Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mum is a dabetic person . she has teeth pain and the teeth lose from the place , but the doctor told her to remove the whole teeth so is that a good idea. she is doubtful a sugar person may even die after removing the teeth . what are the effect for teeth romoval for diabatic person? ### REPLY: Hi your mother being a diabetic person is not a contraindication for extraction as long as her blood sugar levels are maintained within appropriate limits. Get her blood sugar levels checked. If they are ok, go for extraction immediately as advised you by your dentist. If levels are not ok, first get under them control with insulin or other hypoglycemic agents after consultation with your physician. Also take proper antibiotic coverage while undergoing extraction as diabetics are prone to infection. Maintain her oral hygiene properly. And don't worry about her dying after extraction due to her being diabetic. It is not possible if you take above said precautions. Wishing your mother speedy recoveryWith 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: My son was in a bad accident that he was the driver. Everyone was ok.  His car was totaled.   We finally replaced his car with one very similar to the one he wrecked.  He is complaining he isnt sleeping well.  Nightmares about the accident.  What should we do ### REPLY: Hello, he is having PTSD after the near fatal accident. It is seen quite commonly after such life-threatening events - the survivors have sucChatDoctorplaints. Usually these complaints are self limiting and recovery occurs in a week or so. But if the symptom increase or persist then meds are given. Zolpidem 12.5 mg is good for sleep and paroxetine 12.5-37.5 mg takes care of anxiety, irritation, fear and other related symptoms. So, please try to give him courage to tide over this phase but if the symptoms are persistent or increase-start . Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my hiranya operated 10 years back. but after 2 years it started gettung pain and some times swelling. and now adays sometimes sevear pain started. Iam using a hiranya beltalso. still some times sevear pain iam getting. Iam trying to avoid another surgery. What I have to do. please docter? Iam a heart patient and I have done angioplasty and a diabetic patient. Please guide me. ### REPLY: HiP ain and swelling in the operated site of hernia can be recurrence of hernia. If the content like momentum or intestine is blocked in hernial sac, you may experience pain. If your doctor has confirmed hernia again, then there is no alternative to surgery. Medicines have no role to play in hernia. Though you are heart patient and diabetic, surgery can be done. Nothing to worry. Please consult a surgeon and get operated as early as possible and get prevented from life-threatening complications like strangulation. Wish you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am having serious issues controling my bp. i take 10mg amlodopine,40mg lisinopril, 100mg antenolol and 2.5 mg bendrofluazide daily , i had it checked and it was 162/108. i do all the normal things to help but nothings working now, i cycle 2-3 miles 5 days a week , eat well and try to sleep plenty, and at 32 i am getting a bit fed up of this.any ides? ### REPLY: Hi, You will first evaluation for cause of blood pressure. You should undergo test like kidney function test, renal artery Doppler, Sr cortisol and 24 hr Urinary Metanephrines. Also get lipid profile and sugars tested. I think you should be started on tablets like Praising or Clonidine which are highly effective in controlling BP. So request your doctor for these and to reduce dose other medicine like Atenolol and other. Also have healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. 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: My son took a hard, loud kick to the right foot, outside. this was friday afternoon..we went to er on sun am when it was still swollen. it is now tuesday night and the goose egg on outside of foot is large..fluid filled, and swollen..should i go back to dr s or wait it out?? ### REPLY: Hi, You have not mentioned that what the doctors did in ER? Did they take an X-ray? It was necessary. If not you have to refer back and have them a second look. If there is a significant local tenderness, possibility of a fractured bone exists, and they should order an X-ray.  If a fracture is already ruled out, he should have relative rest, with limitation of walking and even limitation of weight-bearing during walking. Also, he can use a few days of a Non-Steroidal Anti-Inflammatory . . Another method that can be used (if no fracture exists) is gentle massage of the foot in warm water with a very small amount of salt dissolved within it.  Assuming that there is no fracture, the problem should be resolved in 7-10 days. If not, further evaluation by an orthopedist and in some cases, a CT scan to find very small fractures could be necessary.  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 today i go the report for FNAC test, The report says: FNAC OF RIGHT CERVICAL LYMPH NODE HEMORRHAGIC ASPIRATE, FOUR SMEARS MADESMEARS SHOW NUMEROUS EPITHELIOD GRANULOMAS AGAINST OF BACKGROUND OF REACTIVE LYMPHOID CELLS & RBCS NO NECROSIS SEENIMPRESSION: GRANULOMATOUS LYMPHADENITISKINDLY HELP DOES THIS MEAN TBTHANK YOU ### REPLY: Hi welcome to  .... You have diagnosed granulators inflammation.... It could be by......-syphilis -leprosy -tuberculosis -brucellosis -sometime malignancy -fungal infection-sarcoidosis etc.... You are right. Most common cause TB. Here in report no cassation present. If it was there TB chance very high. So confirm TB by sputum smear examination and chest x-ray along with prepared smear checked for TB by AFB smear.... Serological test useful for syphilis and other infections. If needed biopsy taken .... Detail history and examination needed. If TB proved AKT can be taken.... Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having fever with heavy leg pains. Today my head is also paining very badly. I am taking Augmentin 650mg twice daily, and paracetmol thrice daily since it started. The fever is going down but its back with in four hours. And I am 40 years of age. Right now I am in malaysia since one month. Before coming here I had the same thing and the fever is very high when I was in India. I was admited and was treated for viral fever/ thrombocytopenia along with malaria and thrombocytopenia. At the time of admission my platelet count is 0000. Can you help me I have international travel insurance also. And one more thing I have my left kidney acheing now even though I am drinking a lot of water. ### REPLY: Hi.u did not mention the duration of the fever and also that whether you completely recovered in India and the platelet count is also not correct as well as your platelet count at the completion of the treatment is not mentioned. If you were completely cured in India and fever subsided completely and now if it has recurred, there could be a different cause for fever which needs to be investigated. Heavy leg pains and headache can be associated with any kind of fever. You also have left kidney aching, that may be indicative of a urinary tract infection which can produce similar kind of symptoms till the infection is cured. Get yourself an opinion of a physician and completely investigated to come to a definitive diagnosis and then appropriate treatment can be given. Hope I have helped 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 father of 74 yrs had an angioplasty on friday last and since has been in the ICu. For the last 2 days his potassium was high but now it is normal. since some time he is running a fever of 102 degree F. What seem to bee the complocations here????? Most sites say that a patient usually should be able to go home within 24 hrs of angioplasty procedure. ### REPLY: Hello, Your father seems to have an infection related to the angioplasty procedure. Infection is a known complication of every intervention (including angioplasty). For this reason, antibiotic therapy may be needed, based on the lab test results (complete blood count, PCR, ESR, blood bacterial culture, a urinalysis, a urine bacterial culture). In such cases, a longer hospitalization period may be needed. 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: My 8 month old has HFM, and is in a lot of pain. Blisters everywhere, barely able to sleep and is inconsolable when awake. Other than giving him Tylenol and offering cold things to chew on I m not sure what to do to keep him comfortable enough to sleep? ### REPLY: Hand, foot and mouth disease is a viral infection that is frequently seen now-a-days. Viral infections do not respond to antibiotics and resolve spontaneously in 5-10 days. Management is supportive. Giving Tylenol should reduce the pain and help. Use lidocaine oral gel over the oral lesions, and it will help in relieving the pain. You may give pedicloryl syrup and help the child sleep. I am sorry that you would need to be a bit patient. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother-in-law has been diagnosed with neuralgia. I can t quite find the right type though on the website. She hasn t had shingles, and the stabbing, shooting pain runs down her arms (both sides, but thankfully not simultaneously. It seems to take turns!) Sometimes the pain is so intense she cries and doubles over. She was put on Lyrica a few weeks ago, but it has only helped marginally. Does the drug take time to take affect? And is there something else that could be causing the problem other than neuralgia? ### REPLY: Hi, thank you for providing the brief history. As the pain is radiating in nature I suspect it to be more of the cervical spine nerve root entrapment. Due to the aging the spine becomes weak and lead to pressure on the intervertebral disc which are situated in between two vertebral bodies. Due to this the disc will lead pressure on the nerve roots. This will lead to pressure on the nerve and pain which will be sharp, shooting in nature. I will advise to undergo a cervical spine scan and them undergo physical therapy which will help ease a lot of problems which she is facing. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing aches and pain generally in my arms, knees , lower legs which show redness . Seems like flu symptoms and tiredness - this has lasted few months & doctor has taken blood tests four seem ok but the problem is ongoing. I am a 64 lady who has always been quite active but have now this constant achiness- can you assist with any suggestions to ease my problem ### REPLY: Thanks for contacting . You have problem of pain swelling and redness at knee region that may be because of rheumatic arthritis. Bursitis may cause stiffness and redness around knee region. Gout may cause swelling and pain because of accumulation of uric acid crystal. Ct scan is helpful for further diagnosis. Consent a physician for further diagnosis. Proper physical examination and history give exact idea. I hope my guidance is helpful to you. Take care. 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 45yrs old and was recently hospitalized with servere ademia.  my Hemoglobin was 6 I received 4 pints of blood and stayed in the hospital for 5 days its been 3 weeks and I was at 10.9.  I dont know how long I was at 6. are there any long tern effects on the body i need to look out for. since i dont know how long I was so low? ### REPLY: Hi, hemoglobin 6 is very low, you are suffering for severe anemia. Blood transfusion is ok for short time management, but you should search for the cause of that. Because only it will give permanent solution of your problem. Long term low he may cause many complications it affect your kidney and hearth also. It may lead to congestive cardiac failure. So just consult hematologist and search for the cause and take treatment accordingly. Thanks for using . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 41 and experiencing pain in my lower back, in my legs and in my lower abdominal area. Almost feels like period pains but they are different. I finished my menstral cycle last Thursday. The soreness is almost as bad as when I started exercise again and feeling stiff. It has been getting worse over the last few months. Please can you give me an indication as to what it might be? Kind regards Lesley ### REPLY: Hello Lesley, Thanks for posting on , From your description, it is most likely that you are suffering from acute PID and you will require to visit a knobs who may do you physical exams, run some tests including STD screening, urinalysis (to rule out possible urinary tract infection), maybe a vaginal smear, blood tests such as CBC, CRP, ESR and perhaps a pelvic ultrasound. These are aimed to either confirm or rule out acute PID or determine another cause. If acute PID is the cause, then your doctor might decide to hospitalize you depending on the gravity for IV antibiotics or simply provide you with oral antibiotics for home-use, this in combination with appropriate anti-inflammatory medication. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 29 years old, i have a 12 year old son. i have been trying to conceive for eight years and i have been unsucessful. my husband has no medical issues. i went to speak with a doctor and the only thing they told me was i have a backwards uterus. i have pain when i have sex and i still have not conceived. what should i do? ### REPLY: HelloBackward uterus(Introverted uterus) is a normal variant of uterus position. It is most likely not related to infertility. Infertility may be due to some other reasons. It needs proper evaluation. Your partner also need proper evaluation. Semen analysis should be done initially. Besides routine investigations you may need hormone profile assay, thyroid profile, follicular study etc. Further investigation depend upon findings. Pain during sex may be due to many causes like . This need proper local clinical examination. You may need few medicines after evaluation. You should consult renowned infertility center. Get well soon. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: him recoverying from a abass in my liver they drained it I was in hospital for 13 days sent home with pick line to have antibodies for every day for a month and then had a mri so I guess the numbers wernt right so back on antibodies for a nother monthso now I have dirreria with mucus in it what should I do ### REPLY: Hello, Diarrhoea with mucous in stools, can you please tell as to, this is since how long? ? , if it started during your antibiotic use??, then may it could be because of your antibiotic, as some antibiotics can cause diarrhea, while mucous in stool is a protective mechanism, please consult your doctor and check if the medications you are taking are causing them, or chronic (long term) use of antibiotics causing them, with a routine stool examination would be enough. But if you have this increased frequency of stools with recent change since very long(more than 2 to 3 months or more) then you must be completely evaluated, with blood tests, colonoscopy and scans to rule out the causes, please consult your Gastroenterologist and get examined, Hope I could help you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This is to inform you that My father is 75yrs.old & now he is suffering on kidney disease last three months,Now he is feeling weakness with bromiting.Here Ultrasnonography,urin & blood report are given belowULTRA SNONOGRAPHY  REPORT1.     Chronic  Kidney disease2.     MILD ASCITES .3.    ENLARGE PROSTATE     24 GM/approx.URINE REPORT.    Albumin     +++    Pus cell     4-7/hpf    RB C         2-3/hpf    Epithelial cells    +     BLOOD REPORT.    Potassium   4.83mmol/L    Sodium         134.9mmol/L     Blood Uria     104mg    serum-creatinine    8.0mg.    WBC 9300cu-mm.Pl. give the suggestion about my fathers treatment,where the treatment are possible.Pl. give the details address with contract no for  about the treatment.We are in bankura, west Bengal.Pl. give the feedback by mail.Pl.give thewhich date doctor to be available for treatment. ### REPLY: Hithanks for posting in ChatDoctorI have understood your concern present diagnosis of your father is1. Acute on chronic kidney disease2.??urinary tract infection -needs confirmation his serum creatinine and blood urea are high and the symptoms of vomiting and weaknesses are uremic symptoms.at his age he may not be a candidate for renal transplant can suggest you 1.urine routine and culture2.baseline ECG and ECHO3.arterial blood gases he needs renal replacement therapy as1.hemodialysis or2.peritoneal dialysis-can be done at home initially till symptoms and labs come down, he needs dialysis regularly and later weekly twice or thrice.you'll get the facility of the above tests and dialysis in any nearby super specialty hospital. Hope this helps you any further questions please let me know 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 done a clearblue pregnancy test on wednesday. it said pregnant 1-2 which on the box says that means 1-2 weeks since conception. but it also said that my doctor will date this as being 4 weeks pregnant. please help. i dont know how this works and am really confused. ### REPLY: Hello, and I hope I can help you today. Over-the-counter pregnancy tests check for pregnancy hormone in your ruin, however the results are absolutely not reliable in diagnosing the length of gestation. The reason for this, is that the amount of pregnancy hormone in your urine, depending upon how much water you . However, what the box is explaining is the way that we routinely as physicians calculate the due date for someone's pregnancy. As a convention, the due date for pregnancy is calculated based on the first day of the women last menstrual period. The pregnancy test measures the amount of pregnancy hormone, theoretically, from the date of conception. In women with a 28-day menstrual cycle, ovulation typically occurs at 14 days after the start of your period, so, that is why your doctor will refer to your pregnancy as two weeks further along than the pregnancy test. So, in the meantime, I would not worry too much about calculating your due date. When you see a doctor for the first time for this pregnancy, he or she will explain how we determine your due date. Obstetricians generally recommend that you see a doctor for your first prenatal visit at around 6 to 7 weeks gestation (from the first day of your last menstrual period)In the meantime, please begin taking a prenatal vitamin supplement, stop  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 nights ago my heart was racing around 130 bpm I think from too much caffeine but it really freaked me out and I began to panic and I tried to sleep but it was beating so hard I was scared. so anyways all yesterday and now today my chest has been aching I feel anxious. I was wondering what you could tell me about this. ### REPLY: Hello. Thank you for your question and welcome to . I understand your concern. Coffee and other caffeine-containing beverages, like tea or energy .  My opinion is that the panic you went through, only made things worse or "put petrol to fire", because it is well-known that also fear, anxiety, panic attack or any other psychologically enhanced situation can increase the heart rate and, subsequently, produce shortness of breath, more fear, dizziness etc. Therefore, I would recommend you to avoid large amounts of caffeine and try to have a normal 6-7-hour sleep cycle, mostly from 11 pm to 6 am. Also, be physically active and recognize this as a very healthy behavior, for at least 60 minutes a day. My opinion is that these are all the measures that should be undertaken, and no further action, at the moment. If you find this episode worrisome, and it is repeated with no known cause (because you recognize that this one is because of the caffeine), then an EKG would be in order, and, if judged appropriate by your attending doctor, further evaluation. I hope I was helpful. Take care.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr. Rangadhar,I am 32 yrs old, (male), and am slim but have a funny big sagging belly and sagging nipples. The combination looks so crazily funny that I feel ashamed to go out in public. Kindly tell me how I can look normal.thank you in advanceShyamal ### REPLY: Hi there, I had gone through your query and understand your concern. Yoga and exercise can help to tone the body to some extent but if the problem is very uncomfortable or disturbing the daily routine life, I suggest seeing the Plastic Surgery who can examine the extent of the condition & advise surgery if required. A lot of individuals these days opt for cosmetic surgery if this kind and best Specialist Surgeon to advise is Plastic Surgeon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my girlfriend and i had unprotected sex. she took the first Next Choice pill about 7-8 hrs after sex, and the second pill between 15-24 hours after the first pill (the box says to take the second pill 12hrs after the first). Im concerned about her getting pregnant since she was late taking the second pill. ### REPLY: Hello, The chances of failure are very less even if the second pill is a few hours late, but the entire course is taken within the stipulated time. Moreover, if the unprotected intercourse happened during the safe period of her menstrual cycle, she is naturally protected. The emergency contraceptive has high hormone content and hence can cause with .  The pill can also cause delayed natural period by a week or two. If she does not see her natural period even ten days after she is due, please get further help. 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: What could be going on when my stomach gets very bloated before my cycles.I dont have any idea when my cycles will come.I usually start these symptoms about 2 weeks after I have a cycle.It can lastanywhere from 2-4 weeks until I have my next cycle.I also experience sharp pains in my lower abdomen during that time. ### REPLY: Hi. Thanks for your query and an elucidated history. The sharp pains along with bloating in the lower abdomen during the time you have mentioned, can be due to severe PID-Pelvic Inflammatory Disease or Endometriosis as this is related to the hormonal cycle. I would advise you the following-Get examined by a Gynecologist during an attack of pain.-Get blood, urine and stool tests during painful period.-Ultrasonography abdomen and pelvis and trans-vaginal USG too. Proper diagnosis will lead to a proper treatment. If required, a Diagnostic Laparoscopy and SOS Procedure can help you the maximum. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 been experiencing pains in his chest to the point he hits it like tarzan in the jungle to free up a stitch like pain that grips him. He thinks its wind, but it last for about 3 mins on the left side of his chest.After several thumps the pressure in his chest is releasedWhat is it ### REPLY: Yellowest pain in left side and tightness may be due to many causes like cardio-pulmonary causes etc. It is always safe to exclude cardiac causes in such symptoms. Your husband may need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver and renal function test, lipid profile, urine RE/ME, chest X-ray (PA view), ultrasound of abdomen, ECG,TMT, ECHO. Your husband may need further test like angiography after these initial tests. Proper treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am being treated for a staph infection.Been on Bactrim for 5 weeks cypro for 6 weeks prior.have had prior back fusion 5yrs ago.have had alot of back pain the last 2weeks.Bad spasms just started.My question is should i go back to doctor treating me for the staph or my nuro surgeon? ### REPLY: Welcome, Consult Euro Surgeon/Orthopedic SurgeonSpinal fusion is surgery to permanently connect two or more vertebrae in your spine, eliminating motion between them. Spinal fusion involves techniques designed to mimic the normal healing process of broken bones. During spinal fusion, your surgeon places bone or a bone-like material within the space between two spinal vertebrae. Metal plates, screws and rods may be used to hold the vertebrae together, so they can heal into one solid unit. Because spinal fusion surgery immobilizes parts of your spine, it changes the way your spine can move. This places additional stress and strain on the vertebrae above and below the fused portion, and may increase the rate at which those areas of your spine degenerate. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor. My Husband got chicken pox and the local physician prescribed him cifran 500 twice daily and ocuvir 400DT 3 times daily in water. People tell me that no medication must be given for chicken pox. If this is right then is the physician prescription wrong?? Pls reply.. ### REPLY: Hello. I have reviewed your query and here is my advice. Ocular 400 MG Tablet DT is an antiviral agent which is used in the treatment of infections caused by herpes virus such as chickenpox and herpes zoster. Chicken Pox is always treated with suitable antibiotics and antiviral medicines. Do not listen to other people. Get advise from your doctor. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son had cystic fibrosis, he had meconium ileus at birth and had complications post surgery with blockages and spent 2 months in nicu. He passed away july 3 2014, he just turned 2 years old may 30th 2014 , he had developed a routine blockage (happened about 5 times since leaving nicu) and everytime we would bring him directly to ER they would ask us only to bring him if he shows signs of dehydration, fever, or any signs of abnormality with his usual self, or if symptoms do not get better after 48 hours (throwing up, no stools, etc.) now on july 2nd he started his throwing up so we knew he had gotten a blockage, we followed orders and started miralax treatment right away, throughtout night he continued throwing up (same as other times, and usually passes big stool on 2nd day and is back to normal) we dont know what happened on july 3rd but at around 12pm he started to act funny and talk funny, as if he wasnt getting enough oxygen to his brain, his pupils got a little big, abdomen seemed a bit larger then it was few minutes before, and within a minute or so, he just stopped......... ambulance came and said he was already passed etc etc. they wrote on his death certificate intestinal blockage, cystic fibrosis and aspiration, am i right to believe that what happened to him mustve been septic shock? there was no autopsy performed, but i think maybe his intestine ruptured throughtout the night? thank you for any answers, it was literally 24 hours of a blockage. ### REPLY: Hi, welcome to . Sorry to hear the demise of your child. Meconium illus and cystic fibrosis may present in spectrum as they can be severe in some cases and in some cases usually not very severe. But, complications may be many. Cystic fibrosis can lead to formation of viscid mucus plugs which can lead to blockage of the airway leading to hypoxia and death. Usually, blockage of intestine resulting in rupture of intestine or intestinal perforation is not very common in infants. The intestinal obstruction will present as abdominal distension and vomiting commonly. But, in child .  This is usually the most common cause of deaths in child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have had an IUD for almost a year now. I got the IUD after i had my daughter. I always got my period regularly same time every month and very consistent. I am a few weeks late. I have been more sensitive to smells and my appetite has increased and it reminds me a lot on my first pregnancy the symptoms that first came. I have been a bit under the weather lately but its not a cold or the flew not sure what it is ( i am not getting sick though). by body temperature randomly rises and falls really quick it feels like i can be cold on minute and unbearably warm the next. I Had a complication in my last pregnancy i had hydronephrosis? I am not sure how to spell that but my kidneys were not funtioning the way they were suppossed to. I am wondering if it is possible for me to pregnant on my IUD or it i could be my kidneys again a little. ### REPLY: Hello, thank you for using , since you having IUD, chances of pregnancy are rare. Still if you are worried take urine pregnancy test or more confirmatory test like beta  level in blood or ultrasound. If you pregnant and want to continue then please remove IUD asap and be under supervision of gynecologist.it seems like your symptoms are not because of pregnancy. Consult physician for diagnosis and check for your kidney problem.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: For about 2 months I have been having pain and numbness down my right arm. There is tingling in my arm and hand often like is asleep causing bad itching. It feels, at times like it runs from the back of my neck down to my hand. It s hard to tell if it s a nerve or muscle issue. What does it sound like ? ### REPLY: Dear patient it seems you're having nerve compression at the level of cervical spine with articular pain in the right upper limb and hand. This happens mostly due to disc prolapse in cervical spine. Diagnosis needs to be confirmed by MRI of the cervical spine. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime. You need to consult spine surgeon nearby you with report. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Himy name is bhupender , i am 34, height is 176 cm and weight is around 78 kg. for last 2 months i am suffering from acute anxiety dissorder. the cardiologist has termed it as cardiac neurosis and the physician call it "Panic attack dissorder". i was a normall human being befor 6th of march,2010 and on 7th that strange wave of fear came all of sudden and and started feeling that m y BP is going high and i may have a heart attack. since then there has been 5 occasions when i was rushed to ER. my TMT test is ok where in i worked out for 9.5 minutes with 3 step increase in speed and reached a maximum heart rate of 190 with bp of 160/80. my LFT, KFT, blood sugar are normal, Thyroide , Vit-B12 and serum foliate is also normal but still i have a fear that my BP will go high anytime and that i will have a heart attack and i am not able to over come it. I am taking Concid twice a day before meal and Nexito 10 mg before i go to bed everyday for last 1 week. how can i reset my mind again. please help ### REPLY: Hi dear. I had gone through your query. I understand your concern. Panic attack define as sudden rise in anxiety. Symptoms like palpitation / tachycardia / sweating etc...it may mimic like heart attack. But all investigations came normal. In panic attacks there is no life-threatening but it has severe anxiety. No need to worry. Just relax and accept your psychological problems. Proper psychological evaluation and counselling will help. Supportive psychotherapy will increase your tolerance to bear that anxiety. It can be treated with medicine like combination of SSRI and benzodiazepine. In SSRI sertraline / Escitalopram / paroxetine will help. Sudden attack can be relieved by Mizoram and clonazepam. But consult psychiatrist for better evaluation and assistance. Still if you have a query then feel free to ask. Happy to help you further. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been trying to conceive for the past 6months bt its failing i am failing ,hve been prescribed provera tablets and ovamit for 5days ,,,,am i going to get pregnant..i am 28years old,and 1.7m in height ,i have a four year old son,and have never been diagonised of any disease,hve been using the family planning tablets for tne past 2years ### REPLY: Hi. Is your menstrual cycle regular? Have you undergone enough tests? Are your hormone levels normal? Is your thyroid function normal? Make sure all investigations have been conducted, and if there is anything away from normal, speak to your doctor about correction. If all is normal, you can speak to your doctor for a few extra instructions and the initiation of fertility aids like omit along with  injections. Use ovulation strips to help provide you accurate details on when you are ovulating, so you can have intercourse during a more accurate time that will increase your chances of conception. 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 m a female in my 40 s and very active. i fell hard on my back (during my step arobics/zumba workout at home), my main back bone hit the corner of my brick fireplace and my hand hit the floor hard. Now my back bone hurts when i bent my back backwards its been 24 hrs since fall. My doctor cant see me until 30 more hours, should I be worry ? I love to dance latin music so Im worry that i wont be able to move as before the fall. My hand also hurts when I open my fingers. Any advice while I wait to see my doctor? ### REPLY: Hi, as you mentioned the pain and the mechanism of injury. You need to first take a bed rest as your back is still hurting. Also using hot water fermentation for the hand and back will be good to soothe it. Taking an x-ray of hand and MRI of spine will help further. Depending upon the extent of the pain and injury the next treatment is planned, but for time being you should be resting as it is unclear what injury it is. Also post all these, a good exercise program will help to the deepest extent to make you back in Latin dancing. With the grace the God I wish you a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a painful lump on my lower left jaw bone. Had an x-ray done and it showed bone loss and a tumor. I have an implant at the same site. The implant seems fine. It is not loose or sore. There is no drainage or foul taste in my mouth. I just have this painful lump that never goes away. Is this something to worry about. Plus I have been very tired. M.H. ### REPLY: Hi. Thanks for your query and an elucidated history. Bone loss on the x-ray and painful lump at a spot you say go in favor of either a chronic osteomyelitis OT a cancer of the underlying tissue. Urgent evaluation by clinical examination. CT scan and most important FNAC- fine needle aspiration cytology will help to come to the final conclusion and treatment will depend upon the reports. Need of surgery is certain and do not make this late further. The role of the implant can be decided by CT scan only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 weeks pregnant and i have a low platelet count. It was 117 a month ago then it dropped to 100 two weeks ago and now it is 93. My Haemoglobin has also dropped to 10.8 and my iron is 16. Should i be worried and if so what could be the reason for these low counts. ### REPLY: Hello, and I hope I can help you today. Low platelets during pregnancy the, called thrombocytopenia, is actually a relatively common diagnosis during pregnancy. Gestational thrombocytopenia is a condition where the platelet levels .  It is caused by pregnancy itself and usually the levels return to normal after delivery. Platelets are cells within the body that are designed to help clot your blood. Normally, a low platelet count can sometimes increase bleeding time, however during pregnancy your own body produces additional clotting factors that help protect the mother from excessive bleeding during childbirth. If a mothers' platelet count is above 50,000, the chance of having bleeding related complications of delivery are extremely low. Your platelets will need to be continued to be monitored until you have the baby, because other diseases of pregnancy can also cause low platelets, and your prenatal care provider will need to watch out for those. In the meantime, your thrombocytopenia does not put your health or the babies risk. The only way a low platelet count might affect your labor and delivery experience, is regarding pain relief and labor. Epidural anesthesia is generally not recommended with a platelet count below 100,000. So depending upon your platelet count at delivery you may or may not be eligible for epidural anesthesia. Regarding the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: scrotum hanging lowHello I am 23 years old and unmarried . My scrotum is hanging low . When I go to toilet my scrotum is tight. I did not fell any pain in the. Scrotum . Is there any treatment to make my scrotum tight. One of my friend suggests to undergo scrotal liftt or scrotum reduction surgery, Is there any side effects in future by undergoing these.surgery . And how far its good and there are any risks in it. I want to know is these surgery can be performed by urologist or cosmotic surgeon Thank u in advance ### REPLY: HelloThanks for query. You have that your scrotum is hanging very low. I would like to state that position of the testicles is variable from person to person and in order to have normal functioning of testicles varies according to atmospheric temperature. There is no need to undergo any surgery. There is high risk of hampering function of testicles which is more vital than position of testicles . .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feet are for the most part numb all the time. This past two months they have cracked everywhere, and I mean everywhere. My lower legs and ankles are swollen. I also have what feels like a burn kinda looks like a rash red or blotchy redness. My wife is making me do this so thank you ### REPLY: Hi, I had gone through your question and understand your concerns. You haven't mentioned your age, sex, any medical history like Diabetes, sunburn,eczema, or any nerve injury? As per your information, there could be many possibilities. Most likely it could be a peripheral neuropathy which occurs because of nerves malfunction due to its damage or destruction.Also, erytheromalgia can be the reason in which blood vessels, are episodically blocked leading to severe burning pain & skin redness which are commonly triggered by heat, pressure, mild activity, exertion, insomnia or stress. Ice and some medications relieves it. I will suggest you need to see a doctor soon to rule it out. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us and voting. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: left abdominal pain doesnt hurt too much but i get it alittle or when i bend over i get a small amount of pain. two days ago i was very sick puking couldnt hold nothing down. it only last for 12 14 hours now i feel alright just alittle pain. what might that be? ### REPLY: Hi! Good morning. I am  answering your query. You might have got a food poisoning and intestinal infection accidentally by consuming some kind of stale food, which might be harboring bacteria. Even though the vomiting stopped, the infection might be persisting in your intestines, which caused the present discomfort in your abdomen. If I were your doctor, I would have prescribed a broad spectrum antibiotic against both aerobic and anaerobic bacteria and also against amoeba after a routine stool test for ova and cyst. I would also add a probiotic and a proton pump inhibitor .  You would be advised not to eat food from outside which usually are not hygienically prepared. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Tonya. My 85 year old uncle lives with me. Last week he took a fall and was cleared in an ER. He has a lumbar compression fracture and has been taking 5mg oxycodone twice daily and limited 325mg acetaminophen once daily. He has several comorbidities which include diabetes, chronic kidney disease, and multiple cardiac issues. He is on 3mg warfarin daily, 0.125mg digoxin every other day. There are a few other meds along with vitamins that he takes. The long and short is he has not had a bowel movement in 6 days. He normally evacuates his bowel 2-3 times daily. What can I give him besides his 250mg daily dose of Colace? I am extremely cautious in what I give him because both bactrim and acyclovir have shut his kidneys down. We have had to do extended hospital stays with one time dialysis sessions to get him straightened out. Thank you for your assistance. ### REPLY: Hi, thank you for providing the brief history of your uncle. A thorough clinical neuromuscular assessment is advised with MRI of lumbar spine. Since your uncle is 85 years old, and had a fall, he needs a proper neuromuscular assessment, as this fall may disrupt his functional ability. Also, by understanding the proper neurological signs and symptoms one can come to conclusion of what to do. Usually, if there is absence of neurological signs and symptoms, then with simple physical therapy the patient responds well. As there is a compression fracture, taking proper bed rest is of due importance. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, i m 23 yr old boy having 8mm stone in kidney..it pains me terifically.wat shud i do? operation?which type?can it come out easily through urin?or operation is must?in future is their any chance for its becoming again?how to prevent my self? ### REPLY: Hi ! Welcome to  .com. Stones larger than 7-8 mm rarely pass on their own because the ureter diameter is 5 mm. A procedure called lithography is often used. In this procedure, shock waves are used to break up a large stone into smaller pieces that can then pass through the urinary system. Only if this fails surgery is done. Stones can recur in the future. To avoid you should stay HY . Three liters of water on a daily basis is the recommended amount for kidney stones prevention and although this may have you running to the toilet every five minutes, it can stop the painful kidney stones from occurring. If you work in a hot environment then you should aim to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here..My Mom is 83 she has had cancer of the uterus and has had that removed .  She now has a pea sized lump in front of her ear and says she thinks it is effecting her hearing.  Should I be worried about this. ### REPLY: Welcome to  .1. Lumps in the neck / near the ear in a post-operative case of uterine malignancy can be enlarged lymph nodes.2. This can occur due to recurrence and metastasis. 3. In this case by age it may not be related to the uterine cause, it does happen due to underlying medical conditions / lowered immunity level.4. See your doctor get it examined, an FNAC would help in identification of the nature of the lump.5. Yes you should worry - get a complete checkup and treat the cause, helps in long life to your mother. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A week and a half ago my gallbladder was removed. After surgery I had some bruising below the belly button incision that went away. Since it has become very hard around the area surrounding my belly button, tender to the tounch, slightly red, and a slight warmth to the touch. Is this all normal? If not should I call my surgeon in the morning or go to the hospital? ### REPLY: Hi.noted history of recent laparoscopic cholecystectomy and current tenderness, warmth and redness over the umbilical port site. It is possible that you have a surgical site infection. To rule this out, it is best if you do a follow-up consult with your surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound and complete blood count may be requested) and management (medical and/or surgical .  Avoid manipulation of the affected site and daily wound care is also advised. Hope this helps. Good day!!~ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.. Is augmentin dds is safe medicine to give a 3 year old child. Many doc have told me that its the hardest antibiotic which is given only in critical conditions but our paediatrician always prescribe augmentin dds for throat and other kind of infections. ### REPLY: Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Augmenting is usual amoxiclav. It is very helpful for Streptococcal infection, which causes tonsillitis at babies. The most common side effect-diarrhea, but if child will take also probiotics-Vizylac or Similar, then you will not have it. Please let me know if you have further questions before meeting your primary care 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: in short-My Grandmother age-more 70 has suffering from chest pain from last 10-15days,we have done-x-ray,ecg and eco, from s s k m hospital and aft that doctor gave some medicines to get relief from pain,but she doesn t feel any relief after taking the medicines from last 3days,now the doctor is saying there will b some other problem like it may b some lunge infection or something like that, now i can t understand what to do for her, can u give me some suggestion?. ### REPLY: Hello, Thanks for using . I had gone through the data you have posted. Chest pain in 70 yr female the differential diagnosis would be1)HERD: Castro esophageal reflux disease: here chest pain would be burning sensation, may be more at night. Treatment would be to avoid spicy foods, keep head end raised and use PPIlike tab. Pantocid L which is a combination of PPI with prokinetic. 2) chest pain localized to one SID and increases with cough and deep breathing i suggestive of pleuritic pain seen with lung infection like pneumonia. CXR may be necessary and treatment would be antibiotics3)chest pain more central, associated with breathlessness, swelling of legssuggesive of cardiac4)Musculoskeletal: pain during some positions. Take combination painkiller for 2 days like diclofenac+thiocolchiside if renal parameters are normal.as you have said CXR, ECG and 2decho are normal to take a painkiller along with antacid L. 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 name is ahmed and i am male of 25 years old boy.My weight is 44kg.I have been suffering from  problem when heart rate goes fast after taking food. My heart starts pounding and i feel restless after taking food in morning and after lunch  within 1 hour my heart starts to pound and palpitation becomes hard and felt in head hands and chest between 3 to 5pm. then it gets automatically ok. i am a lean and weak boy.and cannot lay onto bed in afternoon.Also palpitation is felt whenever i eat excess food or spicy food. When i wake up in morning perspiration starts to come on my palms but this happens more in summer season During day time my pulse remains fast and as day passes it becomes normal. I start to feel my heart beatafter eating lunch and breakfast. Also perspiration comes on my hand and i also have anxiety problem. kindly suggest a remedy for my problem.My condition also gets worse after taking tea or warm milk or after eating lots of food or heavy food.when i lay on bed for sleep or when i travel after that my heart pounds and my pulse goes fast and i start to feel palpitation and can hear palpitation as well. i alwaysfeel physically restless with palpitation.Palpitation also comes to me with anxiety as well.In normal situation also when i go to bed i feel palpitation but after eating food it becomes pounding and hard palpitation. heart also pounds when i go upstairs or do a little exhursion. also after eating heavy food my heart starts to pound and palpitate.heart beat becomes irregular after taking food and at times i feel pain in chest as well.My problem gets worse in warm weather. I have under gone t3 t4 and tsh test and report is normal.All of this problem is for 8 years now. I shall be thankful to you if you could guide me. ### REPLY: There are a few possibilities as to what can be causing the symptoms you describe. I'll delve into a few possibilities. Keep in mind however, stress and inherent cardiac conditions can in and of themselves be the root cause for these symptoms, though there are also a slew of outside factors (i.e. food insensitivity and reactions) which can cause this as well. Spicy food, as well as salty food have the potential of deny .  Low potassium, and or deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom is 71 years old.  Lately, her behavior has changed.  She has become forgetful and hangs up on people when talking to them on the phone.  She is often hateful at times.  She lies around her house and doesnt want to get out and do anything.  I could go on but just doing little research on Alziemhers, my sisters and I think she may have the onset? ### REPLY: Dear serve understand your concerns went through your details. Usually schizophrenia is brain related disorder. The symptoms may include short term memory changes, trouble remembering, difficulty finding right words, apathy, changes in mood, difficulty in completing normal and simple tasks, failing sense of direction etc. You should talk to a neurologist at the earliest. 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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have been with my partner for 3 years we just got married 2 months ago.  I was tested for all STDs going into the relationship and again when I was pregnant with my now 18 month old.  I had a pap smear in April 2009 but am not sure if I was tested for stds.  I had a copper IUD put in me late December and when I went for my check up in Jan they took swabs when I complained of abdominal pain and having to pee frequently.  They came back clean but I phoned up my GP for antibiotics for a UTI since this is fairly common after having an IUD put in the Dr didnt test for it.  Well the pain went away but come back a couple of weeks later.  I put it to the back of my head as was very busy with exams and planning wedding plus thought I had to suffer through it cause of the IUD.  We went away on honeymoon and had pain while sex.  I thought it was the IUD and went to have it checked and was sent to another clinic after the first clinic took swabs.  They did swabs at second clinic and both tests came back positive with Chlamydia!  I have not cheated and the only person that I have had sex with is my husband for the past 3 years.  Of course I accused him of cheating and he swore that he hasnt cheated on me.  He went to get a full STD check and to add to the confusion he has come back negative for any STDs.  I am so confused as to how I could have gotten this.Before my husband got tested I was told that it was possible that he had Chlamydia and I was resistant to it and then when my IUD was put in I finally caught it.  Is it possible for my husband to be carrying Chlamydia but not have it and not test positive for it?Also I am worried that I have something else perhaps cervical cancer and it has had a reaction with the IUD and given me false positive results??  I am still peeing frequently and having abdominal pain even though I have completed all my antibiotics.  I will add that I have not had sex with my husband since all this has gone down and also he when he went to the clinic they gave him treatment for it even though they hadnt gotten his test results back yet.I am so confused and upset and I need answers as this is taking over my life. ### REPLY: Thanks for your question on . I can understand your situation and problem. First, no need to worry about cervical cancer because you're all reports are negative for cancer. You are having chlamydia infection due to IUD in uterus. IUD weakens local uterine defense system, so women on IUD are more prone to STD s. You are mostly infected through your husband. Male urethra is very protective against infection. So your husband might be carrying chlamydia without infecting him. And during sexual Intercourse, you are infected. Since your defense system is weak due to IUD, you are having symptoms of infection. So better to get done sensitivity report for guidance of effective antibiotic therapy. No need to worry about cervical cancer. 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 was (acutely) using cocaine earlier tonight favoring only my right nostril. At the same time I began, the gum behind my right bottom molar started to swell until the molar eventually popped the swelling and relieved some pressure. My cheek, jaw, gum, and right side of face are all still in pain and very swollen. It is important to note that I am 20 and have wisdom teetChatDoctoring in, though not on the bottom where the swelling occurred. I was curious if this swelling could be due nasal irritation, blockage, etc. ### REPLY: Thanks for using . Read your query. Cocaine in general harms your body and it is very mucChatDoctorpulsory to stop it immediately and get rehabilitated. Cocaine causes gum problems including acute gingival inflammatory effects of swelling. It can also cause chronic gingivitis, reduced salivary secretions, increased dental caries and many other harmful effects. I would advise you to visit your and get your teeth cleaned and use chlorhexidine mouth wash for a while. Check it with the dentist if any of your is decayed and the swelling is due to the decay. Hope this was useful. 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: Since 3 weeks ive been suffering from episodes of sudden dizziness that does not last more than one minute but that is followed by nausea and sometimes palpitations and rapid breath.I have done some blood tests incincluding cbc, ferritin, vitamin b12, TSH, T3and T4. All results were normal. What could be the reason behind such repeated episodes of dizziness? Note: such symptons appear once or twice a week and less when I am relaxed. ### REPLY: Hi, Thanks for writing in. Dizziness can also occur due to stress related anxiety or overflow of emotions. However, before saying that your symptoms are due to anxiety, the following other causes of dizziness and nausea must be evaluated. Short duration of dizziness can also happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain. The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate. Clinical examination of inner ear and vestibular system in the ear is also required. For this you might have to consult the ENT specialist. After clinical examination if there is suspicion of inner ear problems then detailed investigation is required. It might help to do an Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or air. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has a psychological problem, when ever there is rain (there will be a electrical problem in our area that common due to low voltage or any thing else) there may be some sought of fear due to electrical,,,,,,,and she in tension and feel  un relaxed for more then one day ,,,,if there is any power cut that will increase her fear,,,, if she went to any other place there is no problem,,, not even have thinking about that,,, she say to change the home,,, ,,, dr. can you suggest me what type treatment we need to  do ,,, which type of specialist we need to consult ### REPLY: Hi dear. I understand your concern. She has anxiety based on situation.  Need proper explanation and support psychologically. Support her. Medicines like Escitalopram or paroxetine in low dose can be useful. But before that consult psychiatrist for evaluation of her mental status. So consult and get help. Ensure proper sleep and diet. Support her. Still have a query then feel free to ask. Happy to help you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I normally weight 184.6 and was at that weight two days ago. Now I weight 204.8and my legs toe to thigh are swollen. I have had issues with fluid on my heart and in the past my injection rate was 25. I am visiting with my sister in another state other than my hometown. Should I go to the ER? ### REPLY: Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you had the fluid issues in the past and now the leg is swollen from thigh to toe I will advise to get the swelling reduce first as I may lead to cardiac overload which is not a good sign Also, this swelling of the lower limb as a whole should not be related to the past condition but due to the block of the venous insufficiency for which a Doppler might be used. Post which with simple diuretic and stocking for lower limbs should help you and avoid complications. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir I am feeling motion in my head and stiffness in neck ,my doctor earlier gives me vertin for it,i feel numbness in forehead and feel like passaway that moment but after 4-5 weeks he gives me ezeepam-10mg,etilaam-0.5mg,valance-od 500mg.Now arround eight months are passed but still i need to take the same medicine regularly.Please suggest what i have to do. ### REPLY: Dear NeelgaganMy suggestion to you is that you consult an ENT specialist asap as most of the "feeling motion" episodes are due to the involvement of the labyrinthine system in your ear. Vertigo is a very vast symptom, so it is exactly hard to tell you exactly what is going on. If you can give more details maybe we can get closer to a diagnosis, but you will need to run a few tests. Please do tell me your age, gender and more details about the motion. Do you see objects around you moving, or you get the feeling that you are moving? Is the movement in circles or vertical? Take good care of your self Thank UACIF ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dad has abnormally huge painful boogers. He says they make it impossible to breath cause headaches that he cant get rid of  and there is also blood almost every time he blows his nose and even more blood when he can finally get them out! They cause him a lot of pain! I was wondering what is causing this, if its something to be worried about, and if at all possible how to make it a little more bearable or make it go away completely?? Ive googled this countless times and cant find anything! ### REPLY: Hi, Dear,Thanks for your query to . Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Hard, Crusty Nasal . Don't disturb them by removal. Warm water with bicarbonate douches would release them easily for you. If you physically remove them, they could create heavy bleeding from nasal bleeders placed at that location. Adequate HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I am a male 55 yrs. partially paralyzed incomplete quad wheelchair bound 37 years spinal cord injury. I have had a foley catheteter 3 months I HAVE no fever or feelings of sickness but im getting a fair amount of blood coming out of my penus when I move around. Should I call 911 or wait call doctor tomorrow ### REPLY: Hello! I understand your concern. In my opinion the troubles you have may be caused by physical damage to your urinary ways. It is the trauma caused to these ways by the catheter during movement or traction. I think you should go to the doctor as soon as possible to have a physical examination, a routine blood test, a urinalysis and an abdominal ethnography. This situation may cause anemia or urinary infection. You may need change of the catheter or further examination by a urologist to find out the problem.In the meantime I would recommend you to avoid every movement of the catheter because it can cause further damage. Hope to have been helpful! Thank you for using ! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had pressure headaches and heart palpitations for a few months now..ive had two episodes of feeling faint during this time...my chest hurts off and on everyday and flutters all the time...i get sharp pains in my head now and then and have colds sensations in my chest from time to time...i havent felt right since this all started..i was put on zoloft, my doctor thought it was anxiety. Ive been to the ER 3 times. Ive had an ultrasound, chest xray, ct scan w/ contrast (head) ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that your symptoms could be related to a cardiac arrhythmia. This would not explain the sharp headaches, which could be just ice pick headache, which is a benign type of headache. Anxiety could also play an important role in all this clinical scenario. In such case, you should know that it may take up to two weeks for the effects of Zoloft to be seen. Anyway, I would recommend performing some further tests to exclude a possible cardiac arrhythmia: - an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends for a prolonged time-thyroid hormone levels to exclude a possible thyroid dysfunction. Hope to have been helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My musles in my legs and arms and part of my back twitch alot. After a days work, standing up, I get massive leg cramps. Mostly on my left leg, from my hamstring to my toes. First I took a week off from work, then two weeks. But when I return, so do the cramps, including my left thumb. The twitching is every day. Im not lacking vitamins or minerals, per blood test. Help. ### REPLY: Hi, Thanks for your query. It seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing a mild pain in my left rib cage. If I eat, within 30 minutes, I experience severe diarrhoea and belly pains. I am very stressed at the moment. Please help as I am very worried. I m a recently single mother dealing with a lot of stress. Thanks ### REPLY: Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, you are not suffering from simple rib pain, but something more serious, as your symptoms include belly pain and diarrhea, you could be suffering from problems of abdomen, please consult your gastroenterologist early I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is andrew i have had lower back pain and lower abdominal pain now for nearly two years also frequent urinating that looks like bubble bath.black eyes.seems to be affecting my nervous system. have had anxiety attacks also constant aching of the scrotum.and what looks like light lumps under the skin on gland on penis ### REPLY: Hello, Thanks for the query to . Forum. Since, you are having pain in back & lower abdomen from last two years. Frequent urination, you have not mentioned the age, if age is 55 years (around this) may be due to enlargement of prostate. Blacken around eyes are may be due to anemia or skin disorder as there are itching around scrotum and over thigh. Lump at glans penis may be due to sexually transmitted infection (if any or any history of contact), then consult a dermatologist and get his opinion. 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 recently had a tooth extraction performed (earlier this morning) and did not have any stitches put in. This did not worry me since the surgeon decided not to except I realized just now that there is a large flap of gum near my cheek and it exposes the hole, making me worry that I will not clot properly. I am terribly afraid of a dry socket, and when I removed the initial gauze I found it was stuffed inside the hole by the dental assistant. Should I be worried or just let it try to heal because the blood has already stopped flowing? ### REPLY: Hiii....in my opinion there is nothing to worry here in your case....if . ...you will be suffering a lot of pain by now...but that didn't happen...so you don't have to worry...it will heal perfectly...there will be some blood streak while spitting...don't use too much force while spitting.it can dislodge clot...and gargle with warm salt water and take medications your dentist prescribed and more over keep smiling...hope u got your ans...any more queries play rely me....than have a great 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: For the past month I have severe itching at night, all over my body and head, (no rash). It gets so bad that i have taken benedryl almost every night. It used to just happen only when I was in our den for more than 1/2 hour or when I ate anything with soy lethicin (commonly found in most chocolates). Also itch if I used soap products like Tide. So I stick with the same skin, hair, makeup and cloths washing products. I have recently started taking Solostar Lantus(15u) at night. I have known allergies to dust mites, cinnamon and soy lecithin. I have changed from a feather to a foam pillow. I itch whether I sleep in my own bed or on the sofa. ### REPLY: Dear Madam, From what you described, you have allergies often which cause itches. However, it would be good to rule out causes of itches especially given the fact that this particular itches as you said have been a problem since a month now and at night. Accumulation of certain substances in the body due to their not being able to be excreted can also cause such itches. This is common when the gall bladder which uses bile to excrete toxins from the body has some issues. So kindly see a physician for lab test especially for the gall bladder to rule out other causes other than allergies. Check to see if something AHS changed too in your diet or bed or what you use to ensure It's not simply some allergy. However, it would be good to see a physician to rule out some other cause such as gall bladder malfunction. Hope this helps. Quick recovery 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: Respected Sir, I have a six year s daughter s baby Purva Mittal. Unfortunately she has not been listen since birth as a normal child. Her hearing loss above 95 db (approx). She has hear only loudly sound due to this she has not been develop her speech. She has been regularly used from 3 years hearing Aid & speech therapy, but the result is not satisfactory. Please advice me if any medicine or treatment of her deafness be cure. Thanks & regards. Ravi Mittal. E-mail address - YYYY@YYYY Mobile No. 0000. ### REPLY: Sir, thank u for contacting us.1. Hearing loss in your child is >95 db(apex) which amounts too severe to profound sensorineural hearing loss2. Hearing aids & speech therapy have to be started at the earliest for such child . E cognitive implants which will help in this case3. Get to see an ENT doctor at the earliest regarding implants and collaborate with a speech and hearing specialist as well, so that both can work together don't get disheartened, it will be fine...just get to an ENT doctor soon without delay, as any further delay can delay speech development in the child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, im a 20 year old female. A couple od months ago i went to the hospital for feeling dizzy, off balance and especially feelibg foggy headed. The dizziness at firt was very extreme, and it lasted for 24 hours a day for a whole week. Two weeks later, it started again but it wasnt as bad as the first time. They did a.ct scan and a bunch od blood tests, they all came out negative but unfortunately it still continues... i work at a supermarket and the lights and noise seem to trigger it more! I am currently in univeraity and i find it very difficult concentrating! The foggy feeling ia always there, i cannot keep up a full converstion with somebody, i get distracted with my other thoughts, its like daydreaming which never ends. Its.really fruatrating!! Pls help! ### REPLY: Howell come to ChatDoctorI really appreciate your concern, if the investigations reports are normal then the reason behind the dizziness could be due to vestibular dysfunction, wax impaction in ear also need to be ruled out, viral infection may be the cause, and last but not least it could be functional in origin, it can be managed with "Tab Bitahistine 8 mg" three times in day, hope this information helps, take care and have a nice day. ### END