Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear SirI am 39 years old man 5 months before i have stocmach pain.then i consult one Dr.After scaning its found i have fatty liver.Dr, suggested me  use medicine for three month? Dear Dr.any dangerous situation in my future life.?And what food i eat and what fruits i can eat? How i can reduce this faty liver disease? pls send me kind reply. ### REPLY: Hello, saha.Kenneth, Thanks for contacting . You are a young man 39 years and you have a long life ahead of you. There are several causes for fatty liver. Here in Western culture, alcohol is number one. There is a condition called metabolic syn .  I am sure you have been screened for all of these. If you are overweight, bring down your weight with proper diet and exercise. Essentially, you should be on a low fat diet. Avoid greasy, fried foods. Cut back on sugars and starches. Add more fresh fruits, nuts, vegetables. Try 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: i have this "mosquito" bites on the back of my knees, which was swollen, itchy and red. then it spread to a semi circle shape with liquid oozing out every time after i bathed. the next day it spread to the back of my another knee. i keep discovering new "bites" after i wake up and they are now all turning purple. it has even spread to my thighs and feet. i went to my GP and he just gave me antibiotics and a cream to apply. i even had slight fever when i visited him. the medicine does not seem to be helping and its spreading even further. ### REPLY: HI, thanks for using  If the oral antibiotics are not effective, you may need to see your doctor for reassessment. It is possible that the infection is resistant to it, and you may need an alternative. The use of anti-inflammatory medication may help with the fever and reduce the inflammation associated with the bites. This includes medication such as ibuprofen, naproxen, Catalan. You also need to wear protective clothing and insect repellent to prevent new bites. Check the surroundings for any collections of water (even a bottle cap can breed mosquitoes). I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am struggling with finding a replacement medication for Soma . I have taken them for many years for chronic back pain associated spasms and have not found anything comparable in efficiency. have tried baclofen, and flexeril to name a couple. Soma works great but, about four years ago I took two and felt kinda like I was flying, I got pretty high on those two pills. Well here I am four years later with a pretty serious addiction to them. I could drop them if I had a viable option that worked as well as the Soma W/O the high. any suggestions? ### REPLY: Hi, for chronic back pain you can use moist heat .use wash wet cloth and make sure it should not be too hot that it will burn you, you can also use hot water bag but use only one type of thing from both ways of treatment do back strengthening exercise and one most important thing is posture use correct posture to sit stand and sleep if not correct it. Take care of do and don't that will also help you don't take too much muscle relaxant it will harm you. Go for physiotherapy treatment help you out. if you want to know about physio treatment more you can post us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to the ED for a stiff neck i have for two days now. 3d ago I was diagnosed with possible, bells palsy. I try to tell the PA ED that I have cervical problems and also several spinal problems. I was described Valium and steroids and send home. I am a VA dis. Vet and was wondering if i should go to VA ED to get MRI on cervical spine? I also show increased signs of MS. My neck hurts into the brain, I have Migraine history for the last two years only, off and on. I am on preventative meds for that. Neck stiffness with migraine, earache, all on left side. ### REPLY: Hi I did review your condition sir. I would advise you to get an MRI of brain and neck spine done to know about this earache and headache that you are having along with neck stiffness. It can be due to cervical spondylosis or arthritis, or it could be some problem within your skull bone. Another possibility is fibromyalgia, but that can be thought only after a normal MRI and spine MRI. I hope this yellowish you all the Bethany you for choosing . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 smth happening to le since couple if years. Whenever my skin is pressed for a bit long period like when holding my kid or something, i have an allergy reaction (skin turns red, feels hot and if it is pressed for long time and a little swelling after a while)Im planning to see a doc soon but could you tell what that could be?For the record, i do bodybuilding and take supplements like whey protein, creatine ang glutamine. Thanks in advance for your feedback. Regards. Younes GOUAITI ### REPLY: Hello, What you are having is histamine release from tissues under the skin on the influence of pressure. Scratching or writing on the skin will leave similar marks that stay for a few minutes to maximum an hour. I do not know the exact association with body building supplements to development of physical urticaria or demographic, but if this condition has started AFTER you have begun on the supplements, then it will be best to stop and see the effect. Otherwise, long-acting antihistamines such as Allegra 180 mg once daily is the usual treatment. 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: my 24 year old son has had recurrent chest pain. He has visited the er on at least 2 occasions for this. THe first visit he had a heart rate in the 30 s with normal b/p readings. He had to wear a heart monitor for 24 hours, apparently with no abnormalities. He has passed out at work before. He generally doesn t feel well. He does take Lithum and is monitored for levels as he has had a critical high level approx. 1 year ago. His blood was drawn last night in the ER and they stated it was abnormal and was being sent away. He is 6 3 , 165lbs and a smoker. Any thoughts would be appreciate. We live in an extremely rural area. Eastern Maine Medical Center in Bangor is 95 miles away. Any thoughts would be appreciated. Janet ### REPLY: Hi, I understand your concern and would explain that your sons' heart rate seems to be little low (30 bpm). Bradycardia does not explain chest pain, but may lead to fatigue and shortness of breath. I would like to review his ECG report for a more professional opinion.  As he is taking Lithium, anxiety can not be excluded either. Anyway, I would recommend performing some further tests: - a fibrogastroscopy for possible HERD or esophageal spasms- a chest X-ray study and pulmonary function tests-complete blood count, PCR, ESR for inflammation- an exercise cardiac stress test to investigate for coronary artery disease.  You should discuss with his doctor on the above tests.  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: I was talking to my son in TN today and we were discussing allegies. He has had about 3 episodes of breaking out in a rash but first he has a burning sensation in his ears then gets dizzy and feels like he will pass out. one time it happened while in line at a convenience store another time in a restaurant. He stated that he had not had any thing unusual to eat before his occurence. Any info would be appreciated. ### REPLY: Hi, Perhaps he had hives. Hives are itchy welts with surrounding flare. There can be associated dizziness and feeling of passing out in a severe reaction. Hives can happen as an allergic reaction to either food or food preservatives, .  I suggest him to take an oral antihistamine e.g. Tab Cetirizine once a day for a few days. Topically he may use a soothing lotion e.g. calamine lotion to calm down the rashes. 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: I am a 26 year old lady and have been suffering from stomach ulcer for the past 8 years.I tried so many medication and even tried injections, i dont get better and they work for a short period.Im worried because now started to feel as if its swollen in the stomach and also feeling pains especially when I eat after swallowing food.I ve lost food appetite but i always force myself to eat to avoid hunger.Are the any chances of getting Cancer from Ulcer?Can it be cured?What treatment can i take? ### REPLY: Hello, Thanks for posting your query. Since you did not find relief with medicines you can go for surgical management. There are many surgical procedures for gastric ulcers. Chances of ulcer transforming to cancer are there though rare. Consult a general surgeon, he is the right person. You can also directly consult a surgical gastroenterologist. Hope I have answered your query. Wishing you good health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Dr.i  am 30 years old man.i had stones in my kidney from the last 2 years but i take the treatment for it and i dont now if its go outside of or not.yesterday  i was so tired and i have make an ultrasound which shows minimal left sided PC dilatation what does this mean?and what should i do regarding this? ### REPLY: HelloYour findings suggests minimal left PC dilatation, it means there is minimal back pressure changes in left kidney may be due to calculus in kidney etc. Your report doesn't mention calculus etc. Your condition need to evaluate about underlying cause. You need proper evaluation by a urologist, Treatment of renal calculus depend upon many things like composition, position,size of calculus etc. You may need CT scan of PUB region or MVP(intravenous paleography)to investigate the underlying cause. 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: my grand father is not taking alcohol,drugs and other poisonous things but he is suffering from liver cirrhosis why? and how it can be treated ### REPLY: Hi, welcome to . What you need to know is that Cirrhosis is most commonly caused by alcoholism, hepatitis B and C, and fatty liver disease, but theses are not the only causes, there is a multitude of causes. Some cases are idiopathic, i.e., of unknown cause. You can look into these other causes, if he fits in any : *Fat that accumulates in the liver (nonalcoholic fatty liver disease)- in fat people* Iron buildup in the body (hemochromatosis)*Too much copper accumulated in the liver (Wilson's disease)*Liver disease caused by his bodies immune system (autoimmune hepatitis)*Heart problems-Repeated episodes of heart failure with liver congestion can lead to cirrhosis.*Parasite [in developing countries (schistosomiasis)] Now the treatment will depend on the cause for the cirrhosis, also the complications of cirrhosis must be treated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 teenage girl and just need help about all the things that happen to me when im at school. I get really anxious and when i stand up i get really dizzy. My hands are extremely sweaty and my hands and feet are constantly shaking. I get a tight, uncomfortable feeling in my chest and I also occasionally find it hard to swallow? why is this? ### REPLY: Hi, From what you have mentioned, you seem to be manifesting symptoms of anxiety. An anxious state leads to increased heart rate, dizziness, increased sweating, tremors, tightness in chest. Often such symptoms can suddenly exacerbate leading to a heightened state of anxiety which results in panic attacks. I would suggest that you discuss your symptoms with your parents and consult a psychiatrist for initiating treatment. Medications like paroxetine would be beneficial in your condition and will help control your anxiety. In addition, you should start exercising daily. It will help you relax and feel better. I do hope that I was able to answer your query. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr Rynne. I was diagnosed years ago with right bundle branch block. Recently my doctor prescribed cyclobenzaprine for a different problem. Online I see that one of cyclobenzaprine s contraindications is heart conduction problems Am I safe to take this drug? ### REPLY: Thanks for your question on . I can understand your concern. Yes, cyclobenzaprine can affect conduction system of heart and worsen underlying cardiac conduction defect. Since you are known case of right bundle branch block (RBBB), it is better not to take cyclobenzaprine as it would worsen your RBBB. Better to talk with your doctor for alternative .  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor,i am 23yrs old,5ft,53kgs.my married life is of 3 and half year,once i had pregnency and had aborsion in 3rd month due to no heart beat.next i moved for 1year for follicular study and had no pregnency yet .folliculin 75 ui,tablet fertyl,glycomet,thyronorm,folvite ,apcod sachet. and now doctor is suggesting me for iui.is this very early to decide plzz give me correct answer ### REPLY: Hi welcome to . I have gone through your question. You had done treatment for 1 year with this medicine. I would advise that you can continue with these medicines for at least 6 months as your age is only 23 and 3.5 year married life. After 6 months if couldn't conceive then go for intrauterine insemination GUI. Hope I have answered your question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My heel has been hurting for about six months now and is getting worse. I have flat feet and have insoles. I had planter pacidus. I m only 12. I have iced it every night and have tried to stay off of it. Do I have to see a doctor and wear a boot or use crutches. Whats wrong ### REPLY: hi Hope this msg finds u in good health. I have gone through your complaints and understand your concern. U might be having plantar fasciitis or a bony spur under your heel that might be causing pain and inflammation. I suggest u get a X-ray done to find out what's wrong. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i had bad cough from last 1 n half month ,with cough i have back head pan and fore head pain,even some time chest pain.and now from 2-3 days pain or pressure around nose cheek and forehead ,even i have cold now,cough is so bad at night,not able to sleep,please advise,reason to which doctor should i meet ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of sinusitis and bronchitis is more likely. So .  Do steam inhalation and warm water gargles 5-6 times a day. Take broad spectrum antibiotic like levofloxacin or azithromycin once a day for 5 days. Also take levocetrizine and paracetamol combination twice daily. Don't worry, you will be alright with all these. If not improving in 1 week, consult doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor ...i am 22 yrs girl .. my weight is 60 kgs. i joined gym 15 days back...but now i have started getting back pain ...pain is not severe, but its always a discomfort...i dont do stretching before and after exercise...is dis the reason for the pain.???? i also jump rope at home sometimes....2000 jumps... doctor please advice me, how to prevent this pain,while continuing my gymming... ### REPLY: Hello. Welcome to  forum. You have to prepare your body for strenuous exercise by warming and stretching for at least 15 minutes before gumming. If you don't do it you land up with muscular injuries like you got it. For any exercise regime to be successful you have to be very, very regular. Never miss your exercises for continuous 2 days. Maximum you miss is 1 day. In present circumstance you stop gym for 10 days and go for long walks and light exercises. Start gym after 10 days and gradually increase the time and intensity of your exercises. Always stretch for 15 minutes daily before starting your exercises. Thanks and 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: my 7 month old daughter has a very horse cough and is very congestant it seems to hurt her everytime she coughs. She had a chest x-ray done and it came out o.k., but that was on 5-18-11. Could there be something wrong now, when had x-ray done she didin t seem to be having pain when coughing. Just worried @ it. ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 years old. me and my husband planning for baby form last 3 years but result not possitive till now. During this time all my nessasary test had be done like TVS,HSG , FOLLICULAR STUDIE AND TSH.all my report are normal as per dr.suggetion. also i have taken sevaral medicine like sustant,ovalife,folvite,normoz,etc. Now i meet a new doctor. My doctor suggest me to take sterodin injection for 10 days beore go for PCT test. My question is that is this injection safe for me?? and what is the side effect of sterodin injection?? ### REPLY: Hello, Please have fully trusted in your treating doctor. As you have all normal test reports, you need not worry about getting pregnant. Please get your partners' semen analysis done to know about the quality and quantity of sperms. Follicle study from day 10 of the cycle is helpful to know about the day of ovulation. You can opt for GUI- Intrauterine insemination on the day of ovulation or opt for unprotected sexual activity on and around the day of ovulation. Frankly speaking, Steroid injection is not a routine pharmacological agent. You can ask about the same to your treating doctor. 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: I was advised by  Neurologist to carry out MRI of brain and MRI REPORT OF BRAIN FEW T2 AND FLAIR WEIGHTED HYPERINTENSITIES ARE SEEN IN DEEP WHITE MATTER OF BILATERAL FRONTAL LOBE IN HIGHER SECTION LIKELY CHRONIC ISCHEMIC FOCIPlease explain me the disease in detail.ThanksI DR V K JAIN,  (PROFESSOR CHEMISTRY) AGE 51 YEARS ### REPLY: Hi White matter Hyper intensities(WMH) of brain indicate either ischemia or dementia. They usually represent small vessel disease. They are also useful to assess effectiveness of treatment They are associated with frontal hypometabolism and executive dysfunction.WMH have a stronger effect on glucose metabolism in that region and cortical atrophy, Frontal WMH was associated with memory dysfunction in nondemented subjects. They are more likely to occur in bipolar disorder and major depressive disorder. So I hope this answers your query and if you have any further queries, you can ask us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: H from my dentlei ,  I nswer your health queries right now ?  Please type your query here...ok i am sufring from pyria my gums swell again and again wat should i do and sometime getting blode from my gums and now from last three days my right side last gums get swelling and my mouth not open properly so wat should i do to remove this problam? ### REPLY: Helloo...read through your query...accordingly I can say that the problem of difficulty your facing is due to periodontal abscess(pus getting collected under the tooth).nothing to worry.do thorough brushing in morning and night.use Listerine mouth wash twice.flossing also...then do salt water gargle.treatment for pyorrhea depends on the extent of the disease into bone and periodontal ligament which can be understood by X-rays.so better go and meet periodontist.and he will start the treatment based on X-rays...and clinical presentation.antibiotics(amoxicillin+metronidazole)may be required...and also diclofenac(painkiller).don't worry...hope your benefitted something with this reply...have a healthy 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 sir i am having palpitations from last four years with breathlessness and skipped beats , sir i had gone threw all cardiac evaluations with echo holter and tmt all was negative , doc said nothing to worry but i still annoyed with these palpitations , some times i feel sinking sensation and palpitations all day , pls sir help me what should i do now , in my holter there was only a single event of ventricular bigeminy rest was normal , sir pls guide me what should i do now. ### REPLY: Hello! Welcome and thank you for asking on ! Your symptoms don't seem to be cardiac related (your performed tests can exclude any cardiac disorders related to your symptomatology). A single event of ventricular Gemini is quite normal in healthy individuals and doesn't indicate a cardiac arrhythmia. So relax and don't worry about it! Your heart is in optimal conditions. Your symptoms seem to be related to anxiety.  I recommend consulting with a specialist of this field to help you manage with your anxiety. Psychotherapy (behavioral therapy) and physical activity (walking, yoga, recreational sports, etc.)are very helpful! You should also avoid caffeine intake, which is known to trigger anxiety. Hope to have been helpful! 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 daughter (21) studies in an Engg College at Ahmedabad (5th Sem.). She stays in an Private hostel as paying guest. We, her parents, reside in our  home  in NE India. She has been quite normal when she came home last vacation in July, 2010. In the last week of August she was down with viral fever & UTI. She was in the hospital from 2nd Sept. to 9th Sept. She started behaving quite unnaturally since 6th September. She first started lamenting that, due to her illness, a lot of money is being spent & her father is going to be poor. Then she started lamenting that she committed mistake in having an affair with a boy. She also told that the boy has threatened her. She started experiencing hallucination that her father is being beaten by police & goons. She told that the boy has told everyone that she was not a good girl. On 10th of Sept, when she was returning home by flight via Chennai, she fell sick at Chennai Airport. She was extremely drowsy & was subsequently hospitalised in Chennai. There she told that she had consumed 20 sleeping pills the night before though it was completely untrue. She was again sent to Ahmedabad with her mother on 19th Sept, 2010 to continue her study. She went to college on 20th but now she is bent on leaving the college & Ahmedabad. She has been telling that all the other students are neglecting her considering her a very bad girl, good students stopped talking to her, Boys are seeing her as a girl having bad character. Now she is telling that she cannot continue her study in the college with such humiliation. We believe that all these are her imagination only. But she is bent upon leaving the city & the college. What should we do? ### REPLY: Hi dear. I had gone through your query. I understand your concern. All symptoms indicate pathology in thought process. Maybe it is auspiciousness and maybe it is a kind of delusional thoughts. Thoughts need to be evaluated in details. There are various good psychiatrists in Ahmedabad. Consult them. Early treatment will bring fast and better recovery. Still if you have a query then feel free to ask. 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 ve been having insomnia and consequest migraine headaches for the past 8 years. The very first neurologist i met had prescribed me an MRI which concluded that everything was normal. For the past 8 years i ve been on and off neuromedicines, without any permanent relief. i ve been visiting another neurologist for the past 2 years who had prescribed me almost all kinds of Benzodiazepine family medicines over different periods of time. he had to keep rotating the meds due to me developing immunity from the particular BZD medicine. a week ago he asked me to undergo MRI scan once more, which concluded that i have MESIAL TEMPORAL SCLEROSIS on both sides (R L). thus my doctor asked me to spend 3 days at the hospital during which he had given me intra-venous medicines. 4 days ago, he asked me to stop all anti-depressants (BZD) and has prescribed me Rovastat TG (Rosuvastatin and Fenofibrate), Citistar (Citicoline 500mg) to be taken 3 times a day, as well as Dayo OD (Divalproex 250mg) taken once every night. Since i am offthe anti-depressants, i have been feeling extremely depressed for the past 3 days. I would like to know if the line of treatment is correct, and what are my medical scopes in future that i should be aware of? ### REPLY: Hello, Usually, patients with medial temporal sclerosis usually have seizures as their main symptom. As advised by your doctor it's better to stop BZD its role in depression in very minimal or none.  The next thing is Divalproex can helpful for your migraine headache, and also it has mood-stabilizing property, its another effect is it can cause sleepiness, and it has anti-seizure activity also. Some migraine prophylactic .  It's better to wait for two to three weeks for your new medication to act if depression is more bothering you newer antidepressant medication is available which a psychiatrist will prescribe. If you have abnormal lipids rosuvastatin and fenofibrate are useful or else it can be stopped. The rest can be continued.  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband is 44 yrs old and has pain on the left side under the rib cage, very tender to touch and hurts to breathe and move, he s not one for complaining and had a high tolerance for pain, i am concerned. should we head to the emergency room, it started yesterday and is worse today......what should we do? could this be muscle pain and give it a day or two?? ### REPLY: Hi, Thanks for your query. Strained muscle is the most probable reason. Strained muscle usually appears only when the chest is moving, and should be completely gone when lying down and not breathing. If the pain is sharp and well localized, more intense when breathing, rib nerve issue is the most probable reason. In both cases, rest and anti-inflammatory medicines like Diclofenac should help. 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 m 36 year old women with having problem of high cholesterol , hypertension , fatty liver , diabetic and hiatas hernia ,  also i daignosed before 10 years as tortious aorta but this thing i gnored now want to ask that tortious aorta could be treated without medical treat3emnt or should i consult with cardiologist also i got symptoms of heaviness in chest and also get drowsiness in day time ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult cardiologist for your co-morbidities (hypertension, high cholesterol, diabetes) and tortuous aorta. Your tortuous aorta is mostly due to high cholesterol, obesity and hypertension. Once you control all these, your aorta problem might resolve also. You should start antihypertensive, antidiabetic and lipid lowering .  Even after control of all these, you have tortuous aorta then you may need surgical correction (Stent placement) of aorta. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My last period was february 28 but i dint have my period last march 28 so I just waited. On April 8 I took a pregnancy test and it was positive so I took 5 cytotec, 3inserted and I took 2 tabs orally. I had a bleeding for 3 days. its now May 9 and my pregnancy test is still positive. I also feel the signs of pregnancy and i keep on gaining weight. Am I still pregnant? ### REPLY: Hello, You would undergo one TVS scan & blood test for beta-ChatDoctor to check pregnancy status along with gestational age. After that you need to consult with gynecologist for next line of management. You may need to undergo D & C to complete the abortion. Otherwise, if all reports are within normal range and there is no sign of miscarriage, you can continue your pregnancy if you want. 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 just found out that my son has Chiari Malformation. He was in a car accident when he was in the ER the doctor gave him an MRI. My wife came back from the follow up appointment and told me that they discovered that he had type 1. One of my biggest concerns is his eye sight. His vision to me seems to me getting progressively worse. ### REPLY: I read your question and I understand your concern. I must say though that Chiara malformation doesn't affect vision. It does not involve any of the brain structures whicChatDoctorpose the visual pathways. Actually I wouldn't be surprised if the finding was an incidental one, not related to the accident but already present for a long time. So unless there is some other finding that you don't mention in the MRI you should look elsewhere rather than the brain for the cause of eyesight reduction, a visit to the eye doctor is what I would recommend. I hope to have been of help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 46 yr old female and I received the Tdap vaccine last Tuesday.  On Wed. my upper arm was swollen, red and ichy.  I called my doctors office and they said this was normal and to call back on Monday if it isnt any better.  Over the weekend, the red and swollen area has gotten larger and I am ichy on other areas of my body.  Ive taken benedryl the last two night and applied ice packs and it has not helped.  Are these symptoms normal and is there anything else I can do for this? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint Trap injection is an immunization injection to fight three fatal diseases Tetanus, Diphtheria and whooping cough. As you have got redness and itching with it many a times mild itching and redness is common due to allergic reaction as the immunizations contain allergens that can initiate antibody formation in the body that can lifelong fight with the disease and do not let it flourish. As you are not relieved with anti allergic sad ice packs there is a possibility that reaction is severe, and you may need injectable anti-allergics and steroids for resolution of symptoms. You should continue taking anti-allergic right now and apply steroid ointment over the rashes and also keep doing cold compresses. But consult a Physician early and get evaluated. Hope these information helps. 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: What is the organ below your left chest about 2 inches above your belly button? I stretched ad it rose up about 2 inches and is as hard as a golf ball and hurts and feels like someone is pressing down really hard and feels like it will rupture right now ### REPLY: Hi, Dear thanks for the query to . Cause and treatment-for Your lump above belly button below ribcage-In my opinion -the lump -is mostly a-Entrapped- Epigastric hernia-as it hurts and has feeling that someone is pressing down with in abdomen and would rupture just NOW. Treatment for it-a-Surgeon consultation is advised This would help you to plan a treatment for this query. So don't worry and act fast ASAP. Hope this would help your worry to take proper steps for health. Wishing you fast recovery. Wellcome again if you have any more query in this regard. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hi i just discovered my 4 year old has chicken pox and we will be going away for a few days. Will he be able to swim in a swimming pool and be outdoors whilst he has the spots. ### REPLY: Hi & Welcome/I appreciate your concern about your 4-year-old son with chickenpox. It is not advisable for your son to go swimming during chickenpox infection. Chickenpox is highly contagious. If your child has contracted chickenpox, he/she should not go swimming or play contact sports unless all blisters have crusted over. This normally takes place a week after the first rash started. Try to avoid public places, as others may catch the virus, which may be dangerous, especially to those who are pregnant or have a weak immune system. Swimming may also soften the crusts, which may result in a more intense itch and the crusts may fall off early leaving scars. Hope to have answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been unwell for 1 year my mind feels numb i feel barley concous cant think or concentrate constant exhaustiomy brain dosent feel the same anymore dont socilize anymore too tired and detached have had lot of blood work done ct head sczan and tested for addissons disease please help i cant go on like this anymore ### REPLY: HIFI understand your concern. Aromatization means somatic symptoms without medical explanation. Tiredness/weakness/headache/lack of concentration may a part of somatic presentation. Aromatization and depression can both have same symptoms. Or it can be Chronic fatigue syn . Go for more evaluation. Take proper sleep. Healthy diet. Consult physician for general body check up. Consult psychiatrist for psychological evaluation. Still if you have a query then feel free to ask. . Thank you. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 8 /12 yrs old she is been diagonised of allergioc bronchitis. She is on inhaler seroflo12mg 2 puffs a day. from past 4 months on & off she gets severe respiratatory infection her pediatrician + ent specialist have prescribed antibiotics till now in 4 months she has taken 4 times antibiotics for the same problem now again she is down with chest congestion pls tell me what to do ### REPLY: Hi, By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze.  Questions: 1. How many days per month does your kid cough or feel breathless?2. How many nights per month does your kids sleep gets disturbed due to the above symptoms?3. Does your kid feel breathless when running around or playing with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: iam using duphaston 10mg for 10 days from 15 day of my period and metformin 500mg daily since two month my cycle started 4th day after stopping duphaston will it be same this month also or are their chances of pregnancy if its delayed ....iam trying to get pregnant ### REPLY: Hi, There may be chance of pregnancy if you have this sex in fertile period of cycle, and you have normal ovulatory function and correct hormonal balance. Dupahston contain progesterone. It makes uterine environment favorable for implantation and support pregnancy. Metformin will help to induce period and decrease insulin resistance. So hope you become pregnant. If it does not respond then you can ask a gynecologist for Camphene citrate and  injection for effective conceiving. All this medicine should be taken under advise of gynecologist after detail evaluation and monitored regularly by USG scan and ovarian follicle study. Avoid stress, take healthy diet, . Hope this may help you. Contact further if follow up needed. 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: Hello. Since almost a week, i ve been feeling somewhat uncomfortable in the left testicle, with slight pain on it. I ve checked my testicles for many days and I don t find any lumps or anything suspicious, however i m a bit worried that this condition has persisted. I would like to hear any advise of what the problem could be. Thank you. ### REPLY: HelloThanks for query. Discomfort in the Left testicle could be due to Varicocele.However, this needs to be confirmed by clinical examination by a qualified General Surgeon or Urologist. . Please consult qualified Urologist or General surgeon for clinical examination and get following basic tests done to confirm the diagnosis. 1)Ultrasound scanning of Scrotum.2) Color Doppler study of scrotum.In the meanwhile take painkillers like Diclofenac twice daily. Further treatment will depend upon result of these tests and final diagnosis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Within the past 3 months I started experiencing heart fluttering on an irregular basis maybe a couple of times a week at different times of the day.  I was concerned so I went to the AZ Heart Institute for a test and they gave me a calcium score of 104 which is considered moderate.  The site was in the lower anterior ventricule.  I exercise at least 4 times a week to include cardio work on a machine for roughly 40 minutes trying to keep my heart between 120 and 160.  Do i just need to focus more on a healthier lifestyle or be worried at this point?  My cholesterol on my last test was 150, triglycerides -111, HDL was 32.  All other blood work was normal with exception of Hematocrit which was 39.9.  What should I be concerned about? ### REPLY: His understand from your description that you are experiencing palpitations on and off for the last three months. Palpitations could arise because of certain electrical disturbances in the heart which are termed as arrhythmiaWhen you visited the hospital did they take an ECG? Was it normal? Sometimes certain arrhythmias cannot be detected on an ECG and you might then require a Holder Monitor. As far as your cholesterol is concerned it is well within the normal range. Even your hematocrit is in the normal range and I would not be concerned about it. I do not think you should worry too much at the moment about your calcium score if you are not currently diabetic, hypertensive and doing regular exercise as you do. Your calcium score will not be having any bearing on the fluttering that you are complaining of. If you really are getting disturbed by these palpitations, get yourselves examined by a cardiologist for cardiac arrhythmia so that the exact cause can be identified and treated accordingly. Usually Holder and a physical examination may reveal clues besides ECG. Hope I answered your question ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: OMy girlfriend suffers every year from Raynaud s phenomenon. I said Raynaud s because the symptoms she gets indicates that it must be Raynaud s. She has these problems every winter. here a physician told her that she has pernicious. I m worried too much about this. Please help.... ### REPLY: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that on winter cold stimulates blood vessels to contract, which leads to Reynolds disease or chaotic spells in peripheral vasculature. I advise you to keep more clothing in limbs. Take the Vitamin supplements under your doctors' guidance as she has pernicious anemia. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 years i feel as though i am forgetting everything and going to lose my memory all together. i started taking blood pressure medicine 3 yrs. ago. i am 67 yrs. old. I thought i was getting altzheimers---went to neurologist and he does not know what is wrong----thinks it is psychiatric--- ### REPLY: Hello, First, memory normally decrease with age. To slow down this process, you should take vitamin B complex once per day after meals, Benfotiamine twice per day after meals. Aspirin twice per day after meals. You should do Lipid profile in your blood and if it were high, you should receive a medical treatment, reduce fat intake. The reduction of salt intake is essential for you. Second, you should eat grilled fish and a healthy diet to avoid the deterioration of memory. You do not have Alzheimer's disease, but you should protect yourself by the healthy diet, vitamins B complex and treating systemic illnesses. If you lived alone, you could get depression. The symptoms of depression in the elderly can be similar to early-stage Alzheimer's, so you should do some hobbies and go to the club to meet people and avoid being isolated. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 6 year old male diagnosed with high lead levels. has been treated with chelation intramuscularly and then with the medication given by mouth. level receded to high normal level for one month. current blood test shows a significant elevation and the chelation medication is to be started again this evening. are there any other suggestions that you can make as far as treatment to permanently diminish this problem to a safe level. surroundings, toys, etc. have all been tested and show no lead content that is harmful. ### REPLY: Thanks for your query on ChatDoctorFrom history its seems this child is having chronic lead exposure and lead toxicity. Its treatment include 1. Identification of source of exposure. It may be due to eating soil, paint, some herbal remedies etc.2. Behavioral modification to reduce non-nutritive eating habits.3. Dietary counselings to insure sufficient intake of essential elements calcium and iron.4. Chelation therapy to decrease lead level Hope this information will help. For more queries you may contact me at this site. Regards- .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,iam have undergone laproscopic surgery for endomentriosis & ovarian cyst last jan.Took lupride injection as per doctors advice which stopped periods for 4 months.I having periods normally but irregular- one month 32 day and the other 28...simultaneosly.I got my periods 17 days before this month.Having pain in lower abdomin.incresed weight by 5 kgs,blotting stomach,back pain & exterme hungry are symtoms i have.we r planning for children.Can I be pregnant? ### REPLY: Several side effects of pride injection is constipation, back pain, vaginal discharge, and due to constipation bloating of stomach is also possible. But this all can be controlled now since you are not on same medication. This control can be done by improving your lifestyle and doing certain changes like having healthy balance diet, maintaining timing for break fast, lunch and dinner. Keeping break fast good lunch average and dinner minimum that too at or before 8:00pm, also avoid spicy food. Have fruits regularly. Keep tea and coffee minimum, keep fiber diet more in your meal. Do regular exercise like walking or jogging or cycling at least 25-30 minutes per day. Next your question is how to treat back pain: I suggest if your pain is only at back and not radiating to your legs as well there are no signs like numbness in leg and tingling sensation. Then it must be related to your spinal muscle weakness. And you need to take physiotherapy treatment after proper evaluation. As well follow spinal exercises regularly to improve strength and stamina of spinal muscles. You can also use hot or cold pack frequently at home to have some more pain relief. Also check your vitamins d and calcium level in body if it is low take a supplement for the same. Next question was on pregnancy: yes you can get pregnant if there is no further gone issues. But during the pregnancy you will put up on weight and so that you may have more back pain. So discuss with your physio and do regular spinal exercises as well take advice on posture priorly only. Another thing to answer your headline question:Increase back pain, bloating of stomach is possible during pregnancy. I am sure this must be helpful to you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO for about 2 weeks now when i change my daughters diaper she complains and also grabs like puts her hand over her clitorus she is 18 months btw. so last night i said let me try and see because she doesnt let me really touch and when i see on one side of the over laping skin of clitorus i saw red cracked skin (irritated). I was putting ointment on it a&d for two days to see should i be concerned also she grinds herself to sleep like humps the bed. ### REPLY: Thank you for posting your question. The redness that your have noticed on the labia major of your child is likely to be a diaper rash. It maybe avoided by frequent changing of diapers, cleaning of the area and keeping the area .  Also while cleaning make sure you clean from front to back i.e. vagina to anus. This would prevent any infection from the anal canal to affect the vagina. Apart from that, you may try applying any zinc oxide containing rash cream around the vaginal opening(not inside). Having said, so I suggest you also keep a watch for any discharge from the opening, difficulty in passing urine or increase in rash in which case a medical consultation would be advisable. Try to prevent her from itching the area as it may exacerbate the rash. If you have any more doubt do write back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I have been diagnosed with sarcoidosis with erythema nodosum symptom and have been taking omnacortil for last six months and stablised at 7.5 mg a day. This is the third relapse of sarcoidosis in three years and that is my doctor has advised 7.5 mg for another 6 months. Do you suggest to use an air purifier in my bed room to avoid another relapse? ### REPLY: Hi Dear ! I have gone through your question and I understand your concerns would say that an air purifier will help your air in the room to clear from "allergens and other contaminants. Especially CO2. These may irritate your lungs and cause pulmonary problems with inflammation. The result is good to have the air clean and avoid other inflammation. But about if they will help you to avoid totally a new relapse, that is not sure.Because Acidosis is "Your immune system causing the disease (Lymphocytes)" and the cause why your system do that is not clear yet. The relapse of Acidosis may be caused cause of low doses of cortisone this often happens after you stop the medication for a time or when we low the dosage (from acute dosage to maintenance dose 7.5 mg). To avoid that if I were you treating doctor if you have another relays I would consider starting a new .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an atraumatic ehl tendon rupture. My dr gave me the option of repair it now or wait until it curls too much and have toe fusion surgery. I am not in pain but can feel the difference of my feet, especially when walking barefoot. Is it preferred to have it repaired right away? I am a long distance runner. Are there other ramifications if i dont get it fixed? XXXX ### REPLY: Hi, Yes, it is better to get it repaired early. Since EHL tendon is necessary to attain and maintain balance while walking and running, so it may decrease the ankle strength resulting in difficulty in walking or running if it is not fixed. Surgical repair or reconstruction of EHL tendon is a reliable procedure that restores the ankle strength and function in most patients. So, it should be repaired without further delay. 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: Dear Madam, My wife has a regular period of 28 days. It is 28th day today she had a mild light discharge of bleeding. She is very sensitive to allergic conditions. We had intercourse from 9th Day to 16th day, she use to sneeze a lot usually after getting up in the morning. But today after the discharge at around 3 PM in the afternoon, she sneezed a lot and seem to have a little pain in the lower abdomen. Then after some time she does not have the pain. We a very hesitiated to take any antihistamines like, Levo cetirizine/ cetirizine/ loratadine, which ENT doctors have prescribed. We a yet to take a ChatDoctor test. Will this sneezing cause any problems. Can you pls advice us.... ### REPLY: Hello sir! Your wife seems to be suffering from allergic rhinitis as suggested by the morning sneezes and response to anti histamines..... its 28th day, so she may have uterine cramps, the cause for her abdominal pain - characteristically intermittent as you have described. These two conditions are not related as such ... but continuous sneezing can stimulate uterus due to increased abdominal pressure during sneeze .... such conditions require treatment withal. levocetrizineAnd selective COX 2 inhibitors - CELECOXIB For highly symptomatic rhinitis, beclomethasone nasal spray can be used .... Thank you :-) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother (75) is given urotone and flotral but how long and for what purpose we really dont know. her scan shows kidney ok but some blockage in bladder. she used to hv high bp, now ok, she is suffering from hypothyroide, heart problem .some urine in with flow, some time slow.how to know how much urine she should pass and what should be the water intake. pls reply ### REPLY: Good Day, and thank you for being with  ! Proton and floral is used to Increase bladder pressure and decrease resistance to urine flow. You mother might have a bladder outlet obstruction which is quite common for elderly females. Continue the medicine for one month and check for improvement. Amount of fluid should be around 1-1.5liters per day, and she should be able to urinate the same amount of her intake. I suggest keeping a voiding diary where you measure how much she .  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been exhausted and fatigued a lot lately and at night I get the shivers accompanied by a fever. There has been some abdomen pain (slight) and irregularity. Also a total loss of appetite. I m normally a very healthy person but this has been bothering me for more than a week now. Ideas? Thank you. ### REPLY: HelloExhaustion, fatigued, shivers, fever, loss of appetite, mild abdominal pain, all these symptoms may be due to these possibilities, these include:1 Typhoid fever, diagnosis can be confirmed by Tidal and serology test.2 Jaundice, diagnosis can be confirmed by serum bilirubin level .3 Tuberculosis, diagnosis can be confirmed by X-ray chest (in your case it remote possibility). Since fever is for 7 days, so it may be due to viral type fever. So first consult a physician and get his opinion for diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife feed street dogs..she used feed puppies [5/6 months old]  and on 3 rd march she tried to feed one who was infected by rabies..She called NGO who took him with  them. Dog did not bite but there is possibility of his salyva  coming in contact with her hand.. She took first injection on 5 th March and followed by second on 12 th March i.e today.. There is a difference of opinion between doctors about schedule to be followed...we are in tension..pl advise..railkar [  YYYY@YYYY ] ### REPLY: Contact with saliva of a rabid dog to the intact skin do not cause any chance of getting rabies. But if there is any cut or scratch injury in the hand there is a minor chance of getting rabies. In case of having intact skin there is no need of taking post exposure prophylaxis. In disrupted skin you may have a need to take antirabies vaccine prophylaxis. There are so many vaccination schedules depending upon the route and number of site of administration. Single site intramuscular administration on 0,3,7,14 days since exposure is commonly followed schedule. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fell down steps and landed on the right side of my back 4 days ago.  It was sore, but yesterday I sneezed and now I have a shifting/popping on my back right side accompanied by real sharp pains when I move a certain way, sneeze, or cough.  Did I break something?  Should I got to the E.R. or Dr.?   Thanks! ### REPLY: Hello welcome to ChatDoctoractually you have developed SPASM OF BACK MUSCLES which is causing pain and stiffness...kindly take following treatment for 1 week - (1) TABLET IBUPROFEN three times a day(2) TABLET CHLORZOXAZONE three times a day(3) if pain is very severe you can have INJECTION THIOCOLCHICOSIDE intramuscularly twice daily for 3 days(4) HOT FOMENTATION twice daily in the region of pain(5) avoid . E DISC PROLAPSE and consult an orthopedic with your MRI REPORTSregardsChatDoctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello Doc !my age: 29 weight 62 kgs height 5.0 feet we shifted to france from india in mar, after that i dint get my periods for 3 months, then i went to doc, after confirming that i wasnt preg , he prescribed me norlevo, i got my periods , then i went to gyno, she did tummy scanning and confirmed that my system is healthy, then i took blood test for harmones, concluded that my harmones are balanced. i have been priscribed progesterone tablets for 3 months to regulate periods, we want to have kid, am i on correct prescription? ### REPLY: Hi, if you want to conceive, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks after follicles rupture.  Don't take progesterone throughout the cycle. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question.  Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I pressed my rib cage hard against the edge of a pool, while reaching for an object. I heard 2 crunching sounds coming from my lower right rib cage. It is sore when pressed. Does it sound like fractures? I am 64 and have had 2 fractures from falls within thus past year. Both healed in 2 months. ### REPLY: Hi Thanks for the query to . Within last one year you got fracture due to fall i.e. prone to fracture. Now again pressed hard and also heard crunch voice. So you are prone to fracture (maybe due to weakness in bone) , so in this situation please consult an orthopedic surgeon and get his opinion because physical examination is important in such cases. Till rest, and don't press rib cage. Hope this will help you. 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 in pain for 2 yrs and some months. i was in a car accident(minor ) due to what my car looked like but was slung around with a seat belt on. i have dizziness all the time and pain in my spine at the bottom but all the test are neg..blood work, mri and ekg . do you know what it can be? i was told some symptoms of crps but i think its spinal stenosis too. i type in my symptoms onlline now cause i my doctor think i m not telling the truth but i m in lots of pain. can you help? thanks ### REPLY: Hi welcome to  forum. Spinal stenosis can be congenital or due to some disease, of course it could be due to herniation of the disc due to jerk during accident. anyhow it is excluded by C.T.scan so you don't worry about it. Besides the pain in the spine and dizziness there will be so many symptoms like numbness etc., so the possibility is wholly excluded.  The possibility could be due to concussion type of head injury, and jury sprain of the back muscles. It may be cleared by muscle relaxants, and anxiolytic.  I advise you to consult a surgeon for diagnosis and treatment, don't think of the stenosis, and use the medicines prescribed. Try to be engaged in Extracurriculars like reading, hearing music etc. to avoid tension of anxiety.  Wishing for a quick and complete recovery, and thanks for calling. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from pain in the abdomen and stomach area. It all started a week ago early a.m.. I was sitting on the toilet when all of a sudden I sneezed very had and sound like I tore or ruptured something in my stomach also forced stool when I didnt feel like I needed to go. My stomach cramps and with pain very bad. Do I need to go to the hospital or see my Dr.? I also have been diagnosed with GERD and Interstitual  cystistics in the bladder. I have had diarrhea since this has happened. ### REPLY: HIT hank foe asking to ChatDoctorI think no need to go the doctor, the force which exerted due to sneezing might have pulled the abdominal muscle or smooth muscle of gut might be affected just take a little rest this will come around for sure, your other problem of diarrhea will also be fine and nothing to worry about HERD you might have taken treatment, if not then Omeprazole 40 mg would be 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: I have had pain in a lower front tooth since Feb. 2012. In May-June I had a root canal done. After the first treatment I still had the same pain. At the final treatment, the same pain. I was then diagnosed with TGN. I have been on many anti-seizure meds with terrible side effects and not much relief. I am presently on the last med there is, with a bit of relief and I go to see the neuroligest soon. Is there any chance this pain could be caused by shingles of the gums? ### REPLY: Hi and welcome, Pain in the lower front tooth can be diagnosed by taking an x-ray of the lower jaw. x-ray can confirm if there is any periodontal infection, root caries or other pathology associated with lower teeth which gives symptoms of pain. Accordingly, the teeth can be treated. Infected teeth can be treated with root canal procedure and gum infection can be treated by deep scaling and root planing. If you are diagnosed with Trigeminal Neuralgia then the painful attacks can be associated with it. You need to get it confirmed from a neurologist. Carbapazepine is the antiseizure .  Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had done a blood test of my son he is just 7 years old the report says that Microcytic & Hypochromic Anisopoikilocytosis + mild Polychromasia what does this mean The report also mention that the normal range of w.b.c. count is 4000- 11000 / cu mm and his result mention 14800 / cu mm Kindly explain ### REPLY: Hi...please do not worry. If your son is normal clinically and is actively playing around, these results of high blood count doesn't mean anything. The lab report about polychromasia means that he might be having iron deficiency anemia. I suggest you get back to me with the actual hemoglobin value which would have been mentioned in the report, so that I will be able to suggest you a proper iron preparation. If as per countries laws iron is not an over the counter medication, please consult your pediatrician. 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: hiii had been sufferring from viral hepatitis two months ago. my bilirubin was 8.7 and sgpt was 1200. i had been hospitalised for that too and taking hepamerz, silibon 70, pantocid dsr, and livfit.now my bilirubin is 0.92 and sgpt is 177.please advice how to reduce my sgpt. ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. There are umpteen number of causes of raised SGPT, the most common being non-alcoholic fatty liver disease. But in your case the high SGPT is due to viral hepatitis. This is one of the few conditions in which the SGPT is in thousands. Acute viral hepatitis is self limiting and the SGPT level will return to baseline level on its own over a period of few weeks. In your case it has come down from 1200 to 177. So you continue taking the liver supportive medications which you are taking now. I hope that answers your question. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctors,I have severe hair loss.. can you please let me know is there anyway i can regrow hairs in balded area and stop hair loss further or should i go for hair transplantation or any other way to get hairs back.. Please advice.. i am planning to get married.. Thank You,Sunil ### REPLY: Hi. As per your case history u seem to be suffering from an . Hair can be regrown only where hair follicles are present. So in complete bald area there is no chance of hair regrowth. U can go for hair transplantation if u can afford as it is costly. As far as hair loss is concerned it can be controlled and further baldness can be slowed down. Use minoxidil 2% solution 1ml twice daily. Satisfactory result will start after 2 months. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, i am 32 year old female and facing problem of tooth decaying. its happening since last 15 year and now my four teeths decayed alot and outer layer of tooth is completly decayed and inner line is visible. i dont have any pain in these teeths and one of the teeth start becoming black. my teeths color is yellow, please advice on aall this issues ### REPLY: Hi, Hello and welcome to , Since it is clinically visible that the teeth are already decayed visit the dentist once. Since you are not having pain based on X-ray findings, if the decay is not deep enough restorations i.e., fillings of the teeth are enough. But if the decay is extending deep close to or involving pulp, they might require root canal treatment. The yellowish color of teeth might be due to calculus i.e., deposits on tooth surface or due to fluorous. The treatment for this is got a Scaling done once, and if the yellow color still persists better get a bleaching done or veneering. Hope so this will 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: Hi, may I answer your health queries right now ?  Please type your query here. My left armpit has been itchy for 2 or 3 weeks now.  My right armpit is just fine.  there is no rash or any visible sign of infection.  The left armpit is also slightly sore to the touch and at times feels like there is a lump in it.  Is this something that I should have checked out further by my family doctor? ### REPLY: Welcome to  .1. Yes, You need to see your doctor. As the present condition might need a course of antibiotic course or depending on the size and condition of lump a small incision and . 2. The possibilities are inception of the hair follicles (carbuncles / fur uncles) and superficial rashes could be due to the underlying infection.3. Recommendations - avoid shaving for some time, use trimming it will help in healing process.4. Try to keep the area  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello I went to a doctor to day as ive had something under my jaw bone for months its pain full when moving my toung even yarning its quite pain full the doc said I had to go to the dentist but the dentist could not find anything wrong with y teeth so she did a xray  theres no absece and no cist   but a shadow shes refured me to a hospital what do you think ### REPLY: Thanks for your query, I have gone through your query. The jaw pain can be because of the myofascial pain dysfunction syn .  Nothing to be panic, consult an oral physician and get it evaluated. If it is a myofascial pain you need to take an analgesic with muscle relaxant like ibuprofen and chlorzoxazone respectively. If it is secondary to TMJ disorder, then you have to take proximal tablet. You should not eat hard things and do not open your mouth too wide. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, This is regarding my mother s health. She is of 65 years old. She doesn t have any B.P. , diabetics as per her every 3 months checkup . But she is very badly suffering with pricking sensation, burning and pinching in her both feet . She is suffering it from the last 4 years . But sometimes the pain is unbearable throughout the day . She cannot stand or walk for more time. Otherthan this she has no other complaints. Please please kindly tell me the reason for this pain and also the proper specialist for this problem . They stay in a town. She could show to a specialist in Vizag in Andhra Pradesh in India. Please kindly tell me your advise . We are very greatful to you. ### REPLY: Dear enquirer Thanks for your query The pattern of symptoms your mother has suggested either peripheral neuropathy that is affection of the nerves of the legs or remote possibility of spinal cord problem. The investigations which mainly would help are1. Nerve conduction studies of the upper and lower limbs2. Vitamin B 12 and vitamin D levels3. If indicated Protein electrophoresis4. Urine BJ Proteins5. ESR, RA Factor and CRP Before all these she needs proper assessment by a neurologist. Thus, I Suggest book an appointment with neurologist at VIZ AG at earliest. Depending upon this test treatment for general symptomatic relief as well as for treatment of underlying condition can be planned. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pretty sure my daughter (which she is 5) has inhaled gum. she was chewing gum at the time and took a big gasp and looked at me like she was shocked. I asked her if she felt like she swallowed and she said no it just went right down. she did not cough or gag and is still acting normal right now. i know im probably sounding like a crazy person but i still want to make sure there is no potential problem. ### REPLY: Hi.... as your daughter is not having any respiratory symptoms like coughing or choking or fast breathing or respiratory distress, you can be rest assured now, she would not require any emergency medical care. But these symptoms may start to occur even later when the foreign body in the airway is very small and when it gets lodged in the lower airways. If she has ingested it, no problem at all. It will come out tomorrow, or it may get digested. Because a 5-year-old kid cannot explain properly what has happened with Hun . 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 16 year old son was sitting in a chair today and had sudden chest pain. He passed out but recovered quickly. He hit his head and bit his tongue in the fall but was otherwise ok. I took him to his pediatrician who ordered blood work and an ekg. We have not gotten the results yet but will most likely consult a cardiologist next week. This is not the first time he has had syncope and has dizzy spells occasionally. About 6 weeks ago he was hit very hard in the chest in karate class. Although worrisome , the injury resolved itself and I did not seek medical care for him. For a few days he coughed every once in a while but otherwise got progressively better. Could this be related? ### REPLY: Thanks for your question on . I can understand your concern. Yes, that chest injury and this chest pain and dizziness can be associated with each other. He had blunt chest trauma. This can cause heart damage. And this kind of heart damage can cause chest pain and dizziness after 10-15 days. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo All these reports are needed ti rule out heart damage. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. 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 54 and am having trouble breathing lately. My doctor gave me an albuterol inhaler because he said I was breathing shallow. I just used the inhaler and it made it even harder for me to breath. What could possily e causing this. My chest is tight and I feel like someone is standing on top of it. ### REPLY: Thanks for your question on . I can understand your concern. Albuterol is bronchodilator. So it is effective only if there is bronchospasm (bronchitis). Since you are not improving with albuterol and also have chest tightness and pressure, better to rule out cardiac cause for your symptoms. So get done ECG, 2d echo and stress test. You may need diuretics and other cardiac supportive .  Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, My mother aged 82 years,recently recovered from dyrhea .Her blood platelets counting showing NIL Sodium & low monocytes.Presently ,suffering from high chest conjecture & respiration problem.Kindly suggest.E.Mail address:- YYYY@YYYY ### REPLY: Thanks for your question on . I can understand your mothers situation and problem. At her age of 82 years, heart and lung diseases can cause chest congestion and breathlessness. So better to get done 1. ECG, 2d echo to rule out cardiac diseases. 2. Chest x-ray and PFT (Pulmonary Function Test) to rule out lung diseases. So better to first diagnose herself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. ### END