Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 evening sir,my daughter,31 yrs,suffering from skin allergy.since 3 months.at times in d evening or night red rsshes appear ,after her dad (eye spec.)gives cetrizine1/2 tabs c  feels relieved.after blood test 3 days back eosinophillia 21 % found.now she is taking banocide  anaaad antiallergy ointment,little relieved.help.SANJU ### REPLY: Hello San, Thank you for asking at . I went through your daughters history and would like to make following suggestions for her:1. I would agree with her current treatment with Genocide.2. In addition, I usually suggest my such patients regular montelukast-levocetirizine in morning and HY . 3. I usually prescribe my such patients' lotion like calamine over the itchy areas/rash.4. As she has complaints for 3 months, I would also suggest her investigations like complete blood counts with ESR, CRP, stool and urine examination.5. Sometimes intestinal worms can cause such allergies, so I would suggest her a course of anti-parasite  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor My last Periods Was On 25th of April And i had sex on 20th May night and next day i had little bleeding and little abdominal pain the symptoms of Periods is there any chance of getting pregnant during these time of sex i m mostly sure that my husband didnt ejaculate inside but is there any chances of getting Pregnant ### REPLY: Hi SS, Welcome to  Forum. You haven't mentioned whether he used a condom or not? Anyway, you have had sex on the 26th day of your cycle and there are no chances of Pregnancy as the ovulation happens around 14th day, if your cycles' duration is 28 days. What you have been experiencing the Premenstrual syn .  Kindly don't worry as you don't have any chances of Conceiving. Good Luck and Take Care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am zulfiqar alam i have problem of fungal attack near my stomach from last 3 months and due to this i suffer from ashtima problem in fect i have no problem of ashtama but still my saans was out of control now i feel that it burn and i feel weakness and my whole body feel weakness.and i am un able to breathe properly some thing wrong with this although all my medical reports are right.plz answer. ### REPLY: WE DON'T DIAGNOSE IT FROM HISTORY ONLY ASIA CAN BE ALLERGY AND ALLERGY CAN ATTACK SKIN AND RESPIRATORY SYSTENALLERGY CAN DEVELOP AT ANY TIME AT ANY AGE WITH ANY SUBSTANCE YOU CAN START WITH FOR CAN 150 MG ONCE A WK FOR 6 WKT AKE SINGULAR 10 MG BDSYPVENTROLIN 1/2 SF BAND ANTACIDAPPLY QUADERIDERM ON AFFECTED SKIN IT WILL COVER ALLERGY AND FUNGAL CONTINUE ANTI ALLERGIC FOR 3 WK ANDSTOPFORCAN 150 TO BE CONTD FOR 6 WAIF THERE IS RECURRENCE CAN POS AGAIN FOR ADVISE ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 unsure if I should see a dr. I have been feeling bad for about 1 week. At first I thought just a cold, as days passed not getting any better. Symptoms are congestion, right eye pressure, mild headache when I cough, lower back pain. Clear nasal fluid when I blow my nose, however coughing up is yellow, no sore throat, on and off nausea. ### REPLY: Dear-thanks for using our service and I understand your concern. It looks that you are having an infection, due to the symptoms, color of the phlegm and congestion. You have been suffering from this problem for one week, which goes more with a bacterial than viral infection. It is advisable to go to your primary care doctor for a physical examination and antibiotic treatment. The reason that you need antibiotic is because of the duration of your symptoms and the color of your phlegm. You might need a CXR too. I hope that my advice has been helpful.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 relative you was rushed to the hospital with severe chest pain and was diagnosed with Upper GI spasm.... He was discharged today after being in hospital overnight, but still having considerable pain whicChatDoctores and goes. How long will the pain last? thank you ### REPLY: Thanks for your question on . I can understand your concern. Most common cause for upper GI spasm is HERD (gastroesophageal reflux disease). So better to follow these steps for faster relief infection HERD and spasm.1. Avoid stress and tension, be relaxed and calm.2. Avoid hot and spicy food. Avoid junk food.3. Avoid large meals, instead take frequent small meals.4. Take pantoprazole and levosulperide combination on empty stomach twice daily.5. Quit smoking and alcohol if he has these habits.6. Go for walking after meals.7. Keep 2-3 pillows under head in bed.Don't worry, he will be alright in 1 month with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your relative. 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 coughed up a blood clot this morning. I have an appointment with my Dr tomorrow, but I m just wondering how bad can that be. I mean it s certainly not normal, but I have no other symptoms other than this hacking cough that occurs every morning. This is the first time I ve seen a blood clot. This cough has been hanging on for several months. ### REPLY: Hello, You haven't mentioned other features associated with the chronic cough. Those are whether you have fever, chest lightning, loss of appetite and weight loss. Since you are having cough for some time we can't exclude chronic infective causes like tuberculosis just by history. Need to do blood investigations on you like full blood count ESR, CRP. I need a chest x-ray also. If investigations are suspicious I might request to do sputum investigations also. Have you had a recent contact with a person who had chronic cough? You haunt mentioned your country. If your country is endemic for Tuberculosis and you are having other associated features also i It is a one possibility.  You get this type long-term cough due to atypical pneumonia also. Depending on your investigations will come to the diagnosis. And if it is an atypical pneumonia I will prescribe you erythromycin.  You haven't mentioned whether you are a smoker. Smoking also cause chronic cough and blood with sputum. Hope this helps. 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: Hello, and thanks for being here. my husband is receivinghis 4th chemotherapy as we speak. He has Hep C and his GGT is currently 755. (normal is 10-26)He is getting carboplatin and alimenta combo and has stage 4 lung cancer. He is really doing quite well on the chemo, the tumors have shrunk a bit. Right now there are 2 tumors in one lung and malignant cells in the heart sac and in lymphnodes in both lungs. It has not traveled furthur so far as we know. Will they be able to give him more chemo with that high of liver counts? Is it normal to have such a hight GGT after 3 chemos? I appreciate your answers. Thank you ### REPLY: Hi, Thanks for writing in. The liver function tests including GGT might get elevated after chemotherapy. It is important to know his general condition and other levels like SGPT, GOT, Alkaline phosphatase and bilirubin. If the tumor has shown response then chemotherapy might be continued after a gap. Since response to chemotherapy causes the tumor to break down and release toxins in to the blood stream therefore he might experience abnormal liver enzymes. Any possibility of a secondary infection is to be ruled out and treated early. Often patients on chemotherapy might show increase in liver enzymes after 4 cycles and this guides the treatment. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell during skateboarding. Did not notice my wrist was swollen till I got home. it s been almost two months now. my right wrist has full rotation. it only hurt when I put weight on it. the pain is located near the styloid process, on the medial side on my wrist. it doesn t seem to be getting better. It is also noticeably weaker and feel restrained compared to my left wrist. ### REPLY: Hello, I have studied your case, and you may be having fracture of the wrist joint. I would recommend you to visit an orthopedic surgeon and see if there is any old fracture. Also, if there is any inflammation of the tendon sheath. This can also present with such symptoms. I would suggest you to apply hot water fomentation and compression bandage. This will take care of this pain for time being. After x-ray and clinical examination you can go ahead with final management.  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: After coming home from a normal lunch at a local restaurant , I was visiting outside with our neighbors on their patio. We visited for maybe 20 mins, and as I was walking across the yard, I began to shake uncontrollably all over including arms, legs, feet, head,; followed by extreme nausea and a feeling of drowsiness. My heart felt like it was jumping out of my chest and felt heavy. I felt extremely tired, and felt like my eyes could roll back into my head. It lasted 40 minutes, my BP was normal, 120/68. Afterwards I took a three hour nap. Is this a one time thing or should I be concerned?? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult doctor for this episode. Possibility of heart related event is more in your case. So consult doctor and get done 1. Blood pressure monitoring. 2. ECG 3. 2d echo If all these are normal then no need to worry about heart diseases. Sometimes acute gastritis can also cause similar symptoms. So avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors. Avoid stress and tension if you are having these. Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 34yr old male with Urq disc.&occ floating stool for almost a year. my gastro and primary gave me following tests: normal stool tests(checked everything even fecal fat but not the 72hr one),abdominal and pelvic ct scan w/ contrast (normal),colonoscopy (normal),ultra sound of gallbladder (normal),hida scan (normal), cbc (normal) chest xray (normal), metabolic panel (normal),upper endoscopy (biopsies negative but diagnosed with gerd and mild gastritis).  now just had yearly physical and everything was fine. Nobody seems concerened but me. the only answer i get is ibs (but im not D or C) doesnt make sense to me. been to both therapist and physciatrist for hypochondria (everyone says its in my head). i feel like i exhausted all my options.     WHAT I NEED TO KNOW IS CAN I FINALLY RELAX ABOUT PANCREATIC CANCER? ### REPLY: Hi, It is not clear to me what makes you worry about possibility of pancreatic cancer. Anyway, pancreatic cancer often have vague gastrointestinal symptoms. As almost every report came as normal in your case no organic disease can be suspected right now. For your information pancreatic cancer can be diagnosed on the basis of pancreatic protocol CT scan. Your present investigation and symptoms not in favor of pancreatic cancer. Follow your doctors advise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...My father is suffering from liver cancer for 2 years, the spleen is very clear. Weight loss and loss of apetite remain current problems. The worst is sleap apnea at night, Please help me find supportive care for thim ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Treatment of liver cancer depends on size, location, stage and spread of cancer. In initial stage the treatment of choice is surgical excision followed by chemotherapy.  In later stage when unresectable stage is there, treatment of choice is chemotherapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have like bumps apearin around my pubic area, i can pop them, but when i do a hard little ball like thing comes out and the "zit" aread bleeds for abit, ive been puttin tea tree oil to try and cure te problem but i am not sure if it is a std or something...? ### REPLY: Hello! Thank you for the query.These lumps are most likely hair follicles inflammation. It is more possible if you have been shaving this area recently. Due to bacterial infection of hair follicles, pus appears and creates small bumps. I suggest you to start with keeping this area clean and .  Wash it with water and soap. If it seems to be caused by shaving, please try to use sterile shavers. If the bumps won't disappear, please consult dermatologist. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor,I accidentally consumed less than one ounce of lysol disinfectant. The poison control center said its fine as its Ph is 5.0 which is less than the limit of 7.0. But i am worried if it could caused any internal damage. What would you suggest?Thanks! ### REPLY: Hello welcome to the ChatDoctorSince accidentally inhaling the product for an extended period may result in health problems. There are some side effects, if you feel you are having them after inhaling the product then you should alert the doctor, otherwise it could be very less amount you inhaled which will not cause any harm. The side effects are.1.feeling . Tiredness 3.headache 4.breathing problem, suffocation,coughing and so on. If any of above side effect you are feeling you must alert nearby doctor and discuss further. Hopefully my answer will be helpful for 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: Dear Sir, I had marks on my face and due to pigmentation my skin colour turned black. A known pharmacist has suggested me to use Panderm+ cream and i am using it from past 3 months. My skin colour has been changed to normal and marks has been reduced to 75%. CAn I continue using it as the pimples are still visible on my face. Kindly suggest ### REPLY: Hi, thanks for posting your query Pander plus contains a potent steroid clobetasol, which should not be used without doctors advise especially on face for more than 2 weeks as it may lead to thinning of skin, visible blood vessels and pimples You need to discontinue it and use clindamycin and Darlene combination for pimples and get it evaluated by a doctor for the type of acne and appropriate treatment. Once acne is under control you may use pigmentation creams as per doctors advice Hope his solves your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 38 years old and I have a heart rapid. My doctor described for me Concor Cor 2,5 mg twice daily and Procoralan 5 mg twice daily . Today I felt dizzy and my pulse during the day was 54-57 . Should I continue in taking the both medication together and what are the risks if the heart pulse become too slow especially while I am sleeping? ### REPLY: Hello I have gone through your question and appreciate Your concern. Two medications can be prescribed for rapid heart rate if one tablet Unable to control. In your case you are on two medication but your heart rate is going down. Bradycardia even complete heart block can happen sometimes. It is Better to consult cardiologist and reduce the dose of medication. Thanks. U can write me back for any query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing a nosebleed from both nostrils with a BP of 138/104 and 99 pulse. Pressure on my nostrils has restricted the bleeding from my nostrils but now can feel blood trickling down my throat. Have had two large blood clots, one from the right nostril, the other coughed up. ### REPLY: Hello, Yes higher blood pressure can cause nose bleeds, because these are thin vessels and poorly support.  Particularly the diastolic BP reading of 104 is significant.  Also, when you close the nostrils, do remember that there are similar two opening of nose in the inside where it communicates with the Oral cavity, hence the tricked and blood clot while coughing.  Control of blood pressure with antihypertensive medication is the key and definitive treatment.  However, as such It's important to rule out local cause in the nose cavity, and some investigation like platelets / coagulation profile so we don't miss on anything.  Tide over treatment till the blood pressure is controlled, is as you have done stuffing of nose and tab trade 500 mg may be given (may or may not benefit) 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 had a gall bladder surgery and then was rushed right back into surgery because of internal bleeding due to a nicked vein. The doctor says she found and stopped the source of bleeding but did not suction out any of the blood that had filled my stomach due to the vein. Is this cause for concern and what can the short- and long-term effects of blood just left in my stomach? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Certain amount of blood is always left in abdomen and it usually don't cause any problems If there is larger amount of blood then it may also be asymptomatic and there is no need for treatment unless it become infected and an abscess forms. In this case it should be reoperated. I hope I have answered you query. If you have any further questions you can contact us in every time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 working woman and doing work on computer whole the day. now a days i got swelling and tightness in the lower legs and around the knees. i also having pain in my heels while start walking for few minutes. it has create itching when go to bed and the swelling disappear in the morning. ### REPLY: Hello, As sitting for long hours working on a computer in a static position may lead to troubles like lower limb tightness, pain in knees, swelling etc. based on the pathologies they have in the past like blood pressure, high sugar levels, less physical activity, pain and aches of the back, etc. I will advise you to get involved in the physical exercise 30 minutes a day which will. Help improve the overall muscle strength and avoid fatigue setting in faster in the muscles. Also, do posture correction while working on a computer. 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: my 13 yr old has been complaining of chest pain, headaches and most recent her left hand and wrist is hurting her. went to a cardiologist who did all the testing and everything was normal with heart. please help, my daughter is in alot of discomfort and i don;t know what to do. ### REPLY: Hello, Can I come to know whether there is any history of injury or trauma, fever, cold? As you already consulted with cardiologist and everything is normal, it is good. Now, I will suggest you to take tablet NICAP, apply diclofenac gel locally or Voting spray. If there is any history of injury, then consult with orthopedic and do chest x-ray and x-ray of left hand with wrist. Otherwise, review here with detailed history or consult with the physician. Take rest for few days. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , I got a problem with hydronephrosis( ureter blocking) during my 5th month of pregnancy . so met with a DJ stenting in both of my kidneys.Now i am in 6th month. since one month i felt a great discomfort in bladder . currently i dont have any kidney pain. But if at all the stents were removed, do i get pain again in my kidneys. primary reason for having stents is due to excess pressure of uterus on kidenys. currently that pressure is decreased. can any one suggest the solution to my problem. i will be very helpful to you. ### REPLY: Hi, your complaint of discomfort in bladder looks due to cystitis. It means any sort of inflammation of the bladder, which causes pressure and discomfort. It is quite common in pregnancy. It is most commonly caused by bacteria, ( urinary tract infection) it generally responds to a course of antibiotics. You need to consult your doctor, get urine routine as well culture and sensitivity done and take a course of antibiotics for cystitis. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a cough and chest pain for 3 months. The first time I went yo the dr, she said I was wheezing slghtly. She wrote a prescription for prednisone for 10 days. I got better but not good. I went back to dr and she prescribed stronger prednisone for 12 days. I finished that 4 days ago. Today I started coughing again, my chest hurts and I can t get warm. I had a chest x ray on y second visit to dr and everything was normal. now what? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PUT (Pulmonary Function Test). There is high possibility of bronchitis on your case. Because bronchitis can cause cough, wheezing, chest pain with normal chest x-ray. And PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. Better to avoid oral steroids as they are harmful to the body. You may need inhaled bronchodilators and antihistamines .  So better to consult pulmonologist and discuss all these, first diagnose yourself and then start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello: When I retruned from the gym after lifting light weights 20-30 pounds, I bent over to recover a pencil on the floor and had to lay completly flat on my stomach. When I did I felt a pop in my lower right rib cage area- that was 2 days agao. Today it feels much worse w/ a fair amount of pain. Its difficult to lay on my right side. Any idea what it is? How severe it might be? ### REPLY: Hi... Your lower rib cage pain is due to straining your oblique muscles... Nothing to worry . I suggest you to keep icing your painfully area frequently say for 15 mins for every 2 hours...Don't do activities forcefully as everyone you do you're increasing the spasm.... So take it easy keep you back supported while sitting with a pillow placed in the low back... As pain permits slowly rotate towards the opposite side to stretch that muscle a bit...don't be in a hurry to overstretch it....in sitting position gently bend sideways and take deep breath in and breathoutHope this is helpful for you.Revert in case you need further clarification ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just started a new job and my feet become so painful after a couple of hours I can hardly walk. I got some orthodics for my shoes which seem to help. The problem now is that my knee hurts so bad that I can hardly walk on it. It feels like I have hyper-extended it and it hurts to straighten it out. Now the pain is moving into the calf and ankle. ### REPLY: Hi, thank-you for providing the brief history of you. As you have pain in the calf and ankle, you need a thorough clinical examination. As most pains are activity and stress induced. Which is like the fatigue in the muscles occurs due to a long-standing and excess speed walking. If your knee is hurting you need a thorough knee assessment as sudden onset of pain can be due to any ligament sprain. Also, performing some regular exercises should help you fight against slow metabolism and fatigue. Also, in my clinical practice such cases respond well to general exercises. But if the pain still persist then keeping the age, work profile etc. into consideration they are recommended to physical therapy. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is zia and i have been married for past 3 yrs and we are unable to consive and when we went to the doctor we had to through a lot of test and the result same as my husband has a zero count of sperms and we went through another test and the result says that there is some block in the testies...... can i get pregenent after the tretememt....? ### REPLY: Hi, Thanks for writing to us.  I understand your concern.  After investigations for sterility, your husband was found to have no sperms in semen. With some obstruction. It can be varicocele/ HY .  Yes, operative correction of the cause can facilitate pregnancy.  I hope, you have been investigated & all the results were normal / treated as per need. If not, please get it done,. So that both are you are fit for conception.  Thanks, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.. i m 29 year old and married , i have no child. my prob is last 2 month, after one-two week of period. stree in lower stomach , cant stand for long time, feel tired, sometimes strees in waist. may i know the reason. ### REPLY: Hi! Good evening. I am  answering your query. Maybe you have got a PID (pelvic inflammatory disease) which might be causing tiredness due possibly to fever. If I were your doctor, I would refer you to a gynecologist for a clinical examination followed possibly by an ultrasound of abdomen to rule out any other pathology of the pelvic organs. 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: just got a call from a friend (43 year old male) his blood pressure is 170/110 (at home BP tester). He has a history of high blood pressure.Should he go immediately to Dr? We stuffed our faces last night with pizza. Could it be a temporary rise in BP ue to the the high sodium intake? ### REPLY: Hello, Thanks for posting your query on  ...* Brief Answer:Too much salt intake may cause temporary high blood pressure.*Explanation: My opinion is that high blood pressure on many occasions is an indication for control. That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure. Then, Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that does not help, medications are a must. That is usually decided by your doctor according to your condition and comorbidities. Some . Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started. I suggest my patients the following low salt n diet and avoid excessive salty food or caffeinated  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feeling very dizzy for about 3 weeks with some nausea and weird taste on my mouth. My tongue is now sore on the left side and I have this general feeling of being very unwell. I had blood tests done whicChatDoctore back ok but clearly something is wrong... I need help ### REPLY: Hello dear, Considering the fact that your blood investigation reports are within normal limits, the symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations (if not performed already) like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY . And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 21 yr old young woman and I have bronchitis, my doctor said. Each time I get cold or fever, I have symptoms like temperature rise, running nose, throat pain etc. These symptoms reduce and are eventually cured. But when cough starts, it doesn t reduce as fast as the other symptoms. If antibiotics are not used, then the cough can last upto a month or so before its completely gone. Doctor says I have bronchitis which is causing this. When I told him about my problem, he prescribed glemont F for three weeks. Is that the solution for my problem? What can I do to prevent this kind of long lasting cough again? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, you should consult pulmonologist and get done 1.  Clinical examination of respiratory system. 2. PUT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT. You may need inhaled bronchodilators and antihistamines. Lemont is oral bronchodilators and having side effects so better to start inhaled bronchodilators. So consult pulmonologist and discuss all these and start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I have just left my doctors office and he explained that i might have hepatitous and that i need a blood test and a ultrasound.I was a caregiver and have stuck myself over the years with the lances to test blood sugar of diabetics.My liver enzyme level is 150 is this really bad?. ### REPLY: Hi thanks for asking question Normally liver enzymes are up to 42. Your liver enzymes are mildly elevated. It can be viral or other form of hepatitis. So to rule out viral hepatitis viral marker done and ultrasound reveal whether is hepatitis or other liver disorder. So better you do this investigation. According to your history you have more prone for hepatitis b as you have prick while working. If Bag antigen viral marker remain positive after 6 months then you are hepatitis b carrier. You can have subbed acute early hepatitis. So don't worry.investigate with blood and USG. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am feeling fatigue, low temps, 96.5 to 97.2  I can lay down and sleep for about 1 hour and feel better, I have sugar diabetes.... bad thyroid, (blood tests say I am ok with taking drugs.copd, asthma. High blood pressure (controlled) But Generally not feeling good at all,  I am usually very active and hard going, but in the last 3 months something seems to be drawing my energy down and it is getting worse each week that goes by. I dont feel like doing anything,  I am beginning to be very depressed to a point I dont care about living. Not sure I want to go on if I keep feeling this way, Stress free life, 64 years old. ### REPLY: Hithanks for your query can feel your concerns you seems to have a depressive illness advise you to consul your doctor and take antidepressants after consulting your doctor you may need a few sessions of psychotherapy have some healthy physical activity have a morning walk and keep yourself busy also advise you to have a complete blood profile since low hemoglobin can also cause lethargy, weakness and low energy hope I have answered your query wishing you a speedy recovery am available for your help 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: Had two upper teeth pulled on Monday-one which was a wisdom. Now the gums have white patches on them. Also, I m experiencing excruciating pain. My head, face, neck and chest hurt on that side. Is this normal. Should tell you, before teeth were pulled on that side, I was already experiencing swelling and pain in face and neck from time to time. Could there be an infection? ### REPLY: Hias per the information provided by you the white patches you can see on for gums are nothing but dead tissue which is going to be replaced soon by healthy tissue by body in few days. Feeling such pain is acceptable in some cases for first 36 hours of the surgical procedure and the pain should start to subside then. If not then you should see your dentist and let him guide you further. If there is a .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 16 weeks pregnant and so far the pregnancy has been without problems. Today i have a rapid HR 106 bpm and i feel lightheaded and SOB - could this be anaemia? Not sure of my BP - but have had sufficient fluid intake this am. Thanks for your time. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  During pregnancy anemia is common. Because already there is demodulation. Need of iron is also increased.  Weakness, fatigue are the symptoms of anemia.  You should go for your hemoglobin estimation.  If it is low then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was seen recently by Mr John McMahon at the Alfred Hospital and I have a cyst growing between two vertebra and into my spinal column. I am on a waiting list for surgery but I would like to know a ball park figure for the cost if I was a private patient please. ### REPLY: Hi, Thank you for posting your query. I have noted your complaint and note that you are on waiting list for surgery. The exact cost of surgery would depend on the type of surgery and its details. In India, the cost of a similar surgery would be about Rs 2,50,000/ (about 4000 USD). I know it is about 5-10 times more expensive in the USA. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has a nipple that has enlarged. I understand that this a signed of puberty. I have already taken him to see his doctor. How long does it take before his breast nipple returns to normal? In addition, it is said that the breast enlargement is due to a hormonal imbalance and once his hormones return to normal the breast enlargement should decrease. When will his hormones become back balance? In addition, my son has developed a rash around his neck and top torso and face (small fine bumps). He does has exzema, what can I do to treat this? His prescribe creams do not work. ### REPLY: Thanks for asking in  forum Usually pubertal breast enlargement is seen in some males. It reverts to normal after some time. But, if it persists for more than 2 years then it is less likely to subside on its own. If that is the case then you may have to visit a surgeon for cure if required.  Regarding your sons rashes, please provide a pic/any associated symptoms like itching/pain/discharge over there for further management. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter louise was very down and found it hard to sleep, she went very quite and stopped going to college, she went to doctor and he perscribed  a sleeping tablet that didnt work,she went back again and he put her on lyrica,,,she is finding a lot of side effects from it,, i researched it and it said it was for cronic pain etc,, it didnt say anything about not being able to sleep,, why did he give her this drug,??id appreciate your feedback,, james in ireland ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about the side effects your daughter has experienced from this medication. For sure, I cannot tell why the doctor prescribed this .  I will suggest that you talk directly to him and understand why. Also, report the side effects to him so that he can review them and make the necessary changes if need be. Her symptoms seem to be suggestive of depression. Ids there any reason why you think she could not be feeling very happy with herself? If you think she has mood changes, please consult a psychiatrist to get her evaluated for possible depression. I hope you find this helpful. Thank you for using our services, and please feel free to request for more information if need be. I wish you well good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my 83 year old aunt who is a dibetic, has a metallic taste in her mouth. is has disrupted her life to the point she has stopped eating and now drinks only orange juice. my 79 year old mother my aunts youngest sister is very worried about her and asked for some sort of reason for this. My aunt heas not gone to the hospital yet but will go if it become much more serious. thank you. ..........I should have known there was some kind of hook hidden in your website. i understand that a doctor cant work for free but couldnt you be upfront enough tonote on the first line of you ad that there is a fee, albeit a small one but to receive your answer you will have to pay. some of us less paid individuals dont have the exrta $15 or $30 dollars to pay out when our family members are ill. our medical system here in canada is set up so that we can be treated for anything at a minimal cost or in other cases for free. i am sorry that i wasted both your time as well as mine to have a question answered that may be completely different from the actual problem. i feel i have been misled by your site. Please be considerate of lower income people who would feel somewhat better to be able to ask a medical question and be treated as a human not a dollar sign. Gordon Harper,  YYYY@YYYY ### REPLY: Thanks for using . Read your query. Metallic taste in the mouth can be due to many etiological factors. Since your aunt is a diabetic, the medicines used for diabetic can itself induce the metallic taste in the mouth as an adverse effect. * Sometimes common cold, nasal infection or sinusitis are associated with this problem. *Poor oral hygiene, periodontitis often case the metallic taste in mouth. If I had a patient with the similar complaint I would have recommended them to have citrus fruits for next couple of days and maintenance of good oral hygiene. Also maintaining the sugar levels is very important. If the problem still persists, please consult your local doctor for further evaluation and treatment. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi..i got a dog bite..after 8 days..i go to hospital to get a vaccinebut the nurses the worries me because she told me the vaccine should inject within 3days after the dog bite..how ever they still inject me a vacine first shot yesterday feb.26 and the other shot in the following day..should i be worried about the nurses told me? ### REPLY: Hi & Welcome. Taking anti-rabies vaccine 8 days after the dog bite will not cause any serious health issues. Ideally, the first dose of anti-rabies vaccine should be taken as soon as possible after exposure; failing that, it should be given without further delay as in your case. If the dog is a stray dog, take 4 doses of anti-rabies vaccine as per the dosage schedule on days 0 (1st dose), 3, 7 & 14. Since the incubation period of rabies virus (in humans) ranges from 2 weeks to 6 months. So, if you forgot to take the first dose immediately soon after the dog bite, it may be taken without any further delay. So, there's nothing to worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 month old baby is having green poop, with stomach pain for last 20 days. I consulted a pediatrician, she first gave him ciprofloxacine syrup for 7 days, it was cured bt again after days stool was green. Went to the doc once again, she now suggested azithromycin syrup. Bt still he is having green poop. No improvement. Stool test says plenty pus cell and mucus present. What can I do ? Why is this happening? ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (especially broad spectrum antibiotics like ciprofloxacin and Azithromycin in such a young baby) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I strongly suggest that you stop the antibiotics. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im a 28 year old woman and I noticed in August of 2013 that my teeth started to move the shift. Its affected the way my teeth fit my speech and sometimes they move when I eat or drink something. the main teeth that are loose are my two upper front permanent teeth and one of the permanent teeth sticks out or protrudes and my gums are swollen. I havent been to a dentist since I was 16 mainly due to fear. Can my teeth be saved, can something be done? ### REPLY: Thanks for using . Read your query. The signs and symptoms you have described suggests the chronic periodontitis which is resulting the mobility of the tooth and multiple abscesses. It is due to neglect in keeping the oral cavity hygiene or any systemic condition. I would advise you to consult a periodontist without any delay and get a complete check-up. Get your teeth cleaned by the dentist and the required further treatment which may include root canal or abscess treatment. Once done, you have to maintain it well as instructed by the dentist. Antiseptic mouth wash gargling is to done for few days. Fear of the dentist will not do any help, please overcome it and get help immediately for better results. Hope this was helpful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes hello, 2 was ago I felt a soft lump bigger than grape size right of of my neck above coller bone, above v shaped area on coller bone, not painful. SHould I be worried, blood test came back normal, going to see gen surgeon recommended by my primary doc ### REPLY: Welcome to . 1. The features and history suggest possibility of lipomatous - fat content lump. 2. Next possible cause could be lymph nodal enlargement.3. In this case I would have request for an ultrasound lump - which will help to detect the nature of the lump, its source and extensions.4. Since it's soft in nature the bony source is excluded - however chest x-ray will help to see any bony involvement. 5. In case of lipoma - no active treatment needed, lymph nodal enlargement will be seen in case of any infection / inflammation - it will ease off once the infection treated. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I may have cracked my shin bone because I was playing football and I went to kick the football really hard and some one put there foot out and I kicked their studds and there is now a constant pain through out the hour and it Hurts when i touch is but I can run on it ### REPLY: Hi, Thanks for your query. Signs and symptoms of a fracture are: intense pain and tenderness, swelling, deformity of the bone involved, limitation of movementNormally for soft tissue injuries with no bony involvement, the following is suggested: R.I.C.E where r : rest, needs to rest , (2) I: ice, (3) C:in the presence of swelling, a compression bandage can be helpful to reduce the swelling and pain (4) elevation of the limb is also usefulAnti- inflammatory pain medication can also be used, on a full stomach. 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: Me and my girlfriend have had sex Atleast 5 days a week for last couple of months . Recently I have had a problem staying hard , and being able to ejaculate. Also, by the second round im able to stay hard but I m dmaller and takes way longer to ejaculate. ### REPLY: Hello, What you are experiencing is a normal physiological phenomenon and nothing to worry about this. As you are having sex 5 days in a week definitely the amount of semen production will be less that doesn't mean your sexual desire has come down. When ever you are trying for the second round of sex normally ejaculation will be delayed due to the sympathetic activity. As per the history you are not having any problem with regard to your sexual activity. 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 Sir, Good day :)! I am a 23yr female with 5.2 height & 59 kgs weight. I have brething problem for pst 3 months whichis new to me. i had been sufferin from sinusitis more than 5yrs. And so am in homeopathic treatment coz am having little stomach ulcer too. my doctor after checking with ecg,hb and some tests said that am physically fit & my breathin prob s due to Mental stress & depression. Thats true coz i myself know am very depressed. Anyway am not able to recover now so fastly Dono what to do instantly to reduce my breathin problem. Yesterday it was severe & i had to take a vein injection too. Am practising Yoga to overcome. Can you please suggest me somethin on this & s t good taking a vein injctn. It aches like something. Kindly help me. ### REPLY: Hello, Thanks for your query. If you have asthma or allergies, eliminate household allergy triggers like dust mites and mold.Don't smoke, and keep away from secondhand smoke. Don't allow smoking in your home. If you have asthma, learn ways to manage it. When traveling by airplane, get up and walk around once in every few hours to avoid forming blood clots in your legs. Clots can break off and lodge in your lungs. If traveling by car, stop and walk around regularly. Lose weight. You are more likely to feel winded if you are overweight. You are also at greater risk for heart disease and heart attack. 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: my 15 year old son had a stomach virus 2 weeks ago and has joint tenderness with swelling of which resulted in 2 ER visits. Diagnosis: viral attach of the left ankle joint with cellulitis setting in. 3 different blood test profiles showed NOTHING. 2different ankle fluid taps did not show a bacterial infection so their original diagnosis of viral attach still stands. He has a chronic low grade temp of 99.4 each night at this time. What are they missing? Arthritis profiles were negative. He is taking voltaren bidand Cephlexin 300 mg 4X and continues to take some Tylenol as needed for pain in the bottom of his feet ### REPLY: Hi, I had gone through your question and understand your concerns. It can be reactive arthritis secondary to infection that your baby had. As his arthritis profile is negative, and his fluid aspirate is negative for bacteria. Your treating physician should rule out tuberculosis of joints. Continue NSAIDs group of medicine as prescribed by your physician. Likely its reactive arthritis that usually settles after 02 months but in some patients it can persist for 06 months. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I received a birth control shot about a month ago because I am sexually active and dont want to become pregnant. The doctor had told me that there would hardly be any blood with periods and the cramps would almost be nonexistent. All of yesterday I had horrible cramps, the blood was a bit darker than usual, and there was what looked like a piece of skin with the blood. This has never happened to me before, and I was wondering what it could be. ### REPLY: Hi. Thanks for asking in . The main mechanism by which a hormonal injection acts is through suppression of ovulation. An ovulatory cycle are painless and that's why your .  Generally it takes some time for the hormones to act as they are administered externally, and the body takes some time to get adjusted to this hormonal imbalance. So, they may not be effective in preventing the ovulation in the very first month. If the ovulation has occurred already, then hormone injection will not prevent the fertilization but will certainly prevent the implantation. The tissue you saw could have been the expelled fertilized ovum. Also, heavy bleeding and delayed periods are common in the initial few months. If your period had been a little delayed following the hormone shot, then the tissue could be endometrium which is thickened when there is delayed period. If the bleeding persists and if you pass a lot of clots, then you should seek 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: My sister has a 3yr9mths old daughter..she fell ill since last thursday, and we couldnt seem to find out what really happened, cos at one time she would feel normal, and then her body temperature rose all suddenly! We tried going to hospitals & clinics but all they did was gave her some medicine, which doesnt work at all. What is really happening to her? We are very worried, as we are absolutely suprised because she has never been like this. We dont think this is a normal illness..HELP! ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI i have a cavity and lung tv( active) . i have started taking my medication before 1 month( each film coated tablet contains rifampicin bp 150mg,isoniazid bp 75mg and ethambutol hcl bp 275mg and i am olso taking a separate drug called ethambutol ip 800mg.   now coz i coudnt find those drugs except ethambutol ip 800mg,i am planing to start AKT-3( ethambutol hydrochloride ip 800mg,isoniazid ip 800 and rifampicin ip 450mg. my question is....am i going to have a problem in the process of treatment ### REPLY: The dosages for TB depend on your weight. You should not exceed the doses you are prescribed because this can cause severe side effects that can be fatal, especially because the treatment of TB requires many months of treatment. It is also not advisable to take only 1 medication because this can cause your bacteria to become resistant and this can make it harder to treat your infection in the future. There are various regimens that can be used to treat tuberculosis. The CDC lists some of their recommendations here: https://www.cdc.gov/tb/topic/treatment/tbdisease.htm ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,I am a 20 year old female and i have noticed that within the past week i have been getting bad lower back pains and i have been having frequent urination. I am also constantly tired. Even if I get a full nights rest, I feel like im still exhausted. All of this is out of the ordinary for me. ### REPLY: Welcome to  .1. Bearing in mind your age, you can try with the back pain exercises which will help to get rid of pain.2. Comming to urinary frequency it can be due to cystitis (bladder infection) take excess of water, if not working then you have to go for a course of antibiotic treatment.3. Get rid of any stressful events in the life if you have any. That to help. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir History of my Elivated SGOT/SGPT My childhood onwards my Total serum bilirubin is above 1.5 mg/dl. On 2010 when I done my blood test(Because of back pain ) there was a slight increase in SGOT and SGPT - Both around 44mg/dl. Next year 2011 I repeated the same and found that SGOT is 110 and SGPT is 170 and bilirubin is 2.25. I consulted a doctor and he prescribed a liver supplement for 6 months and SGOT and SGPT back to normal and bilirubin reached 1.75. After that I stopped liver supplement(Around 3 months now) . Two days back I done my LFT again and results showing elevated SGOT and SGPT . Results are below S.Bilirubin Total : 2.25 mg/dl S.Bilirubin Direct : .80 mg/dl S.Bilirubin Indirect : 1.45mg/dl Serum SGOT : 90 U/L Serum SGPT : 110U/L Serum Alkaline Phospate : 56 U/L Normal range Serum Protiens - Normal Creatinine - Normal range HBsAg Eliza - Negative Anti HCV - Negative Alcahol consumption(wkly once/twice) - Stopped on 2011(As per Dr advice) ### REPLY: HelloYour history and reports suggest that you may be suffering from a harmless type of jaundice called as GILBERT SYN . It is an inherited metabolic disorder and a common cause of conjugated hyperbilirubinemia. Although other liver enzymes are found to be normal in this condition, but they are high in you, may be because of other reasons, which should be explored. These other reasons could be alcohol, abnormal lipid profile, persistent intake of herbal supplements etc. You must consult a Gastroenterologist and get investigated properly to arrive at the diagnosis. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had been getting a lot of Anxiety since a couple of years to the extent I, get up with Palilations when I get up in the morning even on a holiday... I have been diagnosed with General Anxiety Disorder and prescribed  paxidep cr 25.   Reading over the internet , I feel I am not that worried through out the day as, the articles on the internet mention.... is it possible that the doctor has given an incorrect medicine...    When diagnosed with HperThyroidism last year, I was also prescribed Atenolol (for reducing my heart rate)and it really calmed me down at that time ... I feel I may rather need Atenolol  instead of paxidep cr 25.... Need you suggestion on how to deal with the situation... Would really appreciate..help ### REPLY: HiT hanks for using  Anxiety symptoms in your case could be due to hyperthyroidism. In that case, you have to consult an endocrinologist or physician to control your thyroid profile. Atenolol is antihypertensive and that would help to control blood pressure. In your case, treatment depends upon the cause. If anxiety is due to thyroid, then there is no need to take antidepressant. Rest, you can consult your doctor. In case, you need further help, you can ask. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump that seems like only myself can feel...its on the left side...approx.3-4 inches to the left where ur bum crack starts..sorry this is the only way i can describe where its located . It hurts when i lye on my back or move a certian way. I had a ultrasound done..nothin showed up. This has been botherin me approx. A year now..what do u think it could be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You may have some perianal abscess. Or you may have fissures or fistula.  You should go for examination to confirm the diagnosis.  Surgery is the treatment of choice. You should consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor,i have PCOS. i m 27 years old. i used DIANE-35 for four years. i had one missed abortion. at that time i got pregnant naturally. now i am taking treatment for pregnancy. but my ovaries r not ovulating. what should i do now? i am worried. HSG is normal. please help. ### REPLY: Hi, I think you should take some medicines like camphene and injections like HMG or FSH, for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 cycles. Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...My 9 year old son is experiencing shortness of breath and chest pain without exertion. He is very active and can play a full game of basketball without a problem. He doesn t have a cough, cold or any other noticeable symptoms.? ### REPLY: Hi, The common cause of shortness of breath and chest pain in child .  Your son has no exertional dyspnea or cough and cold, so the above causes are unlikely. Sometimes heart rhythm abnormalities can present as shortness of breath and pain over chest. So, I would suggest you to do a baseline ECG and get an opinion from pediatric cardiology. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughters upper stomach has been hurting since this morning. It has gotten worse throughout the day. She is shaking, seems to have a fever( out if town do not have a thermometer with us) . She s laying in bed and says it hurts to move around to turn over and makes it hard to breath. She threw up once yesterday after eating nachos from a gas station and felt fine after that. Any idea what could be going on? ### REPLY: Hi, thank you for providing the brief history of your daughter. As she is having pain in the upper qua .  Also, vomiting frequently is the indication for the indigestion and there is nothing to worry as kids body learns to act and react the improper food. Getting a thorough examination by the pediatrician and taking proper medication for the acidity should help reduce the symptoms. Also, having a good lifestyle and slow frequent eating with lots of water should help her to ease the pain. RegardsJay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in my chest, sore like, as if i have pulled a muscle, left ear feels blocked and when I swallow it feels like im swallowing marbles. My throat hurts from my glands straight down my neck right to my chest. Although i have no other symptoms, no fever cough or phlegm. What could this be? ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that your symptoms may be related to a viral infection (upper respiratory ways). I recommend consulting with your GP for a careful physical examination, a chest x-ray study, a throat discharge bacterial culture and a complete blood count. You should discuss with your doctor on the proper therapy, based on your tests results. Hope to have been helpful! Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I was wondering My H> was diagnosed with Metatstatic tonsil cancer that spread to his lymph nodes a year ago this month. He only did surgery.. Surgeon said extracapsular spread in lymph nodes they removed 25. He opted out of chemo and radiation.. Can he live like this? Or will it re-occur if it has not already. What will his symptoms be? He is also a heavy smoker & Drinker. WILL NOT go back to the doctor. ### REPLY: HelloWelcome to  Consular cancer that has spread to lymph nodes are not called metastatic cancer because they are regional lymph nodes. If his lymph nodes show extracapsular spread then chances of disease recurrence is very high. Ideally he should have received radiation together with chemotherapy after surgery. Most important thing to decrease chance of recurrence is smoking and . Most common symptoms of relays are recurrence of lymph node swelling, ulcer in throat, pain, difficulty in taking food or breatingRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes my daughter as been diagnosed with hepatitis c and as not yet had her liver check, but was told that she as to have some type of chemo for this. How could they determine this without checking out her liver first. She was not told what stage she was in either. Is this normal they have scheduled her for a cat scan in two weeks ### REPLY: Hi, thanks for using  Part of the work up for hepatitis c normally includes (1)liver function tests, (2)complete blood count, (3)thyroid function tests (can be low in some persons with this infection), (4)screening for hepatitis B, (5)determining the amount and type of hepatitis c present. In terms of the treatment, patients with hepatitis c have an excellent response to interferon which may be the chemical agent you are referring to. Because some persons may improve on their own, sometimes doctors may wait before starting treatment. The CT scan would determine if there is any significant damage to the liver. Hepatitis C may be classified as an acute infection, chronic infection with or without damage to the liver. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my siste she is went to mayo at lacrosse wi she has blood sugar of 106 to me that s borderline diabetis she is 46 yrs old. they have no follow up for her or for her to do blood sugar tests. what is wrong with this picture? also she had leuks in urine high plus sugar high. no follow up ???? what should she do? she has history high blood pressure which was 145/95 and they choose to do nothing. she has history of thyroid disease also. no follow up????? I am sister and rn and what should we do. she feels because she is on badgercare through Wisconsin that they don t care. I agree ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Get HbA1c tested to evaluate for diabetes mellitus, if normal, follow-up after three months with test again.2. For urinary tract infection, get urine culture and sensitivity and start appropriate treatment with prescription from your doctor.3. Blood pressure is mildly elevated. Weight reduction, low salt diet and moderate exercise will help you. Followup blood pressure evaluation, every 15 days, until its less than 140/90. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter that is a month shy of 27. Her white blood cell count is at 2.1 and has been low for 3 months now and she had what stated out as a ear infection and cold. I have been told to take her to a hematoligist and have a appointment for next monday. I am very worried should I be? ### REPLY: Hello Dear I evaluated your concern in depth.@ This low WBC for 3 months are not normal, has to be evaluated for the underlying pathology, not emergency but on planned basis.@ Till then take utmost care to prevent any type of infection & if occurred immediate control of the same, as her immune system at present is weak due to low WBC count @ Gentle suggestions for your daughter to get fast recovery # Ciprofloxacin ear .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 15 y/o male. 6 4 230#. High blood pressure earlier today 150/95. Was feeling dizzy at basketball practice. Trainer took his BP. Rested, drank water and it lowered to 130/80. Tonight he s complaining of blurred vision and feels like a migrane is coming on. Any concerns? ### REPLY: Hello! Regarding your concern, I would explain that high blood pressure values could be related to straining physical activity or anxiety. Anyway, I would recommend consulting with his attending physician for a physical exam and some tests: -a resting ECG-complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction- kidney and liver function tests for possible dysfunction- cortisol and aldosterone for a .  You should discuss with his doctor on the above tests. Meanwhile, it is necessary to closely monitor his blood pressure values during the day. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok, I m 15 and I have sex with my gf quite a bit, but we use condoms and birth control correctly, the last few times I didn t cum while i was wearing the condom, but the other day we had sex and everything seemed normal, except when we went to go try again and she noticed she has a brown discharge on her pad. Could she pregnant? She said it s happened before and her period was just a week ago, and shes irregular, but she had lower abdominal cramping. ### REPLY: Hello, and I hope I can help you today. Bleeding after sex can occur in women of all ages, but it is not unusual at all when a girl is in her teen years because her own menstrual cycle is still maturing and also chafing inside from sex can occur. Furthermore, any bleeding from the uterus can produce cramps, even if it's at the incorrect time. Condoms are extremely effective in preventing pregnancy if they were applied before any genital contact and remain on during intercourse and when you pull out. Furthermore, the most common sign of pregnancy is a missed menstrual period, so if your girlfriend has not actually missed a cycle she really does not need to worry about pregnancy. If your girlfriend herself is also on birth control pills, irregular bleeding and spotting can be a side effect of the pill as well. So in summary, there are lots of reasons why your girlfriend could be bleeding irregularly, but if you are using proper contraception and condoms, pregnancy is not really one of the things you need to be concerned about. If your girlfriend starts to bleed regularly after sex she really should be evaluated by a doctor, as inflammation or infections of the cervix can cause postcoital (after sex) bleeding as well. I hope that I was adequately able to answer your question today, and that my advice was reassuring. 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 injure my knee over a year ago. i did not have the chance to go the doctor because of not having insurance. A year has past and my knee injury has healed but not completely. It start to get painful when i ran less than an hour. my knee is really stiff after a few minutes of running but not painfully. With the Obama care in a few days and hopefully my knee will finally get to look at. I m just scared that it might have gotten worst. What can i do? ### REPLY: Hi.your knee pain could be due to less stability and strength in the muscles supporting your knee joint... I would suggest you to start a stability program and insist to properly DI good warm-up and warm down to avoid any future issues.stability program can include exercises like Bridging. Clamshell...single leg lift sideways...step-ups.squats...initially be started without weights and as you get comfortable increase load...clamshell exercise leg to be held in resisted position for at least 19 secs and repeated for 6 times each leg.all other exercises can be done for 15 reps.each...keep icing your knee. Frequently at least thrice in a Day. Prefer good training shoes. Hope this is helpful for you. Key idly revert in case you need any further clarification.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had constant chest and back pain on left side for 19 days . Had cat scan to rule out blood clot. My doctor said with cat scan coming back alright there is no other test he can do. He is wanting me to go to a pain management doctor which I refused to do. Is there other test he could do? I m 78 years old. Thank you for your reply. ### REPLY: Thanks for your question on . I can understand your situation and problem. Left sided chest pain and back pain in old age patient should be evaluated for cardiac cause first. So consult cardiologist and get done 1. ECG 2. 2d echo 3. Coronary Angiography if required. If all of the above are normal then no need to worry about cardiac cause. Pancreatitis can be the cause for back pain. So better to get done serum amylase and lipase to rule out this. Acute gastritis can also be the cause in some cases. So consult another doctor and discuss all these. ### END