Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taking herbalife for 1 and half years. N i noticed that I am having skin allergies such as rashes on my hand and leg. Is this can be cured? Should I stop taking herbalife? Or can I continue taking herbalife? Can it help If I start to drink plenty of water? Pls advise. Thanks Doc. ### REPLY: Herbalife's products are mostly related to vitamins, nutrients and other inorganic supplements in a large box. Some people may have allergy to particular . You should stop taking it rather switch to tablet form of supplements which will b easy to maintain proper dose. Tablet spray is better option, you can compare compositions of both, also it will be cheap for you,better to consult a dietician before taking such products. For Allergy take tablet cetzine10mg once a day. If not improved the let it b checked by a dermatologist. Hav a good day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a couple knot like things on the inside of my hip. It s underneath the skin almost like something is swollen or ruptured. They cause pain with a lot of movement & it used to be just one but I found another one. Is this something I should be concerned about? What might it be? ### REPLY: Thank you very much for contacting . You are notice lump in side your hip which is contender and moving that one may be lipoma. You are not mention size and consistency of lump. If lesion is soft and cystic than fine needle aspiration biopsy can be done for further diagnosis. Any trauma also cause lesion. Sonography is helpful for further diagnosis. Consent a physician for further diagnosis. Proper physical examination and history give exact idea. I hope my guidance is helpful to you. Take care. 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: This mornin after sex I noticed blood in my sperm. It hurt when I came and thats when I noticed the blood. I have a small amount of blood that dripped out in my boxers later on in the day. No blood when I pee but it stings a little. What is it and what do I do. ### REPLY: Dear, We understand your concerns went through your details. Seeing blood in the semen can make a man anxious. Fortunately, it doesn't always signal a major medical problem. If you are younger than 40 with no related symptoms and no risk factors for underlying medical conditions, blood in semen often disappears on its own. The most common cause of blood in the semen is inflammation or infection. There are other conditions too which can lead to blood in semen. Wait and watch for another weak. If the incident repeats itself, you may consult a urologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife has 4th stage breast cancer perhaps refractory.current treatment is vinorelbine (4cycles completed) zometa 4mg inj once in 4/5 weeks Xeloda(2morning 1night 500mg each) tykerb 500mg 4tabs in morning).recently underwent whole brain radiotherapy 10 fractions 300gy each to take care ofbrain multiple metastasis .pl suggest ayurvedic treatment .recently started on patanjali aushdhalaya course using praval bhasma heerak bhasma kanchnar guggulu vriddhibadhika vati abhraka moti tamra bhasmas and greenjuice having aloe vera,wheat grass neem ,cow urine barley grass.rgds.AAAA mumbai 15, ### REPLY: HelloSorry to learn about the sufferings of your wife. The fact is your wife has very poor prognosis as she is in stage 4 f breast cancer along with brain metastasis. I understand your keenness to get the best possible treatment for your wife, but the fact is nothing can be done now. It will be better if you give more of psychological support to her and keep her cheerful. Your whole family should spend quality time with her. There is no point running after different treatments as no treatment can offer her any cure at this stage. Keep life comfortable and easy for her as well as for your whole family. 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: Hello, i have had a fever of 38.8 last night and took panadol and it lowered, this morning i woke up with a fever of 39.1 and again took panadol and it has lowered to 37.6 but i feel hot and have a sore neck, do you think its just the flu or something more?thankyou. ### REPLY: Hi, Panadal is commonly prescribed for the symptomatic relief of fever, and it is found to be very effective in reducing the raised body temperature. You seem to have developed some sort of upper respiratory tract infection for which you may need to take a course of suitable antibiotic along with paradox after consulting a doctor. 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: Have back issues and need a cane to walk with. I saw one online similar to the hurrycane that was less expensive and had a slightly different footing. I will take the hurrycane but liked the other one better...just cannot remember the name of it. Who carries these types of canes? I have to go up and down stairs to get in and out of my house and the standard four-prong cane base is too big to fit safely on my stairs. ### REPLY: Hello, Welcome to the magical world of health care, I went through your query, and I would advise you to visit a store to see the various types available these days, you can easily fit one hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. I hope a 5-star rating if you feel guided in your treatment, 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: Today I had something go down the wrong way and I started coughing very hard. I would say this was the most intense cough I have ever had. However, I started getting a tighhtness and tingling all over my body with each cough. Finally after my coughing spell stopped I was fine. However now if I cough or sneeze I am getting the same feeling. Should I be concerned or is it just because the orginial episode was so intense? ### REPLY: Hello. When something's goes the wrong way in the wind pipe, the cough is always very aggressive. It is the bodies desperate attempt to remove the offending substance. It needs to be removed immediately, otherwise it may plug the bronchi and lead to lung collapse and post obstructive pneumonia. Furthermore, it is important for you to tell what were you eating. If it was a solid substance such as a peanut, get your X-ray done and consult a doctor immediately. If it was a liquid, most probably nothing would go wrong. However, consult a doctor if the cough persists for more than 24 hours. 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 name is Greg had back surgery 2006 was good for awhile but now I am falling down all the time from nerve pain it is like being hit in the back with a axe now this is what i have bee told.. How do I fix myself disc disease at l4 - l5 and l5 - S1 with facet hypertrophy and neural foraminal narrowing impinging upon the exiting L4and L5 nerve roots bilaterally ### REPLY: Dear patient You have got disc disease at l45 and l5s1 with L5 and l4 nerve root compression. So this MRI report is recent, or it is the report done previous to your back surgery? And which back surgery was done in 2006 and at which spinal level? If this MRI report is recent then you have got nerve compression at l45 and l5s1 disc space level. What are spinal canal diameter at both disc space levels. Considering severity of your symptoms you require urgent orthopedic surgeon visit and get yourself examined. In my opinion you may require surgery with discectomy and foramina my which can be done with endoscope and with minimal incisions.  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: Dear sir. My father is suffering from prostate cancer . The cancer cell is spreed through bone. Our doctor say that there is no possibility to cure him.Doctor give him hormone therapy .We have done all necessary test like prostate biopsy , CT scan of whole abdomen, CT scan of chest, bone scan. If you could kindly inform me, is there any better treatment in India? Mesbah-ul-alam Assistant Director Department of Environment Dhaka Bangladesh E-mail: YYYY@YYYY ### REPLY: Since tumor has spread to bones it is impossible to get it cured. By the way have his bilateral architectonic (Removal of Testis)being done. Since you have done all the test and investigations as per advice of oncologist or urologist. There is nothing much can be done except giving a palliative hormonal therapy that currently being given to him. And observe his serum P.S.A level frequently. If this metastasis give him severe pain you will have to give him selective radiotherapy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For a week now I have had problems with my mouth. My throat hurts everytime I swallow. I also have something hanging off my left tonsil. My gums are swollen. the top of my hard palate is all shriveled and raw. I have all these spots in my gums that are painful which prevents me from chewing and eating. what do I have and what can I do to make it better? ### REPLY: Hiwelcome to ChatDoctoryou must be suffering from throat infection for that you can start with azithromycin Once a day for 5 days. For swollen gums, spots all over mouth and shriveled palate can only be diagnosed after reviewing thoroughly and might be your throat infection is a part of that. You may be suffering some infection or lesion so, better to consult a dentist. Meanwhile you can have antioxidants once a day. Hope it will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: visible bulge when flexed or exerted in lower right leg by outer shin area near where the calf muscle connects, any idea what this could be? No discomfort or discoloration. Although I can feel I slight tightness for a second when flex it from time to time then goes away and unable to repeat the tingle or tightness. ### REPLY: Hi, As what I understand with the history you provided it needs more detailed version of the complaint. Your age? Are your diabetic? Are you overweight? Etc. Now coming to point, as per my provisional diagnosis this could be a bakers' cyst in the popliteal fossa.  This is not going to harm you or your joint in any way. It is one of the bodies protective mechanism to protect the knee joint to get damage. There is no as such medicine to it. Trying out exercise on a regular basis for the lower limbs should help improve the strength of the muscles and the cyst can be removed naturally without any kind of other procedure. In my professional experience I have seen people having cyst, and they have done well with the exercises and no signs of the cyst in the future. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a wheezing(hard to inhale, felt some blockage in throat ) one year back. consulted a doctor he advised to use asthalin inhaler . whenever i felt like hard to breath i am using that. now a days im having cold for long time and the amount of time i am using asthalin increased now from 1/day to 3/day. is it normal?. having cold is anything related to this wheezing problem? ### REPLY: Hi, you seem to have suffering for allergy, due to which your getting cold and running nose often, also your wheezing problem is because of that. For your cold you need to take steroid nasal spray, which very effecting in controlling symptoms. For your asthma I recommend you to start using steroid plus long acting bronco dilator inhaler. Both of these will easily control your symptoms since its just starting. Also I suggest you go to immunologist to get allergy test done. Then you will know what is causing your symptoms. Once that is done you can start immunotherapy. Which is very effective. It will control your symptoms by 80-90 percent attest. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have fibromalgia which causes great pain and depression. I have been to several des and taken several medications for 20 years or so. Many des think I just want pain medicine for a quick fix. I have taken nutrition classes, done exercise programs, meditation, you name it and I ve done it with a short time of relief. I want my life back. How do I make them believe it is not in my head and I don t want drugs. I have prayed so hard for a miracle. Please 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. In fibromyalgia, there is no quick fix solution. Several medicines have to be tried and antidepressants are the most popular. Amitriptyline is one of the common .  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 have had chest pain, tenderness for over a year, the pain is localized in one spot in my sternum, until i apply gentle pressure, then it radiates into my entire left side.  It gets worse with exercise, post exercise i feel extreme fatigue, dizziness and a general nauseous feeling,  Could allof these symptoms be related? ### REPLY: Thanks for your question on . I can understand your concern. Your symptoms are worsening after exercise. So possibility of musculoskeletal pain is more likely. So apply warm water pad on affected areas. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Take simple painkiller and muscle relaxant . Take pantoprazole tablet on empty stomach twice daily for nausea.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 had bronchitis and was on zpac, steroid pack, inhaler for wheezing. Dr ordered chest x-ray and it showed hazing in lower lung. It was said it could be a calculi annulus. I have a heart murmur and it could be in the V alve or lung. Is this serious? ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that it seems to be a calcification in your chest X-ray study, probably related to the heart valves. Considering your heart murmur and this possible calcification, which could be in the heart valves, I would recommend performing a cardiac ultrasound to examine your heart function and structure. Hope to have been helpful to you! Wishing good health,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 21 years old. I am not sure If what I have is normal or not. Every time I speak to my girlfriend even on the phone, little drops of sperm come out. Should I get some medicine for it? Would this effect my ability to have kids.Thanks for your help ### REPLY: HelloThanks for query. You are getting discharge of clear fluid from urethra whenever you are talking to your girlfriend on pone . This is an excessive mucus secreted by mucus glands located in urethra which get stimulated even with sexual thoughts or when one is engaged in talking to female partner. This is normal at the age of adolescence and nothing to be worried about it. You do not need any treatment. This problem will get resolved over a period of time and once you get involved in sexual relationship with your girlfriend. This will not affect your sexual potency nor affect your ability to have a child. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day doc last july 2, 2013 I undergo medical test as required in going abroad and my sgpt result 1.89 and my total bilirubin  2.97 after 2 weks I had blood extraction for another test that yielded same result. Right now Im undergoing medication of inlex(same as godex) for six days now does this reduce my sgpt w/c is 67(another unit used . Also my bilirubin is 29.4 umol/l. What should I do to reduce this? ### REPLY: Hi and thanks for this query. I am so sorry to hear about these disturbing laboratory findings. Do you have any more symptoms??? The best treatment of elevated bilirubin is to know the cause. It is often caused by a problem in excretion or the liver being unable to handle it for one reason or another. The best thing to do is to get a doctors' consultation so that he can examine you and maybe ask for more tests to find out was the cause of that could be. From there, you will now receive .  There are no  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: There is slight straightening of the normal cervical lordosis. The disc spaces at C4/5 and especially C5/6 are narrowed there are spondylotic changes in the neurocentral and facet joints at these levels and small osteophytes encroach on the foramin. Tiny osteophytes indicate very minimal thoracic spondyloasis only. What does this mean and what was the cause for this to happen. ### REPLY: Hi, Thanks for your query. Cervicaland thoracic spondylosis is a common degenerative condition of the cervical spine and most likely caused by age-related changes in the intervertebral disks. I advise you to wear a soft neck collar during the day to help limit neck motion and reduce nerve irritation. You can take non-steroidal anti-inflammatory .  For pain relief and muscle relaxants, particularly if neck muscle spasms occur after discussing with your doctor. Do exercises under guidance of a physical therapist to strengthen neck muscles and stretch the neck and shoulders. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i think i might be pregnant, i had my period 3 weeks ago, and have had sex recently... for the past week i have had increased amount of discharge, more frequent urination, a feeling of bubbles in my lower abdomen, slight back ache at times, and have also gained weight. Does it sound like i am pregnant? ### REPLY: Hello dear, understand your concern. In my opinion the symptoms of pregnancy doesn't start this early. The first sign of pregnancy dismissed period. Other signs are nausea, vomiting, increased urination, sore breasts start 2 weeks after missed period. A urine pregnancy test confirms the pregnancy. It needs to be done a week after missed period for accurate results. It is too early to feel any pregnancy symptoms. So relax. Avoid stress. Nothing to worry.3 weeks after periods comes under safe period in case of regular cycles. The weight gain also doesn't occur this early due to pregnancy. The stress regarding the thought of pregnancy also makes one to feel pregnancy symptoms. So avoid stress and check for the period. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a history of a hernia which was diagnosed 2 years ago. Today is the first day that I noticed I did not have my normal bulge which has been there for 10 years. I was admitted to the hospital yesterday after passing out following a bowel, I was discharged today from the hospital because they thought I had a cardiac issue, I have never had this type of issue before. The day before I wore a tight girdle which provided much relief from a large hernia that I was diagnosed with 2 years ago. I kept asking if by wearing the girdle I could have caused an issue with the bowel, I was told no. While I was in the hospital, I have had no appetite and I shared concerns that when I tried to eat anything today it caused discomfort in my abdomen. I also developed a headache on the left side. Since I have been home I have vomited just a little, have not urinated or had a bowl movement, I have a sharp pain on my right side and pain in my back which is also on the right side, and woke up with night sweats. Is this something to be concerned about now or can I wait till morning. ### REPLY: Hello! Thank you for the query. The main problem with hernia is that it may stick and cause bowels obstruction. And you never know when and if its happens. Typical symptoms of bowels obstruction are nausea, vomiting, lack of stool and gasses, bloating and sometimes cramps. The other thing is that you have also urinating problems and back pain. This makes kidney infection very possible. Actually with bowels obstruction kidney infection can appear as you do not absorb water and do not urinate enough. Both conditions can be life-threatening. That is why you should not wait with them. Please go to ER. Urinalysis, abdominal x-ray and ultrasound are necessary. Surgery might be the only treatment. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The pain in my right hip area started about a month ago. It came on unexpectedly and without an injury or accident happening. It started as just an ache that I thought was arthritis. After two weeks the pain then started affecting my leg. The pain will radiate down my right leg and cause numbness, tingling and burning. My doctor has guessed that I have sciatica and has treated me for that. I haven t noticed any changes or improvements with the medications she has prescribed to me (Naproxen, Flexaril and Prednisone) X-Ray s showed no abnormalities. In the past three or four days I haven t been able to straighten my back. When I try to straighten it I feel slight pain in my lower back, but the pain isn t very severe. It s more that my back simply will not straighten, not due to pain, just due to inability to. What could be causing this? ### REPLY: Hi there, Thanks for your query. You have not mentioned your age, as there may be spontaneous collapse of vertebra in osteoporosis elderly people, causing pinching of the nerve supplying the lower limb. Even a trivial event (which the individual may not even remember) may cause it. MRI of lower spine will confirm the diagnosis, as it may be seen in a normal X-ray. Other causes can be spasm of Performs muscle (called Performs Syn .  Nerve-pain-killers, such as, carbamazepine- used for treating epilepsy) will relieve the pain. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, get MRI done and will prescribe the advised  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When igo to urinate my brain says stop your dreaming even though I know Im not it started a few weeks ago and now it happens every time at it makes me hesitate and worry that Im not really awake I feel like Im going mad please can you tell me what you think ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the look and feel of your problem, there is nothing much to diagnose. This could be starting of Obsessive Compulsive Disorder. Don't worry. Just some starting symptoms. That is all. Just make sure that you do not care about these weird things. Ignore the thoughts and do your daily duties more dutifully. You can post a direct question to me in this website with more details to have more information. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with degenerative bones in the neck c2 and c3 and sending me to get shots. I had a very bad experience with the doctor. I went there because I have a pinch in my back for months that numbs my leg and foot but his focus was the neck??? ### REPLY: Hello, As you have the degenerative changes in the cervical and lumbar spine intervertebral disc, it is advised to take an MRI first hand. Post which based in the extent of the nerve entrapment the treatment plan can be initiated. Nerve blocks which are termed as shots in the spine are advised to the patients who have severe pain. In most cases, such nerve blocks are taken in the later stages if the compression isn't getting relieved and the complaints of radiating pain is high. In most cases of my clinical practice of over 12 years, most lumbar and cervical spine cases have responded well to conservative management under physiotherapist guidance. For injury of the neck now I will advise you to use hot water fermentation along with a soft cervical collar. This will help reduce the radiating symptoms. Post this stabilizing the muscles of the neck and upper limb is advised. Once the pain level comes in between 5-6 on the visual analogue pain scale than exercise to strengthen the neck and upper limb muscles along with core and lower limb should give you good results.  Nerve blocks are good to reduce the pain symptoms, but the correction of the joint stability may not happen. So will advise you the above-mentioned exercise plan. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Iam 76 years old known Type II diabetic with nephropathy & mild hypertension. Current medication, Iam taking is - Insulin, Glimipride, Clopidrogl & dilzem. I underwent polypectomy 3 & half years back. Histopathology & PETscan showed adinoid with slight bony erosion. 2 months later, I underwent partial maxillectomy. Biopsy of bone has shown no malignancy. Currently there is recurrence of Polyp from the same site. It is about 2.5 X 2.75  PETscan revealed no metastaysis, no bony erosion & no Lymphnode involvement. Biopsy report revealed adinoid carcinoma, high grade.  What is the current modality of treatment? Please suggest. ### REPLY: Thanks for your question on . I can understand your concern. Since you are having diabetes and nephropathy, surgery for cancer is very risky in your case. Palliative chemotherapy, radiotherapy, nutritional support and pain management are the option for your cancer. So better to consult oncologist and discuss all these and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have phlegm problem, 2-3 times in a day, I experience congestion in throat and find difficult due to phlegm. I don t understand what exactly this problem. Sometimes I feel that I am suffering with asthma or some respiratory disease. Once I expel the phlegm, i feel relieved. What should I do? ### REPLY: It is quite possible that you may have asthma as it is a very common disease and if you have a history of allergy. At present the condition feels like it is an infection that is causing the phlegm. Take good steam inhalations at home with an expectorant cough syrup which contains bromine. You haven't mentioned how many days you're suffering from this problem however if it's more than a week, then u certainly need to see a doctor and get investigated ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sick to where my nose drips clear liquid my head and chest have a pain not very serious but still present well my head pain is a lot stronger then my chest pain my throught hurts really badly I have already gotten my tonsils out when I was 3 I am now 20 I get very dizzy very quickly I cough acashonally and I feel very weak and I ve been getting very fast heat and cold flashes please help me what is going on? ### REPLY: HelloThanks for posting at . You seem to have got sinusitis with some lower respiratory tract infection. You need to be on medications like nasal decongestants, nasal spray and montelukast tablets. If there is associated cough, then a cough syrup should help. This is just a sinusitis and will take around 5-6 days to abate. I personally recommend. Tab minaret Gupta two times a day, frames nasal spray 1 spray each nostril 3 times a day and tablet montage 10 mg (plain) at night. Wishing you good health Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m 23 yrs old male.my height is 6 feet.weight is around 80kgs.i am healthy and dont have ant  health issues.there is a chest pain mostly in left half portion.and it increases when i think or when i get axcited by watching some porn material or think about that.it is more at night ### REPLY: Thanks for your question on . I can understand your concern. Basically you are having left sided chest pain when you are excited. Excitement causes sympathetic stimulation and this can cause heart damage. So we should first rule out heart diseases in your case. So get done ECG and 2d echo first. If both are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my soft palate developed "a blister full of blood" that then popped and now have a very sore place in the roof of mouth.  This is the 2nd time in a year and a half.  The last time I went to my dentist each day for him to monitor and we never could determine the cause. and just out of nowhere it happened again today.  Very sudden onset....like it all occurs within 5 minutes. ### REPLY: Thanks for your query, I have gone through your query. The blood blister can be secondary to trauma while tooth brushing, or it can be secondary to burns after .  Nothing to be panic, consult a good oral physician and get it evaluated. Meanwhile you can take topical anesthetic like lidocaine and topical analgesic like choline salicylate. 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 have had a blood test which showed SGPT 88, Phosphates alkaline 149 and GT 165, after 16 days of a tummy tuck operation and i was taking tylenol for the first 10days; do medcins taken a week before the blood test affect the blood test or i have to check somethinh else? ### REPLY: Hi, Thanks for asking the query. Numerous medications are known to affect the liver enzymes. Tylenol is one of them. If you do not have any symptoms like jaundice, dark yellow urine or pale stools - you can stop the medication and repeat after fifteen days. If you have any of the symptoms, further investigation might be necessary. You need to rule out causes like hepatitis or obstructive jaundice. Get a bilirubin level done, both total, direct and indirect. If normal, nothing to worry, and you can stop the medication further query, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Sumit, I have been suffering from dust mite allergy and was diagnosed with chronic rhinitis in 2002- 2003 year. After treatment of antihistamines and nasal spray with steroid , it kept going on and I was asked to get injected with dustmite which refused and then I have shifted to India. In India I had consulted Ayurvedic doctor and took 6 months of course of treatment and did some pranayamas along with which resulted great benifits. Now about once a week or two weeks I get sneezing and runny nose symptoms. I have septum diviation 80/20. My question is if I improve my septum diviation, would it help to avoild this sneezing and runny nose problems or any other treatment you advise to avoid this symptoms? Piyush ### REPLY: Hi, allergy is not related to your nasal septum, it is related to your immune system, correcting that will only correct outer appearance of your nose, you can go for it if you wish to. But allergy should be treated in stepwise manner first if your symptoms is for few months a year like 2-3 months then you start an antihistamine which you have to take daily at night. If your symptoms still persist then your start using steroid nasal spray, it has no side effect, and it controls the allergy very well, and you should start 2 weeks before your symptoms start. If this also does not cure you. Then get yourself tested for allergy, it is called skin prick test you will know what you are allergic to, then if possible you can avoid the allergen, or you can start treatment called immunotherapy. This is currently the best treatment available and your symptoms will easily reduce by 80-90 percent kindly visit you rent specialist he will guide you further and immunologist he will do skin prick test and immunotherapy. Ayurvedic treatment has not been tested and studied properly, so we cannot tell for sure if it will work, even if it works it will be temporary thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am aged 42, Male, Diabetic for the past 8 years (Gycomet GP1 tablets 1-0-1 half an hour before food ). When i checked my Hb1Ac last (end Feb13) it showed a reading of 7.3.  My BMI is 20.5 Last month end i did a TMT test as part of my companys periodic health checkup  and the result was Negative. The doctor said that i had done well!  I worked out for more than 10.5 minutes and in the last stage of the TMT test my BP was 90/160. It is normal ?  where during normal times my BP reading was 80/130. In the abdomen ultrasound it showed a subcortical cyst in the lower pole of the right kidney measuring 1.7cm x 1.8cm with a calcific speck seen on the wall of the cyst. Is this something to worry about? Do i need to consult anyone for this ? All my blood work result was normal. Also, all the other organs as per whole abdomen US scan was normal. P.S., Chennai, India ### REPLY: Hi friend, Welcome to  Heart rate and Blood pressure MUST rise during TMT - if not, it is heart disease! Your test is normal / you have reversed the values - it must be 130/80 - NOT 80/130 - the higher figure is systolic and comes first. The cyst is not big / on the cortex and calcified mean simple / nothing to do except repeat after one year...if symptomatic, see Urologist... Watch your lipids... Take tarnishing speedy recovery God bless 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: gravid uterus showing intact g. sac with no fetal node Sac meas. Corresponding to 5-6 wks Gestation Decidual reaction is weak os closed Lt ovary is bulkier...needs to check again at next us. No evidence of any ovarian or adenexal mass or cyst detected ### REPLY: Hello, and I hope I can help you today. This ultrasound report, translated out of medical jargon, is as follows:There is a pregnant uterus noted with an amniotic sac present, but no fetus visible yet or yolk sac. Human fetuses normally have a yolk, just like a chicken egg, usually from about 6 weeks until 9-10 week or so.  This report estimates the sac to be about the size for a 5-6 week pregnancy.  Also, the uterus "decimal reaction" and "bulky" ovary are also normal during pregnancy. The radiologist recommends repeating another ultrasound in a week or so to check for the development of a yolk sac and a fetus.  The heartbeat is usually present by 7 weeks of pregnancy. I hope I was able to explain the meaning of this report for you, and that the information I gave you was helpful and reassuring. 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: Had a fall when I was nine years old bcos of which I broke my front 2 teeth.Eversince,I have visited many dentists for crowning the 2 teeth and everytime the size has been looking big.Last time,the dentist replaced 2 single crown insted of one double crown.Now my teeth are looking like rabbit teeth and my upper lip is looking a little mounted which has changed the appearance of my face.What to do?? Incidentally,I find that the crowns are ceramic covered on metal. ### REPLY: Hello abnormally if childhood injury occurs in relation to front teeth then after becoming teenager there appears gap between teeth so if we get a replacement, ent it will be bigger, thesis the problem you are facing, and second the thickness of teeth made up of metal and ceramic is more. So if you want a perfect look either go for zirconia crowns or you can switch to implants. These two can satisfy your beauty lack. 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: Some time yesterday i began to feel a slight discomfort on my tongue . I realized it only hurt when i ate something cold . I didn t think much of it because the pain went away after a little while. Then today again i ate something cold, i looked in the mirror, and my tongue was covered in little red spots. They are pretty small and spread out throughout the tongue without any specific clusters any where. But it got me worried. ### REPLY: Hi, Thanks for asking the query, Red spots on tongue can be because of several reasons traumatic injury due to tooth grinding , biting causing traumatic injury. It can be due to vitamin deficiencies folic acid and vitamin B 12. Bacterial and viral infections scarlet fever. Allergy to certain food stuffs. Maintain a good oral hygiene. Clean the tongue with tongue cleaner or a soft bristle tooth brush. Take vitamin supplements. . Visit to a Dentist and get a checkup done. Hope thus helps out. 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: Last Wednesday I picked my 6 year old daughter up from her afterschool program and she showed me a hard lump on the lateral side of her right wrist, she didn t have the lump that morning, and she said she noticed during class, the lump doesn t bother her mostly, but is bothersome/painful when she bumps it, or it s touched. My sister is a pediatric LPN and she looked at the lump Saturday night, and she said it looked as though it could be a cyst, and should be looked at, but could wait unitl Monday. Then yesterday morning when she woke up, she had another lump, and it is on the lateral side of her left wrist, the lump on the right wrist was still there as well. I took her to the urgent care, the doc said to give her motrin, he wanted an xray, and if nothing shows up on the xray, and the lump are still there in 4 days then we d have to go to the next phase of testing, but their xray machine was broken, won t be up and running until tomorrow, and he said he isn t too concerned and it could wait until Tuesday. Well, the lump on the right wrist has already been there for 4 days, and I am just trying to get some idea of what might be going on, or causing these lumps. Also, she has not fallen, or anything like that, so injury isn t a factor, if anyone has any clue, please let me know. Kim ### REPLY: Hi, These lumps on the wrists seem to be insect bites as it pains on handling them. The second on the left wrist came overnight and hence seems to be due to bedbug bite or insect bite.Don't worry and it would go in next week's time. Apply anti-inflammatory gel like Voltaren and your daughter would be alright. Hope this would resolve your query. Welcome for any further query in this regard to . Write good review and hit thanks if this reply is helpful to you. Have a Good Day. . N. Senior Surgical Consultant. M.S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 GASTRIC BYPASS WITH AN EXTENSIVE HERNIA REPAIR THAT TOOK 9 HOURS DUE TO SCAR TISSUE. tHIS WAS 10 DAYS AGO. I WAS DOING GREAT, STILL MOSTLY ON CLEAR LIQUIDS WITH PROTEIN SHAKES. STARTING YESTERDAY MORNING, I GOT A DULL ACHE IN MY LOWER BACK, RIGHT SIDE...AND AROUND TO THE FRONT ON SAME SIDE. SEVERE WITH COUGHING, LAUGHING, BREATHING IN DEEP, ETC. TODAY IT IS SIGNIFICANTLY WORSE. I AM PASSING GAS, NO NAUSEA OR VOMITTING. MY URINE IS CLEAR WITH A SLIGHT ODOR BUT I WAS TOLD THIS MIGHT BE A SIDE EFFECT OF GASTRIC BYPASS. I HAVE HOT FLASHES AND SWEATING, BUT NO FEVER OR CHILLS. ANY SUGGESTIONS. I AM NOT TAKING ANY PAIN MEDS EXCEPT CHILDRENS LIQUID TYLENOL. ### REPLY: Dear patient Your back pain seems not related to gastric bypass surgery. Since this surgery is done under general anesthesia needles are not inserted in back and pain will not be there in back. Pain in your back is due to muscular backache. If it is radiating to front possibility of renal stone is also there. I would advise X-ray of lumbosacral spine anteroposterior and lateral views.  This will rule out back pathology and stone can also be diagnosed on X-ray. Please get this done from radiology center nearby you. Meanwhile, start tab moral 4 mg twice a day with tab attract twice a day. If X-ray report is abnormal u need to consult orthopedic surgeon nearby your area. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chronic at the center of lower back pain above hip about 3 to 5 inches above the hips and on the left side in the stomach area that has tenderness from a long time.The pain becomes more clear particularly when i lie flat on the back but reduces when i am sitting or standing or when i am lying on the sides.I have had x ray done..nothing detected... The pain is not sharp but dull and contineous ### REPLY: Hellowelcome to ChatDoctorwell the location of your pain and the specific postures of the body in which you feel pain as described by you suggests that you might be suffering from a condition called as PIED i.e. prolapse inter-vertebral disc.there are protective cushions like structures present between the bones of our back, one disc is present between two vertebral bones i.e. one above the disc and one below and this arrangement is present throughout the spinal region of the back....the function of these discs is that they act as SHOCK ABSORBERS for the backbones and prevents injury/dislocation/fractures of the vertebral bones .... when due to any reason, like a trauma or fall from height on a flat surface, the protective discs herniates out from its normal position, it causes compression of the surrounding nerves and spasm of the surrounding muscles of the back which in turn leads to a feeling of pain and stiffness....there may be only one prolapsed disc or else multiple discs may also get prolapsed depending upon the severity of the underlying cause....first and foremost I would advise you to get an MRI OF LUMBOSACRAL SPINE to know number and extent of the prolapsed discs, after you get your MRI you should visit with your reports to an orthopedic, he will evaluate your report and clinical condition by performing a physical examination and will prescribe you the most appropriate treatment necessary and instructions I hope you will find the above information to be very helpful take careChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I had my daughter on jan 23, 2013 via c section and I am not breast feeding. My concern is that I have not had a period since then. After the c section I had minimal bleeding for about four days. And then about two months later had about a half say of spotting and then nothing. My husband and I have had unprotected sex multiple times as he would like to have our babies close in age. I have also taken multiple pregnancy tests that have all came back negative. I there something wrong with me? Could something have gotten harmed during the c section? Thanks! ### REPLY: Thanks for posting your query. From the information you have provided, Possibility of a pregnancy cannot be ruled out completely. As you are not breastfeeding and it's been well over 3 months after CS, you can or would have ovulated anytime. Ovulation or egg release precedes periods.It's also common for the first few periods to be irregular. As you have had multiple negative home pregnancy tests and the fact that you have had irregular bleeding, its best that you consult your gynecologist. Blood test for pregnancy can give more information.It's unlikely to be due to CS complication. In any case, its advisable that you consult your gynecologist before coming to any conclusion. Hope this helps, 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: hi ! im female. 23.. im married. iv gt irregular period so my gp gave me,contreception pill.. im on my pill since 2years.. bt now i want 2 get pregnent... nd my gp suggestd me 2 stop takin pill.. nd i did it.. nd 4m 6months im tryng 2 concieve... bt im nt pregnent yet.. my last period was on 17thApril nd till now... it always lyk dat... so plz help me nd tell me hpw can iget pregnent?? ### REPLY: Hi, Welcome to . I am . I will be answering your concerns today. From your notes it appears that you have problem with ovulation. You need to consult doctor and find out the reason for this ovulation problem. You need to do hormone tests. What is your BMI? Obesity can interfere with ovulation. So Maintain normal BMI.  At the same time you need to have fallopian tube latency test. Your husband needs to do semen analysis to confirm that it is normal. Based on all these results appropriate treatment can be planned. To improve your chances of conception you both need to stop smoking (if smoker) and have intercourse 3-4 times in a week. Take a tablet of folic acid daily. 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 smoked poppers for about 2 years now.A popper is when you take a little rip of tobacco about 1-2 cm and put it in a metal shaft and put a bit of weed on top and smoke it through a water bong. I also smoke maybe 5 cigarettes a day.  for the last 2 years ive been doing this and sometimes i cough up some dark brown in my phlegm, I am just curious how bad this is effecting my lungs as it is unfiltered tobacco that i am smoking, the water barely filters,  am i at big risk of getting lung cancer after 2 years ? ### REPLY: Hello and welcome to , Smoking tobacco in any form is a risk factor for developing lung cancer. Not only lung cancer, tobacco is known to cause cancer of many other organs like bladder, pancreas, kidney, head and neck region, aer-digestive tract. Since, you are coughing up dark brown colored phlegm (probably blood tinged sputum) the possibility of lung cancer increases. Tobacco is the worst known carcinogen (cancer causing agent). Long duration of smoking tobacco increases the risk of developing cancer, but it can develop after short interval of 2 years also if the usage is very high. Usage of tobacco should be discontinued. There are many rehabilitation centers and . Thanks and take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is taking deanxit for the last 10 days two tablets daily one in the morning and one at miday. Last night she experienced tachycardia as soon as she went to bed. It took almost an hour to stop and she experienced some numbness on her left hand. Today she feels ok and she thinks to go to the doctor tommorrow if she have the same experience tonight. My mother is 87 years old ### REPLY: Hello, I would explain that her symptoms could be related to cardiac arrhythmia.  For this reason, I would recommend performing a resting ECG and some blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels). Density can lead to QT prolongation and thus increase the risk for cardiac arrhythmia. Reducing its dose may be needed if all the above tests result normal.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir, my name is bindu. age is 19. my marriage lost 1 year. iam not pragnant. i consult a gynacolagist. she chesk palicular study 4 day s. she tell eggs is not forming. she sujjest benforce-m toblets daily three times. i regulary three times using. iam not pragnant till date. please tell me benforce-m toblet is usefull or not? ### REPLY: Hello, Thank you for your question. Infertility is defined as the inability of a couple to become pregnant after one year of unprotected intercourse in women under 35 years of age and after six months in women 35 or older. The ability of a couple to become pregnant depends on normal fertility in both the male and female partners. Because pregnancy requires normal fertility in both the male and female, health care providers routinely involve both partners in the evaluation.A woman can have trouble getting pregnant for different reasons. Include: problem with ovulation. Ovulation is a time in a women monthly cycle when the ovary releases an egg into the fallopian tube. Women have the highest chance of getting pregnant if they have sex 1 to 2 days before ovulation or on the day of ovulation. It is 14 days before your last menstruation period. Problem with the uterus or fallopian tubes-for example, some women have scar tissue in their fallopian tube from past infection or surgery. Endometriosis- is a condition that can cause pain in the lower part of the belly.  Your doctor will talk with you a do an exam. He or she will do often do tests to try to figure out the cause of the problem. Plus, your partner might need to be tested too. But don't be surprised if your doctor can not tell you what is wrong. It's not always possible to find out why a woman cannot get pregnant. For you have a problem with ovulation. The method of ovulation induction selected should be based upon the underlying cause of an ovulation(no ovulation) and the efficacy, costs, risks, and potential complications associated with each method as they apply to the individual women. Option include: Weight modulation(keep your BMI in standard level), Camphene citrate, Metformin or other indulin-sensitizing agents, Gonadotropin therapy, Aromatize inhibitors, Laparoscopic ovarian diathermy, assisted reproductive technology. For your problem your doctor choose to use Metformin(enforce). Insulin resistance in commonly observed in women with PCs. Correction of hyperinsulinemia with metformin has a beneficial effect in ovulatory women with PCs because this leads to an increase in menstrual publicity and enhanced spontaneous ovulation. However, live birth rates are not as high as those achieved with camphene. A consensus group has recommended against the routine use of metformin for ovulation induction except in women with glucose intolerance. However, the addition, metformin may provide additional metabolic effects that are beneficial for pregnancy. If you are overweight, losing weight might help you become pregnant. Hope I have answered your query. Let me know if I can assist you further. 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 recently had some lung biopsies done as I have had repeated bouts of pneumonia over the last year. I see my surgeon in a couple of days for the results but no one has called me if they found anything. My surgeon showed me the cat scan of my lungs; the cat scan show my lungs were inflamed, this is why we did the biopsies. The surgeon showed me some spots on my lung and he said this is what they called ground glass. I forgot to ask what that means. A man at our church today said my symptoms sounded like his now deceased business partner illness that they finally diagnosed as Wegeners Disease but it was too late for him. My friend said that he knows three men that have died from this disease as they they just weren t diagnosed properly. I will talk to my surgeon and my lung specialist about this as I will see both of them this week. Any answers? ### REPLY: Hello, * As per my surgical experience, the ground glass appearance on x-ray and CT thorax indicate possible parenchymal issue involving the lungs which can be from autoimmune damage or recurrent inflammation from various reasons. * In addition of CT, certain antibodies as panda and CANCA help to differentiate the issue between odd possibilities of immune related Wegner`s granulomatosis with polyangiitis or Chung Strauss disorder. Hope I have answered your query. Let me know if I can assist you further. Take care .  Patel, General Surgeon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m always thirsty during the night. I keep a glass of water by my bedside &easily go through 3 glasses. I keep having to go to the toilet to pee a lot as well, it s really bad at night and keeps me awake for hours. Also I sometimes feel out of breath a lot &recently I ve been getting sharp stomachs pains. What can be causing this? Thanks. ### REPLY: Hi there, Thanks for using . Increased thirst and increased urination especially in the night could be signs of diabetes mellitus. You need to check your blood glucose levels to rule out diabetes mellitus. There are many causes for abdominal pain. With symptoms suggestive of diabetes mellitus, this abdominal pain could be due to urinary tract infection. This infection can also explain increased need to urinate. Urinalysis may be done to confirm it. So as first step, get your blood glucose level checked and get an urinalysis done. Is this answer helpful? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fiancee was edging the lawn today and a rock flew back and hit his ankle pretty hard on the right inside where the circle is. His ankle is swelling but doesnt look discolored too bad or out of place. We have no insurance and no extra money. Please help with any suggedtions ### REPLY: Hello dear, The symptoms as mentioned in your post are due to the impact as well as accumulation of fluid & blood (Hematoma). Symptomatic relief is obtained by analgesics preparations (like Diclofenac + Serratiopeptidase), ice compression & adequate rest. If it still persists or there are any other associated symptoms like fever, loss of sensation, restriction of movements, discoloration of foot, etc...then it will be better to consult your Doctor. An X-ray of the ankle joint will be needed to rule out any bone fracture or soft tissue injury. Till then, maintain adequate HY . There is no need to worry, you will be fine. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age 60 years ,diabetic since 2003 but usually keep it under control with medicines and exercise except some short duration jump in glucose level. HbAIc level remains between 6.5 to 8.2.  Since 2009 I have developed B.P and am taking Amdepin 5 for it.For the last 3 years I have developed cracks under the sole of my feet with hardening of skin around the cracks like rashes which are difficult to heal. There is no peeling of the skin.Some Doctors diagnosed it as dry eczema ,others fungus and some other as psoriasis. I took treatment for all these but with no permanent relief.  I have used salicylic acid ointments but the cracks do not heal fully and re-appear after very short duration.I have noticed one particular phenomena. When the cracks are about to heal say around 90 % and if suddenly I have tension due to any reason even for a moment I feel as if my blood is boiling and feel strange and acute itching under the sole my feet and within few minutes there are cracks again. within next one or two days skin thickens around the cracks. Suppose I have arguments with any body for a minute, immediately there is itching under my feet and cracks appear thereafter. Cracks also aggravate whenever I have allergic cold .  I am taking following tablets now a days for diabetes and H.T:-Morning dosages:1. Amdepin 52. Glimisave M 13. Aspisol 754. Nuromark5. Evion LCAt dinner:6. Piglit MF 15Note: For H.T I have tried Telmistar tab but that does not suit me and causes sudden unsteady gait for a second while taking morning walk. My father suffered from Psoriasis/lichen planus. He took treatment from different Hospitals and doctors like A.I.I.M.S, Irwin Hospital, Dr Ram Manohar Lohia Hospital, Behal Skin Institute and other Private practiotioners but with every treatment his condition deteriorated and ultimately he died of Skin Cancer in the year 1986 at the age of 57.                                                                                Therefore I  do not want to take any oral medicine especially averse to taking any Steroids.At present I am applying Xerina foot cream in the morning and at night.  My diabetic physician has now prescribed the following drugs:1.To stop Evion LC and take Bio D3 Fem once daily and Tayo 60 K once in a week for 4 months2. Instead of Amdepin 5 to take Ramihart-53. To take Telekast-L once daily in the night.4. To stop Nuromark for one month and restart after that.Please advise. ### REPLY: Hi, welcome to ,first you need to be diagnosed properly, as different physician has diagnosed differently, fungal infection, psoriasis and . Although clinical diagnosis is straight forward, but some times need diagnostic help to diagnose. Skin smear under KOH will show fungal hype in fungal infection. Psoriasis needs dermatopathological examination. If you can send us clinical photograph then it will be helpful. Psoriasis has no cure, it can only be controlled. 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 had rectom pain that lasted approx. 48 hours. It hurt to have a bm and to pass gas. Woke up to no rectal pain but had bladder pain. was treated twice for bladder infection...of which I guess I didnt have ..now a ct scan shows enlarged abdominal lymph nodes. Discomfort but no pain and night time fever. Ive had a hysto in 2010 but do have my left ovary. is it most likely viral? ### REPLY: Hello, Thanks for the query to . Forum. In my opinion these enlarged abdominal lymph nodes may be due to .1 Urinary tract infection, diagnosis can be confirmed by urine culture and . 2 Intestinal infection (acute or chronic) may be the next reason. Diagnosis can be confirmed by colonoscopy .3 Carcinoma, diagnosis can be confirmed by physical examination with ultrasound of large intestine. In my opinion viral infection is not the cause of enlargement of lymph nodes. Consult a surgeon and get his opinion as you mentioned that you got hysterectomy in 2010. Consultation of a surgeon will find out the exact reason of lymph nodes enlargement. 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 an huge ovarian cyst which was 12 cm *13 cm and my doctor removed it laparoscopically in July 2013. after one month, my period starts and she advised me to take femilon for three cycles. but after 3 weeks of 1st cycle, some side effects like nausea, weakness were there and I went for an LFT that showed my SGPT and SGOT were very high and doctor asked me to stop femilon after completing the first cycle. I stopped it and now after 5 days, my period has started. I want to get pregnant and want to know as i have taken femilon for one month, how much time it will take to get pregnant. ### REPLY: Hi, Thanks for the query. After stopping the contraceptive pills, the time of recurrence of regular periods differ from person to person. As you got periods after stopping the pills, possibly in one to two months your hormonal levels can come to normal. After that you can plan for pregnancy. Once your cycles become normal, you track your ovulation and plan intercourse around that period. That will increase the possibility of pregnancy. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, I do test for hepatitis B  the values before 2 months were HBV dna 9450 u/ml and liver function tests were T Bilirubin 1.5 mg/dl, T Proteins 8.0 g/dl, albumin 4.0, globulin 4.0, ALT 19 u/l AST 20 u/l, Alk Phosphatase 184 u/l and anti HBeAG is nagative, Is any  treatment for cure and Is it high risk of getting virus by me to others? ### REPLY: Hello. Thanks for writing to . I go through your question, and it concerns me a lot. I try my best to give help you. As per your report your Total Bilirubin is high. Your HBV DNA level is also not as much as high for clinical significant. For treatment part I suggest you take hyperglycemic diet, avoid spicy food, take regular diet, take bed rest for 1 to 2 weeks. Avoid hematologic . Use Tab. Liberal forte for liver protection. It is possible to get virus by you to others by needle prick or blood transfusion. I hope my answer will help you. Thanks and Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have read a few posts about women complaining of sciatic nerve problems associated with adenomyosis , I have recently been diagnose with Adeno and have sciatic nerve problems also, this came on about the same time as all the problems 10 years ago and it drives me crazy is there any known link medically YYYY@YYYY ### REPLY: Hello, Thanks for the query, Your sciatic nerve problem need detailed neurological evaluation which will include the clinical assessment by a neurologist followed later by MRI scan of the lumbar spine along with the pelvis and lumbar plexus and lastly nerve conduction test. All the tests will determine the cause of sciatic nerve problem, and then we will be able to guide you better. The so-called link which you feel can largely be ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bilateral wrist pains that I feel are related to the amount of typing at wk and ultrasound in July showed some fluid around the second extensor tendon left hand which responded well to steroid injection . I used splints at wk however began to get recurrent symptoms . I saw a hand specialist -repeat ultrasound was normal -an MTI scan showed early OA changes in that small cysts were present in the lunate and capitate bones . My wrists ate settling with rest but I am having a battle with wk and may loose job as they are reluctant to agree to voice activation . Have been adv against long term splinting . Am 51 and athetise well -how significant are the bone cysts in the right hand only (tenosynovitis diagnosed left hand ) ?co-incidental finding -are they likely to progress is OA related to excessive typing ### REPLY: Hello, About the pain in both wrist joints, see its more often due to repetitive strain injury while typing continuously.  Need to assess the strength of small muscles of wrist and forearm which are more commonly used in writing and typing work so as it has been diagnosed as cyst near late bone. So I suggest you go for Physiotherapy treatment and take therapeutic ultrasound therapy and IT therapy for at least 15 days once a day.  Simultaneously exercises to increase strength and flexibility will minimize the reoccurrence. Hope I have answered your query. Let me know if I can assist you further. Take care Hem ang S Jane, Physical Therapist or Physiotherapist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey Doc! I am 22 year old male. I have an issue, some time my head stucks like i am talking to some one and suddenly i am not able to focus i can t concentrate there is unconsciousness. My eyes stuck on anything and i can t move my eyes from it and keep looking at it. I often drive and some time it happens while i am driving and its dangerous. Please help me. ### REPLY: HIT hanks for using  I think, you have dissociative disorder. That usually happens due to some underline conflict. In that case, you should consult a psychiatrist for proper mental evaluation. Treatment in your case depends upon the diagnosis and for that better to consult a psychiatrist. Meantime, you can try some relaxation exercise or low dose benzodiazepine that would help to control unconsciousness and anxiety. In case, you need further help, you can ask. 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,Im not sure what mine is but this is the third day now were Ive had none stop tightness and pain in my right hand side of my chest. I also have a constant heartbeat in the back of my throat and my bottom teeth are aching. Ive been taking heartburn medicine and ibuprofen but nothing has shifted it.Katie. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out heart diseases because you are having chest pain with palpitations. So first get done ECG and 2d echo. If both these are normal then no need to worry about major heart diseases. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms. They can cause HERD (gastroesophageal reflux disease) and this HERD is the cause for your uncontrolled heart burn. Don't take ibuprofen, this will worsen your heart burn more. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Take pantoprazole for heartburn. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor.i have been married for 8 yrs.5yrs.ago had conceived naturally bt that was actopic,operated by dr. khastagir.done all tests related to pregnency & everything is normal including both the tube he adviced me to go for IVF.had done 2 ivf failure & planning to go for 3rd one under him.got very much depressed.heard a lot about his success rate that is near abt.85-90% in ivf from his clinic birth.want to know the truth behind this.want to ask that shall i leave everything & will i be able to conceive naturally ever.very confused & want a guideline.PLEASE HELP. ### REPLY: Hi, I think if everything is fine, you can try naturally for 6 months at least.  You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  Discuss with your doctor regarding this.  If it doesn't work, then you can go for GUI.  Regarding success rate, IVF has a success rate of 40 to 50 percent only even in the best conditions. You should discuss it clearly.  Don't format an opinion by hearing others.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is there a difference in a total abdominal hysterectomy now than 30 years ago? I had heard for years how painful and debilitating this surgery is and I just had a radical hysterectomy 10 days ago and feeling much better than my c-section 26 years ago. ### REPLY: Hi. Thanks for a nice question and appreciation towards the newer techniques. There is a great, huge difference in abdominal hysterectomy 30 years ago and now. I hope you had a radical hysterectomy by Laparoscopy or Robotic technique. In Hysterectomy the uterus and the ovaries are removed. Side Effects: Due to surgical trauma-pain, bleeding, infection. Due to anesthesia: backache and headache if spinal anesthesia was given. IN general anesthesia, vomiting, late coming out of anesthesia, giddiness due to .  The difference has been possible due to various reason:*Better anesthesia*Better techniques-now Laparoscopy and Robotic surgery has made it possible to have very small incisions in millimeters and the recovery is fast. Patient can walk on the same day or the nest day and goes home on 2nd or 3rd day.* These techniques also are almost bloodless. The blood loss is very minimal* the least tissue trauma, so fast recovery, almost no post-operative pain.* better Medicines for pain management, better antibiotics.*Training = Due to the advent of internet, the world is one, A Doctor can get training sitting at his home / hospital. He can attend seminars and workshops all over the world and learn the most advanced techniques. A new breed of Surgeons s always ready to teach everyone who is interest.* Patients understanding is equally important. Today's patients know a lot more, she/he understands more and co-operates more. Increases faith has a direct benefit on early healing of any 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: One of my Relative Mrs.Nithya Babu New born a Female baby on 26/9/2010 att Kuntrathur.But New Born Child was not open her eyes & not open her mouth to cry. So she transferred immediately at 4p.m. the sameday Egmore Baby Hospital Ist Floor Mainward 99. But till date & time we didn t Know the position of my Relative Child.Hence we Request you to tell me the position of our Child Condition.Child Casesheet no.is 697808. ThankingYou Yours, R.Rajalakshmi. ### REPLY: Hither are a lot of possible reasons for a newborn not to cry at birth. Most of the time, this occurs because of compression of the fetus at birth. This can reduce the breathing and reduced brain function. When it is reduced, the baby would not be able to breathe. It is best to trust the doctor and get her treated by a neonatologist. 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: I had a bad fall and experienced a fracture,dislocation of the shoulder and 2 pieces of bone needed to be replaced after being dislodged. I now have complete numbness in my pinky finger anf about 55 % numbness in the ring finger. I also have muscle atrophy between my thumb and next finger inthat groove area.... ### REPLY: I hope your shoulder has been set in right place & fracture is united. The numbness in fingers & atrophy of muscles is possibly due to nerve damage. You need to be investigated for it. You will need exploration & repair of nerves surgically.  - Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. For any assistance you may contact me ) -Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the question.-Wish you a quick recovery & good Health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m having really bad abdominal pain (especially in my left side) very light almost spotting earlier today it was a bright pinkish colour little mucusy as well... I have been naseaus for about a week and over the weekend i hAd a cramping feeling in my left side but different from mestral cramps ... My period was supposed to come yesterday... ### REPLY: Hi, well since your symptoms are recent onset likely you could be suffering from abdominal infection which is probably recovering If it is really bothering you get your stool examination done which will show if you have any blood or infection in your stool. If stool examination is normal then symptomatic treatment and observation can be done for few days before you undergo any further evaluation. Do get in touch about follow up ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had a puss, acidly taste in my mouth for a few months.  It started as mouth sores, which have cleared up, but now I feel like there is a liquid with that awful taste seeping through my upper pallet near my gum line.  Ive been to the dentist three times, had over25 x rays, been to an oral surgeon, been to an net (who thinks it may be systemic), and to my primary physician 4 times for this issue.  No one can figure out what to do.  I would feel better if so wine would at least do blood work or  a swab of my saliva.  I also have MS, which my metro assures me is not ms related Any thoughts?  Even suggestions on where I should turn would be appreciated because this issue is driving me nuts!  Thank you for your time.  My email address is  YYYY@YYYY ### REPLY: HIT hank for asking to ChatDoctorI carefully red your history and I came on this conclusion that it may the acid reflexes, I would advise you to stop smoking if you are smoker, stop taking alcohol or coffee before going to bed avoid spicy food, and start proton pump inhibitor with domperidom (Omeprazole 40 mg +Domperidom) just one tab. At evening time at least for six weeks it will definitely come around and no need to worry, have nice day. ### END