Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wondering is their is a shorter life span for small tissue Neuropathy, I believe its Ischaemic Neuropathy, due to a surgery a couple years ago, when I was dropped after surgery & lost alot of blood. To cover their mistake, they didnt replace the proper amount of blood, & I was Anemic for at least 6 months- Had Neuropathy symptoms 2 months after surgery. ### REPLY: Hello! Welcome on  ! Regarding your concern, I would recommend performing further tests to investigate for other possible causes of peripheral neuropathy, before concluding that it is just related to ischemia:- Vitamin B12 levels-folic acid levels-complete blood count for anemia- PCR, sedimentation rate for inflammation. Anesthetic substances could cause peripheral neuropathy as an adverse effect. Based on the above tests results, supplements may be needed. I would recommend performing a lot of physiotherapy. This is the most helpful tool to help improve your motor deficits. Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My lower back has been hurting. The pain has gotten so bad that I cant lift my six pound Chihuahua. I have also been having leg pains in my right leg. Last week it hurt so bad I limped arond all week. And on too of all this I have recently discovered that when I sit down I go paralized from the waist down. Please help me ### REPLY: Dear friend ... Welcome to  I read your concern, and it seems like sciatica which imitates nerves and causing pain and feeling of getting paralyzed like sensation . There is nothing to worry ... You can do Spinal X-ray or CT imaging studies to know underlying causative factors involved in triggering pain sensation. I would suggest you to have hot compression at site of pain and NSAIDs will help to ease pain. Regular mild exercise and correct posture during sleeping / sitting will prevent further episode of pain. You can ask me if you have more queries... Regards . Kingston John David ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 unprotected sex with my girlfriend around 10pm on  7 may 2016, at about 9am the following day I bought her postinor 2.... And she took the two tablets once...  Then at about 11pm I had unprotected sex with her again, do I need to buy contraceptive again???? ### REPLY: Hello, Thanks for posting your query. When 2 tablets of Posting are taken, the second one is to be taken exactly 12 hours after the first one. The protection offered varies depending on the time interval of pill intake after the intercourse. The pill effect is shown to remain for 5-7 days in the blood. You need not have to take a second course as there would be enough protection. Please remember that the pill use should be restricted to one or two occasions per year to avoid hormone imbalances. Regular contraception is the better alternative. 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: Good afternoon doctor. we are trying for a baby since 8 months. i have mild pcos and my husband less count. i.e. 43millions . doctor suggested him to take fertisure and me glycomet, cabergoline. again we consulted one more doctor who just gave medications for me . i.e folinine and berocin . do we have chances this time?  is my husband can improve his count?  since its affecting our phy relation?  thanks in advance ### REPLY: Dear member, Thanks for writing to . I am .  Consultant organ specialist. I can understand your anxiety as infertility treatment requires lots of patience. If pics is mild it can be treated with weight loss and tab Ginette 35. The glycogen has to be taken regularly, and a diet has to be followed according to BMI. The husbands count of 43 millions is ok if motility is good. The treatment for you will be ovulation induction. In my clinical practice I have noticed that mild PCs can be treated easily if you have patience and show discipline in diet. Please call back with reports to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 28 yo male. Quit smoking about a year and a half. I was out working on 8/12/14 late (was on vacation the prior week at a beach) and noticed my left leg going slightly numb. Woke up and still that way next day. It moved to my left leg. I started getting pins and needles all over my body. Yesterday and today my legs and arms are heavy and my legs feel as if I ve worked out but I haven t. I m getting muscle spasms/ twitching in my legs, no appetite and when I do force myself to eat it feels as if I m going to have diarrhea. Went to my sons football game today and was getting pretty nervous as I was getting tingling in my fingers, went to stand up and felt real weak as if I was going to pass out so panick came in and I made a dash to my car. I went to the ER ekg was fine and what blood work they did was fine. I know they can t do everything at a ER but what they do do was fine ad far as results were. I would like too know what could be going on as I don t know how I m supposed to function like this. (Also I laid down to take a nap earlier and my skin felt very hot but no fever, I did sweat a little while sleeping, stomach was also feeling very strange and uncomfortable). Any ideas? Thanks ### REPLY: Hi, Thanks for your query. The abnormal sensations that you have such as pin and needles sensation, burning, tingling are termed peripheral neuropathy. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. Another possibility could be nerve compression in spine due to disc bulge. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesVitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take tab methylcobalamine. 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: DOCTOR,IS A EPILEPSY PATIENT WITH A DELAY MILESTONE CAN BE LEAD A NORMAL LIFE?MY SISTER SON IS A EPILEPSY PATIENT WITH A DELAY MILE STONE.SHE S CHILD IS 6 YEARS OLD.SHE CONSULT WITH MANY DOCTORS.DOCTORS ADVICE SHE MEDICINES AND TRAININGS.BUT THERE IS IMPROVEMENT BUT THE IMPROVEMENT ARE VERY VERY SLOW.MY NEPHEW UNDERSTAND EVERY THING BUT HE CANNOT EXPRESS HIMSELF.HE CANNOT SPEAK PROPERLY.USEING ONE OR TWO WORDS HE EXPRESS HIMSELF.HOW LONG THIS PROCESS WILL CONTINUE?WHEN THE BABY WILL GET A NORMAL LIFE.IF WE WANT TO TAKE HIM ABROAD,IS THERE ANY GOOD TRATMENT CAN WE GET?FOR THIS PLEASE RECOMMEND SOME SPECIALIST.IS A DELAY MILESTONE PATIENT Can never be normal.please inform me. ### REPLY: Hi, Thank you for posting your query. It is very difficult to answer your queries without having the full clinical data. We need to know the cause of his seizures and developmental delay. Is it because of complications during delivery, or any brain disease or a metabolic abnormality? We also need the findings of MRI brain and EEG. Having said that, most child .  But they would get better over time.  However, good seizure control with medications and specialized training would help the child a lot in getting better. I hope it helps. 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 doctorWe got married bfore 2 years ago.My husband want me to slim til that time he can t do sex with me. So i feel he loves me or not. I depressed a lot bcoz of that. Otherwise he cares for me .But bfore few days ago i knew he did masterbation and i got to depressed. so is it good for him and our relationship tell me and what can i do to close him.Bcoz he also said that we dont have cofordability. Please help me.......... ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the given description, if the information is correct, I feel that your husband is avoiding you sexually. The reason could be his anxiety about sexual relationship. He is not interested in sex with you. But he finds satisfaction in masturbation. Means he enjoys and knows what is sex. But he avoids sex with you. He's also diverting the embarrassing situation with mention your physical condition. This could happen due to some negative information and knowledge. I suggest your husband needs psychological counseling. If you need more of my services in this regard, please post a direct question to me with every detail. I am glad to serve the purpose. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter 16 mths old just got cut the toe when someone open the door and did not expect the little one at the back, the bleeding was not much, I put the antiseptic on and seems like she is very painful when her toe touching something.1) how do I know if the toe nail has away from the skin?2) can I still swim with her by using the waterproof bandage as no bleeding at all? ### REPLY: Hi, If nail has separated from its bed, there will be hematoma formation underneath (red-blue-black color sequentially). If no such color change, nail is intact. You can take her for swimming. Just clean the wound after that with soap and water and apply antiseptic lotion/cream. Meanwhile, give her paracetamol 2-3 times a day for pain relief, and apply antibiotic creams like mupirocin 2 times a day. She will be alright in 3-5 days. If the pain and swelling increases, kindly take her to doctor to look for any secondary infection needing antibiotic treatment. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been having pain in my abdomen and lower back for the past month... I ve been treated with 2 10 day rounds of anitbiotics for kidney infection, UTI and kidney stones. I also just finished a methylprednisolone dose pack that the urologist gave me....  the pain is not going away, its maybe 10 % better than a month ago! the swelling is still here, fever, weakness.  this MD is treating me for all these infections and my WBC is not the least bit elevated and HAS NOT been since this all started. some of the other things in my blood work were low... when I urinate, which is MAYBE 2 times a day, it smells like death... I have an appointment again tues... is my kidney failing? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have severe upper urinary tract infection or infection that is resistant to common antibiotics. You should go for urine routine and microscopic examination as well as culture & sensitivity testing, complete kidney function test and ultrasound abdomen. This will give you exact idea. 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: For about 2 months now I have been pooping blood, but it is only every now and then. Also, my right side of my lower abdominal has been hurting. I have had my blood taken and everything they tested me for has came back negative. Other doctors have told me that nothing is wrong, when clearly that is not true. Then, the most recent time my new doctor gave me a laxative, which did not help anything... Based upon my symptoms, can you give me an idea of what is going on. ### REPLY: Hi, welcome to our site. I am . Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query sincerely think what you are having is something like hemorrhoids or anal fissures. Here there are small lesions that develop in the anal canal and then when there are situations like constipation or hard stools, you may develop bleeding would suggest you try stool softeners like isapghulla husk and lactulose syrup. Take plenty of fluids and avoid dense foods like chicken and try high fiber diet like fruits and vegetables.I will also suggest that you get a colonoscopy done. And finally the best treatment for all conditions is surgical, so you might as well meet a surgeon. I hope this helps you. Inform the reports mentioned above so I can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I recently got married to the person whom I was in love with for three yrs. He is my world and I love him more than anything in my life. He also loves me the same way I do. He has so much of respect with his sister in law and behaves very close to her which is hurting me big time. Because i cannot digest him moving close with any female other than me. Im sure there is no mis-relationship but Im too possesive towards my husband. This has created quarrels between us and im totally depressed and worried to the core that its spoiling my marriage life. Please help me come out of this situation. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that your desperation and obsession should go off once you understand your husband and your life. Please do not try to point the fact to your husband again and again. If there is nothing wrong in their relationship, he will try to make you understand that fact. You poke him again and again, and he will try to pacify you. Your obsession will not listen to him, and his irritation will become hate. So please make sure that your obsession does not force him to hate you. Try to get a job and concentrate on your career. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, my father is 67 and recently had an angioplasty done with one major block and now stent is fitted. Just 2 days after his plasty he has developed mild pnemonia. He is also finding some difficulty in breathing and talking sometimes. Is this normal after a plasty or is there something to worry about? ### REPLY: Thanks for your question on . I can understand your fathers situation and problem. No pneumonia after angioplasty is not common. But it is mostly due to hospital acquired infection. His breathlessness is also due to pneumonia. Another possibility is heart failure. So better to consult pulmonologist and get done clinical examination of respiratory system, sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about appropriate effective antibiotic treatment. So he needs antibiotics, antihistamines and anti-inflammatory .  Don't worry, he will be alright. Hope I have solved your query. Wishing good health to your father. 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 been having pain in upper left portion of abdomen for about 8 or nine months now. Right under my rib cage on the left side. It started out just every now and then, but lately it has been a constant ache. I do have problems with constipation. It has also started hurting in my back on the same side. Do I need to see a Dr. for this problem? ### REPLY: Hi. Thanks for your query. Your pain in abdomen is for 9 months now - under rib cage on left side - now it is constant, along with constipation and now also started to hurt in the back on the same left side. Read the history and understood your problem. Your problem looks to be due to Costco . CT scan of the whole abdomen. Test of blood, urine and stool. Colonoscopy and upper GI Endoscopy. This will give a proper diagnosis and a plan for the 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: Hello ..i have been diagonised with pcod before 7 yrs and been treated with metformin  and conceived with IUI  treatment , blessed with boy baby .and now we planned for second baby and my husband sperm count was less and he was put on fertile medicine and his count seems to be ok now.we have planned for follicular study and what are the chances of preganancy , period??? i am 32 years old ### REPLY: Hi. Thanks for asking in Healthcare medicine. Fertile medicine is Camphene citrate given to increase sperm production. Follicular study is done to assess the size of the mature follicle and to monitor the growth of the egg follicle. Ovulation releases the egg necessary for fertilization. In POD, the cycles are ovulatory creating problems in obtaining egg for GUI. Metformin can stimulate ovulation by improving insulin action. But if the stimulation is inadequate (which will be evident by the follicular study) then, .  The size of the dominant follicle will determine your chances of pregnancy. 20 mm size will indicate that it is capable of rupturing to release the egg. It is better to be under regular monitoring with your treating  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small bump on the top of my head, the size of a blueberry. When I was an infant my mother had it checked and they told her it was a fat deposit. I am 26 now and it has never been painful however over the last 2-3 days it has become increasinly sensitive and now is very very painful. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibrom. Or you may have Desmond cyst or skin adnexal tumor.  These lesions are common in scalp. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. 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 am 27years old women .i have poly cs. problem and in my harmons insulin have 22.0(fasting)is this harm ful for getting pregnancy .and am suffering with irregular periods.my docter suggest me take devairy 5days (1-1) for period will come then u will come to me at the day of 2nd .but i missed that day to consult the docter.but this month also am getting late for the period .can i use deviry again for getting period. ### REPLY: Welcome to  You need to understand that PCs problem causes problem in ovulation and also associated with Diabetes. You should check your fasting and postprandial blood glucose ideally by OG TT test then you will know whether .  Also get HBA1C levels done. You can wait for periods to come, maybe little late but if they come the periods will regularize in few cycles, and then you can conceive. When you get periods the Doctor will call you on one day probably to see by ultrasound if you are ovulating on 14th day, and then you can plan the days to have sex to conceive. If there is problem in this part he may recommend  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother in law aged about 65 years .she is suffering from dengue fever. The problem is her swollen legs and hands. She has red rashes and burning sensation on legs and hands. The legs pain is unbearable and has too much of swelling. Pls help me out. ### REPLY: hither should be blood examination for complete blood count, platelets, prothrombin time, hemoglobin levels to have a broad picture-the doctor may look to causes for swelling due to internal leaking of blood (hemorrhage). Depending on blood report, treatment is required. Only acetaminophen may be taken for leg, body pain 650 mg thrice a day, no other NSAIDs or cortisone should be taken as a precaution 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: Hello. Thank you for taking the time to read this. I am a 23 year old female. Early this evening i developed a sort of throbbing, dull ache pain in my right hand (the furthest 2 right fingers). I thought nothing of it and went to sleep. 3 hours later I awoke in discomfort and the throbbing had spread up the underside of my forearm. I am a heavy smoker and on the birth control pill, as well as regular drinker (having just returned from a 3 week holiday with friends, where I consumed over the weekly allowance, and got about 2-3hrs of sleep/night). I think it is fair to say that I have a high-fat, high-salt diet (being a student restricts you somewhat) and I drink a lot of caffeine but I am 53kg and 173cm so not overweight. Should I be worried or just ignore it? I am naturally quite an anxious person but am feeling more noticeably than usual. Sorry this is so long! And thank you for your help. ### REPLY: Dear Madam, I thank you for having faith in  and for seeking help on your issue; I have gone through your symptoms, and in my opinion, your symptoms are a sign of neural compression, these can be transitory, but to rule out anything omnibus you need to get evaluated by a Hand Surgeon. I would recommend you to consult one at the earliest and assure yourself everything is OK hope I have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. 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 don t have any pain in my knees, but for as long as I can remember, whenever I bend them for any reason, they crackle like I am crinkling paper. I am only 33, but it has been going on for at least 10 years. Is it something that I should be concerned about? ### REPLY: Hello, I have studied your case It is very common to have crackling sound in knee joint, and it is not a disease. I would assure you that it is not going to give any trouble in the future. It can occur in a normal knee also. I have the following suggestions for you.1. Avoid squatting and sitting cross leg for some time.2. Hot water fomentation is also helpful.3. You should take calcium and Discern tablet. I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 just had a wisdom tooth extracted. I suffer from oral thrush from my asthma inhaler and have had a flare up today. Can the thrush get into the open extraction wound and cause some sort of fungal infection? I have nystatin but it takes a while to clear the thrush up. Thank you. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint yes, if you have an aggressive form of thrush and if you get a tooth extracted, the yeast will get favorable environment to grow and can infect the extraction area also leading to delayed healing.Also, the antibiotics given post extraction can cause flaring up of thrush and increase the severity of infection. You should therefore consult your treating dentist and take a script of antifungal medications to be taken orally like Fluconazole along with Statin mouthwashes and clotrimazole lozenges. Take more of probiotics like Yogurt in diet. Take antibiotics as less than possible as your dentist will advise you low doses to prevent flaring of thrush Hope this helps. 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 got 4 teeth removed over a week ago and in the last few days have started to feel a bit unwell, the last 2 days ive had an upset stomach and very loose bowels,My temp seems to be a bit raised today and seems to be sitting at 38c, generally i still feel so run down and very tired, I have been treated for ischemic heart disease in the past, and lately removal of a very large kidney stone ### REPLY: Thanks for your query, I have gone through your query. The loose bowels and stomach upset could be because of the antibiotics what you have taken after tooth extraction. Nothing to worry once you stop the medicines it will come down. For the loose motion you can take operative capsule once in a day. If the symptoms does not subside then consult a general physician. Consume a lot of liquid. Do not eat spicy food. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Are you there ? Sir i got three miscarriage in my six year married life last miscarriage was on sixth month of my pregnency and now after all chek upi have tb positive in uterus my fallopian tubes were also blocked but i have taken laproscopy treatment can i pregnant and after how many days ### REPLY: Hi, TB of uterus reduces blood flow to the lining, so that could be a reason for abortions. Hope you have completed Anti TB medications. Once that is over have an ultrasound scan of abdomen & pelvis. Do confirm good healthy lining around time of ovulation. Even though both tube may appear patent in laparoscopy, once pregnant have an early scan to confirm location of pregnancy. You can have pregnancy after the medications are over. Do consult an infertility specialist before conceiving trying next pregnancy to avoid another disaster & rule out other causes for these repeated abortion. 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: Trying to get my son (1 month) to take his formula. Nutramigen A+ (Hypoallergenic). He can t stand it, and wont eat it. He was a premie and required surgery to remove part of his bowel (small intestine, 13cm s). We need him to eat this as he isn t gaining weight, but he won t. What do we do? Is there a way to flavor it safely? ### REPLY: Hello, From my understanding neither the company that makes Nutramigen nor parents who are feeding this formula to their infants advise adding a sweetener or other substance to this formula. This is most important.  Your newborns intestines are very fragile, and it would be unsafe to add other ingredients.  For example, adding sugar may cause different bacteria to grow in intestine and injure it further.  You can ask his pediatrician about a different formula such as Alimentum which is also a broken down formula.  Or perhaps a feeding tube could be passed through babies nostril and down into his stomach to bypass his taste ability. Hope I have answered your query. Let me know if I can assist you further.  Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,The problem is with my knee.  About a month or so ago, I feel (not really hard) but I fell on my knee and now there is a small painless lump there on the right side of the kneecap.  What do you think it could be?  The spot was black and blue for a long time after I fell. ### REPLY: Hi ! Good morning. I am  answering your query. The lump initially must have been a collection of blood (hematoma) in the superficial tissue giving it the color of black and blue. After the acute stage, and RBC's being absorbed, only serum remains, and this could have formed a serous cyst which persisted as a painless lump. This too could get absorbed gradually. In case it persists, or increases in size, you might have to consult a general surgeon/orthopedic surgeon in your area for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE HAD THESE BITES AT THE BACK OF THE NECK AND ON MY SCALP FOR OVER A WEEK NOW. THEY ARE VERY ITCHY AND SEEMED TO BE FILLED WITH PUS. I CANNOT SEE THEM SINCE THEY ARE AT THE BACK OF THE NECK AND ON THE SCALP. I NOTICED THE BITES ON THE SCALP ONE MORNING WHEN I WOKE UP AND FOUND THAT I HAD A VERY ITCHY SCALP. A FEW DAYS LATER THE BITES SEEMED TO HAVE SPREAD DOWN ON TO MY NECK. PLEASE ADVISE. ### REPLY: Dear patient do you also suffer from the same complaint on your eyebrow region and your arm pit region?....do you have a scalp habitual to Dan . ...have you taken any oral medication recently for any ailment just in recent past? Which shampoo do you use for scalp cleansing?....are you a female patient?...if so, ...does your scalp get infected by pedicurists scalp usually?.....unless I get an answer to these questions can't tell you the exact diagnosis and the perfect treatment. Hence I would suggest you go to the nearest dermatologist and take the medication. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 30 yr old male, fit, healthy, not overweight, eat well, non smoker etc. have quite a good size lump under my right armpit, non painful, not soft nor very hard, gland like texture. had smaller lumps checked last year at docs, blood tests etc all came back fine. not sure now if this large lump is new or an existing one that has grown. have history of lumps, had Gynecomastia as a teenager. generally feel well, no weight loss or fever etc just a bit concerned by the size of the lump and what it may be. any advice bar the obvious go see my GP would be appreciated. thanks ### REPLY: Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At . I studied your query in depth and understood your concerns. Causes for lump under armpit area- as follows-Mostly they are Acute on Chronic boil, which is growing now. Check with ER Surgeon and check your FBS and PPS, to resolve the worry.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and . Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend was told he has the most severe case of mono. His liver is really infected, his spleen is very swollen, his skin is red and he has a rash that is burning his entire body and he is continuing to lose weight despite still having an appetite. Is this normal and when will these effects subside? Also, when will he be no longer contagious? ### REPLY: If your friend has been diagnosed with mono, also known as infectious mononucleosis, this is caused by a virus called Epstein-Barr virus.  This infection can affect the spleen, liver and cause extreme fatigue.  If he has not been tested for HIV, then I would recommend getting this test because initial HIV infection can also look like mono.  He will hopefully begin to feel better in a few weeks, some patients can take up to 5-6 months to feel back to normal.  The treatment for this is supportive care which means rest and plenty of fluids.  You asked a very good question of how long he will be contagious, this is unknown but is likely at least a few weeks to months.  I would suggest not sharing food or .  While his spleen is affected, I would also tell him to stay away from contact sports since sudden trauma can cause splenic rupture. Thanks, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 25 years of age. I am mmasterbating from long. I feel that my seaman has become diluted and also I suffer from problem like premature ejeculation. As soon as I enter into the vagina I feel like ejeculating. And if hold for some time it happens soon after some strokes. I don t want to take Viagra or something. Is their any permanent cure possible? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  You are just 25. I don't know whether you are married or not. For most of the premature ejaculation problems, the reason is underlying anxiety. In your case, prolonged masturbation practice could have ruined your anxiety issues. Also, possible is the guilt you are feeling about your sexual practices. Sex is an enjoyable thing, not to be made anxious. Please talk to a psychologist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir for my son 7 year old, he is suffering in cold with cough heavy for more than 3 week we took allot of treatment, and we now check by take a x ray in that they mensioned haziness of the right side of rib so i want to know the meaning of haziness ### REPLY: Thanks for your question on . I can understand your concern. Haziness on chest x-ray is suggestive of pneumonia (lung infection) more. He is having chronic cough and cold (more than 2 weeks) which is not improving with medications. So possibility of pneumonia is more likely. He will need higher antibiotic and other supportive treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a productive cough for 4 months now and I seem to be getting a bit breathless. I have taken Omeprozole for 2 years (20mg)also take MMF for my kidney transplant. I had micoplasma pnuemoniae 4 months ago and have had 2 CT scans wich show glass like nodules. The hospital say just come back in 3 months for another CT scan but I do wonder if the 2 drugs above may be causing the cough, thanks. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should definitely rule out recurrence of pneumonia and bronchitis in your case. Because both of them can cause chronic productive cough with breathlessness. MMF is Immunomodulator .  It can cause immunodeficiency and this can cause worsening or recurrent lung infection. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray (for pneumonia) 3. PUT (pulmonary function test) (for bronchitis). You may need antibiotics, inhaled bronchodilator and inhaled corticosteroids on the basis of these reports. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. 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 m a type II diabetic who watches my diet and numbers closely. My fasting number this AM was 126. It s always higher after fasting in the AM than expected. I m on Metformin 1000 Mg 2 X s a day. Often the only meal I eat is a lie carb dinner. I snack on carrots, pears, apples and celery most days. ### REPLY: Thanks for asking ChatDoctorI understand your concern and pain. Causes of high fasting on regular basis are as follows:1. Your medicine is not working, or you should adjust the dose of your medication with the help of your health care provider.2. you are suffering from cold, flu, or any other acute illness in response to which your body is secreting hormones that can interfere with the action of medicine.3. You are stressed out from recent activities and not sleeping well, and your body releases stress hormone which intern lower your ability to metabolize sugar.4. You are skipping your meal at night.I hope I was able to ad .  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor . BMI 23.12.and egg size 27mm.now now 10weeks past.urire negative.am i pregnent? hi doctor. BMI 23.12.and egg size 27mm.now now 10weeks past.urire negative.am i pregnent? ### REPLY: Hi math, Welcome to . To say with certainty that you are not pregnant requires your normal period to start. No one on this planet can tell you 100 % that you are not pregnant, before that. Negative urine pregnancy test only indicates that you if are pregnant, the pregnancy is not of that duration which can be detected by that test. Best option is to wait for one more week and then repeat the test. If your last intercourse was three or more weeks back, then you are certainly not pregnant, but if you had intercourse within the past two weeks then, Negative test does not rule out pregnancy $100. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 son is 18 months old and cutting 4 molars at one time 3 have surfaced but one had a bubble that formed on his gum, the Dr. called it an eruption cyst he has had a fever of 101.0 F. and is very very fussy, he will not take any pain medicine, he does not want to eat, but he will still nurse. We checked the spot and now it is filled with whitish yellow puss, do we need to be concerned now? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint it seems that a bubble on the surface of the gum with signs of teething seems to be most probably an Eruption Hematoma or an Eruption cyst that occurs as a fluid filled pale colored lump, and it is not a harmful condition and will resolve as the tooth will erupt. The first tooth to erupt in mouth is at the age of 5-6 months and is lower front tooth. But in case if there is any problem associated with it or the tooth gets delay in erupting then it has to be removed to let the tooth erupt in the mouth and once the tooth erupts there is no further problem associated with it. Fever can however be due to teething but can also be due to viral infection and for this you can give him Acetaminophen but if the fever does not resolve or exaggerate then consult a Pediatrician. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: COPD, Prostate cancer followed by removal of prostate.  He has since been diagnosed with arthritis and takes multiple pills.  His arms have turned a brownish, purplish red and he had some pain in the left arm.  Dr. said infection and prescribed sulfa drug which made my husband very sick and gave him a case of rosacea.  Now they have him on tetracycline.  Hes been taking it since Monday.  I dont see any improvement. ### REPLY: Hello, Thanks for the query to H.M. Forum. A case of COPD, prostate cancer (operated), with arthritis and main complaint is brownish purplish coloration with pain in left arm.  This sign (symptoms) over the left arm may be due to involvement of lymph node of left arm due to secondaries of prostate carcinoma. I in my few case have seen such type of discoloration, so please consult your oncologist and get his opinion and advise. Rosacea usually spread over face and color is red (cherry type). 2nd reason of these symptoms may be due to sulfa .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grandmother was having pain that comes and goes in her lower right abdomen . She though maybe a hernia because it feels like pulling but when pain comes it is severe. When the pain is present she has a metallic taste in her mouth. Her doctor ruled out hernia with a sonogram. He seemed not concerned, but it has been persistant and going on for about 7 weeks. What other things could it be that we need to rule out? Thank you for your help ### REPLY: Hello There many causes of pain in abdomen. In grandmothers case it could be following:1. Constipation2. Kidney/ ureteric Infection or stone3. Colon cancer - occurs in elderly patients and manifests as constipation or change in bowel habits, chronic abdominal pains, and remarkable weight loss. 4. Pelvic inflammatory disease 5. Inflammatory bowel disease -a chronic inflammation of all or part of the digestive tract, 6. Intestinal ischemia, diverticulitis7. Medication reaction or side effect These causes can be ruled out by stool examination, imaging and certain blood test I hope this will help 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 ADD and have been taking Adderall for 11 years (30 mg each am).  It does not seem to work as well now.  I am age 61.  Should I have my MD increase my dose or try another medicine in case I have developed a tolerance? What do you recommend trying? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  ADD is a mental disorder which needs medicines and lifestyle changes for cure. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i m almost 18 and have a hard blue bump on my shoulder, at first i thought it was just a bruise but now it has turned into a lump/bump. it doesn t hurt so much ( only if i push it ) it feels like a bone, but in circle version. I also have little sores or rashes on my knees a long with flu, and a litlle dizzyness please help?? ### REPLY: Hi I am  and I will help you with your query have through your question. Need more information to reach a diagnosis_ any history trauma on that side?_ can skin moves over the swelling?_ Far how long it was there and how you first noticed it?_ How is progressed over a period of time?Anyhow, from the available information it appears to be bruised + hematoma formation. Local treatment like icing, steroid ointment application along with tab paracetamol 2 tabs 8 hourly will help. It will resolve completely in few weeks. Do come back with answers of the above questions for better understanding of the problem. I hope my answer will help. Do rate it, if you like it. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 year old son complains about his hands and feet constantly falling asleep (going numb or tingling). Its mostly his hands though. Hes a little on the heavy side weight wise and I am concerned for him can you please tell me what might be wrong? Thank you ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. For a 6-year-old, the usual problem could be psychological. He could have learned some alarming information about such disease conditions. In that case, this problem could vanish within some days if you ignore his complaints. Otherwise, you should consult a neurologist through your child specialist for further advise. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello...I am a 19 year old girl and for the past 3 years i have been having pimples that are leaving acne on my face , chest and on my back. I want to find out the best cure for this...thanks ### REPLY: Hi..... Hopez., Thanks for choosing ., Acne on chest and back and face...., It is due to hyperactivity of hormones leads to..., infection and obstruction of sebaceous glands.,1) Take plenty of vegetables, fresh fruits...,2) Frequent washes with FAST BAR.....contains Under and Triclosan.,3) Tab Isotretinoin 20 mg daily for 15 days...,4) Person 5% gel apply on chest and back 2 times daily...,5) 1% Clindamycin gel (Zyclin-nano) ..., So follow and get good result., ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: There is a pimple looking thing on my sons perineum. He is 5. It itches him a lot. And getting more itchy. He also has cauliflower type growths around his anus that hes had for a long time. We saw derm about this a week ago. She said to watch them. But the itching is getting worse. I feel bad for him. What can we do ### REPLY: HI...by what you quote I feel what your son is having are viral warts. There is specific therapy for them in dermatology and cosmetology. But... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 50 year old women healthy ha ha just ran a marathon 1 month ag before the marathon I had some chest discomfort, jaw pain, pain in the middle of my back they always seemed to subside.. for the past 10 days I have been extremely exhausted. even after I slept 7-8 hours,,, ,every day I get chest pains that come and go some last for quite a bit. aturday and Sunday I felt even more exhausted. .I tried to run, but had to stop several times. .today, I felt a bit dizzy, had the chest pains, pains in my jaw, and a slight pain in my left arm.... ince I have been home from work I still have the jaw pain and feeling a bit sick t my stomach. ..I checked my blood pressure and it was 148/75. .not so sure what to do.. ### REPLY: Hello, I read carefully your query and understand your concern. The chest pain should be evaluated by an electrocardiogram to exclude cardiac issues. The blood pressure is slightly elevated and should be maintained under control. If the symptoms continue, I suggest consulting a cardiologist for a specific treatment. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my heart is always beating around 100 times per minute and never get less than that,when i go to sleep i feel thrue my chest heart beating and it doesnt even slow down when im laying myself down,i sleep really bad usually waking up at least 5-6 times from 00:00-07;00 sometimes it also feels like its stops for 1-2 secons and starts beating again,i noticed also heart is beating fast after i finnish to eat,what could be wrong ? ### REPLY: Abnormal sensation of heart beats are medically termed as palpitations heart beat normal range is from 60 bears per minute to 100 beats per minute your heart beat as told by you is an it on higher normal range when heart produces fast regular heart beat its called as sinus tachycrdiatachycardia means fast heart rate, if heart rate is fast but regular we call it sinus tachycardia.it can be because of abnormal thyroid status, or anemia most commonly if heart beat is irregular or regularly irregular they are called arrhythmia ...much more dangerous than sinus tachycardia would suggest you to go for following investigation initialllyECGComplete blood profilet3,t4 and vitamin b12 levels your sleep is bad as you said ...raised anxiety level ...overthinking .obsessiveness can also lead to palpitations as you finish eating the demand of blood in your digestive system increases so heart has to beat faster to pump more blood in that area from the short history of your anxiety or anemia needs to be ruled out first 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, A year ago I was having many GI problems.  14 weeks of diarrhea, pains and cramping. Had CT and MRI and upper GI and colonoscopy with biopsies.  Said I had growth on my gallbladder and lymphocystic colitis.  A month ago I went into hospital to have gallbladder removed, hiatal hernia fixed, and a fundoplication.  Could not find my gallbladder at first.  It ended up being further down on my small intestine, with no duct connections, and was the size of a thumb nail, full of stones and a lot of scarring.  The Gallbladder could not be removed! I was told it would take a liver specialist!   I am 58 yrs old female.  I think I need digestive enzymes as my food stays in my stomach for such a long time!  How has my body been digesting fat all my life? ### REPLY: Hi and welcome to . Thank you for your query. It is really rarity such ectopic gallbladder, but it is known anomaly. Gallbladder is organ important for storage of bile. It doesn't secrete any enzymes and there is no effect on digestion after this is removed because liver produces bile which goes into small intestines. You and have only pancreatic enzymes efficiency, but it has to be proved by some tests. Wish 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 have a tenderness and light pain in my right side of my right breast, under my right arm, and right shoulder blade (right under the bra strap area). Becomes more irritated when using my right arm working. I am a chef and baker and it is becoming more aggravating. Very tender and sensitive to touch these areas. ### REPLY: Hello really appreciate your concern and I will definitely help you in the best possible watches pain can be caused by a new of reasons like heart or lung disease, chest wall disorder and musculoskeletal injury I would like further information to help you better like Your age and relevant medical history since how long you have this problem In my opinion you should see your doctor immediately for physical check up and investigation like EKG or an X-ray chest if you need meanwhile you can take ibuprofen with acetaminophen combination for pain Hot fomentation may help you to an extent if it's a muscle related illness Hope this answers your question Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6-year-old son is normally eager to please, outgoing, happy, very bright and something of a perfectionist - most of the time. Other times, he wanders around with a vague smile or spins around, often swinging things and running into people or hitting them with no apparent recollection afterward. When he s in this state, he has to be physically redirected because he seems oblivious to verbal commands. Is it possible he s having seizures? He s also been diagnosed with sensory processing disorder - mostly over-sensitivity to touch and auditory stimuli. The behavior I ve described above has been ascribed to the sensory issues, but while O.T. has helped with his other sensory symptoms, the spinning and zoning out persist unabated. ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This condition required to be detailed in person assessment using Clinical Evaluation Scales and this cannot be manged over internet. Please consult a Clinical Psychologist and Psychiatrist in your place Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/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: Hi, may I answer your health queries right now ? Please type your query here...hi my baby is ten months and she has a lump in her right breast the lmp look a bit darker than her skin and there is blood coming the nipple can you tell me what the problem could be. ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear Your baby seem to suffer from -Right Mammary duct Eurasia of the breasts with BND(Bloody Nipple Discharge)USG studies with prolactin/estradiol level and coagulation profile tests are needed to fix the cause of this. Does not seem to be Cancer, as this complaint in adults would indicate. No treatment is needed as its self resolving condition in babies and is a part of normal hormonal-acclimatization of baby to the new atmosphere. Other causes like-Hemorrhagic Cystic Lymphangioma needs to be ruled out. If the lump persists or grows in size, Surgical excision could be planned, depending on the severity of situation. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. . N.M.S. Genl-CVTS -Senior Surgical Consultant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I m breastfeeding my 9 week old baby but im not producing enough milk as she gets hungry very quickly and doesn t sleep for long. I decided to supplement once a feed with formula. I started on S26 And she had diarrhoea and her eczema got worse so I stopped.i then used NAN HA but she got heavily constipated and threw up alot. The paed suggested NAN perlagon. Will this not give her more problems with reflux as I hear perlagon is acidified. Please help ### REPLY: Hi, since your kid is just 9 weeks old, try as much as possible to breastfeed your baby. As you would know it has antibodies and hence would give a lot of immunity to your baby. I will give you some tips which might help. Do not feed your baby every time he cries. That is similar to binge-eating. Feed him every 2 holy for at least 45 min. I hope you are taking at least 2 LTS. Of water. Be in a positive frame of mind. Things would be fine. Well as to giving NAN Pentagon, I think it would not cause much problem. If all your above efforts fail then you can give this. Burp the baby properly. Make him sleep at an inclination of 45 degrees and let his head be turned to a side and not straight up. This would avoid your baby from vomiting. If the baby is putting on weight inspire of vomiting then day not about it. Hope your query is answered. 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: my husband who is 39 yrs old had swelling in his tesicles and pain in the back and scrotum now tat the swelling is come down and tere is no pain in it he hasdeveloped a painless lump in his testicle which has caused me worry please can u explain why this has happned and what are the side effects of removing testicles? ### REPLY: Hi, Dear Thanks for the query to  virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the painless testicle lump with back pain-Your query has swelling in testicle with pain in back and scrotum. This swelling has come down with a painless lump in the testicle. This story is a bit confusing in your query and hence needs a Second opinion from ER Surgeon, as its very necessary to confirm the possibilities which arise from the query facts-as -this lump could be due to -a testicle swelling which has pain in back-indicating spread of the swelling to the lymph nodes in the abdomen. This lump lately has grown down -indicating a secondary HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: just recently i had severe crushing chest pain that lead to difficulty of breathing. i was gasping for breath and as a result went in for admission in an acute care facility. the doctor diagnosed it as costochondritis, however, i have doubts as my blood pressure during the episode shoot up to 220/160? i requested to be tested for cardiac enzymes CKMB and TROPONIN I and both are normal? what do you think? will my blood pressure really shoot up to such high? thanks ### REPLY: Hello! Welcome on ! Regarding your concern, I would explain that it is normal to have higher blood pressure values during pain, physical or emotional stress. From the other hand, these values of blood pressure are really high, and further investigations are needed to determine any other possible causes. For this reason, I would recommend consulting with your doctor and performing further tests: - thyroid hormone levels for thyroid dysfunction- a chest X-ray study-urinary metanephrines for possible pheochromocytoma- an abdominal ultrasound-blood electrolytes for possible imbalance. - kidney and liver function tests should discuss with your doctor on the above issues. Meanwhile, I would recommend some lifestyle modifications to help maintain a normal blood pressure: - reduce salt and caffeine intake-perform a lot of physical activity (walking, aerobics, etc.)- reduce weight if you are overweight. Hope you will find this answer helpful! Kind 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...Im experiencing some stomach troubles over the past few days. This is unusual for me. My symptoms are gnawing in my stomach above my belly button, dull pain in same area, gets worse during the evening and night, eating does not help but its similar to hunger pain so I eat to try and alleviate the discomfort, feel gassier then normal, no bloating, and get a shaky feeling in my legs. I am female, 41, overall great health, and not overweight.Any advise you could give me would be great...Thanks...Lisa ### REPLY: Hi there, your symptoms are suggestive of peptic ulcerations and are usually caused due to faulty eating habits, stress or smoking along with the other two. Other causes could be due to any gall bladder dysfunction. First you need to regularize your meals to taking 4 small meals preferable low fat at regular intervals, stop smoking if you do smoke, and take a course of antacid like Panto along with antibiotics for H. Pylori infection. Your GP will be able to prescribe it to you. Next would be to get your blood sugar levels checked fasting and post radial along with an ultrasound abdomen to rule out any gall bladder pathology. Hope these simple measures help. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi can i have done alot of research and it seems like i have cricopharyngeal spasms but can cricopharyngeal spasms cause difficulty brathing? When i wake up everything is perfect, as the day goes on i have feeling of a tightness airway as if something is bothering me in my throat below adams apple but i have no problem swallowing or eating as a matter of fact eating makes it temporarily better . But at times it feels like i cant complete my breath. ### REPLY: Thank you for consulting  I'm Sorry to hear about the problem which is bothering your daily routines. The symptoms you describe can be due to cricopharyngeal spasm. I would like to know whether you have difficulty in swallowing saliva ? If it is there it points towards the same diagnosis. Cricopharyngeal spasms doesn't generally cause difficulty in breathing. Please consult an otorhinolaryngologist (ENT specialist) and get yourself examined for a definite diagnosis as a physical examination is mandatory in your case. Thank you. Please revert with further queries and details. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 is gone for tibia bone fracture on left leg on 25.04.2012 & got surgery on 30.04.2012. now she started walking with walker but due to poor bone density & feeling pain while walking she is very much depressed. so how long she will take to recover. what nutrient or food help us in recovering from the injury ### REPLY: Hello, As it looks that the mineralization of the bone is too weak. Having good milk and milk products in a day and taking sunbath will be useful. As both calcium and vitamin D is needed for bones to become stronger post-surgery. Also, I think that the surgeon who operated must have provided some Vitamin D3 supplement along with the calcium supplement to help boost the healing. I will even advice to start doing some simple exercise for the upper limbs, core and sound limb. So once she starts going to walk, it should be comfortable and confident. Also, exercise will help her not put on too much weight post surgery. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i suffered with psoriases as a child and as i got older it just dissappered,completly,after the birth of my second child it came back quite bad,then i had it under control for a while until i started going to the hospital for light treatment,uvb,it became alot worse with this so i stopped the treatment.i have also started doing regular excersie in the gym causing me to sweat alt ,would this worsen my psoriases and is there anything you can recommend to me,please. ### REPLY: Hit racy, Thanks for writing in.  Any stress mental, physical can worsen psoriasis. You should try good moisturizer cream with shea butter and aloe vera twice daily. It is available over the counter sale. This should help considerably.Also, methotrexate is good .  A visit to dermatologist will be helpful for assessment of severity and proper treatment of the condition. Hope this helps.  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: Ive been suffering from slight pain on my right groin and left groin almost everyday & left face of my vagina. My right groin is slight swelling its been 7 months already but i only suffer Pain for a month now. Last week i had pelvic exam & ultrasound. Doctor said i had small stone on my kidney. Why the pain is almost everyday. ### REPLY: Hello, Thanks for posting in . Yes. Kidney stones are one of the commonest reasons for pain abdomen. But usually if they are very small like less than 4 mm or so they won't cause any obstruction anywhere and hence no chance of causing any pain. What was the size of the stone found on scan? And also what was the site. Usually the pain and severity depends on above 2 factors. Site and size of the stone. The reason for pain is as kidney stones are foreign objects for body, and sometimes it causes obstruction in urine outflow, the ureters go in spasmodic contractions to expel the stone. This is the reason for pain most commonly. Consult a urologist with your report or get back with me with the detailed report and I will guide you further. Awaiting your response. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi iam 17 years old and i have very weakness of body and also weakness of brain so can so suggest me what kind of food i should eat ### REPLY: 1-Improve your diet. Eating a balanced diet may increase your energy level. Do not skip meals, especially breakfast.2-Get a good nights sleep.3-Get regular exercise.4-take a lot of green vegetable and fruits, proteins like soda or egg, citrus fruits5-do some breathing exercises6-avoid processed foods. Do some routine investigations like blood picture. Anemia may cause this .so do it 1st by meeting a physician. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering from panic disorder and taking medicine for last two years and my situation is now getting better  in this connection I wish to ask you sir whether it is curable or not ?sir I have one more query recently my girlfriend has propsed me for marriage but she is also suffering from schizophrenia disease and taking medicine for the same her doctor has advise to her for taking medicine for further two years due to taking medicine she sometime suffer from brest discharge my query related to this whether we can marriage and can settle down our life, pls. guide. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Panic disorders are related to anxiety. Once you identify the root cause, anxiety and panic attack are curable even without medicines. Psychotherapy is the answer for these. Change in lifestyle and living with the circumstances and living in it. Schizophrenia is also curable. Marriage between you and your girlfriend is possible. But there is always the risk of hereditary run causes. Consult your psychiatrist for further details. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 21 year old male, 6, 210, fair build. I wouldnt consider myself very over weight, although I could afford to lose a little. Over the last 2 weeks, I have been having chest pain / pressure constantly. Its not debilitating, I have no shortness of breath, but it is very uncomfortable. I have been going throughout my days just trying to ignore it, and now Im getting worried. I went to test my blood pressure, at a pharmacy (not doctor) and it said my BP was 140/90, which is hypertensive. Resting pulse rate of ~80 bpm. I have been taking vitamins, but still feel no relief. What should I do / What does this sound like? ### REPLY: Thanks for your question on . I can understand your concern. Yes, your blood pressure is slightly high. So we should definitely rule out cardiac cause for your chest symptoms. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar chest symptoms especially in the young individuals (21 years) like you. 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 with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 26 year old woman with 2 children. Ive been on the depo shot for almost 2 years. For the past week or so, Ive been feeling a strange fluttering feeling on the left side of my stomach. I had a pregnancy test which turned out negative. I would just like to know what could be causing this. Thanks in advance for any info you can offer. ### REPLY: Hi. Thanks for your query. The fluttering in the left power abdomen may not be related to the Demo shot as you are having the Demo shot for the last 2 years. The possible causes in absence of a positive pregnancy test can be:Colitis of the sigmoid colon. Urinary tract infection, with or without stone. Mild intestinal infection. I would advise you to see a General Surgeon and get actual physical examination, investigations like ultrasonography and other relevant tests of blood, urine and stool. Further treatment will be according to the Physical findings and the reports of the tests.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 put on suboxone for 20 months of pain. All testing was negative, have had mri s injections etc. and no diagnosis. Initial rx very effective for pain relief and was my old normal self. Was changed to a generic and pain is returning and now have chills and joint pain which i never have had before. I am trying to find out what first rx was so i can ask for it specifically when i refill my current rx. ### REPLY: Hits better to be on Alive for long term treatment. If severe pain, then add tramadol 100 mg two or three times a day as per necessity. Aleve can be taken twice a day...for precaution for gastritis prevention, may add pantoprazole or omeprazole 40 mg once a day on empty stomach in the morning before breakfast. Rely more on phys therapy, heat,massage, application of veteran TPS gel to joints after hot fomentationConsult an orthopedic surgeon for prescription, if he agrees to my suggestion Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m extremely concerned about my two yr old..She s had uti after uti for the past four months. She currently has another including red swollen eyes..I m not sure if this is the right place to ask but I need answers please help my email is YYYY@YYYY ### REPLY: Urinary tract infections (Otis) are quite commonly seen in child .  Most often multiple episodes could be due to unrelated infections. But anatomical abbe rations often predispose to Otis and need to be excluded. A DMS scan will help in finding it out. Swelling of the eyes could be due to lack of proteins in the blood. It could arise if the child is not feeding well. But a more important condition related to protein loss could be a condition called nephrotic syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello..My mom is of 56..She had been operated for breast cancer two years back, and den 3 cycles of chemo therapy...Before 20 days, she was hospitalized bcoz of water in lungs...At that time, 2D echo was done and result was weak pumping...Her ANGIOGRAPHY has been done,but its report is normal..Stil she is not fine...And for last 12 months she feels BEATS( similar to heart beats) in head...We have shown to neuro physician also, but he cud not help much....Is her life in danger? If needed, i m ready to post or send her reports.... ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, she might be having metastases in the heart muscles (myocardium). This can cause poor functioning of heart muscles and so pumping is reduced. Angiography will detect if there is blockage in coronary arteries. Since her angiography is normal, her coronary arteries are clear from blockage. So her poor heart pumping is mostly due to myocardium involvement. This will cause retention of fluid in the body organs like lungs, abdomen, lower limb etc. So get done PFT scan for the diagnosis of myocardium involvement. And yes, this is not good sign for prognosis. If you wish, you can ask me directly on bit.ly/ask .  Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. ### END