular tracking on the 13th day of my cycle and was told that I had 2 matured eggs, one was 26mm while the other was 15mm. On the 15th day of my cycle, I went back for follow up and was told that the egg that was 26mm stopped growing while the one of 15mm grew to 32mm. my question is, is there a guarantee that both eggs will rupture or could it be that the eggs were more than two ?. I was on my 1st cycle of clomid. ### REPLY: Hi Dear, The size of your follicle is somewhat more when compared to the day of cycle especially the 32 mm one. In a non stimulated cycle i.e. without any .  However, in the stimulated cycle this can be helped by giving In when the eggs are mature enough. In your case the 26 mm egg has stopped growing, but the other is still growing and there is no guarantee that they will ruptures if the repeated scans have shown only 2 follicles than it must be correct Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had cabg surgery 2 years ago . Several months after the surgery I started having severe substernal pain which was diagnosed as being caused by nerve damage during the surgery. It was controlled fairly well by medication until the last few months . Can anything be done to block this nerve from making me hurt ? ### REPLY: Hithis is post-operative sternal incision scar pain caused due to incomplete injury to the nerves which keep on firing on & off. But then blocking these nerve endings is quite difficult as all the major organs are situated in this area. Please apply some local anesthetic gels containing lidocaine(which is quite safe), added with topical painkiller gels(like diclofenac), or simple moisturizing creams will also help sometimes. Just try to ignore the pain. All the best take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 12 weeks pregnant.  Over the past week I have grown extremely tired.  I take my vitamins and eat well.  I hear my pulse in my ear when I stand, and then it eventually goes away when I sit down. I am out of breathe just walking up the stairs to use the bathroom. ### REPLY: His have gone through your complaints. Some weakness will be there because of morning sickness. Breath out just walking upstairs and hearing one pulse in ear needs consideration and indicate possibility of anxiety and anemia.it's quite common to have anxiety in first pregnancy. With time everything will go off. If you are not anxious nature It's important to check your hemoglobin level. Take nutritious diet and adequate rest. Any way you have started your vitamins. Start iron and calcium also as there is more requirement during pregnancy. Take care. Thank 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: white female, 25yrs old, lower abdominal pain/discomfort (for several weeks), vaginal bleeding (not sure if menstrual blood...., for approx. 5 days), pain and inflammation in vaginal area, cervix and uterus, etc (off and on for couple of weeks, got much worse and became consistent over past week), pain when inserting or removing tampon (about 5 days- ever since the bleeding began), pain during sexual intercourse (for several weeks now, especially certain positions), my last period was irregular (possible miscarriage but not sure), the weird/worse/gross thing of all which started about same time as the bleeding (apprx. 5 or 6 days ago) is that when i remove the tampons its covered in dark spots that appear to be tiny particles of something which is eating away at and through the tampon (so i decided to rip the tampon apart and looked down into it where these spots were and i find little pieces of something, cant tell what, looks like could possibly be tiny pieces of skin or flesh,maybe its parts of the tissue from my vaginal walls, not sure, but some of them are covered in blood, some are black, some brown, and some are like a white/tan skin color...), and last symptom related to this part of my body is there are increasingly more and larger dark blood clots coming out on tampon every day. Also not sure if this next group of symptoms is related to previous but i believe it to be in some way:: started to get large dark purplish/gray/black colored lump coming out of my rectum- hemmoroid possibly cuz its somewhat painful, occasionally itchy, and uncomfortable (appeared several days ago), been switching between constipation and diarrhea, theres burning sensation in rectum when having BM, and noticed today when wiping after a BM, the toilet paper and the feces had some dark spots thru out that were similar to what appeared on the tampons. It seems to me like some type of bacteria/fugus/infection (some kind of organism...) is inside my colon/digestive tract and in my reproductive system some where as well and its eating away at my body....and btw I have no pain or problems urinating. SO ayway i went to the ER several nights ago bc i had several of the above named symptoms but more importantly at the time i was having excrucuating pains in my lower, right abdominal area (btw ive already had appendicitis and had my appendix removed about 8-9yrs ago so nothing to do with my appendix) but its a small town so no OB/GYN was on duty, so did not have an exam done to look inside my uterus.. they just took urine sample and did blood work. The results they said were that i was not pregnant and according to my blood work i had no infections, in fact the PA said my blood work came back perfect . so they suggest going to see a gyno to get checked out. but when i called around town and surrounding towns the next day, every OB/GYN i called was completely booked for weeks! so... if i have some kind of infection, wouldnt that have shown up in my blood work??? also think ill mention that i started doing meth, IV/injecting it, several weeks ago (approx 6-8 weeks ago). ive lost a lot of weight and my already small breasts have shrunk down to barely anything now. could all this be the cause of a hormonal imbalance due to using meth?? could a hormonal imbalance cause fibroids, cysts, or anything of the sort? and bc been doing meth i hardly ever sleep and barely eat anything either. so i was shooting up the other day and couldnt keep the needle inside my vein bc i was so shaky (from doing all the meth id done and lack of food or sleep over several days in a row) but some blood that had entered the syringe began to coagulate and block up the tip of the needle so i took it out, put it all back on spoon (including the coagulated blood) added some burning hot water to it, attempted to break apart and dissolve the coagulated blood, mixed it all up again and proceeded to shoot the crap into my vein anyway. which it took literally a couple of hours for this entire process and by time i actually found good vein and injected it so due to the coagulated blood and the fact that it was all sitting in the open air on the spoon and/or in a syringe for over 2 hrs before i put it in my blood stream, wondering if this could have caused some bacteria or infection to enter my body...? but once again wouldnt this have shown up when my blood work was done?? and even if did cause infection or whatever then why would it go straight to my vaginal/uterus area and my colon area? plus with the pains/inflammation in my vaginal area, that began weeks ago before this coagulated blood incident, and has just recently gotten much worse, with the blood clots and such... one more thing along line of drug use is that prior to the recent meth use, i was clean and sober for about 2 months but before that id been addicted to and was an IV heroin user for about 6yrs... Anyway last thing ill mention, just in case this has anything to do with any of whats going on with my body, is that i started dating my current bf about 2 months ago and been having unprotected sex with him since then (btw no he most certainly does not use meth or any drugs), but i know for fact he cheated on me once but i do not believe they had intercourse, she gave him oral... but if he did that once, he could have cheated another time and actually had sexual intercourse with someone else, gotten STD or STI and then given it to me... but i do not know. also if i have an STI or STD then once again wouldnt an infection have shown up in my blood work or urine sample...? or do they only test for specific kinds of infections...? and if sti or std then why the problems with my colon area...? idk what could be wrong?? or if possibly multiple problems?? PLEASE HELP!!! ### REPLY: Hello young Lady had gone through your question and I will try to help you out in the best possible way Looking at your history this could be hemorrhoids or fissure in anus please follow these guidelines for relief avoid constipation by taking dietary fiber laxative or stool softening agent like liquid paraffin have plenty of fluids hot water bath twice daily you can apply anesthetic ointment like lidocaine to be applied locally maintain good hygiene hope this helps you to wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been going through some tough times and haven t been eating right, I also haven t been sleeping right and now i smell blood and have a light pain in my forhead near my nose. I ve been feeling weak as well, I ve been feeling like this for a week now. Do you know what it may be? ### REPLY: Hi, I am sorry you are feeling like this. There are a few possibilities to explain your symptoms1. Sinusitis: This can cause pain in the forehead near the nose and bleeding from the nose which could be the reason you smell blood. 2. Depression/Anxiety: This could explain the multiple different symptoms that you are experiencing. It could be due to your current stressful events. My recommendations would be1. Consider Acetaminophen (Tylenol) 325-650 mg every 4-6 hours as needed for the forehead pain. Do not take more than 3,000 mg of Acetaminophen over a 24-hour period. 2. If you have symptoms of congestion, you can try an over the counter decongestant like Cetirizine 5 mg at bedtime or Loratadine 10 mg at bedtime until symptoms resolve3. Consider seeing a psychologist (behavioral therapist) to discuss how to cope with current stress. If they feel that you have anxiety/depression they can refer you to a psychiatrist. 4. Consider methods to decrease stress such as deep breathing exercises, medication and yoga. Please let me know if that was helpful. Thanks! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir , pls help me regard just 4 months before im had married , that time im taken regestrone tablets 20 nos ( 10 days) then i stopped ,next day i menses . next months following correct period particular day .but i want like get pergnant but still not happen sir , sep 12 period date 29-9-12 . but still i get tablets as on 23-9-12 to 1-10-12 ( each day 2 tablets ) in future if any problem come .these tablet affect my pergenant . ### REPLY: Hiii, Welcome to . You are taking PROGESTERONE tab for about 4 months. It is usually taken after ovulation for 10 days, and it has no role on ovulation. It regularizes your period and increase fertility by correction of progesterone deficient ovulatory cycle. Calculate your ovulation time and do sexual intercourse around ovulation time without use of any contraceptive method. You may use ovulation kit to predict ovulation time. It increases chance of pregnancy. In regular 28 days cycle, ovulation occurs around 14th day. Just 2 wk before upcoming period date. On your case, if period date is 29-9-12,then ovulation was happened around 15-9-12.Also, you take healthy diet, light exercise, avoid stress and sleep well. Always consult with your doctor if you are unable to conceive over 1 yr. Be well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a period of 15 days and went to gynec for check up.(Im 28 years old, have a kid of 3 yrs) They had a scan and found a water cyst of size 5 cm in left ovary. Initially, she prescribed ovral g and i had it for 6 days. As i got vomitting and dizziness in morning i was askd to continue with novelon and discontinue ovral g. Now i had finished taking novelon for 21 days and already had ovral g for a week. So i totally took tablets for 28 days and had missed to take novelon for two days in between. And after started taking novelon(frm 3rd day), i had a breast lump in my left breast and it exists still...now it has been 4 days i completd taking the pills. But i havnt got the periods yet..wat shd i do now doctor for periods and breast lump? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have fibroadenoma or fibroadenoma. You should go for mammography and if needed go for FNAC. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . 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: I had an appendectomy 3 weeks ago.  Yesterday and today Ive been light headed and dizzy.  Last night I was awaken by stomach ache which sent me straight to the restroom.  Mild diarreha but felt better afterwards.  Today Im feeling some dull pain in my right lower abdomen.  Is this normal or should I consult the doctor? ### REPLY: Hi ! Did you eat anything from outside ? In that case, it could be a mild attack of gastroenteritis unrelated to the surgery. You can consult your doctor who may after clinically examining you may confirm the diagnosis, and prescribe some anti-diarrhoeal antibiotics, an anti-spasmodic, and a probiotic. If the problem persists or increases, you may have to go for an ultrasound abdomen/CT scan after consulting your treating doctor. I wish you an early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had some blood tests done for my liver as have some red blotches on my chest appear since ive been pregnant.  At 32 weeks my ALT levels came back at 55, i had some more blood tests on saturday at they are not 111.  I have had a liver scan today, a consultants appointment tomorrow and more bloods on wednesday.  They have diagnosed me with Cholestasis.  Is this something that can be diagnosed without having the bile salt levels done?  I am now 35 weeks and want to push for an induction around 37 - 38 weeks. ### REPLY: Hi.to answer your questions, yes, homeostasis can be diagnosed even without bile salt levels examined. Ultrasound is a diagnostic tool with a high sensitivity for diagnosing hepaticopancreaticobiliary tree concerns. Additional diagnostics (such as ct-scan, blood exams) will be recommended as needed. If you're not experiencing any symptom related to it, an elective cholecystectomy (surgical removal of gallbladder) may be done after you give birth. You will be advised accordingly if you consult with a doctor, preferably a general surgeon, re your homeostasis. Low fat diet is also advised for now. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i have been poorly 4 ten day seen my gp twice he told me i have larynjitis and have been taking doxycline for 8 days i dont feel any better, my ears feel like they have the sea in them when i lie down and also my temperature goes up at night ? any advice will be helpful ### REPLY: HiT hank you for asking  forum. I have gone through your query. DOXYCYCLINE is a bacteriostatic antibiotic and not so strong against upper respiratory infections. You may need more powerful broad spectrum antibiotics like CO-AMOXICLAV or LEVOFLOXACIN for such cases. Get a consultation with ENT specialist to treat laryngitis more accurately. You may also need to take voice rest for some days. Gargling with warm saline, taking warm chicken soup, Tea with lemon and honey, and chewable vitamin C is good also. Hope this may help you. Let me know if anything is not clear. 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: About 17 years ago, i inhaled a guitar pick, which had holes on it so did not suffocate. I am not sure if it went into lungs or stomach although it was a pretty big inhale. Ate some bean burritos and pintos and cheese, it seemed to move it out of my throat. I do not remember this coming out. Does plastic dissolve in the stomach? I have been recently having lung pain in random areas. It is a sharp pain and really started after a bad bout of bronchitis. Could that pick have gotten in my lung and just now is causing problems? ### REPLY: Cellophane you for your question. If a foreign body passes through the airways that person will have a very bad excessive cough. It would be a very bad event not to be forge ten. Sometimes foreign bodies pass in the airways and after a period of time the patient go to the doctor with a chronic cough. During the lungs' examination with fiberbronchoscopy or chest CT it is seen that there is a foreign body there. In your case I do not think that sharp pain be the cause. Acute bronchitis non-treated may be the cause. So if this condition continues go and see a lung specialist. 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 tend to get stressed really easily, and most of the times I do I feel like my heAd is spinning, and I talk uncontrollably fast and I have trouble calming down for a while and I jut feel like breaking everything and I don t know why it happens or what I can do to fix it some things that stress me out are when I don t k ow if plans are confirmed even hours before or when I can t comprehend stuff people say an I don t know if it is a disorder but it makes my head spin and I talk really fast but I don t notice I am and I feel horrible and ashamed about it. ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are going through a difficult time trying to deal with your problems. From the brief description which you have given, it appears that you could be suffering from an anxiety disorder. Getting tensed about minor things, feeling tense most of the time, apprehension about what is going to happen, etc. are all symptoms of anxiety. In addition, you also seem to be having poor coping skills and lack of sufficient stress management skills. Since these symptoms are putting you under significant distress, I would suggest that you consult a psychiatrist for a detailed assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome these problems Wish you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a chest pain two days back and it stopped after a while. After that I have been having a pin and needles pain on my upper left back shoulder. can you tell me how I should be addressing this issue? I have booked a appointment with a cardiologist tomorrow. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should definitely consult cardiologist and rule out angina pain and other heart diseases. Left sided chest pain and left shoulder tingling sensation (pins and needles) are commonly seen in heart diseases. So get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, if you have and be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: It s been 8 days since all 4 wisdom teeth were removed. They were all fully bonely impacted. I am still in excruciating pain. I went back to the oral surgeon on Thursday and he said I don t have any infections or dry sockets and wants me to see him again in a week. I just don t understand why I m in so much pain. The pain meds don t help me at all. ### REPLY: Thanks for your query, I have gone through your query. The severe pain after extraction of the wisdom teeth can be because of the excessive bone cutting during tooth removal, or it can be because of the injury to the muscle while injecting local anesthesia. The other possible cause can be a sharp bony spicule left after tooth removal. Nothing to be panic, take an analgesic with anti-inflammatory .  If the pain does not subside, even after this, then consult an oral physician and get it evaluated. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My gum at the back of my mouth smells like poo if I touch it, at the same side of my mouth my toncil is swollen, it has lots of small white spots on it then a large black like area. My throat is sore.What should I do? Doctor/ dentist or A and E with being weekend? ### REPLY: Thanks for your query, I have gone through your query. The halitosis could be because of the gum infection like periodontal abscess (because of pus discharge) or periodontal abscess. It can also be because of the tonsillitis. Consult your oral physician and ENT surgeon. You have to get your teeth cleaned and take a course of antibiotics. Do saline gargling. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a lap. appendectomy on Friday, February 14. During this procedure and trying to get around I have pulled an abdominal muscle. The pulled muscle is a swollen knot low in my abdomen. I am still very swollen where that muscle is and in my lower stomach. I literally cannot suck in my stomach without pain. How long does it take to lose all of the swelling and for that abdominis rectus to heal? ### REPLY: The swelling that you are talking about, seems to be a ganglion which occurs when some fibers of the muscles get torn by accident or due to some other cause. These torn muscle fibers curl up together and form such a structure. If that is the case, although the pain would gradually subside, the swelling might still be there. What it actually is, can be commented upon only after proper examination. I would strongly insist that you visit a doctor and get yourself examined. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hi, my sister has metastatic breast ca and was just  recently moved to calvary hospital..they gave her morphine on admission I believe and can barely wake up to eat...she is 51 years old and I know that she still want to fight to live however morphine makes her so sleepy that she barely wakes up to eat...how can she fight  if she is under the influence of morphine all the time ### REPLY: Thanks for your question on . I can understand your sisters situation and problem. Morphine can cause sedation, but it can not cause profound sedation. Profound sedation in Patient with metastatic breast cancer can be due to many causes, but the common causes are 1. Brain metastasis 2. Electrolyte disturbance like hyponatremia. So better to first get done MRI brain to rule out brain metastasis and electrolyte levels to rule out electrolyte disturbance. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. 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: a few years ago, i was allergic to chocolate. it went away after a month, and never came back. now, 5 years later, i got it again, having bad headaches and rashes on my face, and difficulty breathing. Now all i get is headaches when i eat chocolate. how can you explain this? ### REPLY: Hello, Welcome to , The history and symptoms are suggestive of known allergic to chocolates, you should be very careful and try to avoid the chocolates. I would suggest you to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition. I would suggest you avoid the chocolates which is causing all these symptoms Otherwise you can prefer immunotherapy either with subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). For the present symptoms you can take Tab Monte LC which helps to control the symptoms, but it is temporary. You need to avoid these chocolates to protect yourself from getting these allergy symptoms. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello to respected Sir,I m doing Ph.d @ National institute of Occupational Health (ICMR) AHMEDABAD. my topic for ph.d is "STUDY OF THYROID HORMONES IN MALE INFERTILITY" so please tell me if you find any correlation between MALE INFERTILITY and THYROID LEVEl. I am eagerly looking forward for your reply. Thanking you, Khushbu Vaghela. ### REPLY: Hi welcome to the  I can explain you few things about your dissertation topic Testosterone produced from lading cells of testes and sperm produced from sector cells of testes Both this cell requires stimulation from LH and FSH hormone that is secreted from pituitary gland and pituitary require stimulation from hypothalamus So hypothalamus, pituitary, testes all should do proper function for good semen quality and to do reproduction Diabetes and thyroid dysfunction in male are well known because that can lead testicular dysfunction and hence male infertility can occur So yes both are related to each other Hope your concern solved Let me know you if you have further questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother s sgpt test result is 557 signifies.is it very much serious? doctor said it is a result of a medicines side effect. ### REPLY: Hi welcome to ChatDoctorThe rise of SGPT /and GOT indicates that your liver tissues are under stress. Liver is the organ that detoxify every thing you eat goes directly from your intestine to liver. Thus, any damage to your liver tissues either by .  But the good news is our body has the protective and healing mechanism ti rectify it automatically. So nothing to worry. Just improve the lifestyle and improve the food habits. Add more natural fruits and leafy vegetables to her diet, avoid all junk, fast, oily, fried foods.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a fungal rash that turned into dry itchy skin and due to scratching , it has become a rash and has spread to palm size in my gential area. It is red with little bumps and very itchy. It was weeping but now is dry. The skin is really smooth and sensitive and itchy. How can I get rid of this and get my skin back to normal? I m hesitant to use hydrocortisone but out of desperation I feel like I may have to. Please let me know what your suggestions are. ### REPLY: Hi, Thanks for writing to us. From the description, it sounds like fungal infection only. To treat the same you may apply a steroid antifungal cream or mix HY .  Also take tablet cetirizine for few days to alleviate itching. Once the lesions have completely subsided, dust the area with antifungal dusting powder to prevent further infection. If the lesion do not resolve, you may need a course of oral antifungal too. Hope that answered your query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir, I got few lumps on my face around 20 now.. It increased.. It doesn t pain but but when i shave it disturb and some time by mistake i cut them also. i consulted on doctor.. she told this isnormal wart.. she given few vitamin tablets and removed all by operating it.. But agagin now i got it.. Please advice me.. ### REPLY: Hi Dear, Welcome to  team. Understanding your concern. As per your query you have lumps on face which are increasing in number could be due to have solar keratitis also called actinic keratitis. As you had surgical procedure done and It's still reoccurring, I would suggest you to consult dermatologist once and start with application of diclofenac gel and salicylic acid 12% solution on the lesions. Application of TCA solution on lumps on face would also be very effective. You can go for electrocautery cautery under local anesthesia. This method is little more expensive. Also apply vitamin C serum at night. Hope your concern has been resolved. Get Well soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have a problem regarding foot fingers. they became soo dark. Then i started applying emoderm cream on doctor s advice. after using it for a couple of times, slowly i felt itching on my fingers. it became so severe now..so, am in confusion whether to continue the medicine or not.... so, please let me know ur valuable advice regarding this.. Regards ### REPLY: Hi, Thanks for writing to us. Firstly it is important to know whether the darkness of toes or fingers is a primary phenomenon, or it occurred secondarily to some eczema, chill Plains etc. so that a proper treatment can be offered. Modern is an emollient or a moisturizing cream, and it would rarely induce itching. To relieve itching, take tablet cetirizine and apply a steroid cream like dexamethasone or mometasone. Once the itching is gone, pigmentation can be reduced with an emollient cream containing Glycolic acid, urea etc. (Medina cream) Hope that helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I noticed a large dark purple bruise on my boyfriend s lower right abdomen. He has not been hit or otherwise injured, and there is only slight pain to the touch. His gallbladder was removed two months ago, if that is any help. I am worried because the bruise came out of nowhere and seems to be getting bigger. ### REPLY: Hi. Thanks for your query. Read the history about your boyfriend and understood it. There is a history of gall bladder removal 2 months back. And now a bruise on the same - right side of the abdominal wall for no apparent reason. The possible cause can be reactivation of an infection in the abdominal wall post-surgery. Get an ultrasonography of the abdominal wall, X-ray to see if there is any Gas shadow. This indicates infection. Consult a General Surgeon and start on the treatment of antibiotics. If this does not settle with medicines, may need a .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my husband has lower back pain yesterday all day & lower abdominal pressure in the groin area. he woke up today w/ a couple of tiny blood spots in the front of his underwear. Plus it hurt from his lower back across his chest & rib cage. Are these signs of passing a kidney stone , because he was told at the hospital last year that he has a few small stones. Thanks ### REPLY: Hi there, there is a possibility that he may have passed the stone out in his urine. The abdominal pain along with the low backache also favors the passing of the stone down the ureter. You can get a urine exam along with an x-ray PUB done for your husband and check with his previous X-ray as to the position of the stone, or you can also ask him to get an ultrasound done to see the position of the stone and whether it is causing any obstruction. 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.Age-20 yrs.height-166cms..weight-58kgs.Problem-Asymtomatic kidney stones in both kidneys since 2 years.I have no pain and no symtoms.Some doctors say it is a parenchymal calcification or some deposition in my nephron area.Both the stones are of 4 mm and are in midpole.They say it cant be operated by lithotripsy .I am totally confused .Please help me out. ### REPLY: HelloYour findings suggests small doubtful calculus in mid-pole of both kidneys. As there is diagnostic dilemma, I suggest for non contrast CT scan of PUB region. CT scan can assess exact position of calculus. If it is diagnosed as parenchymal calcification then you may not need further treatment. If it is found in collecting system then you may need treatment. It may be in the form of conservative treatment. You may also need routine hologram, random blood sugar, urine RE/ME. As size of doubtful calculus is small in your case, it may be flushed out with HY . Get well soon. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I think my wisdom tooth top left has an infection or something. My mouth hurts so bad. It s swollen... and its affecting my jaw. I can t open my mouth hardly at all. Haven t ate in 2 days. Just been drinking water. But my entire mouth hurts. I ve never had any tooth problems of any kind. I have fever and a very bad headache . I have no insurance or money to go to a dentist . I ve called around and nobody will take me in because of that. But its getting worse and I m getting very sick. I even called the emergency room and they told me that the doctors there were not dentists. I dunno Wat to do ### REPLY: HELLO the history u have given states that you're suffering from "peritonitis which is a disorder in which there is involvement of gum tissue mainly the posteriors. Molar teeth. There is pain associated with swelling. I suggest u to see a dentist asap. Meanwhile u can do warm saline mouth rinses.also u can take medications. namelyRXCAP SYMBIOTIC 1-0-1 FOR 5 DAYS NKRUMAH PLUS 1-1 -1 FOR 5 DAYS...IN CASE GASTRIC IRRITATION OCCURS. TAB ACID 20 MG EMPTY STOMACH CAN BE TAKEN. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 9 Weeks pregnant and last 2 days my sickness was severe throwing up and yesterday I got sharp(pinching) pain in right abdomen whicChatDoctores and go every now and then but not constant. So we went to GP where she diagnosed tender in right abdomen and referred to A&E. we rushed to A&E where they took Ultra Scan and confirmed baby is fine in uterus and they are getting heart beat but they said there is tender in right abdomen and referred to surgeon assuming appendicitis. When Surgeon did the diagnosis where I didnt get any pain during that time, even he asked me to cough, bend my legs still didnt get pain so he asked us to go home saying that it is not clinically appendicitis. But if you see the symptoms for appendicitis I have vomiting, tiredness, gastric problem, right abdomen pain comes and go and finally it subsidized now. So now Im confused as I dont want to get unnoticed on any infection really worried whether is it normal during pregnancy or shall i need to have second opinion on this. On the blood test everything is normal abd teh surgeon told me white cells are little more than normal but he didnt worry about that, what he says his he didnt see any pain when he press the right abdomen so he asked us to come back in case if pain continues. Tell me what I should do now. Thanks for your time. ### REPLY: Hi! Your concern about the pain is justified. The symptoms what you have mentioned can be due to many conditions, common ones being a urinary tract infection, a small calculus in the ureter on the right side, a pelvic infection, simple colitis, and of course an attack of appendicitis. Your ultrasound has excluded an ectopic pregnancy. You should go for a urine test for infection. Ultrasound sometimes can not detect a small calculus. You have to get yourself examined by your gynecologist for excluding pelvic infection. However, if you do not have any pain now, the possible mild attack of appendicitis might have subsided of its own, or it might not have been clear due to the position of appendix which may vary during pregnancy. I would suggest you to see your surgeon again immediately if the pain returns. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Female 52, 170, healthy. Eat well and exercise regularly. I have a lot of pain on my left side from my hip to my ankle, mostly around the knee. Osteopath says rotated pelvis due to tight pelvic muscles caused by? Perhaps 6 years of teaching pilates and yoga? Constantly holding my stomach in. I have painful periods and sex can be painful. How do I relax the muscles and get rid of pain? ### REPLY: Hello, It looks from your details that you may be either suffering from sciatica or tight hamstring muscles. You should do following to have relief in this- -Avoid bending at your back.-Avoid lifting heavy weights. Also avoid doing heavy exercises.-Take help of a physiotherapist for release of tight hamstring muscles.-Take a mild analgesic for few days like acetaminophen.-Do warm fomentation with help of water bag over back & over the back of leg. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I often get very dizzy. I have diahrea constantly and sometime get migranes. Altough it has been a while since thet. A couple of months ago i started to feel my legs were starting to hurt whenever i had to use the restroom, as i was using it and a little while after. I didnt pay attention to it very much. However about a year ago i was getting swollen abdomen . I didnt know why. I was in mexico on vacation and went to visit a local doctor. They gave me a couple of pills and it did go away. Now that my legs are beginning to hurt, the swellingness is coming back. I feel as if i am too young to have so many problems. I am a 17 yr old female. ### REPLY: Hi welcome to  forum.  Thanks for calling to . Forum.  You often get dizzy, constant diarrhea, and migraines. A couple of months ago you started to feel leg pains, and swollen abdomen. A year ago you had swollen abdomen and leg pains.  It may be an infection, causing infection and related indigestion causing swollen abdomen.  Giddiness, constant diarrhea, and migraine may also suggest sinus infection, and indigestion.  Rare cause may be lime disease caused by a bug. Common in Europe.  I advise you to consult a physician for diagnosis and treatment.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had undergone a abdomino-pelvic sonography, it reads that I have stones measuring 6-7mm in both kidneys... however it also reads mild pelvicalyceal fullness of RH Kidney and LH Kidney shows mild hydronephrosis. What does it mean? and can the stones be dissolved? The stones are of calcium oxilate? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have no obstructing stones of a size of 6-7 mm in both the kidneys. Fullness of the Rt kidney is not significant HY . There is no medicine that can dissolve the stones. They will either pass down over a period of time through ureter into bladder and urinary passage or may need endoscopic fragmentation in case you get repeated episodes of pain, vomiting and fever . Ensure to repeat your scanning every month. Ensure to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been on Cymbalta for four years and have been stable but since the Obama care and getting put on Medicaid, I can no longer take Cymbalta because they are denying it and Lilly Cares will not help.  I have since been put on generic Effexor which is terrible.  I am in a lot of pain and going down hill fast.  How can I obtain my Cymbalta again and get help.  My Dr. has tried everything and yet she has failed.  I need help! ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. I am sure your doctor might have tried his best in getting you on cymbal ta. However now that the medication is not available, the other best option would be Amitriptyline. I have many of my patients of somatoform disorder on this .  You may also take a combination of amitriptyline and chlordiazepoxide. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 43 years old had high cholestorol but got it under control I have walked several times this week and at the beginning of the walk my left arm hurt a little but after the first lap it stops I am walking outside and the temps have been anywhere from 40 to 55 ### REPLY: Hi, If I were your treating Doctor for this case of arm pain with high cholesterol level, I would come up with two possibilities, these include: 1-Cardiac problem should be excluded by doing ECG and ECHO as High cholesterol level is a cause for atherosclerosis which is a risk factor for Ischemic heart disease. This also because HD mostly present by articular pain to left arm.2- Myositis in the arm muscles and this can be treated by muscle relaxant.Also, you should do plain x-ray to exclude any bony problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, Good Morning. I have occasional pain in the right side upper abdomen. I get the ultrasound test and then found that there is partial PUJ obstruction in the right kidney. I also get the DTPA check up for this and found that kidney is working fine. The ultra sound report says that there is swelling in the right kidney and PUJ obstruction. Please suggest , what further treatment I should go for get rid of this problem. Thanks, Gautam ### REPLY: Thanks for consulting. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. For the pain you can take analgesic like tablet tramadol twice a day and anti-spasmodic like tablet Tuscan twice a day. Since the obstruction is due to a mass. Further evaluation has to be done about the swelling. Consult a nephrologist they may advise you're regarding the treatment based on the scan and biopsy report if we can cure by medicine or chemotherapy or may need surgery to remove. Hope it helps. If you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Best Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. XXXXXXX,      MY  QUESTION IS ;  Ijust got out of the hospital because of small intestine bowel obstruction ,and when I arrived at the hospital via ambulance , the surgeon told me how lucky I was in  , you would have died had you not come in .I suspected that I was having a gallbladder attack so I did not rush to the hospital , it had gone on for too long . had I not call 911 would I had died that night  ? ### REPLY: Hi and thank you so much for trusting us with your health query. I am so sorry to hear about this small bowel obstruction.  They all present with abdominal pain. However, with small bowel obstruction you would have vomiting, absence of stools and the pains are often very severe. It may not be very clear to non-professionals, but it takes very little for a physician to make the difference. I am happy that you are alive. Whether you would have died or not is something we cannot speculate. Though late arrival in the hospital could see complications significantly increased, it cannot conclude that you would have died. Please, always seek medical attention when sick. It is better to rather than to forgo and face severe complications later. I hope you find this helpful. I wish you well. Thank you so much for using our services, and please do feel free to ask for clarifications or more information if need be. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 medical student. I was working on anesthetizing a sebaceous cyst, and the lidocaine injected into the cyst squirted out of the cyst back thru the injection site and splashed a few drops on my face and lip (my mouth was closed). I dont think it got into my eyes. Should I be worried about the risk of infection, including STDs and HIV? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, sebaceous cyst is the cyst which is having the collection of the material which is occasionally infected with the bacteria only. So when you are injecting the anesthetic agent and accidentally expose the material in to the face and lip it only put you on the slight risk of the bacterial infection. So don't worry about the risk of the viral infection. It can only infect you when the infected blood exposed to you on the eye and mucosa. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END