Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 months pregnant woman had her upper right first molar extracted because it was crossly carious. unfortunately after 3 weekis shes experiencing water coming out of her nose, as well as wind coming out of the unhealed socket. if it is oroantral fistula, what can we do about it? ### REPLY: Thanks for using . Read your query. Signs and symptoms suggests the creation of an frontal fistula, which should be of some concern. Oroantral fistula closure is very important to avoid food and saliva contamination that could lead to bacterial infection, impaired healing and chronic sinusitis. The treatment is done taken in consideration the width, epithelialization and presence or absence of infections. I would advise that is the fistula is less than 3 mm, it usually heals spontaneously in the absence of any infections. If in your case the defect is more than this, it will require further treatment using flaps which will be best decided by your surgeon. Please consult your surgeon and have it reviewed. Hope this was helpful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: SIR I AM 24 YEARS OLD BOY BUT MY PENIS AND TESTIS  IS VERY SHORT AND I AM LIVE IN BHUBANESWAR  WHICH IS THE BEST MEDICHINE TO INCREASE AND AS WELL AS BECOMES 24 YEAR OLD BOY PENIS AND TESTIS .BUT IAM LIVE IN ODISHA ,BHUBANESWAR SO WHAT MEDICHINE IS APPROPRIATE AND AVAIL IN BHUBANESWAR. ### REPLY: HelloThanks for query. Based on the fact that you have posted it appears that you have doubt about size and length of your penis being small. At the outset let me state that there are no standard measurements of length and size of penis related to age. Please get yourself examined by qualified Urologist to confirm whether you have really a small penis or not?. There are no medications that can increase length and size of a penis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 stage lV lung cancer with metastases. He had chemo for 4months and a pet scan was taken. The tumors had shrunk. He was given radiation to his chest in January and another pet scan was done last week cause he was complaining of pain in his right cheek. The results of the petscan were not good. While he was getting radiation to his chest his liver was having a party and the cancer was spreading. He has been given a 20% chance of survival. Chemo now is an option. I am concerned that if he does go for a stronger chemo what quality of life is he going to have, or should we just opt to stop the chemo and live out whatever time he has left. ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you should go for another cycle of chemotherapy. Your husband is having stage 4 lung cancer with liver metastasis. This makes prognosis poorer, and life expectancy is less than 16-18 months. But as you said that his lung tumor was shrunken after chemotherapy, I suggest another chemotherapy cycle. His lung cancer is highly chemo sensitive. So benefit from another chemotherapy will be more.  And this may improve life expectancy. Above all, it will definitely reduce the sufferings (pain) and improve quality of life. So better to give him chemotherapy, rather than not doing anything. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I had a very small lump on the left side of my back and its been then there for about 9 years and has grown a little larger than a half dollar. what would you suggest? Oh id did have it checked out by a doctor they did say it was a cyst. do they become more harmful? ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, You seem to suffer from Sebaceous Cysts, which are more common on the back due to friction and nonhandling of the boils, by location. Dear These are benign lumps, which are not Cancerous. These lumps are not harmful. But are caused by, retention of the obstructed sebaceous glands of the hair follicles. If you are worried by its recent growth, You could ask for its removal if it worries or troubles you by its size or by its growth. Thus Second opinion form Surgeon and USG of the lump would resolve this issue. Hope this would resolve your query and worry. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. . N.M.S. Genl-CVTS -Senior Surgical Consultant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Having horrid mood swings...Iike I could go on a smashing spree in my house and break EVERYTHING!! I was taking many psych drugs that I weaned my self off slowly..one at a time...First the Lamictal , then the Lexapro , then the Ambien and lastly the Ativan . I feel better 90% of the time but these mood swings come out of nowhere!!! ANd I will get maddest at the most mundane things??? I am also have hot flashes but had a hyrsterctomy back in2004. I am 46, happily married to a very supportive husband. Had 4 sons which I am all close to except for the son I lost 2 1/2 years ago...still haven t even begun to process that. Do I really have to be on medications for mood?? I don t want to take more than I have too! ### REPLY: Hi, I have read your query with diligence. Yes, you really have to go on medications again. Not for a very long time though.  You feel better by 90%now that is a good sign. However, to get rid of the mood swings, it is better to be on a low-dose mood stabilizer .  I am glad you have a supportive family.  Make a wise decision of helping yourself and your family with a small dose of the medication. 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,Thanks in advance .My self is sridhar malempati . I have one younger brother .He is deaf and dumb by birth.He completed degree with first class. For the last one year he is not showing any interested on studies . he is likely stay in home it self. He is very  good in studies as well other activities also.But we dont know how to guide him. ### REPLY: Hi Sridhar, I can understand your concern for your brother. I would recommend you to seek a psychiatric consultation for your brother. Your brother might be suffering from depressive disorder which might be causing the symptoms he is manifesting. However, more information will be required like sleep, appetite, etc., to make a confident diagnosis. He might need treatment with antidepressants like selective serotonin reuptake inhibitors which are safe and effective. Hope this information was useful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a cold a couple of days ago and since then I ve ocassionally coughed up phlegm with tiny specs of blood In it. I quit smoking a couple of months ago and smoked for approx 5 years at about a pack a week. I m 28 years old with no other health problems. ### REPLY: Thanks for your question on . I can understand your concern. You are having hemoptysis (blood in sputum). Since you were a smoker, hemoptysis is commonly seen with bronchitis, lung infection and lung cancer. So better to consult pulmonologist and get done chest x-ray, PUT (Pulmonary Function Test) and CT thorax. Chest x-ray and CT thorax are needed for lung infection and cancer. PFT is must for the diagnosis of bronchitis. You may need antibiotic or inhaled treatment based on diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Family doctor thought my asthma came back and is allergy driven. I have been taking Ventolin and Flovent for a year now and they dont seem to be as effective anymore. I am also a mild smoker who is trying to quit. Started at 17 with the army and Im 31 now, I know Ive done some damage to my lungs. Ive brought up a bit of blood in a coughing fit and lately clear mucus. The clear mucus is almost transparent with bubbles in it. When pressed with a finger, pops like bubble wrap. Im really worried about COPD. ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. Looking at your age, history and complaints, I would first think of allergies and asthma, however, coughing of blood is not a usual feature of asthma, unless your cough was very severe.2. Were I treating you, I would suggest you Chest X-ray and spirometry. Combining these investigations, your doctor will be reasonably able to decide whether you have asthma, COPD or something else, also what was the cause of coughing out blood.3. If it turns out to be asthma, I would suggest you allergy testing which will help you identify the substances causing allergies to you and also to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves allergy symptoms by working on immunity.4. If your inhalers were previously working and now not working, I would suggest you to increase dose of "asthma controller" medications after consulting your doctor until your diagnosis is confirmed.5. Regular breathing exercise will help you in a long run by improving your lung capacity.6. Please avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have some sort of skin condition (about 10 years now) basically any part of my body that isnt exposed to sun gets patches of dry red skin all over it. These patches do not itch and seem to be much more concentrated in places that arent exposed to sun (for example, my arms are always exposed to sun, so theyre normal, my belly is rarely exposed, so it just has a few small spots, and my thighs are NEVER exposed and they are completely covered. ### REPLY: Hello, Thanks for the query, The description given by you is typical of mitosis fungoides. It is a malignant condition. Biopsy needs to be done to confirm diagnosis. For now take some antihistamine tablet. Apply calamine lotion. You will get instant relief. Meet a dermatologist. Let me know if you have any other doubts. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ . 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: im very tired all the time , my whole body aches , headaches toss and turn at night and sometimes I know what I want to say but just don t seem to get it out the way I want , I just feel blah all the time and depressed out of the blue , I crack all over and have pain but I know that is from my osteoarthritis I was diagnosed with a month ago but my other symptoms are not from osteo ### REPLY: You may get blood test for ESR, CRP,CBC.if these are significantly raised then maybe osteoarthritis disease process could be causing additional symptoms. Osteoarthritis pain throws normal life out of gear in active state and gives vague feeling and depression. Just relax, take medicines prescribed, if not, prescribed,take Ace -Procyon one tab twice a day and take physiotherapy exercises. If still feel gloomy, take clonazepam 0.25 mg at bedtime.a physician can write prescription if he agrees ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sitting in the front of the computer for 20 min and I felt this tingling in left part of my upper lip... within 5-7 min it was swollen like nearly bursting... swelling resolved within 15 hours. Today I woke up with my face swollen -eyes, right part of my face and lip. I eat healthy I am normally fit and my BMI is 26. I used to be asthmatic and I am still allergic to dust and animals but my usual allergic reaction was rush and upper airway wheeze. My question is -do you recognise these symptoms as some syndrome or maybe know some solution to treat this. ### REPLY: Hello. Thank you for asking at . I went through your history and I would first think of "Angioedema", which can be allergic & non-allergic. As you have had allergies, I would also think you are more prone to develop allergic angioedema. I would like to suggest you as follows:1. If you can find a trigger by recalling foods & environment at the time of angioedema, I would suggest you to avoid that particular food/trigger factor.2. Should you have such symptoms again, I would suggest you to take an antihistamine like HY .  You may need to repeat the dose if symptoms persist. Hope above answer will be useful to you. Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi this Kaisar writing,I am 35 years old. I have got married 6 yrs ago. From the beginning of my married life I was facing the problem about sex. When I would go to my wife, when I start my intercourse I got frustrated for early ejaculation. My query is how can I protect myself from early ejaculation. ### REPLY: Dear Kaiser understand your concerns went through your details. I wonder you did not consider taking treatment for your Premature Ejaculation (PE).  Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. You need to assess the reason for the problem. If you are sure it is due to psychological problems, you may consult a psychologist for counseling. 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 details 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: My friends father (age 59) has ITP and his blood count often drops below 10000. He had to be hospitalized thrice in the past one year. Due to problems with eyesight, he had to stop the medicine he was taking as it contained steroids. Can you suggest something for him? ### REPLY: Hello and welcome to , ITP stands for idiopathic thrombocytopenic purpura.ITP is characterized by ow platelet counts. Thus, ITP is responsible for low platelet counts, however, it does not affect the blood counts.ITP is most commonly caused by viral infection and it most commonly responds to steroids. However, the treatment depends on the underlying cause of ITP. Thus, you should consult your hematologist for continuation or discontinuation of treatment. You need to consult your ophthalmologist for checking of vision also and to find out most probable cause of fall in vision. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a small lump on my right side in the groin area, i noticed on tuesday night. yesterday i started feeling some kind of downwards pulling sensation on my right testicle , but no pain. i read that it could be hernia yet i tried the coughing test, and nothing. also some slight pain in the lower back like around the waist level; anyhow, what could be wrong with me? ### REPLY: Hello, Thanks for the query. Yes it can be hernia. The pulling sensation can be the first sign of hernia. Cough sign may become positive at a later stage. Please get yourself examined. Please meet a surgeon for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http://www.ChatDoctor .com/doctors/ . 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 doctor just sent my blood test results and stated Your blood count is normal except for increased red blood cell size . When I researched what this meant, it stated that it was a sigh of alcohol use. However, since I had fasted 20 hours before the best and I seldom drink alcohol - probably not more than 5-7 bottles in a year. So is there another reason it would show this? Jana ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your red cell size is increased.  Don't worry.  Alcohol can increase the size but not in that small amount what you are taking. But there is other more common cause of increase red blood cells size.  It is It b12 deficiency or folic acid deficiency.  So you may have that. Don't worry just consult your physician and go for it b12 level if needed and then take treatment accordingly. 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 there, I m a 22 year old asthmatic male, for the past at least 5 years, maybe longer I ve had strange fluttering on the top left of my chest, above the heart but it feels like its above the rib cage/just under my skin. It doesn t always happen, but when it happens it s always when I exhale nearly all the air from my lungs or if I laugh for an extended period of time. There is no pain or discomfort with it, just feels strange. I ve seen doctors before and nothing wrong was found. ### REPLY: Thanks for your question on . In asthma patients spasm of lung or tachycardia can cause fluttering feeling in chest. Since your all reports are normal, I think you might be having anxiety related chest fluttering. But I still advice you to get done ECG and PFT (pulmonary function test) to rule out tachycardia and lung spasm respectively, as a cause for your fluttering. If both are negative than no need to worry much. Anxiety related problem appears more. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions to identify stressor in your life and start working on it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taken ultra sound scan . its about liver ? i am heavy drinker for the past 20 years. but now i am taking liquor weekly once. the test says maderately enlarged in size (18.1 cms) and shows diffuse increase in echo texture . intrahepatic biliary radicles and cbd appear normal. portal and hepatic veins appear normal ### REPLY: Welcome at  I have gone through your query and being your doctor I completely understand your health concerns... Based upon the history you have provided you have got alcoholic liver disease possibly alcoholic hepatitis... What about your liver function tests?? Serum albumin levels? Serum GGT and Sept???  You should consult hepatologist regarding this so that you have been examined properly, and relevant investigations can be done, and appropriate treatment can be initiated timely... Meanwhile decrease your intake of alcohol and consume healthy food.  Hope your query is adequately answered.  Stay safe 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 am a male at the age of 20 and have noticed that my right nipple is drastically larger then my left nipple. I have excruciating pain when it is bumped or rubbed. And have dark yellowish green liquid coming from it when I squeeze. Its been like this for about a year and hasn t gone away, what could this be, and what could I do? ### REPLY: Thanks for asking in  forum In short: You have an infectionExplanation: Sometimes, asymmetry can occur congenitally. So, you need not worry about asymmetry. But if you are having any discharge from the nipple then it is infected. Please visit a doctor to get yourself examined for this.  If it is milk, it might have caused due to .  It can occur in males too. Hope this will help you. Do not meddle with it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Lately, Ive been seeing light to small clots of blood in phlem, like in the morning or when I gather flem from deep in my throat as to spit. It is more prominent, the next morning after drinking at most times 1-2 glasses of red wine. What should I do? ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having hemoptysis (blood in phlegm). Hemoptysis is commonly seen in lung conditions like pneumonia, tuberculosis, bronchitis and lung cancer. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out infection and cancer. PFT is needed to rule out bronchitis. If both these are normal than no need to worry much because you might be having friction bleeding due to coughing. So anti histamine and cough suppressant .  But better to first rule out lung pathology. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband died of an apparent heart attack two years ago.  He had been treated for bronchitis and asthma systems a week before, put on antibiotics and steroids.  Could pneumonia cause his heart to stop?  Two days after he died the clinic called to say they needed to see him right away.  Something showed up on his xray the week before. ### REPLY: Hello, Thanks for writing to , I am . Heart attack is a condition in which there is no blood supply to heart myocardium n lead to dying of heart muscles.risk factor for heart attack are age, gender(male >female), family history, DM,Smoking, HTN etc. ,but pneumonia do not case heart attack.but if patient already had heart disease than infection ca cause acute failure which may lead to death.if u can attach x-ray I can comment that what he saw on X-ray ....it can possible patient have heart attack n didn't note n his heart start facing like in patient old age, female,DM pain is not present called silent heart attack n this result patent don't know that he/she having condition n result heart functions goes down n if patent have infection this result in acute failure that can lead to death, n x-ray might showed enlarged heart sign of heart failure. I hope this answered your question, if you have more feel free to ask. 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 baby is now only just completed her 5th month. She is suffering from heavy vomit & diarrhea for past 3 days. due to dehydration we admitted her in hospital and given trips for 1.5 days. Now i have discharged her, during her hospitalisation she got 100 degree fever for every 4 - 5 hours. when crocin given then its ok, but after 4 hrs she again getting dull due to fever, is this a normal symtoms for vomit & diareehea? ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 neck, chest, across my shoulders and between my shoulder blades are really tight and sore. I have limited motion when I turn my head side to side. And if I move a certain way I have moments of shortness of breath. Is it possible I have a pinched nerve? ### REPLY: Hello dear, I have gone through your question and understand your concerns. Cervical myeloradiculopathy may cause neck stiffness, decreased mobility. Other causes of stiffness and less mobility may be joint diseases like rheumatoid or ankylosing spondylitis. Some diseases are age related. You should consult a neurologist for proper examination and evaluation. Hope you recover early. 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 son is allergic to erythromycin, biaxin, azithromax and cefprozil, recently prescribed clindamycin which is too big for him to swallow and breaking the capsules causing him to vomit - called pharmacist and doc and they won t give another prescription. any suggestions? ### REPLY: Hi, Capsules should never be broken and consumed since the potency of the .  They must be swallowed as a whole. I would suggest you to visit your doctor for a re prescription of clindamycin since it cannot be obtained over the counter. You have not mentioned the age of the patient or the dose prescribed. This time you can get a lower dose 150 mg. 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: hey doctor,actually from past 2 months I am meting with some digestive problem and also gas problem.I have done liver function test which report is as followSGPT- 66.8BILIRUBIN TOTAL- 1.86BILIRUBIN DIRECT- 0.37BILIRUBIN INDIRECT- 1.49and all other details are normal...please suggest me if there is any problem with liver ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about this report and all the disturbing thoughts that this must have caused you. These results are normal (upper normal value of total bilirubin is 1.9). They are simply close to the upper border of normal but I will not be any more aggressive towards these results unless there is some other issue of concern. All I can advise you to do is to flow up and get a control in three months just to make sure there is nothing of concern going on. Bilirubin abnormalities generally point to a problem of liver, transporting ducts(bile ducts) or massive red blood cells destruction. I hope you find the above information helpful. I wish you we. Thank you so much for using our services, and please feel free to ask for more clarifications and information if need be. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small, moveable lump under the skin on the left side of my lower jawline/chin, but not in my gums - moreso in my cheek. It is slightly tender to the touch. No ear ache, no fever, no sore throat, and no swollen glands. Teeth are not sensitive either. I just noticed it this morning, not sure how long it has been there as it is not sore when not being touched. Area is slightly swollen since I have been playing with it trying to figure it out. What are the possibilities of this? ### REPLY: Welcome to . 1. The most possible cause of the swelling in the location mentioned by you could be - submandibular gland ductal enlargement.2. This can be due to and obstruction / or gland lesion - sailoadenitis.3. In this case you may initially advise for a simple facial massage followed by the investigations if required.4. The investigation of choice in this case could be ultrasound to assess weather dilated duct or gland, its extensions and source - presence of any obstruction.5.IT always good to get examined by a doctor - if the doctor feels to further investigate good, if not required them monitor - if any changes you can take needful actions. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am an 32 yrs old woman.for the past one month I have cold and cough .first one week I don t care.then I went to a duty doctor in a nearby clinic.he gave me moxikind 625, tusq ,asthalin and ambrolite s syrup.after a week I dint find any change and a slight wheezing also added to me.the worst part is I have a head ache,even I slightly shake my head I can feel the discomfort.so I browsed a lot and found that it may be due to sinus and took one sinarest tablet for three days .now my mucus has started to discharge.i stopped using all tablets.but my head ache is still there.can u please help me?i used ventorlin inhaler for wheezing.my email is YYYY@YYYY ### REPLY: Hello dear, The symptoms as mentioned in your post indicate towards Obstructive airway disease. Wheezing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma)Management consists of:1. Ventolin inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamines can also be used to provide symptomatic relief.4. Protect yourself from exposure to cold, dust or other allergens. Tablet Minaret contains both Antihistamines & Analgesics, which can provide you temporary relief. But to rule out sinusitis, you need to consult a Physician for clinical examination.X-ray of Chest and paranasal sinus will be helpful. Wishing you a Good Health. Please let me know if I need to clarify further. Thanks & 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 just found out I m 6 weeks pregnant and I had smoked marijuana last week before I found out. I haven t went to the Dr because I m afraid if they do urine or blood tests I ll fail and lose my kid. What can i do? I drink lots of water and im sick alot plus I ve had the flu. ### REPLY: Hi, though smoking marijuana or cigarettes is injurious to you and your developing baby, but it should not cause abortion. If you feel you are pregnant then you should get your urine pregnancy and blood beta  levels done which can find if you have healthy gestation for your term. Also, .  You should not delay as you need to be started on folic acid tablets for the growth of your baby 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: Last year I had a cancerous tumour removed from my colon, which thankfully hadnt spread.  However, I had chemo as a precaution.  This year I had operation for a strangulated hernia.  My liver profile blood tests show that it is raised.  What could be the cause for this please? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern the liver enzymes are very fluctuating one some unknown cause could change value of these enzymes even certain diet also changes the value of these enzymes here you have a history of malignancy, so this could be a cause of change of liver enzymes value, you need to correlate this with the clinical condition, hope this information helps you, take care and have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So I had my gallbladder removed about 3 months ago and I have had trouble ever since then.  I have constant nausea, abdominal pain (spasms), and constipation.  I went to the gastro doctor about 2 weeks ago and did not get much help from him other than he decided to run a bunch of blood work.  I had an appointment with my primary care physician Thursday September 30, 2010 and I had a fever of 100.7 and my liver enzymes were elevated not to mention my usual extreme nausea, spasms, and constipation.    She was extremely concerned and sent me directly to the emergency room because she thouht it might have been an abscess from my gallbladder surgery.  Luckily it was not an abscess. The ER doctor did notice some inflammation in the intestines but did not seem too concerned.  I had a bunch of blood work done again.  My primary care physician is testing me for a variety of different viruses and my blood will be sent to the Mayo Clinic.  She also wants to do an Upper GI series test.    So I guess my question is basically what is this?  Or if you have any suggestions or thoughts about my current condition, that would be great.  Thanks! ### REPLY: Hi, I had gone through your question and understand your concerns. This looks to me like so called postcholecystectomy syn .  Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby is 18 days old, I pushed for 3 hours, then they used a vacuum suckshion to help pull him out. He now has a hematoma on the right side of his head. I am very concern, Its the size of a walnut in shell. Is there anyhing I can do to help it go away? ### REPLY: Hello, Congratulations on the baby. The problem you mentioned is very common whenever people apply the suction cups for baby. If I am your treating Doctor I would advise you not to worry. The hematoma you have mentioned is disappear in due course of time. Only thing I advised you to have relaxed. Hematoma is gradually absorbed by the body circulation. I would also like to ask you if you find any other signs of great injury to baby like scalp injury, eye injury, ear injury? If it is present than the problem is serious. Ask me if you are in further quarry. Thnx ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 yr old child is suffering from high fever and cough and cold.He was ill 1 week back and had recovered fully in 4/5 day. but again 5 days after recovery he is ill.He is not energetic at all and sleeping all the while doesnt want to take any food or water.I had given him a banana yesterday and also some rice to eat. had this aggravated his cold? Please advice what should be his diet during cough and cold ### REPLY: Hi, As there is high fever since long, and again it relapses, requires some investigations to come to proper diagnosis. Go for, Complete blood checking, X-ray chest’S. Widal to rule out typhoid, Routin urine check up. After all reports your doctor will have clear clue about his illness and then will go for treatment accordingly. Give him light food like rice, milk, DAL, fruit juices. Giving banana and rice is alright. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,In the last couple of days I have felt dizzy after an evening shower and after I have been lying down for a minute. This is accompanied by nausea. I have depression and in the last year have needed between 12 and 16 hours sleep. I get flu all the time and Im feeling exhausted, even after a lot of sleep. ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). If it still persists, then you need to consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY . And also take precautions of getting up from bed slowly & avoid sudden head movements. 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: dear doctor , my friend has nasal blockage for last 6 months. and he had done endoscopy and the biospy report was malignant tumour . the features are poorly differentiated carcinoma . how long will take to recover from this? what is the treatment? ### REPLY: Hi Sheba. Your friend has Nasal Carcinoma. He will require a CT scan of the Nasal Sinuses and Facial bones to see the extent of involvement of the underlying structures. The definitive treatment will be surgical excision of the involved structure. Post operative, chemotherapy and or radiotherapy will be required as indicated. Whether it can be cured or not depends on the stage of the Tumor. If its early stage and not spread to surrounding structures, it can be controlled to a large extent. Hope this answers 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: I have had for 2 days sharp pain in my forearm area, 3/4 up my arm, in the tendon muscle area, when I push in that area sensitive -- no idea why, sharp acute pain comes out of nowhere - also knuckles hurt and wakes me up - 62 yrs old, excellent shape, good over all health, but that same hand s thumb is arthritic so it might be connected? ### REPLY: Hello, Cannot say in your particular case, but generally, localizing pain to what is painful is the first step. A classic way to differentiate heart from muscle pain is if the muscles are sore to touch or movement then not the heart.  We generally are NOT aware of stresses that cause pain later on in tendons and joints. 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: trying to figure out why I am coughing, had 3 courses of antibiotics, dont smoke, chesk xray that was clear, blood tests that were clear but the cough is still here and worse in the mornings and at night time, I cant speak but I cough and also worse the day after I have had alcohol. I had sarcodosis 15 years ago, on my skin though, my lung tests were always clear. I could go back to my doctor but what else can we do? ### REPLY: Thanks for your question on . I can understand your concern. Cough with breathlessness are commonly seen in bronchitis and lung infection. Since your chest x-ray is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Acidosis is a disease having remissions and exacerbations. So you will benefit with inhalers for it as well.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am suffering from back pain which has also iniated leg pain. i have done a mri of the LS region. my report states that at the l5-s1 level the canal apd is 8.4mm and there is a disc desiccation and prolapse causing bilateral traversing nerve root impingement at l5-s1 level ### REPLY: Hi there, welcome to , thanks for your question. The initial treatment for back and leg pain attributable to disc degeneration would include: physiotherapy (modality based like Short wave diathermy, ultrasonic massage etc.), exercises (core spinal exercises, Pilates), medications(analgesics, antiinflammatory, Topical gel or spray like applications)Wearing a lumbosacral corset or belt if you travel long distances or sit for long for initial 1 week or so) and injections into the spine(can be tried over 6 weeks - however duration and amount of relief unpredictable). Surgery would be absolute indication if any weakness in the legs, difficulty in passing urine or motion (attributable to spite problem). Unrelenting pain after 2 to 3 months of conservative treatment would be a relative indication. Hope this answers your question. All the best. Thank you. With best regards.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thank you doctor, and I appreciate the quick response. Like stated earlier, I ve always had a fear of the doctors. Whenever something I thought was seriously wrong I always confided in my mom, and she would always reassure me that I would be ok. She was right 100%. Now that she is no longer here, I have nobody to go to, so I appreciate you understanding where I m coming from. Four years ago I was diagnosed with a slight thing of anxiety. My doctor prescribed me alpralozam. The pills expired in 2012. They helped cause they just took the edge off. My grandmother, grandfather, uncle, and mom have passed away within these past 3 years. It s too much to handle all at once. They all went into the hospital, and never made it out, so that s the way my mind thinks. I think if I go into the hospital, that I ll never make it back out. Yes, I know it sounds crazy, but that s how I think. About a month ago I had this slight pain between my thumb and index finger. Again, nothing serious, probably just a bruise, but I took it to the extreme. First thing I did, was search up online if there are glands in your hands. Of course there are, so right away I think it s a swollen gland and something is wrong. I worried about that for a couple days, and must have tensed myself up so bad that my fingers started to ache and hurt. So, right away I start thinking the worse. Why are my hands and fingers hurting now. I worried about that for a week. Sure enough the pain between my thumb and finger, went away. This brings me up to now, where I must ve worried myself so much about my fingers and hands that it cause what I hope is anxiety. About a week after all of this happening, I woke up last Saturday and stood up and felt like I was off balance. Nothing serious, figured it was just allergies. It got better throughout the day, and would come and go. Again, thinking crazy, got it in my head that it was something serious, like a brain tumor, brain hemorage, etc. I would constantly search up symptoms of all those things and worry myself day in and day out. This past Monday, 2 days after this occurred I sucked it up and went to the doctor. She checked me out. My BP was 115/75, my lungs and heart both sounded good. I explained this situation and she said to just relax myself. Once I left that doctors office, I didn t feel a thing. I felt like myself. Sure enough, as time went on, that feeling came back. It sucks and I hate it. That s how this whole past week has been. I wake up, and im fine. As the day goes by, I start worrying that the feeling is going to come back. Because I worry, the feeling comes back. It s like a catch 22. During the week, Monday through Friday I woke from 2:30 to 11 at night. I stay busy at work, and for the most part I feel fine. Once we take a break, even though the people I work with talk to me, it s in the back of my head that what if it comes back, and sure enough iy does. It seems like once my mind starts to wander, it comes back. This past weekend it was tough too, especially yesterday. I was fine and then once I sat down with my girlfriend, my mind started going. I had the worst naseau, and I had minor little headaches. I honestly don t know what to do, and I worry myself everyday that I have something seriously wrong with me. I m so afraid of cancer and always think I have a brain tumor or something wrong inside my head that is going to kill me. What are the main symptoms of a brain tumor? Do you think it s anything to be concerned about? Or is it just all in my head? Like I said, it s more of a foggyness feeling. Thanks again doctor, hope to hear from you soon. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I can see that you are suffering from health anxiety disorder, referred also as hypochondriacs. You are obsessed yourself with health problems as you are already aware. But you can also notice that these obsessive thoughts comes only when you are not busy. Once you are busy, you do your job, not thinking. You shall need occupation therapy and Cognitive Behavior Therapy and your problem is Hun .  Understanding life and learning how to enjoy life are the keys. You can learn these by observing your experiences, elders, surroundings etc. You can also visit a psychological counselor for further advice. If you feel that I can be of help to you, feel free to post a direct question to me and am obliged to serve your cause. I shall prescribe Cognitive Behavioral Therapy techniques tailor-made for you to clear your problems. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am waiting for results of a biopsy . Leukoplakia on the roof of my mouth - upper back right side. Theer was also a small open area next to it. Neither the dentist or oral surgeon could find an obvious cause - I had it for 6 months. What are statistics on malignancy itht he ulcerated area next to the white patch? 54 yo female. Quit smoking 10 years ago ### REPLY: Hello, Leukoplakia is a precancerous lesion which is occurred mainly due to the habit of smoking. The final diagnosis can be made only as per biopsy report. I would suggest you to quit smoking. Take plenty of fluids and nutritious rich diet. VITAMIN -A, C,AND B12,supplements has to be administered. Maintain oral hygiene well. Rinse your mouth after every meal. Please do visit a dentist for further reference. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My blood workup showed by Creatine to be 2.71. Last year it was 1.12. Just completed a urine cleanse and more blood work and they just called me stating my kidneys are working at 30%. I don t know the type but what stage would I most likely be at. I m scared I won t see my grandchildren grow up, go to college, get married etc. I just turned 60yrs old and female. ### REPLY: Hello and welcome to . As a Urologist, I must advise you to be an optimist. A creatinine of 2.7, with 30% function of kidneys, can be treated medically or even surgically, depending on the cause of the kidney failure. You've not mentioned if you're diabetic, anemic (He), uric acid, sodium,potassium, having other systems' involvement, if kidney biopsy has been done, or ultrasound scan report. If you can send the reports to me, I can give you an expert opinion, regarding further treatment and prognosis. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Im 31 years old and I have High Blood Pressure. Im taking 5mg of Amlodipine Besylate daily. Ive been experiencing chest pains on my left side near my heart since yesterday evening. Im still having the pains. Is this something I should be worried about? ### REPLY: Hi welcome to ... You are having Hypertension problem and taking . ... Here as you are having hypertension your chest pain should be investigated with ......1.EKG 2. Echo (if needed)3.cardiac enzymes' marker (if EKG suggest ischemic heart disease like changes)According to cause treatment guided. . Auscultation also done ... If crepitation or rhonchi heard than chest x-ray done .... If no cardiac or resp cause present than it could be muscular pain for which ibuprofen given.... Take care Advise : physician consultation ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 get mouth ulcers frequently. I have also had Hugh uric acid which is now under control. Are the two related. I am presently suffering from mouth ulcers which have improved a bit without medication. I have previously been treated for high uric acid condition which is now normal. Are the two conditions. Related. My email is:9 YYYY@YYYY . Thanks for your help. Mrs lobo. Age. 67 yrs. ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that mouth ulcers are related to high uric acid levels. I advise you to take the same treatment again after due consultation from the Doctor. Please do not eat food that has high uric acid level like meat, non veg foods etc. It will help you further in reducing uric acid levels and so ulcers. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is Mikayla i am having low abdominal pain , lower back pain along with sore breasts and nipples . Went to my primary doctor thought i had a uti or a bladder infection that was a negitive my pregnancy test show negitive . My last menstraul cycle was a week early and lasted for 14 days and it was light pink/ orange and had been on an off i havent got it this month yet but im just really worried whats causing this it hurts to walk , stand and sit mostly standing . This has been going on for 3 weeks now . Please help ### REPLY: HI. The pain in lower abdomen along with backache with associated history you have provided is suggestive of PID meaning pelvic inflammatory disease. Ultrasonography and actual per-vaginal examination will prove this. Get a course of an antibiotic with metronidazole to get a complete relief. If you have a sex-partner, he too needs to take the same treatment. Review ultrasonography after one week to see the results. If there is no relief, further tests needs to be done under the guidance of your Gynecologist. Diagnostic Laparoscopy may be required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Sejal. In last week of Febuary 2011 i got miscarriage at week 5 due to low ChatDoctor levels. After that i didn t got my period and i am pregnant again and my ChatDoctor level is 37,800. I am littel bit worried because of my miscarriage. I want to know is every thing will be normal this time. ### REPLY: Hello, The serum beta-ChatDoctor levels of 37,800 I.U. are observed after the 6th week of gestation. It is not the exact value of the titles that is important, because, these values can vary with each individual, but, the way they rise. Doubling titles every 2-3 days are suggestive of good progress in the pregnancy. This can be coupled with serial sonograms to detect the status of the pregnancy. Please do not worry as anxiety and stress is not good for a pregnancy. Take vitamin supplements, healthy diet, good rest and have regular follow up. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband had a physical last week and was told his white blood count was low and the doctor gave him an antibiotic for a possible infection. His office called today and they want to do a ct of his lungs as his chest xray showed an opacity. Could this be lung cancer? ### REPLY: Thanks for your question on . I can understand your concern. Your husband is having opacity on chest x-ray. This can be either pneumonia or lung cancer. He is also having low white blood cells (WBC) count. This is favors pneumonia more. In any case, CT scan should be done to find out the cause for lung opacity. If he is a smoker then smoking cessation should be done immediately. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has facial paralysis since Christmas day, they say bells palsey but her face is numb also. We were told now it isnt bells palsey because of the numbness and she is not getting any better. Is it uncommon to have the numbness with bells palsey? We have had multiple blood tests and an MRI no Lymes didease, no tumor next we are having an MRV and MRA. Is there anything else we should be looking for? ### REPLY: Thanks for query on . Bells palsy is a paralysis or weakness of the muscles on one side of your face. Damage to the facial nerve that controls muscles on one side of the face causes that side of your face to . Bells palsy might be due to herpes virus or some inflammation involving fascia nerve. This condition comes on suddenly, often overnight, and usually gets better on its own within a few weeks. Supportive treatment like B12,folic acid, minerals and supplements will be helpful. Also go for intramuscular injections of B12,folic acid. Take proper local care. In some cases antiviral treatment is required, ask your treating doctor for it. Keep in touch with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: During the evening I am awaken by a numbness in my arm, or sometimes both. It eventually goes away if I squeeze a rubber ball or just hang it over the side of the bed or hold it to my chest. Most of time when it wakes me my arm is above my head. What is causing this? ### REPLY: Hello, I have studied your case. Due to compression of nerve root there can be numbness in arm.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. 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. 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: Got stung by a wasp on my left arm near my wrist and it swlled the first 3 days then became itchy after the first day it had widen out over the days and was hot to the touch. Put benadryl cream on it now its finally stopped itching but now where the reaction happened on my arm is turning kinda purpleish. Is this bad? Also got stung again on bottom of my foot test now itches bad but cream won t help. Thanks ### REPLY: Hello, Welcome to , Bee stings most often trigger allergies. However, most people are not allergic to insect stings and may mistake a normal sting reaction for an allergic reaction. Symptoms of a severe bee sting allergy may include one or more of the following Difficulty breathing, Hives that appear as a red, itchy rash and spread to areas beyond the sting, Swelling of the face, throat, or mouth tissueWheezing or difficulty swallowing, Restlessness and anxiety. Severe allergic sting reactions are treated with a .  Usually, this injection will stop the development of a more severe allergic reaction. Intravenous fluids, oxygen and other treatments are also necessary. People who have had previous allergic reactions to bee sting must seek immediate medical attention. 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 hearts been Beatin extremely loud have been coughing some some but chest hurts bad last night it was awful I was tryin 2 sleep but my heart was pounding so hard I was scared Im only 20 i do smoke cigs It felt as if I was goin to die was waiting for the pain to ease but , unfortunately this morning the center of my chest was so sore. Its felt like a big bruise and it feels like it races ### REPLY: Hello, thanks for posting a question. You seem to be having issues with palpitations. They can be caused emotional issues, smoking, underlying heart issues. Most of the time they are not harmful but scary. I advise you exercise at least 3 times a week, eat healthily, avoid alcohol or smoking and sleep 6-7 hours a day, and hopefully, you will be fine. Please see a physician if you do not get relief in 2-3 weeks for a physical examination. Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a female and I got my period January 19 and got done with it January 24. Well 2 days later I started puking at like 3:00 in the morning and I thought it was the flu but it only lasted till 11:00 a.m. And I got the crazy idea in my head that it was morning sickness but I have never had sex. So can the flu only last that long? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of mild flu and nausea which seems to be due to infection sometimes which occurs when immunity goes low person become susceptible to getting infected. Need not worry. I would suggest you to do warm saline gargles several times a day, do Betadine gargles twice a day and consult ENT specialist for proper diagnosis. Doctor may prescribe antibiotics along with antiemetic depending on cause. Avoid intake of outside food. Avoid cold carbonated beverages and hot spicy and sharp food substances.  .  Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ihave a 53 yr old son-in-law. My daughter and him went to N.C. Up on Upon arrival him got out of the car he streched and heard a loud pop in his back area. they came back home he has been in unbelievable pain. The doctors have done C-scan, mris 16 b[ood tests. The only thing they have found is he has an inflamed disc a knot on his spine. No antibiotics have touched the infection. No pain killer works. he has lossed 50 lbs. The doctors have said MS Autoimmune and some other things but they can t seem to find it. they now say his pain is not connected to his back. Any ideas? ### REPLY: Dear patient Your symptoms indicate muscular origin of pain. MRI is very sensitive and specific for diagnosis of spine pathology. If its normal most of the spine pathology can be ruled out. Ct scan rules out bony pathology. Both tests are already done for you, and they are normal. So You need not worry. Which painkillers you are taking? Take proper rest with medications. Sometimes detailed clinical Examination is very helpful. I would advise taking second opinion from other doctor because you should be alright now. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with bone marrow infection due to the surgical return of a ripped off leg. been told only option is removal of leg and good chance it will still be fatal if removed. Was told that introduction of this marrow infection to my blood stream will stop my heart. What is this infection called? ### REPLY: Hi, Welcome to . Infection of the bone marrow with the surrounding bone is called osteomyelitis. This infection is most commonly caused by Staphylococcus aureus bacteria. Usually this infection is caused if any penetrating injury through skin which reaches the bone or from blood which is carrying bacteria to the bone. When one of the major bones are involved like bones of the thigh, leg or arm, there are chances of infection spreading to the blood called as septicemia. If there is a fracture of a major bone, there could be dislodgement of the blood clot of the fracture which could cause embolic and block pulmonary vessels causing pulmonary embolism. This affects the heart. I suggest you discuss with your treating doctor the various ways of treating osteomyelitis without surgery. Identification of the bacteria causing infection is very important. Surgery under antibiotic cover will prevent spread of infection to a large extent. I hope I have helped you with this answer. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had transsphenoidal pituitary surgery almost 4 weeks ago. The day after surgery I developed CSF leak (leaked through my nose). The put in a lumbar drain and I layed flat for seven days. After the 7 days there were no signs of the leak. I just developed a post nasal drip that taste salty. My Neurosurgeon said it is most likely sinus drain as well as fluid from the surgery since they inserted a sponge. Should I be concerned that the CSF leak has returned? ### REPLY: Hello, There is no need to panic about spinal fluid leaking as long as you have no other symptoms. Besides, it does not taste salty. A possible way to check it, would be analysed this fluid for the presence of glucose. If there is no glucose (0 mg/DL), it is certain that it is nasal fluid or sinus fluid and there is nothing concerning. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor.....myself Anurag from indiI am suffering from night fall(strokes also)...due to which i am getting more and more slim....I also tried some supplements for gaining my weight...The result that they gave were awsm...bt for very few time....Plz help me out....waiting for ur response..... ### REPLY: Hello, The nightfall occurs when a person doesn't practice masturbation. So it is the normal process of semen expulsion from body. You may need not worry about that. For weight gain don't .  You can consult a nearby good nutritionist for detailed diet plan preparation. The exercise will also help keep the body in good shape. Kindly let me know your BMI as well for giving further advice. 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. My ast is 314...alt 631 and another enzyme is 300 something as well. Ive been tested for hepatitis..neg. ultrasound...neg. dont drink or smoke..triclycerides 90...ima big guy but dont have high bp go to gym regularly...ive had pancreatis before...thought i had attack other day amilase was 744 but yesterday was normal but these other numbers...had a camera down my throat a year ago looking at pancreas...no cancer..on that test..but im really confused as to whats up any thoughts ### REPLY: Hi, GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify the exact cause, US, bilirubin levels and tumor markers should be additionally done Then appropriate treatment can be started. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im on prednisone for a rash , Ive also been on anti biotics (z pACK) I itch all over and have swollen lymph nodes..on my neck, i get achy and seem to get cold much more then I ever have.I was on prednisone and a week later the rasChatDoctore back and I was very itchy..went back and was put back on prednisone again. should I be worried ### REPLY: Hi and thanks for the query, Itchy rashes and lymph nodes around the neck region might most of the time be due to viral infections. It could be necessary to actually trace what is causing the rash. A history of a recent change in the environment, diet, sleeping room, job site should worth considering. Other accompanying symptoms like fever, wheezing, rhinitis are important to consider knowing if it's an allergic reaction or not. An initial response to anti biotherapy could indicate an infectious cause. Persistence of symptoms should warrant an appointment with the dermatologist 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: Thank you, I have been prescribed azithromycin tablets USP 250 mg by a dentist due to an infection in a tooth, since ive been suffering from stomach issues lately, im kind of reluctant to take this. I suffer from Hypothyroidism and Glaucoma.  Do you think I should take this medication, also, around 6 months ago, i took an antibiotic for the same reason, since inflammation disappeared I assumed It was no longer there, unless it reappeared. Anyhow, I dont know what to do, Im desperate, pls help me. ### REPLY: Hello, Read your query, as you are having infection in tooth there is nothing to worried so much this infection intuit can be due to caries or periodontal problem, this can lead to on formation of periapical or periodontal abscess. For this you Should consult your dentist and go for investigations IOWA X-ray if it is carious you should go for Root canal treatment AMD if it is periodontal problem then you should go for Root canal treatment, and you can take Medicine for infection like Amoxicillin or Azithromycin and painkiller like Diclofenac sodium by consulting with your local doctor. Hope this will help you. Regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,I am a patient of Panic Disorder & Thyroid, prescribed with Thyronorm 25mcg & Zapiz 0.5mg morning and 1mg evening, I was taking this dosage from last 6 months, now i have reduced my dosage of Zapiz 0.25mg Morning and 0.25mg Evening and Thyronorm 25mcg daily before breakfast.  Yesterday I got severe palpitations and my health was very bad the whole night.  I am taking these medicines from last 3 years kindly suggest and advise me what to do. ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that your symptoms seem to be related to anxiety associated with to reduce of Rapid. You should know that Rapid is a benzodiazepine, which can help control anxiety and the reducing of the doses could be associated to exacerbation of the symptoms. But a cardiac arrhythmia can not be excluded too. So I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests : - complete blood count-thyroid function tests (some changes in thermoform may be needed)- blood electrolytes. If the above tests result normal, the most probable cause would remain a panic attack. In such case, you should discuss with your attending physician on the possibility of making some changes to your actual therapy, to help you control better your anxiety. Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Frequent yellow colouration of urine, pain in genital gland , loss of energy all time, damaged foreskin of the gland Hi I am 18 years old male, i have frequent yellow colouration of urine, pain in genital gland, loss of energy all time, damaged foreskin of the gland, please do suggest me about testing, diagnosis & treatment for the problems, thankyou! ### REPLY: Dearoccassional yellow coloring of urine is not a cause of worry as normally urine is regarded as straw colored. Damaged fore skin may be the result of forceful retraction of fore skin that led to cuts, apply Atari tail on it to have quick healing. Regarding loss of energy these type of symptoms cause a concern in person, and he develops a sort of fear of complex in him that results in loss of energy. Regarding pain in testicular region it can be orchids which can be due to pressure or infection. Ayurveda treats it with tab. Essex forte2 BD and punarnava guggul1 BD . Co.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: Hello Dr. mai 32 years ka hu, aur meri shadi ko 3 years ho gaye hai, lekin ek bhi bacche nahi hai. maine aur meri wife dono ne test karvaye hai, wife ko thiroid ploblem thi aur mera semen sluggish tha but after treatment now we are fine, lekin meri wife abhi bhi conceive nahi kar paa rahi hai. Can you help me? ### REPLY: Hi., Thanks for asking. I understand your concern.  If both of you have thyroid problem. The first thing to do is consult Endocrinologist. Get investigated about thyroid hormone go for specific treatment advised. As you recover. You would get your sexual function normal. St.ill get both of you checked by a sterility specialist.& take whatever. Treatment advised.  YOY would be benefited this way.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took a hard fall down stairs the other day, I went and got checked out with xray and they say I irritated my psyatic nerve. This was on Tuesday. well now when I try to have a BM it is really painfull and now I am having horrific pain in my stomach on the left side ### REPLY: Hi, According to your symptoms It's difficult to find out exact problem. In such situation there are 2 common possibilities. First is that you must be suffering from acute gastritis if you are on any pain medications. Second thing is there might be some internal injury on left side which has gone unnoticed. For this you may have to undergo some other tests like X-ray and ultrasound abdomen. So pl. consult to your physician for the proper diagnosis. Do not neglect the pain.  Take care and 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: Hi, may I answer your health queries right now ?  Please type your query here...Im not sure why my white blood cell count is very low 2.3 and platelets down.  I just had an endoscopy that showed gastric erosion and a colonoscopy that showed 2 small polyps of diverticulitis.  But my blood count has the Dr. stumped.  Ive been referred to a hematologist for further check but wanted some insight beforehand. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your gastric erosion and polyps has no relation with your low counts. You may have viral infection or malaria like infection. If your count is not responded to treatment then bone marrow examination is needed to find the exact cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 month old son has lots of little spots on the upper and lower eyelid of one eye which some days seem worse than others. He often tries to rub his eye, which I stop if I see him doing it, but I think he may also do it during his sleep at night. I don t know if he s rubbing his eye because it s itchy and sore, or if he s making it itchy and sore because he s rubbing it. He also occasionally has a slow blink in the same eye. Is it worth bothering my GP with? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END