Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 get a blocked nosed every night and cant sleep because i cnt breathe properly, and sometimes wake up in the middle of the cos i stop breathing and get back to sleep. when i wake up every morning my nose is stuffy and sneeze alot of mucus out , and i suffer with pain above and between my eyes and my forehead. Thanks ### REPLY: Hi. From your history I feel you are suffering from sinusitis and allergic rhinitis. You could take steam inhalations often and when you have nose block take Tab. Minaret one tab at night, this will relieve the stuffy nose and headache as well, if you're not allergic to medicines. But I suggest you visit an ENT doctor for an examination of the sinus, nose for any DNS and then start treatment accordingly. Meantime avoid dust exposure and eat healthy Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my brother who is 16 is acting very strange. He has not been eat as much as usually, he sleeps during the day and not at night and has not been communicating with his friends or family. Do you know what could possibly be wrong with him? He says nothing wrong but even his friends say hes been acting weird. ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are concerned about the behavioral changes that you are noticing in your brother. The symptoms that you have described such as acting strange, being with .  These symptoms can be seen in a psychotic disorder or a mood disorder like depression. However, a detailed history and psychological assessment is necessary to pinpoint the diagnosis. Since you have mentioned that these symptoms are significant and that even his friend have noticed him behaving strangely, it is essential that he needs a psychiatric evaluation. So, I will suggest that you take him to a psychiatrist as early as possible. Earlier the problem is diagnosed, better will be the treatment outcome. There are effective treatment options - in the form of medication and psychotherapy, which will help you overcome your problems. So, please take him to a psychiatrist for further evaluation and treatment. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went into the hospital 3 weeks ago with gallstones and they had to put me on a potassium drip for 4 days to get my potassium levels back up. (6 bags total) My liver enzymes and heart enzymes were high but I tested negative for every test they gave me including all hepatitis. Now, it has dropped again, what could be causing it to drop? ### REPLY: Hi, welcome to . Thank you for posting your query. Let me make it clear about uses of potassium in the body. It helps in functioning of muscle and nerve cells in the body. Certain symptoms like severe vomiting, loose motions, antibiotic use, diuretics, chronic kidney diseases cause hypokalemia. Hope I have answered your question. If you have any further questions I will be happy to 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: i am 42 years old and right now i am having some very bad anxiety, i was driving my car and pulled over cause i thought i was having a heart attack and it was scarey. went to my doctor they put me on a .25 mg xanax. then went back and gave me a anti depressants called venlafafxin, i cant take that at all got sent home from work cause i had some bad side effects then they put me on lexapro and had a bad reaction. so now i am scare to take any thing, all but the .25 xanax they worked better but i had to eat more than what they gave me. so noe she set me up with dr. yogesh.. ium just scared to take any other kind of pills. ### REPLY: HiT hanks for using  I think, you have panic disorder and in that case, you need antidepressant like paroxetine with low dose benzodiazepine like Xanax. If you have any allergy reaction with learn, then you can try antidepressant from another group like tricyclic antidepressant, migraine or amitriptyline. Carry on Xanax at same dose, and you can also try some relaxation exercise like JPMR. In case, you need further help, you can ask. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a healthy, active, 13 year old daughter, 52, 103 lbs, who has recently began to complain of lower back pain and increased fatigue.  She woke this moring with 3 small brusies the lumbar area and increased pain without relief from ibuprofen 400mg.  She has not fallen or injured herself in any way.  The back pain has been an issue for a little over a week.  No fever, nauea,voimitng, or pain anywhere else. ### REPLY: Hello, Welcome at . I am more concerned about these symptoms of your daughter. There can be some infection at back or a generalized condition like viral infection which is leading to these symptoms. Presence of bruises can be due immune reaction caused by infection from viruses. I will advise you to consult to your pediatric doctor & get her evaluated by having blood examination & x-rays. Hope this will help you. With best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had right side only, facial tingling, numbness to the middle of my lips. Had ct scan didn t show anything, just had MRI, dr said it came back normal. But the actual report says trace mastoid fluid found I have a constant earache, but dr says it s not infected. My face has a slight droop and I keep getting headaches. anything have huge puffiness under my right eye only. Something is wrong and I keep being told nothing is wrong. ### REPLY: DearWelcome to . Understanding your concern. As per your query numbness and tingling sensation on the face is because of nerve impingement or pressure on facial nerve which can lead to facial paralysis. Need not worry about it. Visit dentist once and get it examined to rule out nerve compression, neuralgia or other conditions like neuropathy. Go for physical therapy of facial muscles. Avoid opening mouth extreme wide while jawing. If it is not due to dental related cause visit neurologist once and get it examined. Doctor may prescribe MRI of brain as it could be related to stroke. Neurotrophic medication such as nerve supplement, methylcobalamine is effective to improve your symptoms. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc, my brother s cbc results are as follows: Sementers-0.67 Lymphocytes-0.26 Stabs-0 Monocytes-0.03 Eosinophils-0.04 Basophils-0 Wbc-8.10 HemogI obin-156.0 Hematocrit-0.45 Rbc-5.62 Please help me understand what it means.? His doctor will be available tomorrow and he will be checked. I just can t wait to know, do I have to worry.? ### REPLY: Hi, dear. I have gone through your reports. I can understand your concern.  Your lymphocytes count is 26%. It is within normal range.  Same way your hematocrit and RBC count as well hemoglobin level all are normal.  You have absolutely normal report of complete blood count.  So no need to worry at all. Just be relaxed. Hope I have answered your question, if you have doubt then you can ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my 2yr old grandson has had a viral infection for 4days now, and seems to be getting no better, he hasnt eaten for 4days now.the other problem is since he has had this at night times he is finding it hard to go to bed andsleep crying out an as if he is having a bad dream is there any connection many thanks ### REPLY: Hello, Disturbed sleep is possible in any illness, as gastric complains, irritability, poor appetite are common features of any child illness. Second, your description about disease is incomplete, whether baby has viral fever or flu or gastroenteritis, treatment depending on that. However, viral diseases usually resolve in a week. 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 have a lingering cough not wet. My chest hurts a little and I dont feel like ever take a deep enough breath to cough only once. My head feels like exploding with every single cough. I am not congested in my nasal or sinus passages. I will guess I have been coughing aboit 3 weeks or so. Is there anything serious going on or will it pass. I do have a dr appt on march 6 ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having chronic cough (cough for more than 2 weeks). Lung infection and bronchitis are common causes for such chronic cough. So better to consult pulmonologist and get done1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics, antihistamines, inhaled bronchodilators and inhaled corticosteroid (ICS) according to the diagnosis. Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: for the past 3 weeks I get pins and needles a tigling feeling in my right arm that starts at my shoulder and runs down to my fingers and then my fingers fel numb and my entire arm feels heavy. it happens more when I lean with my elbow but it also happened out of no where as well? ### REPLY: Hello, The pain & tingling that you are experiencing in your arm is due to compression, irritation, damage to the peripheral nerves. Peripheral nerves can get affected due to diabetes or any other developing pathology. Visit ER or see a Neurologist, get physically examined and get all the tests for the developing Peripheral Neuropathy done. In the meantime take vitamin B with folic acid, take diet rich in calcium, iron and minerals. For pain take Acetaminophen (Tylenol)when needed.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi ,I am also suffering with same symptoms as I ve had a very dry cough that is causing me to gasp for air, almost like a severe asthma attack.I am scared I was going to choke to death due to the lack of air,I get this mostly at night and sometimes back to back .I have consulted 3 different docs ..one treated me wth antibiotics for seasonal cough...second one suggested it is allergy and Bronchitis and 3rd one is trating me for Acid Influx.I am too worried as one night while getting such stroke I might choke to death .Should I get hospitalised and get this properly investigated an treated ### REPLY: HI, Dear,Thanks for the query to . I understood your concerns about the choking cough which is unrelieved with 3 doctors. Dear, your doctors are doing there efforts and that's the limitation of the treatment for asthma currently. I would suggest to -Try simple tips for the reliefa-Reduce the work stress and take 7-8 hrs sleepb-adequate fluid intake band, frequent liquid meals mainly.d-stool check and urine check out the infective cause leading to stress your body.vapor -Steam inhalation 2 -4 times a day. Call back for special tips to my  clinic for the followup of 2-3 myths. Hope you could come out of the ASTHMA-if it is really an asthma diagnosis. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to  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: Hello I worked in a freezer for about a year now then two months ago I had a really bad cough then they put me on steroids my cough went away well I cough here an there but my chest hurts upper an middle not so much the right chest it does hurt but not as much as the left an even when I m not in the freezer its hurts but I have trouble breathing not all the time even when I m not in the freezer I had test done an waiting for my blood test to come back they said about bronchitis or pneumonia what do you think an thanks ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Working in freezer environment (cold exposure) can cause lung infection (pneumonia) and bronchitis. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test)Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. PFT will also tell you about severity of the disease. You may need inhaled bronchodilators and antihistamine .  So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: It is about this Doctor to whom i presented myself when a suspected an ectopic pregnancy. The pregnancy was two months old but he replied that there was early signs of intrauterine pregnancy with endometrial decidual reaction detected. Endometrial thickness measured 3.2x2.7 and no endometrial fluid seen. BOTH ADNEXAE APPEAR NORMAL. TWO WEEKS LATER I HAD A PAIN IN MY ABNOMINAL AND THE SAME DOCTOR TOLD ME THAT I HAD AN ECTOPIC PREGNANCY WHICH HAD RUPTURED .how could this heve happened? ### REPLY: His have gone through your complaints. Early stages only endometrial decimal reaction and later sac after implantation are seen in intrauterine pregnancy. But in ectopic pregnancy endometrial decimal reaction will be there but no sac or fetus.it will be somewhere outside endometrial cavity. As you are saying after 2 was it diagnosed as ectopic with earlier normal scan it might be ectopic in tube near uterus.sometimes do happenlike this.ectopic difficult to detect sometimes that too of short duration. Thank youRegardsVasundhara ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 from XXXXXX and have been diagnosted with spinal stenosis . I have had a cat scan, and then one surgery for drop foot on the left side. Then I had slight drop foot on right side and a mri was done followed by 2 more surgurys. At the time before the second and third surgurys the neuro told me that I had 1 disc that was needing some work done to it but he didn.t do it. I have back pain in the lower back now and he doesn.t want to do another mri. How do I ask him or what should I say for him to do it for me. The levels were L2-L3 L4-SI ### REPLY: Hi, Thank you for posting your query. Lower back pain is not an indication for surgery. However, if a person has leg pain, or pain radiating from low back to legs, or if the leg pain increases on walking (claudication pain); then, surgery may be required. These are also the indications for doing MRI of lumbar spine in your case. As of now, the treatment would be with medications and physiotherapy. Please discuss these with your doctor. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.I am a 29 year old female and 3 years ago I had a Partial Laparoscopic Nephrectomy . The biggest incission (about 3cm) was made on my abdomen , about 4 inches above my navel. Since the surgery the area where the incission is sometimes gets swollen but nothing serious. A few days ago I started doing abdominal exercises and since then I have had a pain in my upper abdomial area that pain killers have not been able to eliminate. Sometimes I also feel the pain rising up to my chest to the point even by breasts hurt. Just coming back from the supermarket I noticed that if I carry anything heavy the pain intensifies. What could this possibly be and should I seek medical attention which is something I am avoiding because I don t have insurance. Thank You. ### REPLY: Hi, The incision site you have mentioned was probably made for the retrieval of the partial neurectomy specimen. According to your history most likely diagnosis is incisional hernia. I guess u must be noticing increasing in size of swelling on raising your head in lying down position or on exertion. If the diagnosis is incisional hernia, it will need surgical correction. Please consult your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having pain on my lower bottom of my stomach and its hurts like a 9 on a scale from 1- 10 but I also started spotting watery light blood during the day what is going on .. also due to the pain on my side I cant sleep or sit for too long it hurts ### REPLY: Hello, Thanks for your query. This can occur due to constipation and the white thing could have a protective mucus coating. The contraction of the large bowel to expel this can give you the pain. There can be an internal problem like an ulcer or a mass contributing to this. If you continue to get the same problems, it will be better to consult a Castro and for further investigations like colonoscopy to rule out an internal problem. 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: Hi, I have just been diaagnosed with Normocytic Anemia. Everything I have looked up is relating to nutritive or iron deficiency anemia. I want alternative treatments or any treatments for wht i have, please. Do I need to see a Gastroenterologist for a colonoscopy? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Normochromic anemia is seen in blood loss or chronic renal disease. You should go for ultrasound abdomen to search the cause of bleeding.  And you should also go for serum creatinine level.  Consult your doctor and take treatment according to diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what is medicine for external applications to suppress/ cure  psoriasis?age 39height 6 ftsuffering from psoriasis since age of 14. it is on the scalp, elbow, knee and few spots on the back, thigh. currently I am using diprovate cream to suppress scalp. ### REPLY: Thanks for using . I understand your query. Topical calcitriol ointment twice daily or topical tazoratene(Tamarac)0.05% gel once daily can be the other options. If I am your family physician, would suggest combined therapy, based on the type and extent of lesions (like photo therapy+topical agents) which will be more effective in enhancing faster remission/clearance of lesions. I would advise you to discuss this with a dermatologist for above prescription if it's appropriate for you. Hope I have answered your query. If any further questions, happy to answer 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, I m on the tail end of a nasty chest cold, hopefully. Now, I have a few sore spots on my mouth. When I cough the roof of my mouth feels pressure. Is this normal? I fear for mouth cancer, but, that could be hypochondria. Im 27 and pretty healthy. ### REPLY: Brief answer mouth ulcer or leukoplakiaDetailed answer have gone through your query I think I have a better answer to help you out In my opinion it could be a case of mouth ulcer that can develop due to nutritional deficiency to help you better I would like to know do you smoke or chew tobacco Hope I have answered your question. If you have any further questions I will be happy to help wish you good health .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 41. Had a colposcopy done 10 days ago with good results but for about five days now I have been having chronic muscle aches in my thighs and mild cramps (almost how my PMS used to be in my younger years)... overall nagging aches...why? Is this normal? I had a colposcopy done about 6 yrs ago with no problems. Now I m worried. ### REPLY: Dear friend, I understand your concern, no need to worry, see muscles cramps and pain may be due to many reasons, but most common will be fatigue and nutrition deficiency as you said there was history of colonoscopy so due intestinal erosion the temporary reduction in absorption of nutrients will occur, especially when there will be deficiency or lack in calcium and magnesium and vitamin D, then cramps may occur, so you just increase your intake of calcium and other vitamin by taking green vegetables fruits every day. Do every day Panama and yoga practice, so your muscles will be flexible and healthy, so no cramps will occur. I hope you are satisfied with this answer. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had some intense chest pain, on the left side of my body, located inferior to my left breast. Lasted about 5 min, and I had an incredibly hard, painful time trying to breathe. Hot flashes, and I havent been feeling well for the past hour or so (Nausea, dizziness, etc.). The symptoms seem consistent with a heart attack, but I am a healthy 20 year old college student. Should I go to the hospital? ### REPLY: Thanks for your question on . I can understand your concern. Possibility of heart disease is less but nowadays heart diseases can present at younger age. So better to get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Sometimes stress and anxiety can cause similar symptoms of nausea, hot flush, left sided chest pain etc. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  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: I have a haviness in my chest that comes and goes for about 4 days now with shortness of breath. I went to the er to be checked. My blood work and xrays came back normal. No blood clots were found which I was afraid of at first because of the sharp pains that I ve been experiencing in my legs which I know could be a possible sign of DVT. So just today I started feeling a warm sensation in my chest as well. What is causing this? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of bronchitis is high in your case. So better to get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators, inhaled corticosteroid and antihistamine .  So first diagnose yourself and then start appropriate treatment. 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: we were told our child may have abdominal migraines- both of this parents have regular migraines( headaches) and strong family history of headache migraines on both maternal and paternal sides.  One family member ( adult) has abdominal migraines.  Our child has what appears to be very strong episodes of nausea that can last for as long as six hours but usually around 1 to two hours.  nausea is in waves.  He gets extremely pale and says his cheeks feel numb and then sometimes his hands and arms do as well.. this can last as long as nausea sometimes.. I thought the tingling sensations might be panic related ( panics when the nausea is very bad) but GI doc said tingling should not last that long with panic.  He also has dark circles often with these and more recently has complained of back bothering him when he has these episodes.  He has had stomach cramping for two months now as well as the nausea but nausea is getting more severe... he had upper and lower scoping done and has been recently diagnosed with acid reflux for which he is taking 40 mg of prilosec in capsule form ( capsules poured out).  He has also been prescribed ondansetron for nausea ( which does not always seem real effective) also just started him on amitriptyline ( 10mg) just started last night.  had been hesitant to start him on the amitriptyline as the GI specialist said that with as severe and as long-lived as the nausea seemed, he wondered if it was maybe abdominal migraines and that the nausea would not be that long lasting with reflux alone.   So, my thought was if it was abdominal migraines, I wanted to monitor what he had eaten the days the nausea has been really bad.  The common thread I found for each day was caffeine and he loves iced  tea.  He has had six episodes of severe nausea, tingling etc in the last two weeks..... all lasting at least an hour if not more... He also urinates a lot and when he has these episodes and sometimes says he feels dizzy.  My main question is, if he continues to take the amitriptyline, is it then going to be difficult to diagnose him with abdominal migraines ( GI doc said if it is abdominal migraine, that is the med a Neurologist would prescribe).  Can reflux cause abdominal migraines or make them worse?    Looking back over the last couple months when this first started... he has been pale a lot ( looks sick)... we were pediatrician several times and were not to see specialist until next week but when he started losing weight specialist saw us sooner.  Son had difficulty eating at times the past couple of months due to feeling so nauseated and became thinner. and thinner.. trying to get him some relief he is absolutely miserable when he has these episodes.  Having nausea with headache migraines, I know how severe nausea can be... he does not cope with it well at all.  I take something at onset of headache migraines and feel good within a half hour... this is not happening for him...I really dont want him on meds for a long time but since migraines are so strong in our family, I am concerned this may be the case.  Do kids usually grow  out of these if it is abdominal migraine?  Could it be related to his hormones? He is 10 .  Concerned about side effects of med.... maybe things will subside when reflux clears up?  Thanks so much for any help you can provide!!!   Heartfelt thanks!! ### REPLY: With such presentations in my clinic, I would prescribe Comparison 1 tablet 3 times after 15 min before meals. It is gold standard for acid reflux. Kindly follow Partners diet 1, don't give him ice or other tea, it will increase acidity, avoid chocolate and cheese, it can cause migraine also. Begin to take flax seeds(boil 1 tbs in 2 glasses of water, take 1/2 glass before meal twice a day). Give him yogurts, probiotics(Similar), it will decrease nausea and increase appetite. For headache migraines you can use 1 tablet of Diclofenac and 1 tablet of Risperidone.  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 im 18 years old boy . But my voice is like females. Im a patient of tonsels and synasitus . And another problem is that my voice breaks . I mean i need much stress to speak . So this is the problem . I want to know how can i make my voice heavy ? ### REPLY: Hi, what you are experiencing is a normal phase of development during Puberty. Some boys face it earlier and some later. Don't worry, you do not need any medicines or surgery for this problem. As you grow, your voice will settle down into its normal male voice, but you will have to wait for that to happen. What you can do is to take steam inhalation by mouth once or twice a day for soothing your vocal cords to get the best voice in the future. Take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, i woke up this morning and felt soreness on the back right side of my mouth. I went to the bathroom and saw that my gums were swollen right by my back molar with a tiny black spec and a tiny reddish brown spec on top. I am a college student and im freaking out because i ve read that it could be a form of cancer . Please help me anyway you can ### REPLY: Hi, Welcome to the forum. Soreness may be due to infection, or some irritation. Avoiding excessive alcohol and tobacco use can greatly reduce the risk of most oral cancers. Smoothing rough edges from broken teeth or fillings is another preventive measure. Maintain good oral hygiene, that includes regular examinations and thorough home care, including daily home fluoride applications hope this information has been both informative and helpful for you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi...i m 29 years old...i had a swollen lymph node on my groin on the right side...did biopsy and chest x ray..went to the doctor and was put on antibiotics and the lymph node went away in a week...the doctor told me that it was an infection...this was 2 year ago...now i have swollen lymph node on the right...went through biopsy again...and chest xray ..now i have been told that the lymph node is abnormal and was recommended to a specilaist...is this lymphoma ...my blood test and chest x ray is normal...i have no pain anywhere...please advise ### REPLY: I would have preferred to know what exactly does the biopsy say because an abnormal biopsy could mean a number of things like tuberculosis, filariasis, lymphoma, other cancer etc. The chest x-ray and blood work maybe normal in a number of these and don't contribute much. If your doctor says it is abnormal then I suggest you do as he says and meet the specialist. No point wasting time over something that is definitely not a simple infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hai sir,My father is a diabetic patient and his age is 52. For the past few months he suffers from viral fever and infection occurred in right kidney. Doctors confirmed as viral fever and requested to reduce the sugar level in the body. Now he has a controlled diet and has sugar level of 148. But still often viral fever comes and same reason from doctors. Is that a viral fever ? Or some other symptoms of cancer I might get afraid. Please suggest me a proper solution for this disease .Common symptoms:1) Cold fever2) headache3) vomiting4) Body pain5) coughing6) Tiredness ### REPLY: Hello, Thanks for the query. In a person with diabetes generally the resistance is lowered. So there can be repeat infections. Hence, it is absolutely essential to achieve a very strict blood glucose control. Ideally FBG: should be <100 mg, PP 150 to 160 mg & HbA1c% <6.8.  With good blood glucose control, healthy balanced diet and regular exercise for about 1 hour a day, he should be able to live free from repeat infections. Viral fevers are fairly common and usually self limiting. When a person improves his fitness and maintains good control on blood glucose, these problems can be avoided. There is no reason to panic or think in terms of some serious diseases. 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,I have this small lump under Adams Apple,sometimes i do not feel anything sometimes it feels,iv been having my tongue white,There are days i barely sleep I do not know if it is because anxiety or stress I Had this lump around four weeks already,I am 22 years old,male sometimes this lump is bothersome ,i feel tightness on my neck.Could it be infection or something else?By the way the first and second week i had fever and some flu but after third week i had no issues but this lump. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have lump under Adams apple. It can be due to some thyroid enlargement, cyst or lymph node. You should go for ultrasound neck. If needed go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think ive been a victim of oral sore, after it fade out ive notice that on my upper lip it become divided, the forward outer is kindda dark/blackish in color amd have some blisters kindda oral sore. Can i ask what is this? I dont know if this is fordyce spot or what. Thank you ### REPLY: Hi... Force spot are white. And they are pain less. Oral sores are painfully, and they get healed by 4 to 5 days ... For that start vitamin b12(Bible or folic acid) daily one for ten days and apply McCoppin gel over sore area. Reason for recurrent ulcer can be indigestion or lack of b complex vitamin .sometimes due to trauma also ulcer develop. Many systemic conditions are also there which cause oral ulcer. So if recurrent ulcer are occurring then consult physician and have keen check up and identify the cause. So I think 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: On Friday I was stung by a bee or other insect. I swatted when I felt its presence and after stinging me, it flew away, so I am not sure what it was for sure.  I have been unable to sleep for two nights and have done the following:benadryl, was taken, area iced, and my husband who has severe allergies gave me 4 of his steroid pills....I have swelling, stinging pain in my neck and head....baking soda paste on area..Ibuprofen taken...have an autoimmune disease, Graves, really itchy and pain, but not affected breathing. LK ### REPLY: Hello dear thanks for your query at ChatDoctorsting bite of insect will persist for some time pain and itching will also take some to decrease. There is no need for steroids, you cannot start steroids on your own without consulting doctor they can severely side effects if not taken properly. You can continue ibuprofen for pain. Take tab levocetrizine 5 mg in night that will decrease itching.no need for any other medication unnecessarily. Reagrds ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feeling drained and on Wed I had a fainting spell at work, they sent me home for the night. ON Thursday I went into the Dr. and had some test, ekg, blood and urine. Everything came back fine, just anemic. So he has me taking iron pills. Today is the 2nd day taking them but I m still not feeling well. How long before I will notice a difference? ### REPLY: Welcome to . Dear friend, iron pills will definitely benefit you, but it takes nearly 2 weeks. You will feel difference in your health after two weeks. I suggest you to take diets that are rich in iron. Start using Eggs, Soybeans,Spinach, Lentils,Kidney Beans, pomegranates (ANVAR), James, black grapes, apricots, plums, strawberries, avocados and false because these will give additive effect to increase iron along with iron pills. Thanx for 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: My daughter is having shortness of breath, a pain between her shoulder blades and her glands are swollen.  She coughs up phleum occassionally but it is not bloody or colored.  She got her flu shot a week ago, but Im not sure if that could be what it is from.  She is 17 and has no health issues. ### REPLY: Thanks for your question on . I can understand your daughters situation and problem. Flu vaccine can cause inflammatory reaction sometimes. By her history and description, possibility of bronchitis is more. Breathlessness, cough, phlegm, chest pain, all are seen in bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. She may need inhaled bronchodilators and inhaled corticosteroid. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! I started having sharp pain on the left side of my back. I have tried icy hot , a hot shower and a heating pad. I have also been urinating more, but I am a diabetic type 2. Should I be concerned about a kidney infection or is it just possible muscle pain. I don t recall pulling anything but have been doing an execive amount of cleaning. Thank you ### REPLY: Hi sir/madam, Thanks for your question on . Common Causes of Lower Left Back Pain:-1. Bulging or herniated discs.2. Muscle spasms.3. Pulled back muscle.4. Muscle imbalances.5. Muscle strain, injury or trauma to the back muscles, ligaments or joints.6. Trigger points.7. Stress / Negative emotions. If lower left back pain is particularly severe, it may be an indication of a herniated or ruptured disc, or sciatica. Recommended Treatments for Lower Left Side Back Pain:-1. Muscle Balance Therapy.2. Massage Therapy.3. Trigger Point Therapy.4. Inversion / Decompression Therapy.5. Acupuncture / Acupressure.6. Use a Back Support or Cushion.7Relaxation, Meditation.8. Dietary improvements (i.e. reducing foods that cause inflammation like dairy, wheat / gluten, sugar, nightshades).9. . Left Side Back Pain Prevention:-1. While walking and sitting, keep a relatively upright posture2. When lifting objects (heavy or light), always lift with the legs-never bend from the waist3. Exercise; focus on working out the muscles in the core (abdomen and back)4. Daily Stretching. Hope I was helpful. 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: My mother (59,who has COPD, previous cancer{ovarian} and a variety of other major health concerns) just (yesterday) had surgery to debulk a tumor (squamous cell carcinoma) at the base of her tongue and there is some blood in her phlegm... Is this normal, or should we get her medical attention? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  She may have bleeding from her squamous cell carcinoma surgery site.  She should go for x-ray chest once to rule out cause of bleeding from lung disease.  Then she should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I m Hana from India, age 26, my first date of last period is 02/09/15. my husband was with me from 18 September 2015 to 25 september 2015. Now i am pregnant. But i have taken 3 migraine medicine (migranil) in between 18 september 2015 to 30 september 2015. Tablet Name- Migranil 1.5 have any problem with my coming baby. please tell me. Thank you. ### REPLY: Hello Ms. Haney, I have gone through your query and congratulations on your pregnancy. As far as the medication you have consumed, there are no known teratogenic effects reported and hence, you need not worry. Moreover, you had consumed very little dosage and that too, at a very early stage either just prior to after conception. In the future, if you need to take any medication, do it after you take the guidance of your consultant. Please use folates and have a healthy diet and adequate rest. 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, my name is Irene and i am 23 years old. 5 years ago i had a car accident and had fractures in hips and sacrum , stayed in hospital for 1 1/2 month lying down. didn t need surgery. everything after that was fine i used excercise alot and never feel pain in my lower back until a year and half ago. Since then i ve been having constant pain. never gone away for a second. i ve been to so many doctors.. chiropractors, orthopedics , physicians for physiotherapy, anti inflammotary medicine. no results! i ve gone through everything.. last mri showed i have Bulging disc with annular tear at the L5/S1 level without evidence of nerve roots compression. mild multilevel bulging discs from L1/2 to L4/5 without evidence of nerve roots compression. Also there is a small subcortical bone marrow edema in the iliac bone at the level of the proximal aspect of the sacroiliac joint on both sides, corresponding to mild bilateral sacroileitis. Now the only thing they suggest is cortizone medication. the first year i was much worse now it just seems the pain will not fade away. PLEASE HELP. ### REPLY: Hi, It seems that you are suffering from multiple level lumbosacral disc prolapse mild type without root compression. You also have sacroiliacs bilateral. Sacroiliacs causes pain in your lower back and buttocks as it connects to lower spine and pelvis. It gets aggravated on prolonged standing and climbing. Treatment depends on signs and symptoms you are having and also to evaluate for spondyloarthropathies like ankyloses spondylitis. Treatment includes pain relievers, muscle relaxants, corticisteroids, rest physical therapy, lumbosacral corset. Corticosteroids like dexamethasone or triamcinolone can be injected into joint that reduce inflammation and pain. But you can receive few joint injections a year because it weakens your joint. Other options are DM ARDS, TNF inhibitors if associated with ankyloses spondylopathies. If medical treatment fails, radiofrequency enervation, electrical stimulants or joint fusion tried. Don't worry, consult rheumatologist and neurologist for helping you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 22 years old and the last 2 weeks ive been having really bad back pain, its a stabbing pain and sometimes my leg goes numb. it occurs when i sit down, stand up, breathe and even when i go to the bathroom. it feels like the pain is getting worse do you know what is causing this? ### REPLY: Hi, Your symptoms classically describe a condition called Spinal Canal Stenosis. The spinal canal is a central Colin .  Due to some conditions, the canal can get narrowed and this causes the nerves exiting out and the cord to be compressed; which is causing your symptoms. If the symptoms are getting severe as you had said, you must consult a spine surgeon immediately and get an MRI scan done of your lower back along with a complete spinal screening. It also requires surgical correction if a trial of pain medications and physical therapy fail to rectify your pain and other symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,My name is Lonesha. Ive or should I say I assume I have a tract infection because of the frequent bathroom runs,foul smell,and discharge but my question is Ive had it for over a week with no treatment and I just got my IUD a little over a moth ago,could this infection mess up anything with IUD? ### REPLY: HI, thanks for using  IUD function would not be affected by the infections, but IUD are associated with an increased risk of developing infection. Urinary tract infections can present with some or all of the following symptoms: frequency of urination, change in the odor or color of urine, urgency, discomfort on urination, abdominal pain, fever, vomiting, loss of appetite. You need to consider visiting your doctor for an assessment and treatment which includes antibiotics. 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: yeah I have been on warfrin, 35 years old. anyhoo,I have been feeling my heart  fluttering I suppose is the best way to discibe it an d ,I had a siezure about a week ago tha doctors could not explain. I am concerend some is seriously wrong I had stop taking the shot the day before I had the seizure  and now because my levals fell back down I am useing the shot again , it almost feels as if I am slowly creeping up to the piont of where I was when I had that seiesure, I do not drink smoke or anything the oonly thing that I am doing different is taking meds for blood clots I have in my lungs. . How worried should I be, my side effects right now are ,having trouble sleeping, feel swallen (gained nearly 10 lbs and my diet has not changed), shortness of breath ,feel super tierd but I am restless ,head ache.lightheaded at times.these are the majoriy  of them? ### REPLY: Thanks for your question on . I can understand your concern. You are having Pulmonary embolism. So possibility of clot dislodgement in brain and heart is more. Clot in brain can cause seizure. Clot in heart can cause shortness of breath, swelling of body, weakness etc. So better to consult doctor and get done 1. Coronary angiography. 2. CT brain with angiography. Both these are needed to rule out clots in heart and brain. 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: Good Afternoon,Since last few day... i am having skin allergies... this is first time i am having such troublei am 32 years old female... kindly give some remedy... I took avil tab.. but only for time being it is stop... again it is occuring... Rgds Sushmita ### REPLY: Hi,first go for total and differential of white blood cells and if eosinophilic is found then meet a physician to detect its cause, you can go for routine stool examination for egg and cyst of worms as they are one of the common cause of eosinophilic, if found then go for deforming therapy, you can also go for blood smear examination for micro larvae and its subsequent treatment. Till then keep on taking antiallergic like cetirizine, loratadine, or mortar L. you can even consult a dermatologist or even an immunologist for further management if required. 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, Ive been on birth control for a long time, with my doctors proposition, she wanted me to skip the iron/sugar pills every four months. So basically I  only have ONE real period every four months...to help with my PMS. --SO, I this was the month I was supposed to have my period. So I stopped my pill when I finished the pack, and had a normal period... three days into my period, I had sex with my boyfriend... I took a pill the morning after we had sex...because I had just refilled my prescription the prior night.... Do I have a chance of being pregnant?? Or do you think Im okay?? ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. Please do not worry. I can understand Your concern about getting pregnant. Unprotected sex act on the third day of the menstrual cycle has no chance of getting pregnant.  As you might be aware that in a woman with regular cycles, egg formation takes place on day 14 of the cycle. So you were in almost safe period. As you have already started on your next pill pack, please don't panic. So continue to take the pills as suggested. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife had hormones imbalance , we are getting treatment in china.foctor daignos some problem in overies size, due to which my wife isn t getting pregnant, she suggested some injection, written on paper in Chinese. I have translated which gave result sodium choloride would you please let me know the purpose of this injection. If I translate it right ### REPLY: Hello, There is no evidence regarding the use of sodium chloride in pregnancy. I suppose the Chinese script wrongly interpreted. Maybe your doctor meant your wife has polycystic ovaries which need some medication to help her get pregnant. So please ask your doctor details about the condition and treatment she is undergoing. 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: Four weeks ago my son injured his shin playing football when another player struck him with his football cleats. There was a minor laceration which I cleaned and applied antibacterial ointment to. There is a persistent hard bump that remains which is approximately the size of half a walnut shell. Should I be concerned about the bump? ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that there is no need to worry continue your antibacterial ointment if you find any pus or discharge than start oral treatment with antibiotics. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my friend has a tumor that is attached to his kidney by a small stem of tissue-his urologist is pretty sure he has renal carcinoma, but I am unable to find any information about a cancer outside the kidney that is attached in this manner...would like more information or a name for this type of tumor/cancer..thank you! ### REPLY: HelloThanks for query. Your friend has tumor near kidney and has been suspected to be Renal Cell Carcinoma. It is a protocol to do following investigations to confirm the diagnosis 1) C. T Scan of the Kidney Ureter and Bladder (PUB) plain and with me. V contrast 2) MRI 3) Renal Angiography. It is not possible to pinpoint diagnosis only on radiological findings and sometimes needs Fine Needle Aspiration Biopsy. To confirm the hist logical diagnosis or by frozen section biopsy during surgery. Since the nature of tumors differs in every case you can not get information on internet. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a filling not this Monday but the Monday after that i was in quite about of pain and the cavity was very very close to the nerve. After the filling i had heaps of pain in my jaw when i open it it hurts like a very sharp pain until i close it and then it goes away it is extremely painful in the morning and can somethings make my throat hurt. I have to get more fillings on Monday and im really worried because this is very painful. Is this normal after having a filling? Also on my right side which is the opposite to where i got my filling down underneath the gum and teeth on the side of the chin is hurting. ### REPLY: Hello Rachael, Thanks for your query, As you provided the detail, i would like to suggest you, please visit back to your dentist and get the x-ray done for all the filled teeth. X-ray will be helpful to rule out the origin of pain. After all the examination, clinical and x-rays, go for the removal of the filling of the pain causing tooth and get a proper treatment. Treatment options for your problem are-1.root canal treatment.2.extraction of the tooth. I would like to suggest you, save your tooth and go for root canal treatment of the same. Nothing to get worried. Take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...i am 31 years ols and have always been healthy with nor problems-last year i was diagnosed with pvc-have them 24 hours a day every 4-6 beats-on a beta blocker-and it hasnt made a difference-i occsioanlly experience angina but i think its mental.. is there any advise and why this may be happening-i havent heard of nayone else having it 24 hours a day with no break for this long--why is mine not occsional?? echo normal, have very mild mitrial valve proplapse.all labs normal ### REPLY: helloThanks for posting Harald per your description you are having an extra beat every 4-6 beats. So it is a type of rhythm. If its due to a congenital abbe ration in the electrical conduction system of your heart. As you don't seem to have any complaints like dizziness, episodes of loss of consciousness, there is nothing to worry about. It is persistent because the electrical activity pathway is organized in such a way in your heart. However, I would advise you to get a treadmill test which will show whether these extra beats increase with exercise or vanish during the exercise. If they vanish during exercise, they are the harmless extra beats. If they increase or come in groups during exercise then they can be troublesome. In that case, or if you got symptoms; an EP study can be done which involves identifying the abbe rant pathway and stimulating it to see whether it produces any life-threatening arrhythmias and ablating or burning the pathway if harmful. My view is you may probably not require the procedure. Wishing you good health regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I came with a syst on the liver quit big for formal on the results excuse my writing as I speak Spanish not perfect English the pain eases and increases but it just hurts and feel like blow stomach  under the right ribs its  very uncomfortable .9MM I need a specialist for this please near in NJ. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. In most cases these spots are benign growths such as cysts or hematomas. Hematoma is very small and this can't cause such symptoms unless larger than 10 cm. He should do MRI SCN or liver biopsy to find what type of lesion it is.  Less common this may be malignant issues such as hepatocellular carcinoma. Your abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I don't think this is causing his symptoms. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 13years going 14yrs in 3 months time. She has these hard lumps in her right breast which we discovered last month. they subsided a little when her periods went but now they are back huge and and she has sore lumps in her armpits as well. What could these be. I am worried, will take her to see the doctor but I would appreciate some insight to calm my nerves ### REPLY: Welcome to  .1. It looks like cyclical changes in the breast tissue.2. Disappering of the lumps means its just ducts, cyclical changes and dilatation might be giving such symptoms.3. Lumps under armpits might be due to enlarged lymph nodes - could be due to any infection / inflammation 4. In your case when you feel the lumps get an ultrasound scan done to confirm the reason.5. Take appointment and let your doctor examine and do needful. Hope it helps you. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a chronic kidney stone former. In the past 6 years I have had 5 procedures to get rid of these stones. The last surgery was 3 months ago and I was told all the stones were removed. I just had an X-ray and the findings show multiple calculi in the interpolar region of the left kidney with little change from last years X-ray. Are these new or did the surgeon not get all of the stones? ### REPLY: Hi, welcome to . Looking to your history, it seems that you are recurrent kidney stone former. It requires evaluation to determine the cause for kidney stone formation. Do basic urine report with culture, S.creatinine, venous bicarbonate, S.calcium IPTV and 24 for urinalysis for stone with stone chemical analysis. Maintain adequate HY . Consult nearby nephrologist, or you can get to me also with reports. I think this would be helpful to you. Best wishes. TC. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Factor V leiden, MTHFR and antithrompin III i am worried that this might be more serious then it is considering the cluster of blood clotting disorders i carry. I am having what feels like a muscle spasm in my head above my right ear. Should i go to the ER to have this looked at? It doesn t hurt just very annoying and hard to sleep. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have multiple blood coagulation disorder. You are thrombophilia with high tendency of blood clotting.  Furthermore, you should go for MRI brain and coagulation profile.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My doctor recommended an MRI because I have had severe hip pain. I received the results from my doctor today and results showed I have a ruptured disc. What is bothersome is that the MRI also showed a cortical cyst on the left pole of the kidney. When I fisrt start having hip pain, through a urinalysis, it was determined that I had a UTI. Is it possible that my disc problem could have been brought on by whatever is going on with the kidney. ### REPLY: Dear friend, You're having a lumber disc problem along with accidental finding of left upper pole renal cyst. Renal cortical cyst is normal part of structural changes of kidney with aging, and it might since birth. As in report, if cyst is single then it would not be troublesome. You don't mentioned a cyst size. Small cyst generally does creating any problems. And if it creates any problem then also pain will not refer to hip bone. So, your hip pain surly due to disc problem and not related to kidney cyst. Urinary infection may be due to other cause. Thanking 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 5 yr old son was fine all morning then this afyernoon started looking really tired and fell asleep I assumed he was just tired. He woke up about 2 hrs later with a 103.4 temp complaining his forehead hurt and his legs hurt when he tries to walk. Do you think there is any major concern? I had him touch his chin to his chest and he said that there was no pain and insist no tummy aches or pains. ### REPLY: Hi... appreciate you for testing and making it clear that it is not meningitis (by asking the chin to be touched). I feel that this could be a viral illness and in viral fevers it is quite common to have symptoms like this. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness. Once viral fever comes it will there for 4-7 days. There is nor major concern here. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a fatty liver and there is cluster of nodes in the porta hepatis = 4.1 cm x 3.2 cm x 1.4 cm.  The liver is at the upper limits of normal in size and is fatty consistent with fatty infiltration or hepatocellular disease.  There is a cluster of nodes extending over a 4.1 x 3.2 cm in length in the region of the portahepatic.  There are more nodes that the usual one or two which ar allowed, therefore clinical correlation is needed.  A CT scan has been ordered.  I also have LUPUS and drink red wine two or three times a week.  I am cutting out the red wine, but Im wondering what else I can do until the CT scan.  Does is sound like cancer. ### REPLY: Thanks for your question on . I can understand your concern. Fatty changes in liver with borderline enlargement is mostly due to your wine intake. But lymph nodes suggest possibility of either of the following. 1. Infection 2. Cancer. For confirmation, biopsy and histopathological examination is needed. But before this you need to get done CT scan of abdomen. So avoid red wine and get done CT scan of abdomen first. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, im a female aged 19 and i weight 115 pounds. i have a healthy background, but i have for the past year been loosing a lot of hair. it has recently started thinning out significantly and im freaking out, and i have even noticed my eyelashes are falling out. ive always bruised easily and had thin nails. how to i get my hair to stop falling out?! ### REPLY: Hi, You seem to suffer from halogen effluvium most probably. Your hairs are thin you easily bruised and also your nails are thin. All these suggest that probably you may be having some disease like anemia, thyroid dysfunction or some other internal disease. You kindly consult the dermatologist. I would suggest...- blood tests for anemia, thyroid dysfunction etc.- mild steroid scalp lotion to apply at night on scalp-biotin containing capsules daily-Vitamin E cap 400 mg daily-anti Dan .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 yr old son has a tumour in his right temporal lobe, about the size of a ping pong ball, based on an MRI; he is special needs, non-verbal, and has a chromosome deletion ( 13q- ); he has been having increasing headaches for 1 1/2 yrs; he is disinterested in his favourite activities; his sleep is interrupted; he is eating less; his mother died 18 yrs ago from anaplastic astrocytoma, so maybe a hereditary factor?? what is his prognosis?? - I ve heard 1 - 2 yrs but read cases where the patient was still living 10 yrs later ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Treatment depends on type and stage of tumor. His mother has anaplastic astrocyte, so he also has chance of hereditary factors. Prognosis also depends on type and stage as wall as grade of tumor and general condition of patient. Treatment options are surgery and radiotherapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m live in Bosnia and Herzegovina ( you may not know where it is ) and I have a boy age 4 years and 5 months. My doctor specialists in ophthalmology said that he has amblyopia on the right eye. His sight is approximately 25% of the normal. She ( the doctor ) also said that the condition is incurable. Apparently the colour of the eye nerve is lighter than normal. Diagnosis: Amblyopia O.D. H50.0 Entropy OS H52.0. Please tell me is there any hope for my child and his sight on the right eye. My e mail is YYYY@YYYY ### REPLY: Hello and welcome to . Amblyopia or lazy eye is a condition in which one of the eyes become weak because of lack of light stimulation. Once established it cannot be corrected even by glasses lenses or halibut the hope is that it might be treated uphill 9.5 years of age by stimulation. In this condition patch is applied to the strong eye(the eye which is normal and not amblyopia) or atropine . This method stimulates the weak/lazy/amblyopia eye. The patch can be applied for as long as 6 months. As your son is still young it can be beneficial to him. Thank you for using . Good luck! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had an itchy rash on my back, hips, hairline, and top of bottom. I had a lump appear in my vagina I popped it and the pain went away but the lump is still there and frequently itches. Now I have a painful lump on the left side base of my skull. ### REPLY: Hi, You seem to suffer from multiple problems. Itching on various parts of the body may be due to irritation or allergy.  For that, you consult the dermatologist. And for the lump in vagina consult the gynecologist and for the lump on neck, consult the surgeon. Thorough examination and investigations are needed before any advice or treatment. 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: Can you write legal prescriptions?  I have scoliosis, SI joint dysfunction (suspected) and a vertebrae that is pushed forward and to the side.  Am waiting on an MRI, but have to wait until the first of the year.  HATE the thought of asking my doctor for pain medication, so much so that he asked and I said no.  He gave me a Medrol dose pack which helped initially, but now pain is back with a vengeance.  Christmas shopping to do, two young children.  I feel crippled. ### REPLY: Hi I am . .  For my patients I suggest painkillers like Advil tab twice daily after meals, hot massaging with topical gels, avoid vigorous movements and heavy lifting, muscle relaxants like tizanidine 4 mg once daily, B12 multivitamins, physiotherapy and even yoga will be effective for now till you get your results for proper evaluation and management. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a counselor at band camp..we have 3 kids at camp all teens from nj. One feels ill and suddenly has a rash where she crosses her arms (back of hands touching back of arms) Its raised and feels like my skin burns underneath she added hydrocort and its worse! The other two kids have intense abd pain and nausea worse in am and pm. Any advice? ### REPLY: Hi there. It appears that the kid with the rash has urticaria; the others appear to have food poisoning. Since you are out in the ? Wild, perhaps they ingested something in the last 24 hrs that caused the problem? Berries/mushrooms? An antihistamine tablet should help the former & you may require antibiotics for the latter with lots of HY .  Cheer & take care. The sooner you get them back to base camp, the better. Cheers! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: man in  mid 30s, periodic feeling of intense sternal chest pain, like squeezing when this occurs his pupils dialate with each heartbeatbegan appx 2-3 months ago went to ER on one occasion but by the time he got there the episode was overhe related his symptoms but was given something for gastritis none of the symptoms were evident at time he was seenepisodes continue to occur intermittantly, seemingly randomly ### REPLY: Thanks for your question on . I can understand your concern. We should first rule out valvular heart diseases like aortic stenosis and aortic regurgitation because both of them causes intermittent severe chest pain and dilatation of pupils with heart beat. So first get done ECG, 2d echo to rule out these valvular heart diseases. If any of these is present than he needs surgical correction of valvular defect. If these reports are normal than sometimes stress and anxiety can cause similar symptoms. So ask him to avoid stress and tension. Don't worry, he will be alright but first rule out valvular heart diseases. Hope I have solved your query. Wishing him good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was diagnosed with a kidney cyst in 2000 and told that it wouldnt grow (it was just under the size of my left kidney. This was monitored for a while and it didnt grow in size. Recently, I have been suffering with pain, nausea and irregular bleeding. I went to my Dr because I thought that I was menapausal and all my bloods came back good. I asked for a scan as I knew that somethiing wasnt right, I could feel movement and I was always constipated. I had my scan on Wednesday and it showed the kidney cyst as almost treble in size and it had grown 4inches in length. The results were with  my GP the next day (rather quick). I spoke with my GP yesterday and I am  now being referred to Urology and it might be that simple drainage is not enough and that I might loose my kidney. The kidney not be not functioning properly due to the weight of the cyst and it might hav effected my other organs to. Im scared and I woud like advice. Cheryle ### REPLY: Hello, Well, kidney cysts are usually benign and most of the time, they're asymptomatic. Of course, completely removing the kidney is a major procedure but most of the time, a simple trial is given before. Depending on your general conditions and symptoms, the treatment would be done adequately. A cyst so large can be . You do not have to worry a lot about loosing your kidney. There are already many alternate medical treatment for the symptoms. 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 have been having itching in eyes and redness every morning that I wait up, the itching is in several parts of my body.itching in the throat . I was wondering what this could be. I do have peripheral neuropathy due to chemo therapy , and I just moved into a house that was newly painted and new carpet installed, could this be that I may be allergic to something?? ### REPLY: Dear Concerned., Thanks for writing to us. The redness in eyes, itching in basically skin/mucosal surfaces is due to allergic reactions to constituents in paint/paint solvents/house dust and carpet dust. The best way to prevention is to keep yourself from the offending allergen. Please change your environment/shift yourself away until the painting and other works have been completed. Use an anti-allergic oral medication(Antihistamines) such as Fexofenadine /Chlorpheniramine orally at least once a day/as decided by your MD. For Skin reaction pls apply call . Salt water gargling for throat. If you develop any respiratory symptoms such as difficulty in breathing/wheezing pls contact you MD immediately to start on Nebulization with bronchodilators/lifesaving steroids as angioneurotic edema (medical term) is a dangerous condition. Wishing you very speedy recovery., 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: Hi, may I answer your health queries right now ?  Please type your query here...I Gave my 20 month old son squash for the very first Time yesterday and today he had very watery, foul smelling pale yellow stool. And while hes moving his bowels he would cry and whine even though the stool is very loose.  Could that be a sign of a allergic reaction ### REPLY: Hello. Thank you for asking at . I went through your son’s history and would like to make suggestions as follows:1. As he has taken squash for the first time, and he had no symptoms immediately after taking it, I would not first think of allergy.2. I would think of simply inability to digest the new food item or sometimes food poisoning.3. I would suggest you to give him plenty of fluids, and he will recover by himself.4. You may try giving him squash again after 2-3 weeks and in small amount, once he is able to tolerate it, you may gradually increase amounts. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish your son the best of the health. Thank you & Regards. ### END