Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 found a lump in my neck in the front about 3-4 months ago and i am so scared to go to a doctor. I wanted to know if i should be worried, it doesnt hurt, but it was aching me for a while then it stopped. what do you think it is. i am really young do im very scared. ### REPLY: Hi! Good evening. I am  answering your query. The lump in your neck needs to be assessed clinically by a general surgeon/ENT surgeon to rule out any swelling of the lymph nodes of neck or any gland around it. I would advise you to visit your nearest doctor to get the treatment initiated earlier to get the best result. Delay would not cure it excepting for making things worse. You have already delayed for 4 months by not going to your doctor. So please do not delay anymore, and get it assessed and investigated for an early relief of the problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: greetings...i had a left frontal dural menegioma removed 10/2/13...the pathology came back with atypical features and  will begin radiation therapy next month. On my follow up MRI done earlier this week there is a new punctate nonspecific T2 Hyperintnsity finding deep in white matter right frontal lobe. My neuro is not on call this weekend and i am seeking information about what this may mean. It was not on my last MRI 9/13. ### REPLY: It may mean absolutely nothing and may be an artifact from the study (i.e. nothing to worry about) or it could signal the recurrence of the resected meningioma from 2013.  Only your neurologist will be able to tell you for sure after examining you and finding out from your history if anything has been going on in the background that has been either obvious or subtle in terms of neurological function or dysfunction.  Please rate this a 5-STAR ENCOUNTER and write me at: www.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: My boyfriend had gotten a thorn in his hand earlier, then he tells me he couldn t feel his arm from his elbow down to his finger tips. He soaked it in hot water (not knowing what else to do) and thought that the hot water wasn t working because it was freezing when he put the injured arm in but he touched the water with his other hand and it was burning hot. Next, he started saying he was in A LOT of pain. At this point we havent done anything further and i am not sure what to do. ### REPLY: Hi, I had gone through your question and understand your concerns. In this condition I will suggest going for contrast bath, you just need 2 buckets 1 with hot water and 1 with cold water. You can check temperature with your normal hand. Start with dipping the injured part into hot water for 3 minutes and then dip it in cold water for 1 minute, repeat it 3 times and stop the process with cold bucket. It will stimulate the nerve endings. This is a slow and natural process to stimulate the nerves. I hope you will do it with patience and hope, neural process takes time. Start on these and result will be seen in 2 to 3 months. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my name is Rabbani and i am from Bangladesh. I have had a back injury one year ago( on my right waist ). I was getting treatment since then to a local orthopedic. Now my problem is i can not walk properly as my left knee remains painful for a month. I have taken pain killer and other medicine but did not work. Do i need a knee replacement at this age. I am 27 years of age. ### REPLY: Hello, It looks from your details that you had an injury to your back. Most probably this back injury had weakness your muscles due to long rest as well as limited activities. At this age knee pain can be due to injury induced ligament or meniscus problem. In your case this can also be due to weak muscle. You should do strengthening as well as stretching exercises. Meanwhile, you should also avoid cross leg postures, climbing up or down the stairs. There are some alternatives to knee replacement like taking medicines which supplements cartilage like glucosamine, Chen .  There are some herbal supplements also which you can find out about online. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2 and half year old son has a minor upper respiratory infection about a month ago. Pediatrician prescribed a compound medication he had an allergic reaction to it and we stopped giving it to him after 3 days. The last day of his final dose I noticed a red dot above on his upper lip. I thought it might have been a fever blister trying to rise due to the fact that the medication gave him a super high fever. However, that red dot is still there and has been for over a month now?? Any suggestion sometimes it looks redder and sometimes it looks like its going away but never does?? ### REPLY: Welcome to  These tiny bumps on upper lip could possibly be Force Granules which are tiny deposits of fatty tissue. Staphyloccocal infection can cause fluid-filled blisters around the nose and mouth. Contact dermatitis or allergic reaction to certain foods or toothpaste, Emilia, infected hair or sweat glands are few other possibilities. This can be Emilia, which are benign, keratin-filled cysts. My advice is to get it evaluated from a dermatologist. Treatment will be specific based on the cause. Do write to me again. Best luck 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: Hello, I have an issue with my tongue. Both sides appear to be scalloped and also both sides has a small red sore. On of the sores on my left has a red border around it and white in the middle. It s not terribly painful but it is irritating. What do you think I might have? ### REPLY: Hello, The type of sore you are mentioning it looks like that it is an authors ulcer which appears because of stress, blood deficiency, immune deficiency or other problems, but there is no need to worry as it heal within 1 week. You just apply a topical ointment named McCoppin or sponsored to get relieved from symptoms. If it takes time more than that then in that case you should visit a dentist and get it examined. Thank regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend and I had sex like 5 days ago. we had sex 2 days after i got my period. when we were having sex he had to come he pulled it out but he was still hard when he put it back inside and a couple seconds later he got soft and made a noise.he said he think he came in me. 2 days later i spotted light pink blood when i used the restroom and my period isn t due for another 12 days. Later on that day I experienced headaches and nausea. Could this be early signs of me being pregnant? Oh and when i pee it kinda burnss welll it does alott ### REPLY: Hallow dear, The first symptom of pregnancy is missing a period. All other symptoms appear a week or two later which are nausea & vomiting with pica, frequent urination and breast changes (dark pigmentation of areola & nipple with increase in areolar size, engorgement with tenderness and secretions). Since he has ejaculated inside your vagina, the possibility of pregnancy does exist. Please get your urine tested for pregnancy if you miss your period to confirm the diagnosis of pregnancy. Hope this helps you, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 14 year old son has ADD - quiet introvert and has been failing school. He was diagnosed three weeks ago. His doc put him on 10mg Adderall XR. It is not working well. I have been studying with him and we he is still so distar yed and exhausted instntly. Is this the best drug for him? ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. Attention deficit hyperactivity disorder (ADHD) is a complex mental health disorder that can affect a children success in school and with interpersonal relationships. You need to understand the ADHD concept, symptoms and treatment methodologies in order to provide best help to your child. More than medicine, parental and teacher care are essential. Adderall will do fine. If your child is hyperactive, inattentive, or impulsive, it may take a lot of energy to get him or her to listen, finish a task, or sit still. The constant monitoring can be frustrating and exhausting. Sometimes you may feel like your child is running the show. But there are steps you can take to regain control of the situation, while simultaneously helping your child make the most of his or her abilities. While attention deficit disorder is not caused by bad parenting, there are effective parenting strategies that can go a long way to correct problem behaviors. Chil .  They also need lots of love, support, and encouragement. There are many things parents can do to reduce the signs and symptoms of ADD/ADHD without sacrificing the natural energy, playfulness, and sense of wonder unique in every child. I suggest you read articles about ADHD and discuss with the child psychiatrist for management and care. 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. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello.  I just recently had a tooth extraction on this past thursday.  I was prescribed Amoxicillin.  It is not making me nauseated, however, it has made me loss the ability to control my feces.  I have had several episodes of fecal incontinence which has been quite embarrassing.  I do have malabsorption and dumping syndrome from a gastric bypass in 2002.  I have never had this issue while taking antibiotics.    I am at a loss as what to do. I know I need to complete the course of meds, but now not what else to do. Any suggestions.  This is a very embarrassing situation.  Extraction was last Thursday and office closed fri,sat and sun.  Any ideas.  I am 45 years old and having to wear diapers.  I can not always tell when or where this is going to occur and often cant tell I have been incontinent  Thanks in advance for addressing this personal situation.  I take Creon and Lomotil 2 pills of each 4x/day.  Typically it works.  Now, the lomotil has been totally ineffective.  Thanks in advance for any insight or recommendations.  Kim ### REPLY: With your query, as such antibiotics like amoxicillin will also take away the normal/useful intestinal flora which results in diarrhea. Natural remedy is always have yogurt/fresh cued/Yakut which is a probiotic which will definitely help you and also have adequate food moreover, always take antibiotics 30 mins after food. You can also use probiotics like Darla/similar/Lactobacillus spores otherwise you can also ask your pharmacist amoxicillin whicChatDoctores with Lactobacillus spores with reference from your doctor/dentist. Hope this is helping you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister has been anemia most of her life. She is on iron tablets. A month ago she had a fall at work and ended up with a hairline tear in her knee. Then she slipped on the crutches and fell again and brushed her opposite side from the wet walkway. She is now using a cane. She has not had any treatment for the tear in her knee as of yet. When she did her annual blood work it came back with much improvement in her iron to the point she was not anemic; but her red blood count was low. Doc has referred her to a urologist....what could be up. He says he is being extra causious and not to worry.... ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Low red cell count and not anemia is suggestive of microcytic anemia.2. Microcytic anemia could be due to It B12 or folic acid deficiency.3. Get a serum it B12 and folic acid assay for confirmation. Appropriate supplementation is essential. Not to worry. Knee requires surgery. Hope it helps. Any further queries, 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: I have been unwell for some weeks.  I have pain in the lower abdomen and also under the left breast.  I have blood in my urine and have had blood in the vagina ( I am 63 years old and years after menopause) I have spasmodic fever, no apetite and have now developed diarhea. ### REPLY: Hello! Thank you for the query. It sounds like you have urinary tract infection (lower abdominal pain, blood in urine). Especially if you have also frequent urinating, burning while urinating. Breast pain can indicate some infection or even breast cancer. You should not ignore it. Please do not wait any longer. Consult your doctor, have urinalysis, breast examination, ultrasound, blood work. 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: What can cause chronic body chills? I do not feel cold and have no pain. The chills come rapidly one after another, can last for several hours, and I have no other discomfort. Could it be related to environmental allergies (mold, dust, animal fur)? ### REPLY: Hello, Chronic body chills can occur due to various causes and have not mentioned associated fever as it signifies some infectious background like influenza, pneumonia, cold, malaria etc. Only chills sometimes occur as normal defense mechanism of body to the cold environment. Other causes are hormonal imbalance like hypothyroidism, a .  You should consult a physician for further evaluation and treatment. Go for some tests like total blood count, serum T3 &T4 and TSH level. Follow the instruction regarding treatment by your doctor. Take care bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A few days ago I had severe vomiting and couldnt even keep down water so after 36 hrs I went to the hospital where I was told I had very high blood pressure, later when they did a urine test there was a suggestion of a UTI.  I have taken the BP tablets but it was still very high this morning.  I have never had high blood pressure before...I am 70 yrs young and fit and healthy, maybe 5-6 kg overweight  are the two related.  I was given some antibiotics which I hadnt taken until lunchtime todayStephanie ### REPLY: Hi Stephanie, vomiting could be because of high BP along with headache. In today's world high BP is common in both young and old people due to lifestyle changes. You should get your BP checked consecutively for 3 to 4 days and if its high then you surely are hypertensive. Its imp to lower down your BP and you should take antihypertensive. Obesity and lifestyle changes are few reasons for high BP. As for your UTI please complete your antibiotic course...get well soon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was reading about personality disorders and other disorders after my brother was diagnosed with aspergus ( spelling?) and I was reading one that sounded like me and it scared me so I was reading about it and it really sounds like me, its was schizotypal disorder, umm I was wondering If its was just a conisidence or if I really should get me checked out because Im scared of having a disorder . Im to scared to talk to my mum because I tried it once and she just said I was beings silly so I know she wont belive me, I was reading the sympotoms and its so much like me and I was thinking if I should get it cheaked out or somthing? ### REPLY: Degree understand your concerns went through your descriptions. I suggest you not to worry much. You have not mentioned your age and occupation in the description. From the description, I cannot see schizotypal personality disorder in you. But I do see anxiety rather health anxiety. To find out your personality type, you need to take personality tests which are administered by clinical psychologists. Don't go with tests available on the internet which are normally misguiding. Don't read unnecessary books. Even for a trained psychiatrist, it takes some time to understand your correct problem, in that case, how an untrained person can? Be confident, if you have a problem, Always say - SO WHAT?-. You need cognitive behavior therapy. I can help you with that. Please post a direct query to me with every minute details possible. I shall prescribe tailor made cognitive behavior therapy techniques to you which should clear your problems within weeks. 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: Im a 37 year old male that has always been relatively healthy and active. in 2011, my liver enzymes (ALT/AST) were higher than normal and i went on a rigorous plan to change some of my recent habits. Although not a big drinker, i cut alcohol out completely. I began eating better and getting back to being active and i lost 25 pounds and my ALT/AST numbers went back to normal - after about 6 months. Yet, my 2012 lab work, my GGTs were elevated. And, as a result of a recent lab test, my GGTs have increased even more. What causes that and how can i centrally focus on getting back to normal? ### REPLY: Hello! Thank you for the query. Liver enzymes can get elevated due to bad diet (fatty foods, spicy foods), alcohol intake, some medicine use (most of the painkillers), gallbladder diseases (like gallstones), liver viral infection (HBV, HCV infection). As your GGT level has rose again, you should rule out other than diet possible reasons of its elevation. GTP, AP, amylase, lipase, urine amylase, Bag, Antioch levels should be checked. Abdominal ultrasound should be also done. You should avoid fatty foods, fried foods, spicy foods, alcohol, medicines. Liver improving supplements available without prescription can be also helpful in its regeneration. 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: Hi Dr, I had a MRI done last friday because of a severe pain in my lumbar and left leg, which I feel numb and tingling since last wednesday. The MRI showed a large left subarticular disc extrusion at L5/S1 impinging on the descending left S1 nerve root and also an incidental Tarlov cyst within the sacral canal at the S2 level. I am worried because I dont know if this is serious and I dont feel my leg improving since last week. I would like to know how long will take for my leg to be normal again and what is the treatment for this. Thank you, Julia. ### REPLY: Hi Ms Julia, Thank you for posting your query. Your symptoms and MRI scan are suggestive of severe compression of the sacral nerve S1 due to a large disc prolapse. Initial treatment is bed rest, use of medications such as pregabalin, and physiotherapy. More than 50% patients may improve with these treatments. Those who do not improve with the above, surgery may be required in them. A consultation with a neurosurgeon would be helpful. Recovery may occur in 4-6 weeks. Wishing you speedy recovery, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since last 2/3 days my blood pressure is 170/100 and after taking medicine at 7/8.00 pM, my blood presure after checking next day at 10 AM, my Blood pressure is 110/70, what can I do? The symptone are that my eyes become close and now a days sometime my face get sweating (during high and low bP both). I am taking Rosave 5 medicine for controlling my Cholestrole level as if i am not taking medicine and after taking precautions i.e. not to take oily things, my serium triglicide and cholestrole level becam high. Moreover i am taking now a days EVION (Vit-E) medicine. What should i do ? ### REPLY: Hi welcome to him understand your query and concern. High blood pressure should be treated immediately to avoid complications like ischemic stroke. I advise you to start Tab. Telma once daily. Monitor your blood pressure regularly for every one week. I advise you to get serum. Electrolyte s, complete blood picture,ECG2D Echo, lipid profile as a part of routine screening to look for any heart disease. I advise you to also start take Copilot, Ecosprin, atorvas once abnormality is detected. Restrict salt intake to less than 6 gm per day. Fruits and fruit juices are preferable. Take plenty of fluids. Avoid smoking and alcohol. Avoid fatty foods. Also take low protein high fiber diet. Exercise regularly for 30 min. Consult your cardiologist for expert management. Post your further queries if any, 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 a red circular rash under both armpits and now on my inner thigh. My doctor was treating it with clotrimazole and betamethasone. The one on my inner thigh I ve just noticed it. What can I fo you get the stuff gone ?? I m really not liking it at all. ### REPLY: Hi, I can understand the frustration you are going through, let me help you find a solution to the rashes. These rashes are caused due to increased sweating which create a moist environment for the fungus to grow in.  Which could lead to itchiness, redness and patches of .  These could be contagious as well. Hence, ways to prevent this are:1. Maintain a proper hygiene2. Avoid sharing of towels or clothes(personal belongings)3. Over the counter antifungal ointments and steroid base creams will help4. Avoid hot showers5. Keep the areas  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doc,my teeth are not aligned in a perfect way..After my milk teeth are gone, my permanent teeth have erupted in such a way that a tooth is completely pushed back from the rest of the teeth  on my lower jaw due to  which brushing that particular tooth becomes a difficult task and also it doesnt look good..how can I get the dentist arrange them neatly? Is ther any solution for this? ### REPLY: Thanks for your query, I have gone through your query. The maligned teeth can be corrected by orthodontic treatment, that by putting braces. You can consult an orthodontist and take an opinion. You have to get radiographs done like OPG and Lateral cephalogram before treatment because we have to see the bone defect and status of the teeth and also to plan any surgery required or not along with orthodontic treatment.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: My son, 17yrs, has a bump that is beneath the corner of his right eyebrow above his eye next to the bridge of his nose. It is tender to the touch and appears bruised. When I stretch the eyebrow up there is a clear knot in the center about the size of a dull pencil lead. Should we be concerned enough to visit er? My husband just list his job and our insurance. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  You may have angular Desmond or some other lesion. Treatment of choice is surgery.  You should go for excision of lump.  Then go for histopathological examination.  Ho for further treatment if needed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom is suffering from fever,  she has cough and cold. This all problem has cause her chest pain now. As per doctor advice, we are giving her - For cough and chest Pain: Piriton CS, Histafree, and nebuliser  for fever - Pacimol 500 mg. However the problem still persits. Please advice.. ### REPLY: Hello dear, thanks for your question on . In my opinion you should consult pulmonologist for your mother and get done1. Clinical examination of respiratory system. 2. Chest x-ray. Since she is not improving with . Chest pain on coughing is characteristic feature of pleurisy (inflammation of pleura). And pneumonia is the commonest cause for pleurisy. So better to rule out pneumonia first. So chest x-ray is needed for this. She may need antibiotic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has chronic carotidynia for 2 months now. Treated with valium, prednisone, pain killers, and neurontin. Also mouth wash to help kill throat pain all to no avail. He is depressed and having difficulity with stability cordination. What is next? He is misserable. ### REPLY: Hello, I have studied your case and carotidynia is a difficult issue to treat. It is very frustrating for patient some time. I would recommend you to take Gawain NT one nighttime to take care of this pain. If this is not showing any effect then it is better that you should plan for surgery. You need to see ENT specialist for this. As sometimes it can be migraine due to vascular aneurysm. In that case surgery may be needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was attacted by polio at the age of 2..i ve problem in my left leg..may be problem in the knee muscles as doctors said so..i had a surgery as well @ the age of 9..but no improvement..now i m 23..my left leg is 1/2 shorter than the right one..can i do any surgery further? if i can then where would be preferable? ### REPLY: Hello, It looks that you are having shortening at your left leg. Such problem lead to difficulty in walking as well as pain at your back due to increase work of muscle at one side of spine. You will be happy to know that such shortening is correctable. In this advanced era this may be corrected with help of Lizard surgery. Although this needs a thorough clinical examination, your orthopedic surgeon is best judge for it. The best center in world is in Russia for this. But in India there are various places like AIMS. Most of the metro city hospitals, medical colleges and various other hospital where such type of surgery is performed. 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: I have lumps on various part of my body, especially on my hand. They dont pain and it has just increased in numbers. I saw a doctor only once for this, as he informed that there is no treatment for these lumps (marble sized). Kindly help me with my query and if a possible remedy ### REPLY: Hi. Thanks for your query and an elucidated history. You have to undergo a proper clinical examination to be done by a Doctor who can catch many of the problems on your proper history and physical examination and can then guide for further investigations and treatment. I would suggest undergoing high resolution ultrasonography and FNAC=fine needle aspiration cytology. This will give the perfect diagnosis and aid the clinical diagnosis. Once the diagnosis is made the proper treatment, which in your case can be surgery only. Remember a simple principle : anything which is growing for no obvious reason has to removed and subjected to histopathology examination, even though these are lipomas ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 38 year old female with blood pressure at 170/89.  This is my second reading in one week.  My first reading was 162/90 and the nurse recommended i stop taking some cold medication with decongestion.  I was told to come back in one week to retake.. which i did and the reading was higher, what could be the cause? ### REPLY: Hello dear, and thanks for posting your query here. The most common cause of high BP is idiopathic, that means where the cause is not known and is mainly related to genetics. This is called Primary Hypertension. It's not curable and needs to be treated to keep the BP under control. Then there are certain other causes of high BP called secondary causes. Many of these are curable. So it is very important for you to see your doctor and get yourself evaluated for these secondary causes of high BP. If a cause is found then it can be treated accordingly. But if no secondary cause is found then you just need to take optimal medicines to keep your BP below 140/90 as per the latest guidelines unless you develop other illnesses. I hope this information would be of help to you. Thanks and all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 8 year old daughter has had Nether regional trouble for years now. she often has bladder infections and the skin around her vagine and rectum flares up so bad that she cries. It is bright red and raw and bleeds. we have tried so many different ointments and our doctor isn t able to pinpoint a problem. She says it stings and burns and itches and she hols in any bowel moevments because of the pain. any suggestions please? ### REPLY: Dear parent, I understand your concerns but usually inflammation of the genital area that is resistant to treatment is caused by a fungal infection. She should take antifungal tablets together with a combined antifungal and a zinc oxide cream. The cream should be applied after cleaning the area with soap and water the .  The fungal infection could be avoided by wearing cotton underwear,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an (almost) 18 year old female and last night, I woke up and my heart was beating faster than normal. When I got up and walked to the hallway, I suddenly starting hearing this really loud ringing noise that overpowered everything. I felt disoriented and dizzy as well. My vision kind of blacked out - I couldn t see anything but I was conscious. I also felt extremely nauseous. I sat down and after a couple minutes it all went away. I still feel a little out of sorts now. What s your best guess as to what happened to me.. ### REPLY: Hi, If this happens the first time, so now it is to be kept under observation, else it might be due to some nightmare, dizziness. Lightheadedness must have been due to hypotension, happened due to a sudden change of position from sleep to sitting or standing, for safe side cardiac and cerebral test can be thought. 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: my grandson has a swollen jaw on the left side along the jawline.  It hurts very badly when he chews and when it is touched.  Does this sound like a impacted tooth, swollen gland, or lymph node?  He was born three months early and has many problems with his teeth and surgeries. ### REPLY: Thanks for your query, I have gone through your query. The swelling could be because of the tooth infection might be from the wisdom tooth. It can be enlarged lymph node secondary to tooth infection. Consult an oral physician and get radiograph done to rule out origin of infection. Then treat accordingly either root canal treatment or extraction. You can take a course of antibiotics after consulting an oral physician. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor.my mother has a liver problem from last 8 months.her blood reports are abnormal as: platlets: 46 ESR: 40 NORMAL: 20 BILIRUBIN: 3.6 NORMAL: .2-1.2 S.G.P.T: 187 NORMAL: 5-55 S.G.O.T: 473 Normal : 5-40 her hepatitus A,B,C and E Test are normal. i dont know where is the problem because there is no hepatitus A,B,C,E. ### REPLY: Hello, rizwan5125,If your mother has had this for over six months, the conditions chronic liver disease. She seems to have a very low platelet count and her Bilirubin levels are mildly elevated and her enzymes are moderately high. I am glad that her Hepatitis profile was negative especially for Type-B and Type-C. They are the bad ones. Type-A does not cause chronic liver disease. I am sure your mother never abused alcohol, so we can eliminate that as a cause. There are certain .  Ibuprofen, Naproxen, sulfa  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4yr old son has had a fever last night, this morning, and again tonight. He has no other symptoms and seems fine during the day. When I checked him last he had a fever of 102.2 F. I gave him Ibuprofen last night and it came back this morning, so I gave him another dose and it s been gone until this evening. What should I do? ### REPLY: Hello dear! I can understand your concern. In the absence of other symptoms as you said, it can be a viral infection and will settle in 2-3 days. If otherwise he is fine in between the febrile episodes then I think you don't need to rush towards a doctor. I would like you to give him paracetamol in place of ibuprofen for fever(according to the weight). Ibuprofen has its own side effects and preferably should not be given to kids without prescription. Hope it will help. Wishing your child 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: Hello. I m a 26 year old female who is, overall, in very good health. I had a root canal done on tooth number 29 about ten years ago after an injury to the tooth. All seemed well until I noticed a swelling under this tooth a few weeks ago that hurt when pressed. I immediately called the dentist and was seen the next day. The dentist did an X-ray and I was told I had an abscess . She prescribed me 150mg Clindamycin over ten days for the infection and referred me to an endodontist. The endodontist retreated the root canal a couple weeks later and seemed happy with his work. A few hours after the retreated root canal tooth became horribly painful and I noticed some swelling. That night, swelling continued to intensify and spread to my cheek, but pain subsisted. I called my endodontist and he said that this was a flare-up of my old infection and I needed a called a 24-hour pharmacy to get me a prescription amoxicillin (500mg). The next day I went to the endodontist office and they had to make an incision to reduce some of the swelling and allow the abscess to drain. I was also given a prescription for metronidazole (500mg) to take in addition to the amoxicillin. Thankfully the swelling in my cheek subsisted gradually and now a week later my face looks normal, however I still have a fair amount of swelling and tenderness in my gum under the retreated root canal and my jaw hurts a little. Every time I call the endodontist the receptionist tells me to call back in a few days because the swelling should be gone and every few days when I call the swelling remains the same and yet I am told to call back again in a few days...very frustrating and worrisome. My questions are as follows, how long should it realistically take for the swelling and tenderness in my gum under my tooth to go away? Is there any chance of this infection spreading to my cheek again as I am now finished with my antibiotics? Should the tooth be treated again or possibly extracted? When they open the area again to permanently seal the root canal or do any other work is there a possibility of the infection spreading again? Thanks! ### REPLY: Hello and welcome to  forum, Since you got the reject for a traumatically injured tooth, chance of root fracture/spread of infection into adjacent tissue spaces has to be ruled out. Usually the pain and swelling after access opening and pulp extirpation lasts for 2 weeks. As the pain remains, in your case the tooth has to be checked for any fracture or infected pulp remaining within the pulp canal. If required, adjacent teeth also has to be root canal treated. If the symptoms persists, get it extracted. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What can stop a gall bladder attack? I m not too certain that it is one I ve spoke to family and friends and they say it is , the pain various from my right side under my right breast to my top abdomen in the center and it feels like a baseball bat is hitting me and it s hard to breathe and it hurts when I take in more breaths and it lasts up to two hours and 18 mins every one it get , I can t sleep or drink water and or milk tums Zantac nothing helps to get it to stop and trust me the pain is so violent I shed tears and forcefully make myself puke which that don t help. When I stretch sometimes it can relieve but not so often it s really bad pain and I need to know what it is exactly is there a cute please help me. ### REPLY: Hi. The most important thing is to get an exact diagnosis by means of a clinical/ physical examination by a Doctor, ultrasonography and blood tests for liver function tests, amylase, lipase, WBC, and X-ray of the chest as per the symptoms you have put down above.  Once a proper diagnosis is made, you can go ahead with a definitive treatment too.  This is most probably due to :Inflamed gall bladder;Liver abscess, Lower lung or pleura problem, Medicine is an evidence based practice and stop following your family and friends and rush to ER ASAP. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Person with chronic lymphocytic leukemia (in remission - months since last chemo tx), positive EBV PCR, currently have genital herpes outbreak with headache and fever 102, would like to take something to reduce pain and fever, is ibuprofen contraindicated? ### REPLY: Hi, dear. I have gone through your question. I can understand your. You have CLL. So your fever may be due to that reasons or may be due to some other infection also. So you should investigate for your fever. For symptomatic relief of your headache and fever you can use .  Both of them are not contraindicated. You can take it according to doctors advice. Hope I have answered your question, if you have any doubts you can ask me further. I will be happy to answer you. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 31 yrs of age. I had 2 miscarriages in the past(Oct 20th 2013(6 weeks) and 15th June 2014(20weeks)). Thrombophilia report indicated Protein S deficiency. I am not yet pregnant but my doctor have started me on Ecosprin 75. Once I conceive what all medication or injections do I have to take considering Protein S deficinency? I am worried about miscarrying again. ### REPLY: Hi, Sorry about your bad previous history. But don't panic, you are lucky to have a diagnosis & which can be treated. This condition is a family of disorders called Thrombophilia. Blood has a tendency to clot / thicken, so indirectly reduce blood flow to baby. So baby will have reduced growth, reduced water around it, your Blood pressure may rise & suddenly baby heart beat stops. Before pregnancy any other member of that family of diseases has also to ruled out. You will need Folic acid throughout pregnancy. Conspiring has to be continued till 34 weeks. You will need In Low molecular weight Heparin Sub-cutaneous daily once baby heart beat seen on scan till 24 hrs before delivery & to be continued after delivery, based on evaluation, to avoid DVT after delivery. Hope I have 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 been working out recently, over the last few days my calf has grown very sore to touch, though it doesnt hurt to walk or excercise. The lump isnt very hard though it is more firm then the rest of the calf, and the pain is just where the lump is. ### REPLY: Hi, Dear,Good Morning. Thanks for the query to my  Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, you have -Pulled Calf muscles injury with calf-lump. I would advise -Consult ER-Sports Doctor- or -ER Surgeon-who would treat as follows-a-Tb-NSAIDs, ICE-Compresses and REST-for a 1wk. If relived ok. If no relief-Calf Compression Bandage, rest for 2-3 was, and Continued Treatment under cover of Surgeon or Sports Doctor. This is the remedy for your lump. Hope with this you would be relieved of your worrisome query. Wellcome again to . Have 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: Pleasant afternoon! I have been experiencing sever pain in both of my feet for the past three week. I have visited the hospital on three occasions all the test came back negative but my pain continue to get more and more seve not even pain killers seem to help. Can you tell me What is my solution ? ### REPLY: Hello, I have studied your case. There is possibility of disc protrusion which leads to compression of exiting nerve root which later on supply left lower limb [foot]. Due to compression of this nerve root there may be tingling numbness in your foot and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. I will advise you MRI spine. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 55 year old man 6 weeks ago I was hospitalized. I was comatose for about 3weeks. I am mentaly ill. The medicines I was on are prolixon decanoate,lithium,cogentin,& wellbutrin. I am now on all but the wellbutrin. I am contemplateing trying another antidepressant. Would a tricyclic be safe? SSRIs are not recomended. ### REPLY: Hi there ~I understand your concerns.  I however do not know why you were hospitalized.  Assuming that the medication prescribed are for bipolar disorder, trying another antidepressant may not be safe if not under medical supervision.  I also wonder why SSRIs are not recommended.  If you can see a psychiatrist to explain these issues that would be great, otherwise there are many other mood stabilizers that can be used effectively without giving you the side effects of the tricyclics.  I hope you understand.  Take care and have a lovely 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 been diagnosed with pcod and doctor said no mature follicle seen in my 9th day of periods....and i have regular periods .... i jus want to know how my periods happenin without mature follicle.. we are planning to go for further analysis.... i m worried ..my husband and i are planning to conceive.... waiting for your reply ### REPLY: Hi, Welcome to . I have gone through your query. People with ovulatory cycles often tend to have irregular periods. But ovulatory cycles are seen even in people with regular periods. One of the most important cause of ovulatory cycles is POD (which you have been diagnosed with).  In people with ovulatory cycles, periods occur due to progesterone with .  But in people with ovulatory cycles periods occur due to Estrogen with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doing medical stuff all week for my work. I had an MRI done on my shoulder and they had to put contrast into it before the MRI two days ago.. I am not sure if this is related but now I have a red tent to my semen ..what could cause that. Also it hurts not during but after uranation. ### REPLY: HelloThanks for query. Blood in semen (Hematospermia) that you have is not due to contrast dye injected while doing MRI of shoulder. It is just a coincidence and needs to be investigated. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) Semen examination and culture. Take broad spectrum antibiotic like Definite along with anti-inflammatory .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 left thumb is numb from the joint to the tip; I can press on it with no sensation and it s been like this for 9 days now; also I have temporary vision changes where everything is the same color and last for about 5 to 15 minutes; I ve experienced the vision changes approximately 10 times in the past 2 years; I ll also occasionally get weak at the knees and feel as though I can t stand but that usually passes once I push through it; I m not an anxious person but lately I ve been feeling anxious ### REPLY: Welcome to  I have gone through your query and understand your concern. You are likely to be having neurological disease. You can get MRI of your brain. Furthermore, you are advised to consult neurologist for it. Mecobalamine may be helpful. Vitamin and trace elements supplements are helpful. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. 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: my nephew is recovering from typoid his hand palm skin is shredding ....i was just getting worried...we cheched his blood reports ....it shows 1.40 count typoid ...still on the path of recovery ...been down with this illness around 4 months ago how n when will he fully recover ### REPLY: Hi thanks for contacting ... Noted your nephew has typhoid before 4 months... Now he is recovering.... What antibiotic was given to him ??? Mostly definite like antibiotic effective in killing typhoid salmonella bacilli. But still if needed blood culture and sensitivity done to choose antibiotic...Meanwhile, for few days take care in diet and lifestyles measures .... Fruit juice more. Soft and bland diet. Egg white and pulse like protein useful. Meat and non veg avoided... Outside food not taken.... Gradually you will recover. If still tier remain high then it is chronic infection and for that consult physician. 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: Dear Doc,Is there any permanent cure for jock itch (me & wife including my children (10 year old girls & 4 year old girl) have this dark colouration around groin and itchy some times. The fungal infection creams & powders seems to be of no useKindly advise ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. The pigmentation that arises after the jock itch is because of the after reaction of the melanin. As such there is no such cure for this condition. Only wait and watch can cure such a problem. Our immune system can gradually digest the extra pigments. But this process is very slow. If you want fast result than you can apply vitamin A, poly unsaturated fatty acid zinc etc. Various combination of the above product is available in the market and can be taken under your doctors' guidance. Please do not expose the part to the direct sunlight, avoid extra sweats to the parts and wear the cotton cloth that can absorbs the sweat. This much care can bring the change. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear DoctorI am a 20 Jr old female, and experiencing a weird/uncomfortable/dumb feeling in my left arm. I got this feeling ever since I can remember. But for the past 2 months I have this feeling and felt like it got worse. I have to hit my arm and give it some painful pressure or stretches to make it feel a little bit better, but that doesnt really work. I am experiencing with the left arm for 2 weeks now, shortness of breath, but have no pain in my chest. Today my hand started getting worse for I couldnt even hold my phone properly for it felt too heavy, and my arm was too weak to help me hold it. Although I can still move all my fingers and lift up my arm, the feelings of weakness comes and go, but still the weird feeling remains. Please can you help me? ### REPLY: Hi, You should know that your symptoms can be related to different disorders: - a brain lesion (including a tumor, a desalinating disease, an infection, etc.)- a peripheral nerve damage-anxiety Coming to this point I would recommend consulting with a neurologist for a physical check up and some tests: - a brain MRI-blood electrolytes for possible imbalance-complete blood count, PCR, sedimentation rate for inflammation a peripheral nerve damage is suspected (diminished reflexes during physical exam), a nerve conduction study would be necessary. But, in case your physical neurological exam results normal, there is nothing to be concerned of. In such case you should consider anxiety as the main cause of your troubles. Hope you will find this answer helpful. Let me know if I can assist you further. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have bell s palsy for one year, I finished the steroids and acyclovair, i have tries accupunter, Ent, Neurology, B 12 injections and pills and now botox started one week ago, I have a pacemaker and cannot have an MRI of my brain/head. if i take neurobion will help me? my left eye tend to close when I chew or talk. please advise. Thanks ### REPLY: Hello, Unfortunately, EROSION is not a medication that has been evaluated by the FDA.  Therefore, the claims made by the manufacturer are likely not supported by robust scientific evidence that could pass Phase 3 trial parameters.  The ingredients of this medication are 6 B complex vitamins.  Bells Palsy has never been known to resolve or improve on the basis of such formulations.  Chewing or talking that causes the eyelid to close is referred to as synthesis for which no definitive treatment exists.  However, there are a number of approaches that can make things better for certain people. I believe if you've not tried them then you should speak with your doctor about them such as Facial Muscle retraining, BIOFEEDBACK THERAPY, Mime therapy, BOTOX, Transcutaneous Electrical Nerve Stimulation, and even surgery. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am having horrible throbbing pain in my right hand on the last two finger and the wrist joint. I can not bend it certain ways with out the pain spreading to my arm. I m am also having really bad pain when I go to lift my right arm on the inside upper area. The pain started in my upper arm first two days ago and now the pain in my hand is almost unbearable and I have been trying to fight it off with Motrin and its not helping at all. We don t have any docs open on Sat in my area and I am getting worried. Thanks ### REPLY: Dear patient if you had mentioned you occupation or what caused the pain to start would have helped. Anyway from your symptoms your pain looks like to be of neuromuscular origin for which you should change your daily working posture or if you are using mobile too more than avoid that. If the pain persist see a pain physician who gave teach you some exercises and if needed can give you a satellite ganglion block which will definitely help you. But first try postural change with some acetaminophen or diclofenac. 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: HiI have had chicken pox now for 11 days and all the spots are drying out. I even had spots in my throat and difficulty breathing.  I havent been feeling or able to eat much.  But today I have an apetite after all and just wondering if its ok to eat my dinner with some sea food and chicken as my friend have brought me some spanish Paella ### REPLY: Hi & Welcome to . I can understand your problem. There is no harm in taking seafood after having chickenpox. Avoid taking large meal of seafood or chicken especially if the food is from outside and not home cooked as it may lead to digestion problems and also since you had been on dietary restriction for a while. Also take care to avoid too many spicy foods. Hope to have answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi a close friend was hospitalised this week with tb & we both think he got it from me. i have cfs & have been taking melatonin for 2 wks + & have noticed the tb symptoms get worse, some medical papers infer melatonin has a direct effect on tb but are very technical, could you advise please, thankyou tracy. height 6ft, weight 8 stone, have endometriosis, poly cystic ovaries, osteoporosis, cfs, past nocturnal epilepsy, copd, hypermobility all i can remember (high functioning autism) age 38 ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, melatonin never cause such a problem. Melatonin is the rhythm hormone. It will maintain and optimize biological rhythm. It has no role in TB or any other symptoms. TB is caused by TB bacilli. It is purely a bacilli infection, so it will never cause any problem. You can give proper treatment to your friend of TB.TB can be cured with good therapy of anti-tubercular .  Please advice protein rich food and respiratory exercise this will help clear TB infections. I will be happy to answer your further concern on 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 sometimes wake up in the middle of the night gasping for air it feels like fluids in my lungs and I cough up phlegm. tonight I was laughing so hard I was gasping for air and walked fast to get outside to breathe in fresh air and cough up phlegm again. What is wrong with me ? ### REPLY: Welcome to , short answer : you probably have lung infection, and it needs to be evaluated detailed answer: cough with sputum worsening in the night has to be examined you may need antibiotics, anti histamines to get out of this problem, consult your treating physician he will examine you your treating physician may ask for chest X-ray and some blood tests depending upon the severity of the disease. Hope this explains .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby had chest infection she was given cefaclor. She also has eczema. After exactly 2 weeks she got ill again. She is not able to sleep for a single hour through the night. And she s itching like hell. I observed blisters on her thighs and legs. We took her to doctor he said her eczema has become infected. He has given ampiclox to be used thrice a day for five days. And fucidin ointment to be applied twice a day for five days. Is it safe to use antibiotics with such a small gap of 2 weeks? Sonia ### REPLY: Hi... I sympathize with the kid and understand your concern. As a matter of fact even my kid had this when young. The trick of the management is keeping the skin moist and never allowing it to be .  For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. Eczema with secondary infection requires antibiotics. It is fine to use them if they are really indicated. 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 just started taking lisinopril 2 weeks ago.  My gums started getting red, and now are inflamed and I have canker sores all over that side of my mouth.  Now, my jaw on that side is hurting, and my face is swollen.  Could it be the lisinopril causing it?  That is the only thing different that I have done. ### REPLY: Hello, Welcome, Thanks for consulting , I have gone through your query, as you are taking medicine Lisinopril, now you have inflamed gums, cancer sore also don't worry it can be due to medication, You do can do warm saline gargle two - three times a day Apply ointment on gums GUM PAINT two - three times a day Take one capsule vitamin B complex once daily for 5 days, For medicine Lisinopril you are taking can consult your doctor If you won't get relief then consult dentist also for Oral Prophylaxis Hope this will help you. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having pain in my fingers and some times shoulders for more than 10 years. whenever in bed i become stiff in my hands. no apparent swelling though. am taking no medication and last time i saw a doctor he prescribed a bundle of pain killers. didn t take them for i get stomach aches often in the upper part of the abdomen. please advise. ### REPLY: Hi, thank you for providing the brief history of you and the mechanism of the pain.a thorough neuromuscular assessment is advised As this kind of pain is possible due to pinching of nerve while adapting certain positions. And getting an MRI of the cervical spine will be of great help. As when you are lying down the head is going into flexion and leading to opening of the inter vertebral space leading to the disc touching the nerves. This is more of the weakness of the cervical spine muscles supporting the spinal column and the weight of the head. Post which with simple physical therapy in 2-3 weeks of time you should be fine. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have felt dizzy on 4 or 5 occasions today. I took my blood pressure a few times and it varied quite widely. The worst was 181/106, and the best was 132/101. There were 8 measurements in all but they were all quite different. I am quite overweight and I do virtually no exercise. I was a top flight athlete in my youth but have done nothing for years. I had my first alcoholic drink for months last Friday, but in the past I have drunk more than I should. I know I need to exercise, lose weight, eat and drink better etc etc, and I am making a conscious effort that I will - but I just need to know - should I be worried about this dizziness enough to go to the emergency room of the hospital now - or do you think I will be OK? ### REPLY: Hi, all the readings you mentioned are considered high blood pressure and all the symptoms you describe are most probably due to higher blood pressure.  As you understand the lifestyle changes that needs to be brought, I would impress you start at earliest.  Also, the pressure value you mentioned will not be brought to normal by just lifestyle changes.  Here you need to be started upon medication for the same.  So do visit your doctor and after through work up do start an antihypertensive medication for time being.  One can taper it down if your pressure start getting under control.  Don't get anxious as it is rather pushes your pressure further up.  But do visit your doctor and for any further help you can get back to me.  Presently just relax, check the reading in 2 hours or so, if higher or If the dizziness persist, you should visit the Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my huband has 2 lumps in his stomach one below his ribs and one near his belly botton says they bother him and for some reason they seem to get bigger as the day goes on.he also gets bad stomach aches after eating not just hear and but every time he eats and gets chest pains i keep trying to get him to go see a doctor but he wont can you please help give me some ideas what it could be ### REPLY: Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. These lesions can occur anywhere in the body and have the tendency to recur.  Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. My mother is 76 years old and has diabetes. She has not been feeling well for the last month or so. She has had a severe migraine for almost 3 weeks in addition to an unexplained sudden rash. She has seen multiple doctors who put her on various medications for both the rash and headache. The rash has subsided for the most part, but the headache continues. Over the last few months, her head also shakes. Any idea what might be causing this? ### REPLY: In your mother has been diagnosed with migraine, a Beta blocker like propranolol will be very helpful, provided there is no contraindication to it. You have to upload following reports- 1.blood pressure and pulse rate and regularity 2.any edema or dyspnea 3. NCCT head and CBC Besides that history of any abnormality detected in any old routine investigations like KFT, Lipid profile, LFT, eye examination, ECHOCARDIOGRAPHY etc ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi...I am a student in dallas. I have some sort of allergy since march 2011...In April I visited the doctor at the university and they prescribed allegra and a skin cream for 15 days...The allergy seems to stay away for only 24 hours. I still continue to take the allegra tablet at the rate of one tablet per day. It has been more than 2 months now. I do not know if it is hives. But my rashes on the skin are bad. After 2 hours of taking the tablet they die out and pop up again the next day. Also, I have put on a lot of body  weight and seem to gain weight really fast. Is it because of the allegra that I have been consuming everyday? Please let me know how can get rid of this allergy. THanks ### REPLY: HI, thanks for using  You may want to consider allergy testing to find out exactly what is causing your reaction so that it can be avoided if possible. This can be in the form of blood tests or skin prick testing. The Allegra is not likely contributing to your rapid weight gain, but there are other hormonal conditions that should consider e.g. thyroid disease, cortisol abnormalitiesYour doctor can also check these levels. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had low grade stomach ache and kidney pain the last 2 weeks. Started taking Hydrochlorothiazide about 3 weeks ago. can I just stop taking it to see if these issues go away ? did not have this problem before. Not consistent pains just intermittent. ### REPLY: Hello need proper clinical evaluation and investigations. Pain may be due to many reasons like acidity, liver,gall bladder problem, renal problem etc. You may need routine hologram, random blood sugar, liver and renal function test, urine and stool RE/ME. Ultrasound of abdomen should also be done. It is very important, and can exclude many causes. Proper management depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...I have a lump above my belly button after umbilical hernia surgery 3 months ago due to my last pregnancy.   The lump can be pushed in like a hernia but doesnt stay in. The Dr. said he didnt know what it was but could fix it with another surgery.  Im not sure I want to have surgery again.  Should I have some tests done first before I decide on surgery? ### REPLY: Welcome to  .1. The history suggest recurrence of the umbilical hernia. Second possible cause could be infective collection in the post-operative site.2. Yes you have to undergo investigations before get operated.3. Firstly ultrasound abdomen and bulge / lesion - ultrasound will help to assess the defect, its content, weather there is any strangulation of bowel and so on.4. If it's a collection - ultrasound evaluate the nature of collection, its source and extensions.5. A CT computer tomography will be additional information, better evaluation of umbilical hernia.6. So undergo the tests and follow the treatment according to the findings. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My white blood cell count 12/24/12 was 13.7, however I was experiencing an upper respiratory infection at that time. Then I had the bloodwork done again 1/24/13 the WBC was at 15.0. My Dr. does suspect Hemochromotosis due to the fact that ferritin was elevated in both blood draws. My question is would Hemochromotosis cause an elevated WBC count? Obviously I m concerned with Leukemia? ### REPLY: Hi and thanks or your query, Hemochromatosis could be suspected, although the clinical evidence in your case is very much lacking. It's a normal reaction for the white blood cell count to rise with a respiratory tract infection. Hemochromatosis has nothing and is not related to the white blood cell count. Leukemia would require an excessive rise in white blood cell, usually accompanied by anemia, pain, an infectious syn .  I think It's really too early to think of a leukemia n this case. Doing blood hemoglobin levels could help. Diagnosis of leukemia usually warrants a complete blood count and a bone marrow aspirate, but really do not think you need it. Consult and internist for a proper evaluation. Thanks and best regards, Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a lump in my armpit since age 39. I am now 54 yes of age. I was out on a blood thinner at the time, and  had a battery of blood tests done. The good news is  that they found nothing wrong with my blood. I do however take a baby aspirin daily as recommended by by Doctor.   I sometimes wonder however if there is a risk of the clot travelling to my lungs or heart. ### REPLY: Welcome to  .1. The history suggest that it could be a lipoma (fat cell content mass lesion) because long-standing and pain less, no significant growth. 2. Next possible cause could be cystic structure, also seen pain less and may remain for longer time, finally lymph nodal pathology can not be ruled out.3. In this case I would recommend an ultrasound scan to evaluate the sours of lesion / lump and its nature (cystic, solid, vascular) and where all its extending can be assessed. 4. There is a risk probably - so your treating doctor has kept you on the aspirin on daily basis.5. So when you visit doctor next time try to get the scan done. An FNAC - will help to know the cells of the lesion (fine needle aspiration cytology) Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. 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 28 yrs old, and married before 10 months. My periods were not delayed even a single month. its abt 28 days cycle. but in the month of june i got 5 days earlier and july its normal but was slighly less compared to previous months, now im taking fertibex, m2tone and iron and vitamin tablets. Is it possible for me to be pregnant by this month.??!!Mithra, W - 68kg and H - 156cms ### REPLY: Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  Also, a semen analysis of your husband should be done.  If everything is fine, then you can go for some medicines like camphene for the growth of your eggs and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months.  Only fertile, m2 tone, iron and vitamins will not help. Hope I have answered your question.  If you have any other query I will be happy to help. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have torus palatinus now I get pain in lower part of roof of my mouth and I cannot tolerate hot or cold food or drinks it is very painful what do you suggest? ### REPLY: Hello, Since how long you are suffering from the torus palatines. Was that by birth? Also since how long it started paining. Have you earlier got any consultation with some specialist and had any Radiographs/X-ray done for that? If not then do get the radiographs done by advice of some General dentist/Maxillofacial surgeon in your locality. My advice to you is to get it surgically removed as early as possible as this is the only cure for the cause. You might be needed a palatal obturator if the size is big. Hope this helps. With  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gf and i had sex 17 daya ago for the first time,  and dhe lost her virginity,  i then never penetrated in. then for precaution she took unwanted 72 in 24 hours.   her periods were supposed two days after the event.but till now there is no sign of her getting a period,  . pkease help. she has lot of pain in her stomach daily. ### REPLY: Hi, You had unprotected sex during safe period and emergency contraception (chances of pregnancy is least) were taken and later developed pain abdomen. Some time patient may develop abdominal cramps due to side effect of Progestin only pills but it subsides within 3-5 days.  So give her ANTI-SPASMODIC, MESENTERIC ACID (NSAID), PPI and if symptom persists then visit gone clinic for clinical evaluation n investigation including USG abdomen and treated accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir,my son was hospitalised for three days due to dehydration with AGE;and discharge yesterday,doc. Advised to take ciprogyl and nutrolin-B,today we see some skin rashes on her back and chest.is it the side effect of this medicine.should we continue giving medicine.plz advice. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms of your son seem to be related to an allergic reaction to Cipro. I suggest using a steroid cream for local application such as Dexamethasone cream. I also suggest using Cetirizine 10 mg daily. If the symptoms continue, or if he has breathing difficulties you should consult your doctor for an alternative treatment. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END